05-103288 City of Federal Way Electrical Permit #: 05 - 103288 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718 'oat
Ph:(253)835-7000 Fax:(253)835-2609 l Inspection request line: (253)835-3050
Project Name: ADELAIDE PWSF(CINGULAR#WA462-03)
Project Address: 31119 21ST SW Parcel Number: 122103 9025
Project Description: Install low voltage thermostat and lead lag controller
Owner Applicant Contractor
FEDERAL WAY SELF STORAGE CINGULAR WIRELESS&PACIFIC AIR CON PACIFIC AIR CONTROL,INC
63 KENDRICK ST I CHARLE 2445 140TH AVE NE SUITE 202 11812 N CREEK PARKWAY N SUITE 104
NEEDHAM MA BELLEVUE WA 98005 BOTHELL WA 98011
02494 (206)682-6393
Electrical Fixtures
Description Quantity Description Quantity r Description Quantity
Low Voltage-Other Commercial 190 Thermostat I 1
PERMIT EXPIRES January 4,2006.
Permit issued on July 8,2005
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 accordanc with the laws,rules and regulations of the State of Washington and
the City of Federal Way. ' , =
Owner or agent: `!��'� Date:
-7
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 .
PERMIT#: 05-103288-00-EL
Owner:
Address: 31119 21ST PL SW
FEDERAL WAY, WA 98023
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
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) Final-Electrical(4055)
Approved Approved '' Approved
By Date By Date B ...it Date ei 1\ct\ps""
❑ Under-slab groundwork(4295)
Approved
By Date
. • * RECEluED 2. ••• (55
, A
4 Federal Way
,,, SF UL O S 2005 PERMIT SF M,,LLL
MF CO M 410IP DE EN FP
33325 81.AVS SOUTH•PO BOX 9718
P1 wAY,wA �PLI CATI O N
z53s 2so7;2=1'OF FEDER / /
unru,.ctlWFredertilwa4.mm BUILDING D
The is -an ' • mill not be Please (in ink)or
SITE ADDRESS 31031 21ST PLACE SW, FEDERAL WAY surtzmirr a 150 8151
ASSESSOR'S TAX/PARCEL i 1 2 2 1 0 3 - 9 0 8 8 LOT S (sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) SG— Q 77-it C-0(�L
GCeurh �pp.fo redo Iap1 ro
■
TYPE OF PERMIT ❑BUILDING ri PLUMBING 0 MECHANICAL
0 DEMOLITION M ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onto)
INSTALL ONE LOW VOLTAGE THERMOSTAT AND LEAD LAG CONTROLLER.
PROJECT NAME(Name of Business or Owner Last Name) _CINGULAR CELL SITE OWNED BY FEDERAL WAY STORAGE
■ i_ _ '' -._ .
PROPERLYN!E PRIMARY PHONE
OWNER FEDERAL WAY STORAGE,INC ( ) -
Alf y Ann=
I FEDERAL WAY
CONTRACTOR wrrANY! :a., I ...,,,,...........,, cs,rner. r.
PACIFIC AIR CONTROL 1 RONN LARPENTEUR ( 206)682-6393
e1/ �.+Hl1LNJJ . tiTi.STATE.ZIT I.rJI.Yl1VA
11812 NORTHCREEK PARKWAY NO,#104 BOTHELL,WA 98011 I ( ) -
2 0 _0�0 1vr 0 1 2 8 0 -B L 1 2/+31 T/v2005 I I 206 )340 2270
-CONTRACTORS REGISTRATION NUMBER(ceey of dad reoateed with each applcMtloe) � .....V
PA CI F AC 0 0 1 DC 3 /03 /�2006
APPLICANT C'MP.N".....V I .,..U........ _ OFFICE
PACIFIC AIR CONTROL RONN LARPENTEUR ( 206) 682-6393
„ CEu,ririOiv.
11812 NORTHCREEK PARKWAY NO,#104 BOTHELL,WA 98011 ( ) -
RELA1IONSHIP 10 PROJECT FA.:`:' .'9
❑Architect ❑Tenant o Agent R Other(Describe,'MECH CONTRACTOR ( 206)340 2270
CONTACT NAME PRi i..R rrriira ienia.Avuiccv
RONN LARPENTEUR ( 206 )682-6393 ROPJNL@PACIFICAIRCONTROL.(OM
LENDER Per RCN 19.27.095: fader irgbrlwatioa is NAME
required ifprqiect salve.... ds$5,000 NONE
RARING ADDRESS CITY.STATE.ZIP
• DLI\JLED B?:LD:Sr; _' Fnv'.7,:,I:r-.
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $1,000.00
SPRINKLERED BUILDING? 0 YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRELY? 0 YES 0 NO
WATER SERVICE PROVIDER ❑LAKERAVEN 0 HIGHLLNE o TACOMA 0 PRIVATE(WEIL)
SEWER SERVICE PROVIDER ❑LAKEHAVEN 0 HIGHLINE o PRIVATE(SEPTIC)
4
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
FOR: 31031 21ST PLACE SW, FEDERAL WAY
PARCEL NO. 1 2 2 1 039088
122103 88 W 165 FT OF POR OF SE 1/4 OF NE 114 SWLY OF CO RD#980 ERCHINGER RD
LESS POR N OF LN RNG W FR PT ON E LN OF W 135 FT DIST 80 FT S OF SWLY MGN SD
CO RD
•
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST EQUIPMENT ROOM 190 SQ FT 190 SQ FT 190 SQ FT
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE O CARPORT O
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SP" TOTAL PROPOSED SP TOTAL SP
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture 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) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DULlb GAS PIPE OUTLETS
PLUMBING
BATHTUBS iorTub/Shower Combo) SHOWERS WATERCLOSEIb Obaa) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS)Bathroom Shams) 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 o the city,includ'ng its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. _ ,�
NAME/TITLE • & / �/ •'„ �A p/h /DA1 E a DS
gnaturc) ( tle)
RELATIONSHIP TO PROJECT 0 Owner ❑Agent ) Contractor U Architect ❑ Other
Ci NEW a"ADDITION o ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? yEs a NO
ZONING DESIGNATION- 'CHANGE OF USE? " o YES cl"NQ
NEW ADDRESS,REQUIRED? a YESa.NO OP/NEPA/NO? o YES a NO
PLATTED LOT?•;;,`, a YES; '€�NO DEMO PERMIT REQUIRED" a YES, a NO
Bulletin#I00—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
f .r
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) ❑ 0 to 100 amp $113.50 $69.50
U Detached outbuilding or garage U 101 -200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 201 -400 amp 264.50 104.00
U 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 U 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
U 601 -800 amp 247.00 132.00
U 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
U 601 - 1000 amp 398.50
Service or Feeder
❑ over 1000 amp 443.50
❑ 0 to 200 amp $87.00
U 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
U Service- 1.000 amps or greater
U Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
U 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
U over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
In 1_#of Thermostats ❑ #of Signs
(FL,t-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
Xi Low Voltage 190 SQ FT ❑ 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
El Security Alarm System U Additional Plan Review $104.50/hour
O Voice Cabling
Ei Data Cablin (for modified submittals)
I;J LOW VOLTAGE LEAD LAG CONTROLLER U Automation Fee on all Permits .. $5.00
IT'.:.r _..._.,c, 1'2500 f>t 0C
Each add'n 2500 ft2-16.00)•Per WAC 296-46 910151040&iU
•
Bulletin#100-January 7,2005 Page 3 of 4 k\landouts\Permit Application