05-101973 ` R
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City of Federal Way Electrical Permit #: 05 - 101973 - 00 - EL
Community Development Services
P 0 Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3051]
Project/\41ne: WOODSTONE CREDIT UNION
Project Address: 3 3(R J 5 15f Wat/S Parcel Number: 092104 9317
Project Description: Low Voltage-Vioce and Data Cable
Owner Applicant Contractor
WOODSTONE CREDIT UNION*SUSAN STR PACIFIC COMMUNICATIONS CABLING PACIFIC COMMUNICATIONS CABLING
WOODSTONE CREDIT UNION PACIFIC COMMUNICATIONS CABLING PACIFIC COMMUNICATIONS CABLING
33615 1ST WAY S 10604 E RIVERSIDE DR 10604 E RIVERSIDE DR
FEDERAL WAY WA 98003 BOTHEL WA 98011 (206)371-6758
Electrical Fixtures
Description Quantity Description Quantity Description 11Quantity
! Low Voltage-Other Commercial 8000
PERMIT EXPIRES October 25,2005.
Permit issued on April 28,2005
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: Date: / ' Z g -
046
THIS CARD IS TO REMAIN ON-SITE
CITY OFA Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-101973-00-EL
Owner: SUSAN STREIFEL
Address: 1825 S 316TH ST
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.
O 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) to
Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
O Rough Electrical(4225) .❑ Ceiling Cover(4020) . .❑ Final-Electrical(4055)
Approved Approved Approved ,/
By Date Al � Date 4-7.a._05-7..1 y Date 6 V`"
❑ Under-slab groundwork(4295)
Approved
By Date
i
Aur.oF.: to Q = 4' .
Feaeraiway � b�- PERMIT
COMMUM7YDEVELOPMENT SERVICES
SF MF CO MEOPL DE EN FP
33325 8m AVENUE SOUTH•PO BOX 9718 k
253-8D3WAY,WA 9800-9718 607•FAX 253-835-2609 APPLICATION T° /
IP 1uww.dt uofedercl we u.eom
The ollowi • is re• ired in orination-an into •lete a••lication will not be acce•ted. Please •rint le•ibl in i or .
MI PROPERTY INFORMATION
SITE ADDRESS 33 60 'T W l . / G/` w,ay WA- SUITE/UNIT# Zol Flac 2
ASSESSOR'S TAX/PARCEL# - _ _ _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desoipden)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PP UMBING 0 MECHANICAL
0 DEMOLITION glfELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
Oi.i`I t
7; /c '-.4 Aft-• / J`,,�..4.e v. 37 $ ti7« sG
j r
PROJECT NAME(Name of Business or Owner Last Name)
II PEOPLE INFORMATION
PROPERTY NAME .,,„ PRIMARY PHONE
OWNER f cu i /;rt,4-.✓/ Q�t-e/44- L L G ( ) -
MAILING ADDRESS / CITY,STATE,ZIP
33`!/r !f r IA/A_y S ,irrK/ IA"A y I,4-/74-
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
,Ac /p/c. ( Yzc) y/s- - 5-n-7
MAILING ADDRESS CITY,ST TE,ZIP CELL PHONE
/b�0Y a_ ,Q,.,,.. s,d� v,- /3a el/ t,4/t1- (2o6 ) 37 ( - 67 Y/
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
— — — 4 - - B L Z / l o L (i/ZS") yi S" - ices
CONTRACTORS REGISTRATION NUMBER(copy of card required with each appiicatioa( EXPIRATION DATE
ea ( LEGC .2B7Pz 7 / -71ad
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
C c.W ri/A-L'r f v,- ( ) -
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME/ // PRIMARY PHONE E-MAIL ADD
OSS 6'- �i:1zlt�.�c-t (Ze* )31 ( - G7 `� l 6'f,eg ,1ctc.c;•n
LENDER :>;; :tes:•f o ,1:*:-1 1;-,ol-a% rfr.,",t..::r,r, r; NAME
r:;.'(:(f.; t f,•,r:•4,•;, ,.+(�i:x:�r(-i), -5.0.t;
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES 0 NO .
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKERAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
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- PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
.. 4
FIRST
^SECOND
THIRD
FOURTH •
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OFF
=STUD" PROPOSED Toru r rar5 u noroewar v 7
"'NEW HOMES ONLY"' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
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AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commerci,) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orThb/Shower Combo) SHOWERS WATER CLOSETS(Pose) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS {
LAVS sus.Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the I fformation 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. /J /
NAME/TITLE Ac'Iva f I a)✓ Jo1/t„1-/7•*l DATE 9-2 8 - er-
(Signatu (Title) J
RELATIONSHIP PROJEC 0 er 0 Agent a Contractor ❑Architect 0 Other
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Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Permit Application
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ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50
O Detached outbuilding or garage 0 101-200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00
0 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 0 Over 600 volts surcharge $89.00
❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
O 401 -600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 247.00 132.00
O Over 800 amp 353.50 264.50 Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
❑ 0 to 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
❑ 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
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) Doo (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $104.50
❑ Security Alarm System ❑ Additional Plan Review $104.50/hour
a Voice Cabling (for modified submittals)
❑ Data Cabling L 1 ❑ Automation Fee on all Permits $5.00
��� f/�l•/Ger9 -7i)t�j (/� "to :fO�e� 5u-flTr� ..
(Per System(s) 1•t 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) •Per WAC 2964691 o(5Xb)(i&ii)
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application