05-105757 M ' 3
City of Federal Way Electrical Permit #: 05 - 105757 - 00 - EL
Community Development Services
P0.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax (253)835-2609 Inspection request line: (253) 835-305C
Project Name: MAPLEWOOD II SUITE 106
Project Address: 33915 1ST'S Suite106 Parcel Number: 926504 0150
Project Description: Installation of(5)new circuits.
Owner Applicant Contractor
ESM BUILDING,LLC KIRBY ELECTRIC INC KIRBY ELECTRIC INC
320 106TH AVE NE SUITE 100 4826 B ST NW SUITE 101 4826 B ST NW SUITE 101
BELLEVUE WA 98004 AUBURN WA 98001 AUBURN WA 98001
(253)859-2000
Electrical Fixtures
Description Quantity Description 1[uantity Description Quanti
Circuits- Commercial 5
L
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: � Date: //%9A5"--
-,
..A THIS CARD IS TO REMAIN ON-SITE — •
CITY Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-105757-00-EL
Owner: ESM BUILDING, LLC
Address: 33915 1ST WAY S Suite 106
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) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
OD Rough Electrical(4225) ❑ Ceiling Cover(4020) 0 Final-Electrical(4055)
Approved Approved Approved
Bq 9 Date l/--64 B G f Date/iz_z_O5---- B.,8-c-5 Date 1Z—����
❑ Under-slab groundwork(4295)
Approved
By Date
r
i
cnA RECEIVED _s5Federaly.cWay PERMIT - -�- Q 7
-7
COMMUNTYDEVELOPMENTSERWCES IT NOV 0 9 ZOOF MF COM L DE EN FP
333258TMAVENUE SOUTH•PO BOX 9718 APPLICATION
FEDERAL WAY,WA 98063-9718
TD
253-835-2607.7•FAXYSay.con 09 FNG DEPT
EP /yAY /
` "'°'u'��`y°rc`a"°`""'y'°°"` "�: - !��kI ‘10(( BUILDING DEPT
The ollowi • is • ired in ormation-an Inco .tete • ••licatlon will not be acce•ted. Please •rent le•ibi in in or
III PROPERTY INFOR1IATION
SITE ADDRESS 33 7 25— ! 64, s SUITE/UNIT# /9 i
ASSESSOR'S TAX/PARCEL# / - _ — LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for letvithy legal description,
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
/ PROJECT DESCRIPTION(Provide detailed description of work included on this permit only))
PROJECT NAME(Name of Business or Owner Last Name) / �ttW /Q e
• PEOPLE INFORMATION
PROPERTY NAME
—�9 PRIMARY PHONE
OWNER �/ya
LING ESS 9 ZO f �FC SAD CITY ATE,ZIP �� ( ) A
J A.A.) f'it.iA � - �1 4'c4� /1 tf/ i l
CONTRACTOR COMPANY NAME APPLICANT NAME TT
�L ":-- ilii; ,�,�, OFFICE PHONE
�/ �y s�'_ P.€# /ks� (tc3)417 -Z�se,
MAIUNO'ADDRESS ATE, P -
26 'I 7fr � CELLPHONE
YB
/J 5Itc /0/ k. rrc id./1/ 410°/ (. ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER / EXPIRATION DATE FAX NUMBER
L -4 Q-1 e2 L 0 $ 4Z-B. L /Z /3( /o5 (za3)Say - 23c;
CONTRACTORS REGISTRATION NUMBER(copy of cart rogalref}with mat application) EXPIRATION DATE
t ir .91 yEiQ 2 ? _ t //3 /zeP077
APPLICANT COMPANY NAME AP LICANT NAME
�/ L- �,,� l OFFICE PHONE
`MAIL / /_'-"` 'V'3TA*fir:34,,,A--
(zer3 ).., -ZOo,..
MAIL 0 ADDRESS /IJV/ yf , / CELL PHONE
7Bz NSHIP Sr TO PROJECT 41 S V /D( �'j,4, /, iBOO/ ( ) -
FAX NUMBER
0 Architect 0 Tenant yhAgent a Other(Describe) (Z,7, )O`er I 23`,5
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
044,AIL- (Z.--,3)es-4 -Zdvo
LENDER ;,- " ., /
Cd 1;arr ,.f:l,1, NAME (/y
.: .l;:l.;":' yr.1..1 C- ef.. �1.i E,-`i:..l(l,•! N I 1
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING US PROPOSED USE
EXISTING ASSESSED/APPRAISED VAL I I I • OF PROPOSED WORK
SPRINKLERED BUILDING? o YES ■ , -• IRE SUPP• >.r. : ' • 'STEM PROPOSED/REQUIRED? a YES a NO
WATER SERVICE PROVIDE: .i' : VEN a IIIGHLINE a TACOMA a P•+ • i,,i L)
SEWER SERVICE LJ ' I I ER a LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC)
i
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL,
SQ.FT. SQ.FT. SQ. .
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRI
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS L zruo soros. TOTAL et
:Fr
+�• • it id_q;.• rar
**NEW HOMES ONLY** NUMBER OF BEDROOMS EST • •TED SELLING PRICE $
FIXTURES
Indicate number of each type of facture to be installed or orated as part. is project. Do not include existing fixtures to remain.
MECHAMCAL
Value of Mechanical Work $
•
AIR HANDLING UNITS APORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commerct.QWOODSTOVES
BOILERS FIREPLACE INSERTS RANGES NNNMISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/S Combo) SHOWERS WATER CLOSETS Renoq MIS Describe)
DISHWASHER SINKS DRINKING FOUNTAINS N
GAS PIPE ETS SUMPS RAINWATER SYST
W G MACHINES URINALS HOSE BIBBS
LAVS(Bathroom&Wa( _ 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 authorised 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 !l Q/e
,} nature) (Title)
RELATIONSHIP TO PROJECT o Owner t!Agent ❑ Contractor ❑Architect ❑ Other
psi',+r CI€)t t(CIO 4E;b �tl+t r(c);Efi tl� tl_✓0.'40 i'il!I
_i'e,tiicW(c,0;eDitt.6 e);p1. t(c;. 14,4-.:1(ct, } `_ .E
_%%cfott(s" )_,`i(t)0,,,t,r(et f 01-10
{G�lY +4)e);. 1 ;lc p tti• yQ�tir. - = T(
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Pemiit Application
ELECTRICAL i-ERMIT INFORMATION
4-
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) ❑ 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
0 601 -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 ■�..; 1000 amp 443.50
❑ 0 to 200 amp $87.00
❑ 201 -600 amp 141.00 1 S #of circuits to be added/altered
❑ over 600 amp 212.50 circuits-$89.00;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered OMMERCIAL/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 Antpacity
❑ 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) (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $104.50
❑ Security Alarm System U Additional Plan Review $104.50/hour
O Voice Cabling (for modified submittals)
❑ Data Cabling Automation Fee on all Permits .. $5.00
(Per System(s) la 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 296-46-910(5)0)#&ti)
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application