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05-106334
• City of Federal Way Electrical Permit #: 05-106334-00-EL Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 . 1°Ph:(253)835-2607 Fax:(253)835-2609 • Inspection Request Line: (253)835-3050 1 "x Project Name: HORACE MANN Project Address: 33600 6TH AVE S SUITE 230 Parcel Number: Project Description: Altering of(5)circuits for light switch rewire and addition of 10 outlets Owner Applicant Contractor ATI-INCHON VIII LLC LASER ELECTRIC LASER ELECTRIC 1201 PACIFIC AVE SUITE 1400 9523 19TH AVE E LASEREI033DF 3/8/07 TACOMA WA 98402 TACOMA WA 98445 9523 19TH AVE E TACOMA WA 98445 • Additional Permit Information Electrical Fixtures Circuits- Commercial 5 CONDITIONS: PERMIT EXPIRES Sunday, June 11, 2006 Permit Issued on Tuesday, December 13, 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: • b� THIS CARD IS TO REMAIN ON-SITE CITY OF illA Community Development Inspection Record ,Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-106334-00-EL s Owner: ATI - INCHON VIII LLC Address: 33600 6TH AVE S SUITE 230 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. , ElSlab/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) ❑ Service(4235) ❑ Feeders/Sub-panels(4045) Approved Approved Approved By Date By Date By Date Rough Electrical(4225) Ceiling Cover(4020) 121 Final-Electrical(4055) Approved Approved Approved By e...).L.,..; Date N -,i-fl? `By C a,,`;,; Date 1-144- et ,, By Date tote ❑ Under-slab groundwork(4295) Approved By Date Y. C ,.m ';"iii`_ _ -,, 4,c-, , F ':;f ;+e. -7. .r . t"1_.: x GOMIRDE Y DEVELOPMENT SERVICES ' - , $$S$O FIRST WAY SOUTH•l0 DOX 9771 CITY of FEDERAL WAY,WA 9106$-9711 Federal Way PERMIT APPLICATION sss'mu,civatredc,ry coon 1 I ` /'� E TO: Foto»;«�atordy FW File Number: L J q�- - 4 0 (a 3 `� q . ., v TTT l , /,, , 1 The ollowin• is re.uired in orntation-an into •lete a••lication will not be acce..ted. Please •rint le•ibI (in ink)or : . - -. • PROPERTY INFORMATION SITE ADDRESS: 33ivc O 6. 4. l4'i e., , SUITE/APT N ASSESSOR'S TAX/PARCEL it: 1 Z CP / S 0 - 0 Z-0 S SQUARE FOOTAGE OF LOT: /C9,.'O0 LEGAL DESCRIPTION(e.g.:Acme Estates,Lot 1) g++4-c-h QcC (Attach separate page for lengthy legal description) . • - - - -- •.• 111PROJECT INFORMATION TYPE OF PERMIT(This application): ❑ BUILDING 0 PLUMBING ❑ MECHANICAL 0 DEMOLITION *ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM I . PROJECT DESCRIPTION(Provide et 'ed des ' tion of work include4on this permit only): i2t,J y i-C. 1 e� f CtA 'r---( L < , rte` OD ©�- 1e PROJECT NAME(Name of Business/Owner Last Name): 14 0 t-/4-1C- e- /1-1-� Ai ■ PEOPLE INFORMATION • PROPERTY NAME: PRIMARY PHONE: OWNER RT1 -PicK© j'( -V I I f 1_, L., (...-, (233) 1ZZ-/Y37 MAIUNG ADDRESS(STREET ADDRESS;(: CITY,STATE,ZIP IZ©( Pyr-f c- 140e. III4X) Tkco' A-, w14 q$ `Ie' Z CONTRACTOR: NAM 1 COMPANY OFFICE PHONE: C-< ‘41—c> - - I'e c1 t-f vs"---- S3 -/ O(do MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP CELL PHONE: cjSZ-3 /9 'k e j plc, (Zit 9y -( C 42,› -7) - Goer CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: . FAX NUMBER: - - - / / A>`-Z. ) £3S-- /f // CONTRACTORS REGISTRATION NUMBER: l _ 1 EXPIRATION DATE: (copy of cud required with each appl5eation(L S'�,� t 'TJ T9 5 Z D / / LENDER: NAME: DAYTIME PHONE: (if Proposed Value>£5,000) {i (.1 i"/(I/r IOU.)