05-105753 ,rk
City of Federal Way Electrical Permit#: 05 - 105753 - 00 - EL
Community Development Services
P O.Box 9718
Federal Way,WA00 98063-9718
Fax:( 53Inspection request line: (253) 835-3050
Ph (253)835-7000 Fax:(253)835-2609 P 9
Project Name: REMAX tJbil
Project Address: 33915 1ST1S Suite100 Parcel Number: 926504 0150
Project Description: Installation of(10)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 Quantity 1 Description Quant tyl
Circuits- Commercial 10
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: /4/, r
)
` IL THIS CARD IS TO REMAIN ON-SITE M ' .
CITY OF i, * Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105753-00-EL
Owner: ESM BUILDING, LLC
Address: 33915 1ST WAY S Suite 100
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) ❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
i( )1 Rough Electrical(4225) ❑ Ceiling Cover(4020) .❑ Final-Electrical(4055)
Approved Approved Approved
BeC7 Date (/- *Clic- Bye-,5 Date l-Z_Z oS" B 1-5 Date f?"--75--U J
❑ Under-slab groundwork(4295)
Approved
By Date
HbcIIVbU
._ NO V 0 4 �'� 5 0 S.
Federal Way TT - Jc
COMMUNITY DEVELOPMENT SERVICES
P M_` OF FEDERAi.watisF MF CO M L DE EN FP
33325 1I AVENUE SOUTH•PO BOX 9718F
U D •' DEPT,
253d�607•FAX 253WAY,WA -835 2609 APP LI C AT °
• yaow.dtuolfederatway.com r / /
The ollowi • is . fired in ormation—an inco •fete a••Iication will not be acce•ted. Please •rint Ie. •I in or p
II PROPERTY INFORMATION
SITE ADDRESS 33 7 2S— 1 ST £y
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach aeparatepag•%r lengthy legal d•+aMort
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION )11 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
:c4.14/ 10 cirui: .6
PROJECT NAME(Name of Business or Owner Last Name)�Ex��
N PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE -
OWNER ��" �/� ( )
MA LINO ;}�[fjR,^EfS/�SJ_�_ /`'r AfTE,
4•,� "' 3 j A0 A� Ste/oo
ZIP ��
CONTRACTOR COMPANY NAME� APP NT NAh(E OFFICE PHONE -
4/ ADDR STATE, Pfri. CELL PHONE
`ie 26 ° /04/ .,o/ Y. d 4 18 0 (
CIT
Y OF FEDERAL WAY BUSINESS LICENSE NUMBER i EXPIRATION DATE FAX NUMBER
I. 1_-1 42-..e. Q L _7 17-B i/ 3( los- (z lSsN -z,303
CONTRACTORS REGISTRATION NUMBER(copy of card required with each appiicatioa) EXPIRATION DATE
L.• .r1Z .8K €i n 77 _04/ / /
APPLICANT COMPANY NAME �^ t 70C4A4NIZAII44 OFFICE )PHONE
lir G( .?4, (( - -
MAI ADDRESS CITY,STATE,7 CELL PHONE
RLATIONSHIP TO PROJEr— FAX NUMBER
❑ Architect a Tenant CI Agent ❑ Other(Describe) ( ) -
CONTACT NAM PRIMARY PHONE E-MAIL ADDRESS
4014 '_ (2.53) gr/ - 240ppp
LENDER :.t.- :,6., , -';r(,_,,, r,..�te.- {-,ars,,,,.-.i.)., r• NAMNR
MAILING ADDRESS MY,STATE,ZIP
/
• DETAILED BUILDING INFORMATION
EXISTING USE • • • ••SED USE
EXISTING ASSESSED/APPRAISED VALUE $ ALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES ■ • FIRE SUPPRESSION SYSTEM PRO UIRED? O YES 0 NO
WATER SERVICE PROVIDER a .•D+• VEN 0 HIGHLINE ❑TACOMA a PRIVATE(WELL) y
SEWER SERVICE PROVID r 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
•
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEME
FIRST
SECOND
THIRD
FOURTH •
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(COVERED?)
GARAGE ❑ CARPORT 0
i]O3Tilt0 FROMM TOTAL n.- .' R• :'.;3t�a.;
NUMBER OF FLOORS ,.' -
**NEW HOMES ONLY"* NUMBER OF BEDROOMS A ED SELLING PRICE $
FIs:TURES
Indicate number of each type of fixture to be installed or -located as part of this : •ject. 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) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
• COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or b/Shower Combo) SHOWERS WATER CLOSETS genet) MISC(D ribe)
DISHWAS RS SINKS DRINKING FOUNTAINS
GAS PIOUTLETS SUMPS RAINWATER SYST
W '(NG MACHINES URINALS HOSE BIBBS
VS IBaeh oomSton) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMIER/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,/`%;�i���+1`��4{K- DATE /1 //O
si�ftu (fide
RELATIONSHIP TO PROJECT ❑ Owner FD Agent a Contractor a Architect (3 Other
CIe)V0(e)0. . ',Yi.�i)Dgr4t[r1(e,)�( *r:'i>>. .'t}✓��N.U�t'1 '1',W•ztf? Sl j,ht` .. _
fo.
19 "i ,'.[)DJ d* aat((.1t14 r:} (0 I104: . rV:4iiti
D, C�
i s ' .!� f e 4)S'(w 3 :d�oNR d�)rr: �-
Bulletin#100—January 7,2005 Page 2 of 4 lalandouts\Permit Application
ELECTRICAL PERMIT INFORMATION
4
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(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 Cl 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 ■ .ver 1000 amp 443.50
•• ❑ 0 to 200 amp $87.00
❑ 201 -600 amp 141.00 (� 4'b #of circuits to be added/altered
❑ over 600 amp 212.50 l (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
❑ I01-200 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 Alum System 0 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) 1K 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 29646.910(5/(6/(&ii)
t
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Pcrmit Application