05-103141 Cc.,
City of Federal Way Electrical Permit #: 05 - 103141 - 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) 835-305C
Project Name: QWEST COMMUNICATIONS
Project Address: 1900 S 288TH 5r Parcel Number: 332204 9159
Project Description: ADD/ALT of(3)circuits to provide electrical power to new HVAC units,recepticles,and new light
fixtures
Owner Applicant Contractor
QWEST COMMUNICATIONS JOHNSON ELECTRIC,INC JOHNSON ELECTRIC,INC
1801 CALIFORNIA ST#4600 11816 NE 116TH ST 11816 NE 116TH ST
DENVER CO KIRKLAND WA 98034 KIRKLAND WA 98034
80202-2658 (425)821-8226
Electrical Fixtures
Description Quantity Description' Quantity Description ,Quantity;
Circuits- Commercial 3
PERMIT EXPIRES December 27,2005.
Permit issued on June 30,2005
I hereby certify that the above inforrnati• is correct and that the construction on the above described property and
the occupancy and the use will be in at•As dance with the laws,rules and regulations of the State •f Washington and
the City of Federal Wa
Owner or agent: • / Date: 1
FINALE,®
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THIS CARD IS TO REMAIN ON-SITE
CITY OF4A. Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 ,
PERMIT#: 05-103141-00-EL -
Owner:
Address: 1900 S 288TH ST
FEDERAL WAY, WA 98003-3227
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) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) ❑ Service(4235) ❑ 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
By Date By Date B ----"2".-5 Date 7.p—O
O Under-slab groundwork(4295)
Approved
By Date
- A Ca-- --I- 613 -1- -4-[
Federal Way PERMIT
SF MFCOMEv� PLDEENFP
oaannurtrDEvILaPSr®vrSERVICES
39325PE AIL.WUES A 980639718 9718 APPLICATION
IlD
FL7ERAL WAY,WA aaos3-aria / /
253-895-2607•FAX 253-895-26009
www.dtuoffederalwau.com
The .1 , , is ired , . , -an ., . _. . ;,1ication will not be ,.•. ,ted, Please . t .,IL.;,.,. (in ink)or .p .
IM PROPERTY INFORMATION
SITE ADDRESS /900 50 u TN 085`l./ 72. WAY W A smTE/UNrr# .--
ASSESSOR'S TAX/PARCEL# - — — — — LOT SIZE(s,1
LEGAL DESCRIPTION(e.g.Acne Estates.Lot 1)
(Math separale me/or iVM9ddmtptia+Y
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION LI LECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
PAX)vi OE e7.�r crvc•�A,.. ?Ow evt ra Ca) N e-s,v INA a AA, rs . "ea✓,DE(i) o,'r0o0,c
/2-0 V ReLE?°rti-ciL.e3 . .T.a,n+i,t, (i) N Li tier- 09 x rei.e-E.
PROJECT NAME(Name of Business or Owner Last Name) Q W CST CCM M(^)i G A r)O.V S
III PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER OWcSr CO MMuNic.A r7ONS (z ) 34'S - /5-73-'
MAILING ADDRESS - CJ.TY.STATE.ZIP
/,CC - 144A✓E Root.? ?301 5EA-riZ wA 91?/9V
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
,TOHMsOA.J ELIZC-Ticrc 5-6o1`r �o.eG.4-i✓ (4'25 ) 8Zt - $ZZ6
MAILING ADDRESSCITY.STATE.ZIP CELL PHONE
//8/ b NC //Cu 57-7eEEr KIAKL Arrvo, WA 9803'( (qzS) 86'4 -41082.
