05-103481 g
City of Federal Way Electrical Permit #: 05 - 103481 - 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: GVA KIDDER MATHEWS
Project Address: 33301 9TH .,/kVt. Parcel Number: 926501 0130
Project Description: Install two dedicated 220-v circuits. Third Floor. ABAM Engineering Office.
Owner Applicant Contractor
SHELBY CO LLC CUSTOM CONTROLS CORPORATION CUSTOM CONTROLS CORPORATION
1201 PACIFIC AVE#1400 4630 16TH ST E SUITE B24 4630 16TH ST E SUITE B24
TACOMA WA FIFE WA 98424 FIFE WA 98424
98402-4322 (253)922-5874
Electrical Fixtures
Description ,Quantity;!; Description Quantity Description jQuantity
Circuits- Commercial 7P 2
PERMIT EXPIRES January 14,2006.
Permit issued on July 18,2005
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way. ee Application
Owner or agent: (CtIL9%via I ) Date: /4//0 5 Norberi-
f
•
City of Federal Way Electrical Permit #: 05 - 103481 - 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: GVA KIDDER MATIIEWS
Project Address: 32001 32ND S Parcel Number: 215465 0010
Project Description: Install two dedicated 220-v circuits
Owner Applicant Contractor
SHELBY CO LLC CUSTOM CONTROLS CORPORATION CUSTOM CONTROLS CORPORATION
1201 PACIFIC AVE#1400 4630 16TH ST E SUITE B24 4630 16TH ST E SUITE B24
TACOMA WA FIFE WA 98424 FIFE WA 98424
98402-4322 (253)922-5874
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits- Commercial 2
PERMIT EXPIRES January 14,2006.
Permit issued on July 18,2005
I hereby certify that the above infonnatinn is correct and that tie construction on the ab a described'property and
the occupancy and the use will be in accordance with the laws,rules andregulations°oft e State of Washington d
the City of Federal Way.
�� �
Owner or agent: See AhCation Date: 0.7— � ^C75
P
..A THIS CARD IS TO REMAIN ON-SITE••
CITY OF
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103481-00-EL -
Owner:
Address: 32001 32ND AVE S
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) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical (4225) 0 Ceiling Cover(4020) M Final-Electrical(4055)
Approved Approved Approved
By Date By Date By` Date j \oc
O Under-slab groundwork(4295)
Approved
By Date
*A TY D:1_OPMDE N DEPA�IMNfi
{ Federal Way N - i '� .i
PER I11 g Zoos SF MF CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES l
3332E 8ThD AVENUEALWASOUTH•63 BOX APPLICATION TD
FEDERAL WAY,WA 98063-9718 / /
253-835-2607•FAX 253-835-2609
_ www.dhtoffederalwau.com
The oilowin. is re,uired in ormation-an incom'lete a••lication will not be acce•ted. Please •rint le•ibl- (in ink)or .
- PROPERTY INFORMATION SITE
SITE ADDRESS 333 D1 Ave,
�C, iiiSUITE/UNIT# 3Y4 -tic
ASSESSOR'S TAX/PARCEL# n^{� 1� - `_ _ LOT SIZE (sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) PO4f 152861 -- { Y} \neeiI Y1ACL - 3rd 4 lou '
(Attach separate page for lengthy legal description J
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit oniti)
Ins4li Z cietl�u...1-,cd xzOv c.:(rr.4.0„A-5. - .
PROJECT NAME(Name of Business or Owner Last Name) AV R K Ian PX I I leli le,1)3s/ Old n'Pi1 n Ake
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER Mbar 5 I'V i' ile,e,�in (253 ) "713 -35-71
MAILING ADAtESS CITY,STATE,ZIP
33301 qtl'Ave, Fed-eral t ( u.Pi
CONTRACTOR COMPANY NAME 1 APPLICANT NAME OFFICE PHONE
C "Orel eek t Clio bl$ (263 )q22. — 587'4
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
1441)50 1194' P .a c'ce %opt R$(124 (253 ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER ) EXPIRATION DATE FAX NUMBER
I a-9. 11-i Q Z .6 0 `.-B L )Z. / 31 /201' (2s3 ) c2.b 324,2-
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
C kA SI DC-- CO 1 5 i 0$ /Coq /2001
APPLICANT COMP NAM44y,pr APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
6rraJ / fdi y (153) 9-22 -$a'74 6eraIctreaf) tinEC Cop)
LENDER :PerRCw:19:27:095 Lender Information Is NAME
,required:(f project value,exceeds$5 000.:.
MAILING ADDRESS CITY,STATE.ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 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 EXISTINGPROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SP TOTAL sr
"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.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS \ .. ANS HOODS(commercial) WOODSTOVES
BOILERS \ EP/ FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS Ili FURNACES GAS WATER HEATERS
DUCTS / GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Sho r Combo) SHOWERS WATER CLOSE IS(Toilet) 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. �OL
NAME/TITLE ��Pr/ b DATE O'7//,3/Lc
( 1 t (Title)P�
RELATIONSHIP TO PROJECT ❑ Owner o Agent Contractor 0 Architect 0 Other
IFORgOFFICEUSE ONLY u
z,�
❑'NEW n ADDITION o ALTERATION o:REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o'YES ❑`:NO BASIC PLAN? in YES 0N
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? o YES ❑'NO
PLATTED LOT? o YES of NO DEMO PERMIT REQUIRED? Li YES ❑°`NO
•
Bulletin#100-January 7,2005 Page 2 of 4 k\I-Iandouts\Permit Application
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
❑ 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 ❑ 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
❑ 601 800 amp 247.00 132.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ 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
❑ over 1000 amp 443.50
❑ Oto 200 amp $87.00 -/
❑ 201 -600 amp 141.00 LY Z #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
❑ 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
❑ 101-200 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 Alarm System ❑ Yard Pole meter loops $104.50
❑ Security Alarm System ❑ Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
CI ❑ Automation Fee on all Permits .. $5.00
(Per System(s) 1at 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 296-46-910(5)(bAi&(U •
i
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application