05-105765 City of Federal way Electrical Permit#: 05 - 105765 - 00-- EL
Community Development Services
PO Box 9718
Federal Way,WA 98063-9718
Ph•(253)835-7000 Fax.(253)835-2609 Inspection request line: (253) 835-3050
Project Name: MAPLEWONOD II SUITE 108
INay
Project Address: 33915 1ST S Suite108 Parcel Number: 926504 0150
Project Description: Installation of(2)new LN thermostats.
Owner Applicant Contractor
ESM BUILDING,LLC UNIVERSAL REFRIGERATION INC. UNIVERSAL REFRIGERATION INC.
320 106TH AVE NE SUITE 100 PO BOX 614 PO BOX 614
BELLEVUE WA 98004 AUBURN WA 98071-0614 AUBURN WA 98071-0614
(253)939-5501
Electrical Fixtures
Description Quantity Description 1Quantity j Description Quantity
Thermostat —1 2
PERMIT EXPIRES May 8,2006.
Permit issued on November 9,2005
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: A-120UL C1` Date: I)—p tt_ D
•
, ,
- A THIS CARD IS TO REMAIN ON-SITE k
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105765-00-EL
Owner: ESM BUILDING, LLC
Address: 33915 1ST WAY S Suite 108
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.
❑ 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) ❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ►! Ceiling Cover(4020) Eg Final-Electrical (4055)
Approved Approved Approved Q�
By Date By,�;l_ Date I 6 A By 4, Date`
❑ Under-slab groundwork(4295)
Approved
By Date
,
_ CEIVEQe 5 - / D 5 '77- _.
Federal Way PERMIT
COMMCNI7YDEVELOPMENT SERVICES NOV v 9 ZOO__F MF COM ®PL DE EN FP
33325 D RAL W AVENUE, • BOX 9718 AP P LI CATL,Q
FEDERAL WAY,WA 98063-9718 '-D
" 253-835-2607•FAX 253-835-2609 FEDERAL WAS / /
www.cauoffedera(wau corn
BUILDING DEPT.
The ollowin• is r-•uired in ormation-an incom•lete a••lication will not be acce•ted. Please •rint le.ibi (in ink)or
/ I • PROPERTY INFORMATION
SITE ADDRESS ,3 I q l * WGM So(.t SUITE/UNIT# /0FQ
7
ASSESSOR'S TAX/PARCEL# 1 z a• ry /- 0 I 5 0 LOT SIZE'(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Aaach separate page.*lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION X ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu) �,L
/ O c4.1 !/O 4147.c-- 3-71-4, 7` Pt//re— 4-c//' C Z' ) ( —514 7.S .
PROJECT NAME(Name of Business or Owner Last Name) ...5/0e-c—. S�0 G- -- S tom/,/2 4 4! 08
• PEOPLE INFORMATION
PROPERTY NAMEPRIMARY PHONE
OWNER -S/y 6u i 0'144 L L G ( ) _
MAILING ADDRESS / COY.STATE,ZIP
3'Vs is t et/y 5• --S71 - (ft( FI - (hAy I r,,/M. q8ao.
CONTRACTOR COMPANY NAME ref
„�[ APPLICANT NAME 0. OFFICE PHONE
�jRg- UKlvti�a /12 ✓`t• P�'ct'/��r� �✓�y -' G�.0,(g/t".- (z5,) 937 -55O
MAILING ADDRESS COY,STATE.ZIP CELL PHONE
o? ' ry(Y 0414 6 h WA `1R67( ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
/ q- yam(- / <2s 7 q 7-B L /z / 3( / os ( ZS>) 75-.-- (f32-
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
4n / vb'R / e(650 ,So 7 / zo/ 06
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE -
5a-�N a. C.-44.1-( F°f”'-('`1 w- ( )
MAILING ADDRESS CITY.STATE.ZIP CELL PHONE
,r y 15 C-o't-t-(74 c ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant Agent 0 Other(Describe) ( ) -
CONTACT NAME ♦ PRIMARY PHONE E-MAIL ADDRESS
�r yc."� �a�1/`-t (�p) g39 - ASO / Br's/ 0 44 y tv.er1.1(
LENDER ' - PerRCW 19.27.095: Lender information is
NAME I^e�r, . CO/•,l
required€fprnlje t value exceeds$3.000
MAILING ADDRESS CITY.STATE.ZIP PHONE
l( )
• DETAILED BUILDING INFORMATION
! l
EXISTING USE c---4=7-2-14£4-I Q.1t r is f d C.?� PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ l I VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ 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 a HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND i
THIRD
•
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT 0
ESIMPIINNUMBER OF FLOORS O PROPOSED Taro. TOTAL SE Tor�crrnoeostot- TaTee s,
"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 factures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBgS FANS HOODS(commetcta)) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS rroueu MISC(Describe)
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,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE DATE � - — 05—
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner Agent XContractor 0 Architect ❑ Other
FOR OFFICE TSE ONLY ?p=. ... `r t:
-a NEW • Ci ADDITION a ALTERATION" _' • •a REPAIR ". -. •a TENANT IMPROVEMENT
BUILDING SHELL ONLY? ' a YES a NO ;• ' . I BASIC PLAN? • - . is YES a NO
ZONING DESIGNATION -. • CHANGE OF USE? • a YES a NO • .. •,
NEW ADDRESS REQUIRED? a YES •a NO .;. UP/SEPA/SU? - a YES ' ci NO
PLATTED LOT? • - a YES 'a NO DEMO PERMIT REQUIRED? a YES •a NO
Bulletin#100-January 7,2005 Page 2 of 4 k\I-Iandouts\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
I (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 CJ 201 -400 amp 264.50 104.00
❑ Detached outbuilding or garage ❑ 401-606 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 COMMERCIALTINDUSTRIAL
0 601-800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0to200amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 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
❑ 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
l77 2 #of Thermostats ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
❑ 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 ❑ Yard Pole meter loops $104.50
❑ Security Alarm System ❑ Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
(Per System(s) 1t 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 296.46.91015kbllt ec til
Bulletin#100-January 7,2005 Page 3 of 4 k\I-Iandouts\Permit Application
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