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
/ q -9 8-j 0 S S 0 Z-B L /2. / 3t /Z.co. (Vzs--) SZ' -y$36
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
X0 14 .JS Er38 YR u // / rO / o(
APPLICANT•� COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS arr.STATE.ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect o Tenant a Agent a Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( )
LENDER Fe r RLW 19.27.096: Lader iiebnwotien is NAME
requirad ffpnifeet galas azoseds 24009 /1/41/A
MAILING ADDRESS CITY.STATE.ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINK FRED BUILDING? a YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES a NO
WATER SERVICE PROVIDER a LASEHAVEN ❑HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER a LASEHAVEN a BIGHLINE ❑ PRIVATE(SEPTIC)
I
PROJECT FLOOR AREAS
AREA DESCRIPTION MC/STING PROPOSED TOTAL
SQ FT. SQ.Fr. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
SLOOPS ,.woOD Torr. iatias..
NUMBER OF FLOORS
"NEW HOMES ONLY NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type off lxlu a to be installed or relocated as part of this project Do not include existingfixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS _ EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS icoMnaanSaj WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAB WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS far Mb/shower combo) SHOWERS WATER CLOSETS(Th) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS p3.tb,mmsabl VACUUM BREAKERS ELECTRIC WATER HEATERS
DISC LAMER'SIGNATURE BLOCK
I certft under penalty of perjury that the information famished bg me is brae and correct to the best of my knowledge,and farther,that I
am authorized by the owner of the above premises to perform the work jbr which the permit application is made. I Art/raw agree to hold
harmless the City of Plede►al Way as to any claim(Including costs.expenses, and attorneys/Vies incurred in the irwedgaawa and defense of
such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Wag,but only where such claim
arises out of the reliance of the city,including its officers and employees,upon the accuracy of the inybrmatlon supplied to the city as a part of
this application.
NAME/TITLE ' �/ ^J - Aeolt-z,T' Al 6 R.. DATE 6.E1 - zo•s
(SIgnature) mire)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent tike-Ontractor 0 Architect 0 Other
FOR ssv USE T
o NEW o ADDIS o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHEIL ONLY? a YES a NO BASIC PLAN? o TES o NO
ZONING DESIGNATION CHAlfGE Of USE? a YES a NO
NEW ADDRESS REQS? ❑YES Et NO UP/SEPA/SU.? a TES o NO
PLATTED LOT? o YES 'o NO DEMO PERMIT REQUIRED? D YES a NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application ~►
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL i COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service U Single Family Square Feet or Feeder Each Add n
(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 0 101-200 amp 141.00 89.00
(Inspected with service) $44.00 U 201-400 amp 264.50 104.00
U Detached outbuilding or garage U 401-600 amp 308.00 123.50
(Inspected separately) $69.50 U 601-800 amp 398.50 168.50
U 801- 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) U Over 1000 amp 530.50 283.00
Service Feeder
U Up to 200 amp $113.50 $33.50 U Over 600 volts surcharge $89.00
U 201-400 amp 141.00 69.50 U Mast or meter repair $96.00
❑ 401 600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ 601-800 amp 247.00 132.00
U Over 800 amp 353.50 264.50 Service or Feeders
"f' 5to200amp $113.50
ALTERED SINGLE/MULTI FAMILY U 201-600 amp 264.50
Service Feeder
U 601- 1000 amp 398.50
U over 1000 amp 443.50
U 0 to 200 amp $87.00
U 201-600 amp 141.00 O' 3- #of circuits to be added/altered
U over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits.$7.00/ea)
U #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 U Medical/Educational/Institutional Facility
MOBILE HOMES
U Service or feeder only $69.50
U Service and feeder _ $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residentiai/etuiti-Famly $61.00
U #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Conunerciaifindustrial Service or Feeder Ampacity
U 0-100 amps $69.50
U 101-200 amps 89.00
U 201-400 amps 104.50
U 401-600 amps 141.00
U over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats U #of Signs
(F t-$52.00:add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
Iw oltage U Swimming pool/hot tub $87.00
Sqe Feet to be served by system(s)- itAA (Includes additional circuit,if required)
Alarm System U Yard Pole meter loops $104.50
Security Alarm System U Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
❑ Hata Cabling
U Automation Fee on all Permits .. $5.00
❑
(Per System(s)1#2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 296 16.910(5)Th8&til
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application r'
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