05-105728 •- r r
City of Federal Way Electrical Permit#: 05 - 105728 - 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
Project Name: REMAX tio>4
Project Address: 33915 1ST'S Suitell4 Parcel Number: 926504 0150
Project Description: Installation of L/V phone,speaker,and data cabling.
Owner Applicant Contractor
ESM BUILDING,LLC PACIFIC BUSINESS SYSTEM PACIFIC BUSINESS SYSTEM
320 106TH AVE NE SUITE 100 PO BOX 1453 PO BOX 1453
BELLEVUE WA 98004 SUMNER WA 98390 SUMNER WA 98390
(253)862-7600
Electrical Fixtures
Description ;Quantity Description Quantity Description Quantity
Low Voltage-Other Commercial 2500
PERMIT EXPIRES May 6,2006.
Permit issued on November 7,2005
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u>.-=-'.a in acce •- e a laws,rules and regulations of the State of Washington and
the City of Federa'�j��
Owner or age . Date: 1 d
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record .
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105728-00-EL
Owner: ESM BUILDING, LLC
Address: 33915 1ST WAY S Suite 114
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) ❑ 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 �nTv Date t t_�) a By Date By0_,Slithkr4 Date L �l 4_az
❑ Under-slab groundwork(4295)
Approved
By Date
t it RESUBMITTED
crry oF , ov070— � — / 05 ' a
Federal Way PERM/�T1�T1 2005
COMMUNITY DEVELOPMENT SERVICES V11 i F DERAL SF MF CO M �ELJL DE EN FP
33325 AVENUE WAY,SOUTH80639718OX APPLI CATPO i �`�
FEDERAL 07•FAX
53-83-260 G DEP A� /
253-835-2607•FAX 253-835-2609
umn t uuorreekmitt a't»m
The ollowin. is re•uired i ormation-an incom,lete a,,lication will not be acce•ted. Please . 'nt le,ibl (in ink)or .
• PROPERTY INFORMATION y
SITE ADDRESS 3 3 1 /5 t/ e'►s+ Wy f T s // SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates.Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION"ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide det d description work included on this rmit onl
I1 Ac'�, ps-1_g t`q
PROJECT NAME(Name of Business or Owner Last Name) Pe.';Al_4 /2 G 14- J
• PEOPLE INFORMATION (((
PROPERTY NAME S , LLC (eoc ) ePRIMARY PHONE
OWNER � 'l ('3 - 7iSO
MAILING ADDRESS CITY,STATE,ZIP
D 20) 166�L, i/t/,. 4+-f4 _ W ctgod y
SS log
CONTRACTOR COMPANY NAFSE / APPLICANT NAME OFFICE PHONE
44`c; [5 p DS1 'YS J 'S)i/C•N.s �.�✓r�l Be7j s (?SJ )1(e— -7t
G ADD O� % ?� CITvS ZIP�-- ` / CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
2 0 -6 3 - 1 D 1 O 5-�-B L I Z / 3/ /o.Sr Y )5C2 -.x`10 0.
rNZ'R�C�SREGISTRATION UMBER(copy of��ed with each application) � EXP �D�Q
7
APPLICANT �P/A1NY,NAME SS J 7 1APPLICANT NAME OFFICE PHONE
4c,`( Q vs this -Sys 6 6�,z4 (Z,'s ) 2 -7�do
LING AD RESS CITY,STATE,ZIP CELL PHONE_
1Lo /5, '/s 5I,A,nc,- t 4 iJ.3 qu (25) )2C I- 6100
ATIONSHIP TO PROJE FAX NUMBER
❑Architect ❑Tenant ❑Agent 'Other(Describe) SV Ca,1 i , tri ) ,� S7 oC,
CONTACT N E PRIMARY PHONEMAIL ADDRESS
r-v t.e-P. ge2,1 )e T RCS )SC L - 7loo br drrG nc_1--cie.-1fU��
LENDER Per RCW 19.27.095: Lender information is NAME CC)PI
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ ys-6 o
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
4 •
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST ?XC Q
SECOND V
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
NUMBER OF FLOORS EXISTING PROPOSEDTOTALTOTAL EXISTING SF TOTAL NOSED Sr TOTAL SF
**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.
MEC : CAL
Value o -chanical Work $
AIR HANDL ITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS H••1' )commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS GES MISC(Describe)
COMPRESSORS F• _ ES GAS WATER HEATERS
DUCTS GAS PIPE O. Do':
PLUMBING
BATHTUBS)or Tub/Shower Combo) SHOWERS :TER CLOSETS)Tot)eq MISC(Describe)
DISHWASHERS SINKS DRIN'I OUNTAINS
GAS PIPE OUTL s""; SUMPS RAINWATER S
WASHI ' CHINES URINALS HOSE BIBBS
r S)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 • 'ty,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
— - 6.3
NAME/TITL �. / - DATE 1
(Signa. (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent 25fontractor 0 Architect 0 Other
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? ❑YES a NO
PLATTED LOT? ❑YES a NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100–January 7,2005 Page 2 of 4 k\Handouts\Permit Application
' •
i
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) U 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
❑ 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 ❑ 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 ) D 0 ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
0 Fire Alarm System ❑ Yard Pole meter loops $104.50
❑Security Alarm System ❑ Additional Plan Review $104.50/hour
f� ,voice Cabling
Data Cabling (for modified submittals)
i.
Automation Fee on all Permits .. $5.00
(Per System(s)1a'2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 296-46-910(5)0A&it)
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Pennit Application