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05-100496 CityirrFederal Way Electrical Permit #: 05 100496 - 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: CAMPUS SQUARE BLDG C Project Address: 181 S 333RDtBLDGC Parcel Number: Project Description: Move 45KVA transformer Owner Applicant Contractor DIANE FOREMAN NORTH STAR ELECTRIC NORTH STAR ELECTRIC 33310 1ST WAY S 1905 S JACKSON ST 1905 S JACKSON ST FEDERAL WAY WA SEATTLE WA 98144 SEATTLE WA 98144 (206)329-1596 Electrical Fixtures Description Quantity Description Quantity Description Quantity Alt.Serv./Feeder up to 200 amps-Co 1 PERMIT EXPIRES August 2,2005. Permit issued on February 3,2005 I hereby certify that the above information is correct and that the construction on the above describedproperty 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. ,/ 2 — O Owner or agent: �`G Date: 2 — ©V THIS CARD IS TO REMAIN ON-SITE CITY OF A Community Development Inspection'Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 05-100496-00-EL ` . Owner: DIANE FOREMAN Address: 181 S 333RD ST BLDG C 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) ❑ Ditch cover(4030) 0 Pool Bonding(4195) Approved to place concrete Approved Approved By Date By Date By Date ❑ Temporary Power(4275) ❑ Service(4235) 0 Feeders/Sub-panels(4045) Approved Approved Approved By Date By Date By Date El Rough Electrical(4225) ❑ Ceiling Cover(4020) 1'/i Final-Electrical(4055) Approved Approved Approved By Date By Date By 1114r,' Date I 0 MI6 ❑ Under-slab groundwork(4295) Approved By Date RECEIVED Z5-- i a 6 q q? , Federal V ay FEB 0 2 Zoos PERMIT SF M F COM: .L D E E N FP COMNIUNHY DEVELOPMENT SERVICES S F 333258'm AVENUE SOUTH•PO BOX9718PLI CATION / / FEDERAL WAY,WA 9806Y O F F E D E RA TD 253-835-2607•FAX 253.83- Y w:uw.cstuoffedzralwm�oom 9 BUILDING DE The ollowin• is re•aired in ormation-an incom•lete • ••lication will not be acce•ted. Please •rint le• bi in ink ort •e. + IN PROPERTYvINFORMATION �( SITE ADDRESS /f3 c(9(w 41 s�I ( i�.e-, SUITE/UNIT# fi/ 'C a 4-16-+ ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (-9<C4-V,La /,tit ('a 0-1, (Attach separate page for lengthy legal description) ■ 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 only) 77 2oLtd.- IIK'-Xlig Te...-.4" PROJECT NAME(Name of Business or Owner Last Name) Com` 4 Ce:.{ vvifttS G[!iI e L MI PEOPLE INFORMATION PROPERTY NAME J -- - PRIMARY PHONE OWNER 0 1 4..1",e'. _9 h ..� c2 Y e SIC.tea. ( ) - MAILINGADDRESSCITY,STA:E,ZIP 33 3/a / U,uD Sov4-1.. iqr.>-J.i 04_j CONTRACTOR COMPANY NAME APP CANT NAME OFFICE PHONE i?0 4 4-L. s'4",4 A.- MIC.-L( (Zo4 ) 32,4 -1 s--- 4 MAILING ADDRESS S CITY,STATE,ZIP CELL PHONE CITY OFFD) L WAY BUSINESS I ��NSE R t^ 5e`, G LJ4 EXPIRATION1 DATE� (/FAX UMBE 4 - 34 Or 2 0 - 00 -i 0 1 $ L ca- B L / / (21)(0)3, 14,37 CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE n 0 L L s e, r3 ESO g / ' O — . APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE NAME..., APPLICANT ( ) MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) - CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS /J44.--- Ejike„ (2(9 ) 4-Z-1 -76 a.i"-- ,8N1,c.LVMcLec ............................................................................................ LENDER lit�l�`�:9:x?:#7.��3::ls;ttitl: af»f�d :fit:::::: `'i:ii:.':.:.iiti.'.:':ii tV u.ea iii O itMi: ............................................................................................ MAILING ADDRESS CITY,STATE,ZIP • DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA o PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ 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 EXISTING PROPOSED TOTAL NUMBER OF FLOORS "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 icommeraeq WOODSTOVES BOILERS FIREPLACE INSERTS • RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(ornb/sboarercombo� SHOWERS WATER CLOSETS pile) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAYS(Bathroom Sink.) VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK I certify under penalty of perjury that the Igfsormation 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 jos 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 o era and employees,upon the accuracy of the information supplied to the city as a part of this application. ;1 NAME/TITLE ?, 4/ " ''r DATE V —/ (Signature) (Title) ' RELATIONSHIP TO PROJECT ❑Owner •.Agent pi-Contractor ❑Architect 0 Other a x1D�TI�� t-t�Tx£ �`L4N.. .:'.;:•:'.::.;�?< 'ice::.;:.;:.;:.;:.;:.;:.;......���1rE iMP£�X "!`.;:.;:.;:.;'.;:.;:.;:::.;:.;:.;:.;.................. ......:;. 13 :::::::::::::::::::.....:...::::::::.::::..:::::::::::::::::::::::::::: 133 .3 .US ...............................:.....�a. :::.....I .R3:::.:.:::::..:::::.:::: :11::::111[:]:II:::tii::lii::::i:::::i1:::1111:111111::IIIt:::II::::I I:::III::::I ti:i Ni:YHtMi::til::::11::::i1:::1:1::::i1:::VA:'A'FiaF1M:-:::Xt+A+fi::::•::::-:11:::...:::..�.�:....::...::::...:::�::::�::::�::::�..:::�::.:::.::::•..:.:....:.1;...:i::: ..........::.:..:..:..:..:..;..;..;...;.;.............:..:�::::::::::::......:v::::::;...;..:::::�::::.::::.:::::...::............................ �,... 111 ..1 t.1111..111...III..ii ..ii...11 .ii 1 {{�(�� ``..��yy}}yyyyyy�y��yy�( y{�yyy�y{1j. ......... .......................:�: :::5.� iiii :ii..:v...:i:ii::i:i::::'�:::: GYlr:ADD1TiESS: '%/i'iS�LI Ciiiiiiiii':E3::: " :«<:',:: . ....... ............................... ... ... t ��'�'� ::::::::• :.�.?!�(�� i�':........ .... ... ....�;:.;:;.;:.;;:<.;:.;:;<.:#r.71'��.:::::::.r�:� ,:. :::.:::::::::: Bulletin#100 January 7,2005 Page 2 of 4 k\Handouts\Permit Application ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE ❑ Single Family Square Feet Service or Feeder Each Add'n (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 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 U 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 U 601 - 1000 amp 398.50 Service or Feeder ❑ over 1000 amp 443.50 ❑ 0to200amp $87.00 ❑ 201 -600 amp 141.00 ❑ #of circuits to be added/altered ❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea) El 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 U 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 U #of Signs (First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea) U Low Voltage ❑ Swimming pool/hot tub $87.00 Square Feet to be served by system(s) (Includes additional circuit,if required) ❑ Fire Alarm System U Yard Pole meter loops $104.50 ❑ Security Alarm System U Additional Plan Review $104.50/hour ❑ Voice Cabling (for modified submittals) ❑ Data Cabling ID ❑ Automation Fee on all Permits .. $5.00 - (Per System(s) PA 2500 ft2-$61.00; Each add'n 2500 ft2-16.00) •Per WAC 296-46-910(5)(6)6&ii) Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application