05-102134 S
r d
City of Federal Way Electrical Permit #: 05 - 102134 - 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) 835-305C
Project Name: RUSSELL PLAZA
Project Address: 33600 6TH S ALK, 5 Parcel Number: 926480 0205
Project Description: Install thermostat.
Owner Applicant Contractor
Api AIR SYSTEMS ENGINEERING INC AIR SYSTEMS ENGINEERING INC
88050 148TH AVE NE 3602 S PINE ST 3602 S PINE ST
REDMOND WA TACOMA,WA 98409 TACOMA,WA 98409
98052 (253)572-9484
Electrical Fixtures
1 Description Quantity Description Quantity Description Quantity
Thermostat 1
PERMIT EXPIRES November 7,2005.
Permit issued on May 11,2005
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. �n
Owner or agent: (7,(L (1Date: G S
FAN
ASE
o �
,D
o
2
THIS CARD IS TO REMAIN ON-SITE v
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 .
PERMIT#: 05-102134-00-EL
Owner:
Address: 33600 6TH AVE S
FEDERAL WAY, WA 98003-6743
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 asclose 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
0 Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final Electrical(4055)
Approved Approved Approved
By Date By Date `6_,_ Date (7— /—"T--).
❑ Under-slab groundwork(4295)
Approved
By Date
' ` RECEIVED
CRY OP
A' MAY 0 6 2005 0 6 - _/ _o ...,t2._
Federal way PERMIT C
COMMUNRYDEvELA . DEFIAL w SF MF CO ME IOL DE EN FP
9332E D R LWAY, . ; LNG DEPT ` PPLI CATI ON \\ ��
FEDERA.WAY,FAX
253-835-2607.FAX 253-d35•Z609 `_L/
www. federalwau.mm
The ollowin! is -• fired ormation-an incom•lete a••licatlon will not be • •. •ted. Please ',int le! •I (in in or _j, .
• PROPERTY INFORMATION
SITE ADDRESS 33(a OD Co ill AVE S suing/war# fl 0 k V 0
Q
ASSESSOR'S TAX/PARCEL# 1 2. ( 4 8 0 - 0 2 0 S LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 5 E .- A'T1 A CMED
attach seParatePogeforierVOW M7al deaa',r
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING ❑ GCHANICAL
0 DEMOLITION CAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PR DESCRIPTION(Provide •• .I-• description of wor luded on this permit onlu)
I 't . . ' - - . • - 1 • • ' .. ' •11(N AL TO MAI CM PY.IST IKIG
W UZINCa Fd fC CCUO•1TR0 L5
4_ SYTE 110 € Zai 0
PROJECT NAME(Name of Business or Owner Last Name) ICU S SE L L P L A Z A
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHON
OWNER CUA -IS117Dek- 11)TTRVIJS (ZS3 )(00r0 -1U
\LO D 7_1VIC AN -ii C- 1400 cm.STA'E'ZIP -TACOyt A WI 1IA02
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
RIK S`ISZEitt% CK(yINE NCI B RE-7 T,I AR(U�UP3t)U O (2C3) Sl L - 94S3 4
3'(001_5 PINC 57 C VICU�IJ1 UJA 1401 (ELL I _
`PNE -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
i °I..- 1 -3-U 0 0 v O L- k 12. / 3 ` / os ( 25'3) 3” -6331
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
R 1 Syr 1 ooq %C5 5 / ( o / 06
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
'5 P ' COMT RACTOV ( ) -
MAIING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
REIATIONSHIP TO PROJECT FAX NUMBER
❑Architect 0 Tenant ❑Agent (Other(Describe) ( ) -
CONTACT NAME 5\ACTT R_OVPi U C V\ PRIMARY PHONE E-MAIL ADDRESS
(1S? ) 512 - `I 4 v 4
LENDER NAME
MAILING ADDRESS CITY,STATE,ZIP
El DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) ,
1
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. 59•FT. S9.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS mwrIDo norowm TOTAL '�, ?
••NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type off iubire to be installed or relocated as part of this project. Do not Include existing fixtures to remain.
KCAL Z 7 00
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS I FANS HOODS(commerry,q WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES _ MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or'mb/shower combo) SHOWERS WATER CLOSETS(lyse) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS mailroom slam VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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 oi'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. ( n Q�
NAME/TITLE 1 Y��KJVI �'`- DATE S-(�`�'' _ O�
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent Konfactor 0 Architect 0 Other
• .s .N .�7< ;i�; "1; + • •
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
P.
•
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage ❑ 101-200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 601-800 amp 398.50 168.50
❑ 801 - 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00
Service Feeder
❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
❑ 401 -600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
U 601 -800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY U 201-600 amp 264.50
❑ 601- 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
❑ Oto 200 amp $87.00
❑ 201-600 amp 141.00 ❑ #of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
U Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $69.50
❑ 101-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps 141.00
V/
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
I #of Thermostats U #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
U Low Voltage U Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $104.50
❑ Security Alarm System U Additional Plan Review
❑ Voice Cabling $104.50/hour
❑ Data Cabling (for modified submittals)
0 U Automation Fee on all Permits .. $5.00
(Per System(s) 1,v 2500 ft2-$61.00;
Each add'n 2500 fta-16.00)•Per WAC 296-46-910151@1(i&W
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application •