\ ( ) - MAILING ADDRESS(STREET ADDRESS;): // CITY,STATE,ZIP APPLICANT: NAME: COMPANY OFFICE PHONE: S© 'hAN Pt &k � ze t' �b r-- 1�;(�rs f�s31 57. -1(fig LING ADDRESS(STREET ADDRESS): CITY, TE,ZIP EVENING PHONE: F(. O. (3o x 18 C{ M t ,ATE, Wei 983.5Y 62£3► z2L( - 4 6(1 RELATIONSHIP TO PROJECT: /+� 1FAX NUMBER: ❑ Architect 0 Tenant )Other(Describer O)`64-_ /fQCN4 g ) S�-17't' 7 CONTACT PERSON FOR THIS PROJECT: 0 Property Owner 0 Contractor Applicant E-MAIL ADDRESS: ■ DETAILED BUILDING INFORMATION . • EXISTING USE: (7 (CC PROPOSED USE: © ItC.... EXISTING ASSESSED/APPRAISED VALUE $ g 1 Cl(,. ©OC) VALUE OF PROPOSED WORK: $ I, -5-C) SPRINKLERED BUILDING? a YES +0 FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES 0 NO WATER SERVICE PROVIDER: LAKEHAVEN a HIGHLINE 0 TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: .LAKEIIAVEN a HIGHLINE 0 PRIVATE(SEPTIC) .,,,; ., .',:,'.;,'J r, AREA DESCRIPTION EXISTING SQ.FT. PRO D SQ.FT. TOTAL „ BASEMENT" ' FIRST SECOND THIRD _ 1 FOURTH,- . ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE/CARPORT HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED "NEW HOMES ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • ■ FIXTURES Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ --AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS — HOODS(N:ommua,q WOODSTOVES BOILERS FIREPLACE INSERTS - RANGES MISC(Describe) _COMPRESSORS FURNACES ' HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or rub/Sho•.vCombo) SHOW r- . CLOSETS(r.aeq MISC(Describe) DISHWASHERS KS DRINKIN ` NTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYS WASHING M. Ot URINALS HOSE BIBBS (Bathroom Sink 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 i rred in the investi•• .•n and defense of such claim), which may be made by any person, including the undersigned, an. t -I •.ainst t • ty of ederal Way, but only where such claim arises out of the reliance of the city, including its offic- ` n, - acy of the information supplied to the city as a part of this ap lication. NAME/TITLE: �.� �� DATE: (Signature) (Title) RELATIONSHIP TO'•OJECT: ❑ Property Owner 5 jspItcant ❑ Contractor 0 Architect 0 FOR OFFICE USE ONLY: o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES o NO - ZONING DESIGNATION: CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? o YES a NO -PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? o YES o NO Itul:cun ••:VC; .:.t'. .. , i - Page 2 I"- ,,ct,'-. ?N:A.'; ;FIV' i ," r 1a ",-,-,.--;-7,7 _..- .-isn:£t,i M.,,,-2i't-iii _?,..115-".`i,.r•'..e._.., ,.:-_.',-,::y,:,,,,:8::4 ,._' --i v .. 16 11 `• „, .• ,1 ' t., _, - • -'' ; f, ' •''.' ,6,„ , .-:,, . •.;.--, ,; ",1• ,,• " . . . , RESIDENTIAL COMMERCIAL . . . f4 NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE . 6 Service or Feeder Each Add'n • El Single Family Square Feet: • •,.. (First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) 0 0 to 100 amp $ 94.50 - $ 58.00 0 Detached outbuilding or garage (Inspected with service) $36.50 0 101-200 amp 117.50 74.00 0 201-400 amp 220.50 87.00 O Detached outbuilding or garage 0 401 -600 amp 256.50 103.00 ..---- (Inspected separately) $58.00 0 601-800 amp 332.00 140.50 405.50 169.50 NEW MULTI-FAMILY(three units or more) 0 801 - 1000 amp ',.._...." Service Feeder 0 Over 1000 amp 442.00 236.00 O Up to 200 amp $ 94.50 $ 28.00 O 201 -400 amp 117.50 58.00 0 Over 600 volts surcharge $74.00 O 401 -600 amp 161.00 80.00 0 Mast or meter repair $80.00 O 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL O Over 800 amp 294.50 220.50 Service or Feeders amp ALTERED SINGLE/MULTI FAMILY 0 0 to 200 $ 94.50 (Inspected separately from service) 0 201 -600 amp 220.50 Service or Feeder 0 601 - 1000 amp 332.00 O 0 to 200 amp $ 72.50 0 over 1000 amp 369.50 0 201 -600 amp 117.50 0 over 600 amp 177.00 rjel.