04-101396 City of Federal'Way
Conununity Development Services Electrical Permit #:04 - 101396 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253 661.4129 Inspection request line: 253.835.3050
Project Name: MERRILL LYNCH
Project Address: 32001 32ndiyS Suite330 Parcel Number: 162104 9001
Project Description: Installing new 2 voice&2 data(quads)in 40 locations for new tenant
Owner Applicant Contractor
FOSS REDEVELOPMENT POWERCOM POWERCOM INC
PO BOX 94449 11824 NORTHCREEK PKWY N PO BOX 1205
SEATTLE WA 98124 BOTHELL WA 98011 SPOKANE WA 99220
(425)489-8549
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Low Voltage-Other Commercial 5935
PERMIT EXPIRES October 12,2004.
Permit issued on April 15,2004
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: y/!.1,,y
(01ADLI, N \ NR‘--zy-Deol) r
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Federal INfisCEIVED PERMIT
C�OMMUNITYDEVELOPMENT SERVICES • SF MF CO M110•L DE EN FP
33530 FIRST WAY SOUTH•PO BOX 9714, 2 O O 4
2FED , 941��1 +�, APPLICATION [n1
FE3DERAERAL 115WAY•FAXWA 2
www.duioffederalwav com
C' TY SF FEL)E'AL WAY , ,I YbP �q
The olio n: �; �• _�.rmation-an inco .fete a•.lication will not be acce.ted. Please ie�• ((z ink)or
PROPERTY INFORMATION
SITE ADDRESS ...:3,24 / .5aj / 41 6 - SUITE/UNIT
330
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desmpbon)
PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING o PP UMBING 0 MECHANICAL
0 DEMOLITION LECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRI• ION(Provide detailed description of work included on this .-rmit ordq)
f - , / i - / _ IP / ♦� a►✓ s 1 ,i-
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PROJECT NAME(Name of Business or Owner Last Name) 114,6(' // l// A
PEOPLE INFORMATION
PROPERTY NAME
PRIMAR PHONE
OWNER FVS e. ��/v�� VOL) 2‘,01-�- `
o0MAILING ADDRESS
CITY,STATE ZI
por 910/9 , e/4-A4 )/4q�12e(
CONTRACTOR MP�A�NYYNNAAM APPLI NT NAME
//(/fyt ✓��� OFFICE PHONE
/�.6P g21L- (67/912 (yo25) (27-8520
i&9s/4
C(/��PYITY,STATE,ZIPCELL PHONE
LYES$LICENSE NUf3R, EXP � � FAX )
y /EOO/l NUMBER
D� Q . 2cQ- B L 61 /3/ 0V /,5)q7-/4j5-
CONTRACTOR'S REGISTRATION NUMBER(coPy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME
OFFICE PHONE
ANDR��I%rr CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant o Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN o HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXITING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT •
FIRST
SECOND
-THIRD
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 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 FANS HOODS(commercial) W OODSTOV ES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(roaet) MISC(Descnbe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sinks) 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 of the reliance of the city,includin is officers and employees,upon the accuracy of the information supplie to the "ty as a part of
this application. L�
NAME/TITLE DATE
(Signature) (Tn)c)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
o NEW a ADDITION a ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES a NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? o YES o NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application
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-$87.00,Each add'n 500 ft2-$28 00) LI 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101-200 amp 117.50 74.00
(Inspected with service) $36.50 0 201-400 amp 220.50 87.00
❑ Detached outbuilding or garage ❑ 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) CI 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 ❑ Over 600 volts surcharge $74.00
I ❑ 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
❑ 201 -600 amp 220.50
Service or Feeder 0 601 - 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 #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ #of ucircuits to00 be added/alteredcircuits
$6.0 COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea)
$74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 ❑ 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
LI 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)
❑ Low Voltage %� LI Swimming pool/hot tub $87.00
Square Feet to be served by system(s)_t______"`_,_ __.�j (Includes additional circuit,if required)
O Fire Alarm System ❑ Yard Pole meter loops $58.00
O Security Alarm System ❑ Additional Plan Review $87.00/hour
voice Cabling (for modified submittals)
Data Cabling
0
(Per System(s) 1.,2500 ft2-$51 00,
Each add'n 2500 ft2-13 50) •Per WAC 296-46-910(5)(6)((&u)
i.
Bulletin#100-March 30,2004 Page 3 of 4 k\llandouts-Revised\Permit Application