05-100517 City of Federal Way Electrical Permit #: 05 - 100517 - 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)835-3050
Project Name: ST FABRICATION
Project Address: 35703 16TH IXISIB Ave s 3ld 5 Parcel Number: 292104 9107
Project Description: Install new 400-amp/480-volt service to Building B.
Owner Applicant Contractor
ST FABRICATION INTEGRITY ELECTRIC INC INTEGRITY ELECTRIC INC
PO BOX 876 4501 KENNEDY RD NE 4501 KENNEDY RD NE
AUBURN WA 98071 TACOMA WA 98422 TACOMA WA 98422
(253)943-0500
Electrical Fixtures
Description Quantity Description Quantity Description 1Quantity
rService/Feeder:201-400 amps-Comr 1
PERMIT EXPIRES August 3,2005.
Permit issued on February 4,2005
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.
or O
Owner agent:t Date: 42 2/0 y ,5
FINALED
Dau\C
5 (-7
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THIS CARD IS TO REMAIN ON-SITE
CITY OFii,;;A;,, Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-100517-00-EL
Owner: ST FABRICATION
Address: 35703 16TH AVE S Bldg B
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,/2.y Date Z_z ,n( By Date
❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
O Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date B_y/�j3 Date G,.4
ElUnder-slabgroundwork(4295) `-=��(r C'
Approved
By Date
I
•
Federal
O O ( 0 0 7-
• Federal Way PERMIT R ,/ (
COMMUNITY DEVELOPMENT SERVICES " " � I y ME' CO IVIS PL DE EN FP
33325 8*"AVENUE SOUTH• BOX 9718 A P P L I C A T I O o
(;�
T
FEDERAL WAY,WA 9806363-9718 `J
253-835-2607•FAX 253-835-2609 4 2O TD / /
unuw.atuoffederalmau.com
The following is required information-an incomplete ap.licatiAiDel. as •.ted. Please print legibly(in ink)or type.
,. .. ''.,- • / M M PROPERTY INFOR (TION
SITE ADDRESS 35 70 3 i(p A Ve co gu`/i PK - S SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 2 92/011(7/07 - _ _ _' 0171 LOT SIZE(sf7
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach gate pager lengthy legal desrnpnon)
` ■-PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING ❑ MECHANICAL
0 DEMOLITION )(ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit on1U)
�,4f/ttI(C1'1e14, Y00 cl r -/•OVo/ s-erL,, e 740 _iv//O►/nci
PROJECT NAME(Name of Business or Owner Last Name)
- MI PEOPLE INFORMATION
PROPERTY NAME '(e we dta.3 7
5 T / , PRIMARY PHONE
OWNER / Fa r/cal!c/vl -Th c, 6 / (,�(i '3 )73,5
MAILING ADDRESS iI.TY,S ATE,ZIP
35703 %6th ,4l e s-O ed 1i4 U/A
CONTRACTOR COMPANY NAME APPLICANT NAME
r 1/ // OFFICE PHONE
.-2;]'1eqk Sec/ric 1 c 7 X70 FF 41/.ra A (x,3)95/3 -osoo
MAILINGRESS CITY,STATE,ZIP CELL PHONE
1-45-0/ /(eh n e .). , /4( 7 co AI a G(/L'/ . WV- (.46)60 -87g0
CITY OF FEDERAL WAY BUSINESS LICEOE NUMBER EXPIRATION DATE FAX NUMBER
_t `1-.9 e-Q a O o 6 L- B L 6A- / 3/ / vs! (253)5"Y3 -Osoz
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
rAireceii , 2N_ W 9 '/6 '.2096
APPLICANT COMPANY NA EAPPLICANT NAME
OFFICE PHONE
Can r-'c. v h- ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT - FAX NUMBER
❑ Architect ❑ Tenant 0 Agent 0 Other(Describe) ( ) -
i
CONTACT NAM ,... ^^ PRIMARY PHONE E-MAIL ADDRESS
1/4/� e IPP XNJO4"` (206)117 -L 7e0
LENDER Per RCW 19.27095: Lender information is NAME
Ilk required if 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 ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO v
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN 0 BTGHLINE a PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
•
•
.__:..-r- -- --
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
-
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
"NEW HOMES ONLY NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
y FIRTURES - - .
Indicate number of each type offixture 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 Icomm«<,aq WOODSTOV ES
BOILERS FIREPLACE INSERTS RANGES - MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS)or Tub/shovercombo) .SHOWERS WATER CLOSETS(ro,I<q 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
r '- '_:DISCLMMERISIGNATUREBLOCR=
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 1
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 office nd employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE /` DATE 612/2
(Satur (Title(
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY _
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? 0 YES 0 NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? 0 YES 0 NO
i
I ,
y
Bulletin 11100-March 30,2004 - Page 2 of 4 k\Handouts-Revised\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
CI Family Square Feet Service or Feeder Each Add'n
(First 1300 ft,-$87.00; Each add'n 500 ft,-$28.00) 0 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101 -200 am 117.50 74.00
(Inspected with service) $36.50 201 -400 am 220.50 87.00
O Detached outbuilding or garage 4 - 0 amp 256.50 103.00
(Inspected separately) $58.00 0 601 -800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) 0 801 - 1000 amp 405.50 169.50
Service Feeder 0 Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
O 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
O Over 800 amp 294.50 220.50
joriService or Feeders
ALTERED SINGLE/MULTI FAMILY ���' " '' p
$ 94.50
- •• .• - 220.50
Service or Feeder 0 601 - 1000 amp 332.00
O 0 to 200 amp $ 72.50 0 over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 0 # of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ # of circuits to be added/altered
(1-4 circuits-$58.00;Add'n circuits$6.00/ca) COMMERCIAL/INDUSTRIAL PLAN REVIEW
$74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 0 Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
O Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
❑ #of service or feeders ❑ 101 -200 74.00 51.00
(First service/feeder-$58.00;each add'n-$37.50) 0 201 -400 87.00 n/a
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
0 Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
El Fire Alarm System 0 Yard Pole meter loops $58.00
❑ Security Alarm System 0 Additional Plan Review $87.00/hour
Cl Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s) 1•,2500 ft2-$51.00;
Each add'n 2500112-13.50) 'Per WAC 29646-910(5)(14(i&ii/
V
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Bulletin#100-March 30,2004 Page 3 of 4 k\handouts-Rcvised\Pernit Application