05-100152 City of Federal Way Electrical Permit#: 05 - 100152 - 00 - EI
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: MITCHELL PLACE APTS
Project Address: 1001 S 336TH ST Parcel Number: 202104 9002
Project Description: Installing security camera in main lobby
Owner Applicant Contractor
MITCHELL PLACE SENIOR RESIDENCE GLOBAL SECURITY&COMM OF WA INC GLOBAL SECURITY&COMM OF WA INC
1001 S 336TH ST GLOBAL SECURITY GLOBAL SECURITY
FEDERAL WAY WA 98003 32700 PACIFIC HWY S UNIT 14 32700 PACIFIC HWY S UNIT 14
FEDERAL WAY WA (253)661-2250
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
j Low Voltage-Other Commercial 2500
PERMIT EXPIRES July 12,2005.
Permit issued on January 13,2005
I hereby certify that the above information is .rrect and that the construction on the above described property and
the occupancy and the use w' 1 be in accor. .A u laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: I I _ Date: //13/05—
/1
THIS CARD IS TO REMAIN ON-SITE .
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-100152-00-EL
Owner: MITCHELL PLACE SENIOR RESIDENC
Address: 1001 S 336TH ST
FEDERAL WAY, WA 98003-6345
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.
0 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) Final-Electrical(4055)
Approved Approved Approved
/ ,
By Date By Date B ‘\1 Data 1 9 '
❑ Under-slab groundwork(4295)
Approved
By Date
�.�$ RECEIVED • 0S - / 2 I S Z
Federal Way PERMIT —
• COMMUNITY DEVELOPMENT SERV1 � SF MF CO ME EL PL DE EN FP
33530 FIRST WAY SOUTH 9 6-BOX 9718N 1 3 z oA.P P L I C AT IO N TD
FEDERAL WAY,WA 98063-9718 / /
•
253-661OF FEDERAL ERAL V'✓qY" -
BUILDIN
The ollowin. is re.wired in orm wu.-an Inco •tete a..iication will not be acce•ted. Please •rint le.ibl (in ink)or .•.
/
PROPERTY INFORMATION
SITE ADDRESS /U0 I 3 . 33( h c5 . SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 01 ( h e i I PI c4 c c. A pa H(o/7 1-5.
(Attach separate page for lengthy legal daoipeon)
- PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING o MECHANICAL
0 DEMOLITION "(}ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
061 ire ra. 1 1. A 1 Val►ate
PROJECT NAME(Name of Business or Owner Last Name) 14 (-f r1i e,VI P(aid
$ 5 .
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER m'kh I Place, A 1s.
(;e5-54A,, - '10 I)
MAILING ADDRESS CITY,STATE,ZIP
/OD) 3, 3 5Lo h S4- eiQ red wa i.I, WA $()1S003
CONTRACTOR COMPANY NAME APPLICANT N E OFFICE PHONE
��l, l
SirjkA ,)ernni ( AcIKkn (2 )c , aal oMAI G ADDRESS CITY,STATE,ZIP a c ..D CELL PHONE
911 fArt ,c. NklI4 St7tI �PCd.'itii tJ 1(/ J- ( )
CITY OF FEDERA WAY B INESS LICENSE UMBER EXPIRATION DATEFAX NUMBER
1 cL-q - t o 2 Lkoi Li- B L / / 3 / 0 5 (95.3) 5 -0C4704
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
L QbCA _ C0 Li Li C 0-7 / 3( / QL
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant ❑Agent 0 Other(Describe) ( )
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER Per RCW 19 27.095: Lender information is
requiredjif 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 $
4
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
'
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE O TACOMA a PRIVATE(WELL) •
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
- __N
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 E7QsTU(G TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
"'NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
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(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(roaet) 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 re}tance of the ' ,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE . DATE ( 3/o5—
(Sig to - (Title)
RELATIONSHIP h o ROJECT 0 Owner ❑ Agent 0 Contractor 0 Architect 0 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? o YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? o YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
a
Bulletin#100-March 30,2004 Page 2 of 4 k\Handouts-Reviscd\Permit Application
NW
ELECTRICAL PERM! ! INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101-200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201-400 amp 220.50 87.00
Li Detached outbuilding or garage ❑ 401-600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) Li 801 - 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
Li Up to 200 amp $ 94.50 $ 28.00
Li 201 -400 amp 117.50 58.00 Li Over 600 volts surcharge $74.00
CI 401 600 amp 161.00 80.00 LiMast or meter repair $80.00
Li 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
Li Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY 1:10 to 200 amp $ 94.50
Li 201 -600 amp 220.50
Service or Feeder Li 601 - 1000 amp 332.00
Li 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 ❑ it of circuits to be added/altered
❑ # of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) COMMERCIAL/INDUSTRIAL.PLAN REVIEW
$74.00 plus 35%of Permit Fee
LiMast or meter repair $43.50 Li Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
Li Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
{ ❑ #of service or feeders Li 101 -200 74.00 51.00
.(First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00 n/a
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
CI #of Thermostats CI #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
ifLow Voltage CISwimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
0 Fire Alarm System Li Yard Pole meter loops $58.00
0 Security Alarm System
� CI Additional Plan Review $87.00/hour
0 Voice Cabling (for modified submittals)
0Data Cabling
'154, C.C.&rfl tAi ik S
(Per System(s) 1•,2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5)(b/(i&ii) M
(
tt
Bulletin#100-March 30,2004 Page 3 of 4 k\Handouts-Revised\Permit Application