05-100520 ` .►—
ii
City of Federal Way Electrical Permit #: 05 - 100520 - 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: ST FABRICATION
Project Address: 35703 16TH S211dIF/c VZ S -E,Ict9 J Parcel Number: 292104 9107
Project Description: Install new 200-amp/480-volt service to Building F.
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 IQuantity Description -1Quantity
Service/Feeder: 101-200 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.
Owner or agent: Date: Y 0',3"-
FINALED
60
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- THIS CARD IS TO REMAIN ON-SITE ea, Nur
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-100520-00-EL
Owner: ST FABRICATION
Address: 35703 16TH AVE S Bldg F
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) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By/5 Date zS-,,S' By Date
❑ Temporary Power(4275) 0 Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date Bzy14 Date G —z? By Date
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date B Date/U-S' €4(7.'
—
•
❑ Under-slab groundwork(4295)
Approved
By Date
li -
RECEIVED 0 ,'S-- ( O O.. _ss o
aeralWay _ PERMIT —
COAfAfUN7TYDEVELOPMEATSERVKES SF MF CO M PL DE EN FF
JJ325 lly"FEDERAL WAY, "` 971 9718'�! `°. I C-�T I O N
253-835-2607•FAX 253435-2609 r ... ..4. .—______._________/
°""°..tiio1fe1enolwau.`""' CITY OF FEDERAL WAY
qq''ll''LpING PT
The oiiowing is re•uired in orr►c'ac�£o an PnRomptete a. •lication will not be acce•ted. Please •rint le.ably(in ink)or
..• , , , /. ii PROPERTY INFORMATION
SITE ADDRESS 3 7 0 3 / Ave co i5ii L/- /:y F SUITE/UNIT t
ASSESSOR'S TAX/PARCEL i _2 92/0 ii C1j0 Z.- _ Vi-1_QI(1'1 ✓ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot i) �( 1�v�
Ned+sepmuk pogef y II desOj dOn)
■ PROJECT INFORMATION 1
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 onlu)
__ -/ 1/ new .200 aist / o Vo/f- s et--ce,CC 7'�c (///0/r!,
PROJECT NAME(Name of Business or Owner Last Name) _C / FG b ri co i- -
- • . . I♦ PEOPLE INFORMATION
PROPERTY NAME
� PRIMARY PHONE
OWNER � 7" Fa r/cQ /a , .2 c. (C?)73S -.2O7O
MAIUNG ADDRESS CITY,SjATE,ZIP
35703 ie""Ole So i,c J Weir 1,l//4
CONTRACTOR COMPANY NAME APPUCANT NAME
1/ l/ OFFICE PHONE
.21'e - Bedr:C .. c Y FF 734"roA (.zS3)9413 -OS OO
MAILIN RESS ,,�t CITY,STATE,ZCELL PHONE
Li / kkenei el).- 7v coif/s G(/4. 9�Y. 2 c206-160-0 *7,70
yg
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
..1 1-.9 f'-a 0 Q 0 6 L- B L / / (2s3)9Y3 osoz
CONTRACTORS REGISTRATION NUMBER!copy of card required with each application) EXPIRATION DATE
:-Ar r E 6 E l i .2 Al W x' //6. /2006
APPLICANT COMPANY N EAPPUCANT NAME
OFFICE PHONE
N
COit t'Gc- v p- ( ) -
MA G ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
O Architect O Tenant O Agent 0 Other(Describe) ( ) -
CONTACT NAM ..,.. �� PRIMARY PHONE I E-MAIL ADDRESS
V e 7724.A.1174-% (206)ea -g7?O I-''
LENDER Per RCW19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
.. ■ DETAILED BUILDING INFORMATION • .
EXISTING USE PROPOSED USE
w
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? O YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES O NO
. WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC)
PROJECT FLOOR AREASa
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 TOTAL E]OSTISG SF .i TOTAL PROPOSED sr x 1 TOTAL sr
NUMBER OF FLOORS t
"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(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(rode) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Buhroom 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 office d employees,upon the accuracy of the information supplied to the city as a part of I
this application.
NAME/TITLE f DATE 67,2-7671t/C75
( ' ture) (Title)
RELATIONSH TO P OJ ■ Owner 0 Agent 0 Contractor 0 Architect 0 Other
:t wk-o-51,11-5:2`•
,0 jw.. 1. ,,,D:11176:141-1'-'i ' ALTERATION a REPAIR D TENANT IMPROVEMENT, :,
". .r o I G,S NLY? ,; Ori:ES NO BASIC PLAN?,�77,
", , „,,-.7,,,.,i,,,,1144.,,, o YES „,,41-$=0::: d--r#:
r G-''ESIGNA ON ”r s H yCHAPNGE,0F USE? , 4 ;o YES ': a O
'DRESS ZEQUIRED? ESXV NO n UP/SEPA/SII? - 47 o YES J!i0
'ED? • .; ' x ®NO�.� 4"' .DEMO PERMIT REQIHRED?: t YES ° "P.O� ;t::*--,
I
Bulletin#100-January,7,2005 Page 2 of 4 k\Handouts\Permit Application
. OP►
• ELECTRICAL ...14...0 IT 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 X 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
0 601 -800 amp 247.00 132.00
1 ❑ 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
❑ 0 to 200 amp $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/ca)
❑ #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
f 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
$5.00
❑ Voice Cablingg
❑
(for modified submittals)
O Data Cabling
❑ Automation Fee on all Permits ..
(Per System(s) 1.t 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) •Per WAC 296 46970(S)/6�&ii) v4
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Pennit Application