05-103375 •
I 4-
City of Federal Way Electrical Permit #: 05 - 103375 - 00 - EL
" Community Development Services
4 P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax (253)835-2609 Inspection request line: (253)835-305C
a
Project Name: ANIMAL SUPPLY
Project Address: 32001 32ND(S Suite320 Parcel Number: 215465 0010
ptu4.
Project Description: Install low voltage wiring for voice and data,
Owner Applicant Contractor
FOSS REDEVELOPMENT COMPAN BLUE RIBBON ELECTRIC BLUE RIBBON ELECTRIC
PO Box 94449 20032 82ND AVE W SUITE 320 20032 82ND AVE W SUITE 320
FEDERAL WAY WA FEDERAL WAY WA
PO Box 94449 !Seattle,WA 98124-6749 (425)775-1966
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Low Voltage-Other Commercial N 5000
PERMIT EXPIRES January 8,2006.
Permit issued on July 12,2005
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.
/ 7 / 2 0 c
Owner or agenf: v `S �/ Date: ! C�
Pik,\••• 1\l(
AV
,,)
(Cb
M1
w
r THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 ►
PERMIT#: 05-103375-00-EL b
Owner:
Address: 32001 32ND AVE S Suite 320
FEDERAL WAY, WA 98001-9625
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
•
0 Rough Electrical(4225) .
❑ Ceiling Cover(4020) 4. �❑ Final-Electrical(4055)
Approved Approved Approved
By Date `B -i• Date 7—(f—a S<.B Date,i —f-0 5
❑ Under-slab groundwork(4295)
Approved
By Date
I
.A RECEIVED •
Federal Way Q Q.3. L 2
COMMUNITYDBVELOPMENTSERVICES JUL 1 2 2005
PERMIT SF MF CO M PL DE EN FP
• 99925 8'AVENUE SOUTH•PO BOX 9718dilo
PEDEIPA2WAV, X 9 8 069-9 718 i,PIAIPYLI CAT'I O N
* 259 8952607•FAX 259d9s 2609``I O D /
WW'Q`s°ff`deral'aycorn BUILDING DEPT. I
1"
The ollowi • is ired in ormation-an inco •fete . ••lication will not be acce•ted. Please •tint le• •1 n in or
• PROPERTY INFORMATION
SITE ADDRESS 32001 3 2nd S. SUITE/UNIT it 320
ASSESSOR'S TAX/PARCEL#215465 0 010 - LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(AGach agave&Page/a Ie 3thy legal deaa pfionl
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION QLECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included.on this hermit only)
Provide Low Voltage cable wire for voice
& data
PROJECT NAME(Name of Business or Owner Last Name) Anima 1 Supply C o.
• PEOPLE INFORMATION
PROPERTY NAME
OWNER FOGS Redevelopment Company PRIMARY PHONE
MAILING ADDRESS CITY,STATE,ZIP
PO Box 94449 I Seattle WA 98124-6749
CONTRACTOR COMPANY NAME APPLICANT NAME
✓`N /e/i'J —e 7e/( ,j� C (OFFICE
�.FI. PHONE^
MAILING ADDRESS TJ 9(�G
CITY,STATE,ZIP 17 /CELL PHONE
` D3 : 0 9v %/ 57 G J,('�� 9{02-6 (CD4) `ZZ7 r 20/
CrlY OF FEDERAL WAY BUSINESS LICENSE NUMBER /EXPIRATION DATE FAX NUMBER
/ / (Zc6)227 -6z�
B L
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application EXPIRATION DATE
44-- -TY ‘/_ CAz. 2-/ 2g1 -1,6,
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
5an1E ( 1 _
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT ( )
FAX NUMBER
❑ Architect ❑Tenant ❑Agent ❑ Other(Describe) ( ) _
• CONTACT NAMEl PRIMARY// r 7
I ���� g4(0� I (20(0)H9-a• - 3s,r I E-MAIL ADDRESS
LENDER
-,. b , er i;-, r ry_ ;,5 4)551.5 5%.5"5,5 5, NAME
MAILING ADDRESS Cn?,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ❑ NO
WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE ❑TACOMA ❑PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑LAKEHAVEN CIHIGHLINE a PRIVATE(SEPTIC) •
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS mamma PROPOSED TOTAL
s
**NEW HOMES ONLY'• NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
=CLEAN-MAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commorrwi WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES _ MISC(Describe)
• COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orTrb/Shower Combo) SHOWERS WATER CLOSETS(roket MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks( 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 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 /�d�G �/� DATE 7--U &51"--
(Signet re) (ritic)
RELATIONSHIP TO PROJECT a Owner 0 gent R'Contractor ❑ Architect a Other
c;t„.• 4e
,`,01L) '00)4 '91aq v,k.f o ,1 0, to 0,.;
e1,;..(. 7�7(�)�C"k�rCOW f
6T'! �r�e� .•- - ;.1 o') (Bti. 77 rstet , U A ) 1�.• .orf . 9 ;(off
t .y� *(offs ! ¢r t� r�G@i��b � .., ��
•0
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
ELECTRICAL PERMIT I. FORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL 11 SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet _ Service or Feeder Each Add'n
(First 1300 ftp-$104.50;Each add'n 500 fta-$33.50) 0 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 ❑ 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage 0 401-600 amp 308.00 123.50
(Inspected separately) $69.50 0 601-800 amp 398.50 . 168.50
O 801 - 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) 0 Over 1000 amp 530.50 283.00
Service Feeder _
O Up to 200 amp $113.50 $33.50 0 Over 600 volts surcharge $89.00
O 201 -400 amp 141.00 69.50 0 Mast or meter repair $96.00
O 401 -600 amp 193.00 96.00
❑ 601 -800 amp 247.00 132.00 ALTERED COMMERCIAL/INDUSTRIAL
O Over 800 amp 353.50 264.50 Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY 0 201 -600 amp 264.50
O 601 - 1000 amp 398.50
Service or Feeder
0 over 1000 amp 443.50
❑ 0 to 200 amp $87.00
O 201 -600 amp 141.00 0 #of circuits to be added/altered
0 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
❑ Service- 1,000 amps or greater
O Mast or meter repair $52.00 0 Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
0 Service and feeder $113.50
TEMPORARY SERVICE
1 MOBILE HOME/RV PARK ResidentiaVMulti-Family $61.00
0 #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity
O 0-100 amps _ $69.50
O I01-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps 141.00
❑ over 600 amps 152.50
•
MISCELLANEOUS SERVICE/EQUIPMENT
0 #of Thermostats 0 #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
/ ❑ }} w Voltage 0 Swimming pool/hot tub $87.00
..'Square Feet to be served by system(s)(SOU C' (Includes additional circuit,if required)
0 Fire Alarm System 0 Yard Pole meter loops $104.50
❑ Security Alarm System 0 Additional Plan Review $104.50/hour
O/Voice Cabling -modified submittals)
Data Cabling 7 7 of ( ytoination Fee on all Permits .. $5.00
(Per System(s) Pt 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 296-/6-910(5)(bffl&5)
S
Bulletin#100-January 7,2005 • Page 3 of 4 k\Handouts"Perniit Application