05-103336 City of Federal Way
Community Development Services Electrical Permit #: 05 - 103336 - 00 - EI
P.O.Box 9718
Fhederal Way,WA 98063-9718
P
(253 835-7000 Fax (253)835-2609 Inspection request line: (253) 835-305C
Project Name: ST FABRICATION
Project Address: 35703 16THIS BldgD Parcel Number: 292104 9107
Project Description: Install eight cihrVLcults for lighting,outlest and water heater.
Owner Applicant Contractor
DOMINION HOLDINGS,LLC ST FABRICATION ST FABRICATION
PO BOX 876 PO BOX 876 PO BOX 876
PO BOX 876 !AUBURN,WA 98071 PO BOX 876 !AUBURN,WA 98071 (253)735-2000
Electrical Fixtures
[ Description_ _ [Quantity Description Quantity _ Description Quantity
[Alt.Serv./Feeder up to 200 amps-Col I
PERMIT EXPIRES January 11,2006.
Permit issued on July 15,2005
I hereby cert ify that the above information is correct and that the construction onthe above described propertyand
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.
4-6-5
Owner or agent: Date:
• 1
City of Federal Way Electrical Permit #: 05 - 103336 - 00 - I,L
Community Development Services
P.O.Box 018
Federal25Way,WA 98063-(253 Inspection request line: (253) 835-3050
Ph:(253)835-7000 Fax:(253)835-2609 P Q,_
Project Name: ST FABRICATION
Project Address: 35703 16TH S BldgD Parcel Number: 292104 9107
Project Description: Install eight circuits for lighting,outlest and water heater.
Owner Applicant Contractor
DOMINION HOLDINGS,LLC ST FABRICATION
PO BOX 876 PO BOX 876
PO BOX 876 !AUBURN,WA 98071 PO BOX 876 !AUBURN,WA 98071Illangt&.
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Alt.Serv./Feeder up to 200 amps-Co 1
PERMIT EXPIRES January 11,2006.
Permit issued on July 15,2005
I hereby certify that the above information is correct at the construction on the above described property and
the occupancy and the use will be in accordance with, e laws,rules and regulations of the State of Washington nd
• the City of Federal Way.
Owner or agent: Date: /S
fftt *
(4'
4
1 k THIS CARD IS TO REMAIN ON-SITE f
SIT,of iro Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-103336-00-EL .
Owner: DOMINION HOLDINGS, LLC
Address: 35703 16TH AVE S Bldg D
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.
ElSlab/Concrete Floor(4255) #❑ Ditch cover(4030) 1 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 1 By Date
64 Rough Electrical(4225) 0 Ceiling Cover(4020) rla Final-Electrical(4055)
Approved Approved Approved
By ( ,\ J Date\l-.01—Ct By Date By ,' Date J1SI tob
❑ Under-slab groundwork(4295)
Approved
By Date •
THIS CARD IS TO REMAIN ON-SITE
CITY O 40111111114. , Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-103336-00-EL •
Owner: DOMINION HOLDINGS, LLC
Address: 35703 16TH AVE S Bldg D
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. DV$OT 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 insC:tion sequence. On-going inspections
are logged on the back of this card.
ElSlab/Concrete Floor(4255) ElDitch cover(4030) / l Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) ❑ Service(424E4 ❑ Feeders/Sub-panels(4045)
Approved Approved.,Approved,e Approved
By Date By Fate By Date
❑ Rough Electrical(4225) ❑ Ceng Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By /
# Date By Date
'
,❑ Under-slab groundwork(4295) .4.
Approved
Approved �''
r
By Date .
'"tet.
RECEIVED _ a („.
deral Way PERMITS
couwxrlroEVEWPrexr�L 2 200 SF MF CO ME EL L DE EN FP
3332FEDRALWA,WA9S STM AVENUE SOUTH•PO971 APPLICATION
FEDERAL WAY,WA 98063-9718 � / /
253-8352607•FAX 253-8� 2
www-a2117;Z Iwa i 1 Y OF FEDERAL WAY
BUILDING DEPT.
The ollowi • is -. ired in ormation-an inco •fete • •.lication will not be acce•ted. Please •rint le. •1 (in ' or •
1/
IN PROPERTY INFFORMATION
b
SITE ADDRESS 7051-0 3 ' AN .6 O v n4 SUITE/UNIT I b
ASSESSOR'S TAX/PARCEL I Z 9 Z ! 0 y - el f 0 T LOT SIZE(sf) Z_'f .1 c/&
LEGAL DESCRIPTION(e-g.Acme Estates,Lot 11 LE /4 OF N yZ OP SE '/4 c / 16-9--t.N E / C ?4 LESS c' c
UMW..ep.,,,,P�for W I�dcsaipoon) co tL A-0G 50,)-al
■ PROJECT INFORMATION
TYPE OF PERMIT BUILDING 'PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on - rmit onl
.-OU j) pot/ of -- 40D1 (, '
(NSitt�u-ivrto ) pc ` .1 -Cot uS
PROJECT NAME(Name of Business or Owner Last Name) 51r PaeiLL urTt Oti ( F TH,(t.cp nv.‘S.)
