05-103187 City of Federal Way Electrical Permit #: 05 - 103187 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:053)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: ESM Nti
Project Address: 33915 1STAS Suite200 Parcel Number: 926504 0150
Project Description: Install 1 circuit for coffee pot.
Owner Applicant Contractor
FWTPI LLC KIRBY ELECTRIC INC KIRBY ELECTRIC INC
101 SW MAIN ST SUITE 350 4826 B ST NW SUITE 101 4826 B ST NW SUITE 101
PORTLAND OR 97204-3211 AUBURN WA 98001 AUBURN WA 98001
(253)859-2000
Electrical Fixtures
Description Quantity;!_ Description Quantity Description IQuantityl
Circuits- Commercial 1
PERMIT EXPIRES January 1,2006.
Permit issued on July 5,2005
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:
g
FINALED
A .
"� THIS CARD IS TO REMAIN ON-SITE•
CITY OF Community Development Inspection Record -
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 '
4
PERMIT#: 05-103187-00-EL
Owner:
Address: 33915 1ST WAY S Suite 200
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) 0 Service(4235) ❑ 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 By Vr. --7 D;;?__.&`j�
J
❑ Under-slab groundwork(4295)
Approved
By Date
..A • _C2,c- _t_ n z_ __t_ X 2._
FederalTSER PERMIT SF MF CO MI E1 PL DE EN FP
COMMINI7Y DEVELOPMENT
NT SERVICES
E332F5 DERAL WAY,AVENUE,WA 98063 SOUTH•63 BOX 9718J U L Q 5 P P LI CAT I O N -T° / /
FED -9718
253-8352607•FAX 253-8352609
u'wu+.of Uolkderahna u.com
The ollowing is -3•{,ite4ibUtafteilidnWid tricorn•fete a••lication will not be acce•ted. Please •rint le•ibi (in ink)or
PROPERTY INFORMATION
SITE ADDRESS 33 e1 r s \is-t
S t 5 .d, ZO C SUITE/UNIT# Z..0 a
_ LOT SIZE(4)ASSESSOR'S TAX/PARCEL# —' _
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate for lengthy legal description)
i ■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION.ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provid
e detailed of included on this it onl
II- IC'' Lpw- rC�rfo-- C I �Cui
)
PROJECT NAME(Name of Business or Owner Last Name) Jam►v `
• PEOPLE INFORMATION ,
PRIMARY PHONE
PROPERTY NAME _ 1 (2�3 )�3E - (Q(13
OWNER ESP') CITY T TE,QIP,
MAILING ADDRESS I w Il/�"1 �
3� ire i 5 oiotf s, sk. Zoo l aY
APPLICANT NAME OFFICE PHONE
CONTRACTOR COMPANY�NAAME^ ( ) _
C `�_`S ( oar—
MAIL
CITY,STATE,ZIP CELL PHONE
NG ADDRESS (
DATE FAX NUMBER
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION/ / ( ) -
B 1= EXPIRATION DATE
CONTRACTORS REGISTRATION NUMBER(copy of cud required with each application) P /
APPLICANT NAME OFFICE PHONE
APPLICANT COMPANY NAM �/ ! 1 �. - Z�jJ
�iL�� `'���1� T CELL., PHONE
4182(‘
MAILING ADDRES [ r CITY,��Tu✓,o ' 300 1 (0-C3 )606 _ 3 JG 3
���/ � ` y h cWl -`(J(J +
RELATIONSHIP TO PROJECT FAX NUMBER1
0 Architect 0 Tenant ❑Agent ❑ Other(Describe) l
PRIMARY PHONE l E-MAIL ADDRESSIAA i--)&01//lii. I
CONTACT NAME 1 I ( ` /'C,j - 3i+,/' 3
LENDER 'Pv',I(4 R"CW I9 27 i795'iLend formation is 3•' NAME
" e 1 a `value exceeds$5,000 r;
�,�tiequir�ed ijproJect; ,
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
! WATER SERVICE PROVIDER 0 LAKEHAVEN O HIGHLINE ❑TACOMA O PRIVATE(WELL)
1
SEWER SERVICE PROVIDER ❑ LAKEHAVEN O HIGHLINE O 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 0 CARPORT 0
EXISTING PROPOSED TOTAL 44,1,�.°. t i'>i;SI _'.- �, R�
NUMBER OF FLOORS . ' ' - r
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fudture 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
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orhb/Shower Combo( SHOWERS WATER CLOSETS(roikq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
L.AVS(Bathroom Sinks, VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of polar!)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. c
NAME/TITLE / ' I'eC (OLIN/
� C( \ DATE 7— 5- Oc r-
J
Ignature) (Title)
RELATIONSHIP TO • -OJECT ❑ Owner Agent a Contractor a Architect 0 Other
'PNV/ 'at)t)t''(cI lirrt5)Z.4,V (®.)et -- fi1D)vds,• 0:,;t'_v.t+1 It, :.e'°fD)'i jtt`
(c 9 -lfe atf1 :f?7'.'5 4°1'c)-Pt toyr):.:,(04,k.i(e)2( J e)ri,N 5 eta' p ,re
�B�?.'! ac)CI 1:... t4.1o)t e4�4 -) , r i `NY t�;:tIt, )' If/;iii� ice* Ire)
..T. .I.D.;" . ffo) r 4epi ,51tNo- Aa()rLl';4-5 DV'? r '-y-" +r '
r
Bulletin#100—January 7,2005 Page 2 of 4 k\HandoutsTermit Application
ELECTRICAL PERMIT INFORMATION
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 ftp-$33.50) 0 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 0 401-600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 601-800 amp 398.50 . 168.50
O 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 0 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
O 601 - 1000 amp 398.50
Service or Feeder Pt o e 1000 amp 443.50
❑ 0to200amp $87.00
❑ 201 -600 amp 141.00 #of circuits to be added/altered
❑ over 600 amp 212.50 (1-' circuits-$89.00;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered • s 'RCIAL/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-Fearing $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) CommerciaVIndustrial Service or Feeder Ampacity
❑ 0-100 amps $69.50
O 101-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps - 141.00
❑ over 600 amps 152.50
•
MISCELLANEOUS SERVICE/EQUIPMENT
U #of Thermostats ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'nsign$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 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
0
(Per System(s) 1a 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) •Per WAC 29646.910(5)(b) &a/
•
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Perniit Application