--- #of circuits to be added/altered (1-5 circuits-$74.00;Add'n circuits,$6.00/ea) 1 I C3 #of circuits to be added/altered (1-4 circuits-$58.00;Add'n circuits$6.00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW ! • 0 Service over 200 amps 0 Mast or meter repair $43.50 0 Medical/Educational/Institutional Facility $74.00 plus 35%of Permit Fee SINGLE/MULTI FAMILY PLAN REVIEW 0 Service Over 400 amps $74.00 plus 35%of Permit Fee MOBILE HOMES TEMPORARY SERVICE O Service or feeder only $58.00 O Service and feeder $94.50 Commercial Residential 0 0- 100 $58.00 $51.00 ' MOBILE HOME/RV PARK 0 101 -200 74.00 51.00 ' 0 #of service or feeders 0 201 -400 87.00 n/a (First service/feeder-$58.00;each add'n-$37.50) 0 401 -600 117.50 n/a i 0 over 600 127.00 n/a 1 i I MISCELLANEOUS SERVICE/EQUIPMENT O #of Thermostats 0 # 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) O Fire Alarm System 0 Yard Pole meter loops $58.00 CI Security Alarm System 0 Additional Plan Review $87.00/hour O Voice Cabling (for modified submittals) O Data Cabling 0 (Per System(s): I.,2500 ft2-$51.00; Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5)(1.0"&ii) Page 3 -. ..7-Alriiif; .. . , ,,agltaitaiTAWP.Viiiit,-;, • _"$. F''h577' 4x:i'�. _"{y.1';F;. f ?' e.x ,r t r`s ` � ?, �.rr ,','!?=U - 1,7,..,4. ' C:xarr' �,4— - M1•V‘' t �, tib fri :_ *L-y`,t:„:.•.. This is an overview of possible fees associateOrith a issuance of permits and isnotintended to be inclusive. t, PERMIT FEES . - Building,mechanical,and fire prevention system fees arc based on the following schedule. f ••Electrical and plumbing fees are calculated separately** . TOTAL PROJECT VALUATION INCREMENTAL FEE FACTOR (1)$1.00 to$500.00 (1)$30.50 ” (2)$501.00 to$2,000.00 (2)$30.50for$2,000.00 the x$500.00 plus$4.00 for each additional$100.00 or fraction thereof,to and including (3)$2,001.00 to$25,000.00 (3)$90.50 for the first$2,000.00 plus$18 00 for each additional$1,000.00 or fraction thereof,to and including$25,000.00 (4)$25,001.00 to$50,000 00 (4)$504.50 for the first$25,000.00 plus$13.00 for each additional$1,000.00 or fraction thereof,to and including$50,000.00 (5)$50,001.00 to$100,000.00 (5)$829.50 for the first$50,000.00 plus$9.00 for each additional$1.000.00 or fraction thereof,to and including$100,000.00 (6)$100,001.00 to$500,000.00 (6)$1,279.50 for the first$100,000.00 plus$7.50 for each additional$1,000 00 or fraction thereof, to and including$500,000.00 (7)$500,001.00 to$1,000,000.00 (7)$4,279.50 for the fist$500,000.00 plus$6.00 for each additional$1,000.00 or fraction thereof,to and including$1,000,000.00 (8)$1,000,001.00 and up (8)$7,279.50 for the first$1,000,000.00 plus$4.50 for each additional$1,000.00 or fraction thereof. Table A PLAN REVIEW FEES • Building Permit 65%of Building Permit Fees -__ • Mechanical Permit 25%of Mechanical Permit Fees. • Plumbing Permit 65%of Plumbing Permit Fees • Additional Review $61.00/hour • PLUMBING PERMIT FEES • • $26.50 Permit Fee plus $9.50 per fixture OTHER FEES (Vary according to project type and scope) • WA State Building Code Council(SBBC) Surcharge $4.50/issued permit; • Fire District #39 review fees (commercial only) 15%of Building Permit Fees • Public Works review fees Hourly/varies by project • School District Impact Fees (new residential only) $3,269.00/single family residence $ 940.00/multi-family unit • Demolition Permit Fees • Required Bond(s)/Deposits If you need assistance completing the permit application form, or have questions concerning the application process, please contact: Community Development Customer Service Counter at (253) 661-4115 8:00 am to 5:00 pm, Monday through Friday Pagc 4