• PEOPLE INFORMATION
PROPERTY NAME
OWNER NAI A-\c J i4-0 L'6 i IJ� 1-1--C__ PRIMARY PHONE
( 3)a./ - /O LifeMAILING ADDRESS eITY,STATE,ZIP
P,o.60S- 89 AIAL14.N, L4. 96(-39/
COMPANY NAME
CONTRACTOR APPLICANT NAME
OFFICE PHONE
1 PJU Civ-ri 0,-' , I tv C C. Cr C-41-eO44+.1 (� 3) �5 - ova
LING ADDRESS CITY,STATE,ZIP CELL PHONE
p. : :D.::,,,63,_::j u (,I,fr &Ri (2s3) 21/ - `oY• ISofEINESS LICUMBER 1EXPIRATION DATEFAX NUMBER
- BL / / ( )
9 7ti(INFRACTSON NUMBpy of card required with each applicatioai EXPIRATION DATE
5 _if),
3 /� fi& / '30 12f ,�
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
5r F -(c�rZ 6) .j, ( 'JC_ ��S C ) (253 ) ?35 - 2ooa
MAILING ADDRESS CITY STATE,ZIP - CELL PHONE
P-0- L, 6j o 4va.. .n/ , .,,.4- 9650?/ m3) Z a/ - /ot/i/
RELATIONSHIP TO PROJECT FAX NUMBER
O Architect pant o Agent Luber(Describe) ol— ,P&__ ( 253)813'-- 9323
CONTACT NAME ..PRIMARY PHONE E-MAIL ADDRESS
0. C-( J ( 3 ) z,/ - toZjy esL,6. E......-.
LENDER -k,..-%45' T + L E NAME
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE 5 F€u- I1,( /1_O<t6-- PROPOSED USE R tc0•.- -‘5
_
EXISTING ASSESSED/APPRAISED VALUE $ (( 2, 000VALUE OF PROPOSED WORK $ , . t/l/t _
SPRINKLERED BUILDING? o YES o 4YO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES (Pia •
WATER SERVICE PROVIDER i( VEN a HIGHLINE a TACOMA O PRIVATE(WELL)
SEwtR SERVICE PROVIDER �✓1�AIVEN a HIGHLINE a PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
' BASEMENT.
FIRST (O Q C7 &6747 7 &0C2 •
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE O CARPORT 0 j
L7O TOTAL morose',sr - ranisrO PROPOSED TC"
rorulu uaaOttNUMBER OF FLOORS q x / . .
"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 FANS HOODS(comm<rtial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING �(
BATHTUBS(or rub/shoes, comms —___ _ SHOWERS 4 WATER CLOSETS irony MISC(Describe)
DISHWASHERS _ ,3 _ SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom e;ksl 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 furthe,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 chant),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 ' 7 / 1 /Q DATE Z— -15ç!"TO
ignature) ! (Title)
RELATIO PROJECT owner o Agent contractor ❑Architect 0 Other
' 6
,3.1 = /�t T ONS` 1, „ - - ,;,
• •�LERATION P REPAIR ' 1 1QyI;MENT �
': 1 1 6 I C t. .1 -4411,- - .:;*'-'"'''':,1:1' 0;n r:+- e A y*., 5,, ASI -�"z„...„4-03,,,,„„
,& ,," "`.,...3'° £e �^� - �i-
f -`F' .. # '; o 1? r 0 YES '�10 r vi
F,....-4) ,,,,,,-;g:2,-_, NATIO . . L CHANGrE OFUSE? - -.*_4:;_t.:-:,,,, 0 YES ` : O. -
s/ ,, .a aIJIRED?;r a ,0., ...n,:.� _ UP/�SEPA/SII? :. . - , - a oYES „.5)
.,
4 i--". .N to ' :®, —1. ... .„ a�:-, ,®, g / pN . Y.ae u r ?`� ��.(,;. 1:.., ®III[�ED c�. �` F a n
1
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Bulletin#100—January 7,2005 Page 2 of 4 kU-Iandouts\Permit Application
Jo
ELECTRI -MIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
LISingle Family Square Feet Service or Feeder Each Add'n
(First 1300112-$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 0 201-400 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
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 ❑ 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
❑ 0to200amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
❑ 0 to 200 amp $87.00
❑ 201 -600 amp 141.00 ) 0 #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
1 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 Mann System ❑ Yard Pole meter loops $104.50
❑ Security Mann System ❑ Additional Plan Review $104.50/hour
0 Voice Cabling (for modified submittals)
❑ Data Cabling
❑ ❑ Automation Fee on all Permits $5.00
(Per System(s) 1.t 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) •Per WAC 29646-910(5)M 6 ii)
Bulletin#100-January 7,2005 Page 3 of 4 kJHandouts\Permit Application