05-101675 y
City id'Fedal Way Electrical Permit #: 05 - 101675 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
4
Project Name: WEYERHAEUSER COMPANYyy
Project Address: 33930 WEYERHAEUSERSuite204 Parcel Number: 215466 0010
Project Description: Installing(1) 120 volt outlet for audio/visual projector;EC-3
Owner Applicant Contractor
SC EAST CAMPUS INC D W CLOSE CO INC D W CLOSE CO INC
2101 4TH AVE#800 D W CLOSE CO INC D W CLOSE CO INC
SEATTLE WA
98121-2351 (206)242-0058
Electrical Fixtures
Description Quantity Description iQuantity Description (Quantity
Circuits- Commercial 1
PERMIT EXPIRES October 9,2005.
Permit issued on April 12,2005
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent:.1,/, g/.P Date: 4- /z /cir
FINA LED
k
THIS CARD IS TO REMAIN ON-SITE " .,
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-101675-00-EL
I
Owner:
Address: 33930 WEYERHAEUSER WAY S Suite
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
0 Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels (4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date lkDate S— -C.)
❑ Under-slab groundwork(4295)
Approved
By Date
0
• RECD - °- 05 - C ° .� C
Federal Way
LRMIT SF MF CO M D EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33325 AVENUESWATH• BOX 9718
APR t c I CATION
FEDERAL
L WAWAY,WA 306363-9718 / /
253-835-2607•FAX 253-835-2609
www.atuoffederaluaumta CITY OF FEDERAL WAY
BUILDING DEPT. n
The following is required information-an incomplete ap•lication will not be acce•ted. Pleases rrint i gtb y in ink)or type.
`"J�3 1 Y• .A �A - PROPERTY INFORMATION J
SITE ADDRESS D r�y S (�(/(I't�/t 5 , SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ — i�`1 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) I -14ST crilAppts ewe-, - gov,t4 Zo 4-
(Attach separate page for lengthy legal desorption)
■ PROJECT INFORMATION "
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
ROJECT DESC ON(Provide detailed description of work included on this permit only)
/13. 15 141( ) Qu- if 141401.d ViLSu(A6 PRogveto 4 ac-3 Room
JZ ' UoLT,
PROJECT NAME(Name of Business or Owner Last Name)
- , - : - (♦ PEOPLE INFORMATION
PROPERTY NAME r � n �^,.//� .( ,� , PRIMARYIM_RPH NE
OWNERV•11-41/4 /1S>�f �_ Coao `KJ I— ( Zo)gob -7cd3
MAILING DDRESS CITY,STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NA E OFFICE PHONE
D.w,C rose. co , Ow1� le-La1 (76(0) 9s- -72-27
M LING ADDRESS CITY;STATE,ZIP CELL PHONE
3 4- S. 13 a R . w#4- 78t B (7-cJe)193 -Sal L
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
1 q-c1'q-j 6 Z 2 o- B L /Z/ 3/ id,r- ( ) -
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
� c). LcDw_ T2rScC / 30 / O&
APPLICANT COMPANY NAME APPLICANT NAVE . PHONE
.w.Ctosa CO. l/v4-#J itamO t (4(0 ) 83c--- )Z27
tvJ'.[L[NG�D�S t3 , ���` CITY,STATE,ZIP CELL PHONE
2/([�3e) ' .Wl4- gie, 8 (2) --43- Sr/Z
RELATIONSHIP TO PROJECT � � FAXX�NUMBER �-�
0 Architect 0 Tenant 0 Agent Other(Describe) COatit iter6 C-- ( ll& ) Z42-- Z78
CONTACT uprio
f"1/� (�Z )f 3S - 71 Z-7 Vi ao5Ejj
LENDER .:••aPerRCW 39.27:t19514.enderQriforrrtation is NAME
•-,egi i�rii i,isp,fect.valua*.&4s$5,000 ' .
MAILING ADDRESS CITY,STATE,ZIP
- ■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE * VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
I - WATER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE O TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE a PRIVATE(SEPTIC) )
PROJECT Fl...,
AREA DESCRIPTION EXISTING S OPOSED S s.FT. TOTAL
BASEMENT +
FIRST
SECOND 4:
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXTSTD(O TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number`of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECIIANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
• BBQS FANS HOODS(cooimerdall W OOD STOV ES
' BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shoaercombo) SHOWERS WATER CLOSETS(raau) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
. . _ -- ,. _-: _ DISCLMME BLOCK
: :"1. _...- ._ . _ -; - - - -- R/SIGNATIIRE �
I.certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further,that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
•
NAME/TITLE 61.-1-4// /�iL-f/aV •5 61 u C 4 /116 Pf'DATE ¢ 1/L /
c_
(Signature) (Title)
I RELATIONSHIP TO PROJECT 0 Owner ❑ Agent ❑ Contractor o Architect ❑ Other
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? o YES o NO
, f 1�l
,
11Bulletin#100—March 30,2004 — Page 2 of 4 k\Handouts—Rcvised\Permit Application
e
i
E CTRICAL PERMIT INFORMATION
,,=--40,40.
• RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
' Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$87.00,Each add'n 500 It2-$28 00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage 0 101 -200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201 -400 amp 220.50 87.00
❑ Detached outbuilding or garage 0 401-600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) ❑ 801 - 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 0 Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50
O 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 0 over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 0 1 #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ca)
$74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 0 Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
❑ #of service or feeders 0 101 -200 74.00 51.00
(First service/feeder-$58.00,each add'n-$37.50) ❑ 201 -400 87.00 n/a
O 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
O Low Voltage 0 Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System 0 Yard Pole meter loops $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
Cl Data Cabling
0
(Per Systems) 1"2500 ft2-$51.00,
Each add'n 2500 ft2-13.50) 'Per WAC 29646-910(4610&ii)
Bulletin 0100-March 30,2004 Page 3 of 4 k\Handouts-Rcvised\Permit Application-