05-100012 Cityy eral Way Electrical Permit #: 05 - 100012 - 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: MITCHELL PLACE APARTMENTS
Project Address: 1001 S 336TH ST Parcel Number: 202104 9002
Project Description: Installing 3 door holders,one each on each floor-1st,2nd&3rd floors to interface with the fire alarm
panels.
Owner Applicant Contractor
SEATTLE HOUSING AUTHORITY FIRE ONE INC FIRE ONE INC
120 6TH AVE N PO BOX 58528 PO BOX 58528
SEATTLE WA 98109 TUKWILA WA 98138 TUKWILA WA 98138
(206)575-0311
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Low Voltage Fire Alarm-Commercia 1
PERMIT EXPIRES July 3,2005.
Permit issued on January 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 acco with the laws,rules and regulations of the State of Washington and
the City of Federal Wa
/ 73/7..00,c-
Owner or agent: `��/4J�'
Date:
1
FINALED
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‘- THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-100012-00-EL
Owner: SEATTLE HOUSING AUTHORITY
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) ❑ 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
O Rough Electrical(4225) ❑ Ceiling Cover(4020) Final-Electrical(4055)
Approved Approved Approved
By Date By Date Date//o•
^�5
❑ Under-slab groundwork(4295)
Approved
By Date
-' .1A RECEIVED v s - I 0 OCA 1
OP
CITY
Way
N ) PERMIT SF MF CO MDip PL DE EN FP
COMMUNITY DEVELOPMENT SERVIC 4 APPLICATION
TD
33325 8,"AVENUE SOUTH•POBOX 9718
FEDERAL WAY, 29583- 11.8
253-835-2607•FAX 253-8 app (�F- f�
www.cituoffederalwau.com
BUI!DIR;� WAY
The ollowin• is • ired in ormafidrt-an inco •lete • ••lication will not be acc d. Please •rint le•ibl in in or j•-.
t ff c t
SITE ADDRESS 10 n 1 .S Of:xi-A 336 T �jJT. SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 2 0 2. I 0 L( - Q 0 0 L LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION R ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
3arLL. 3 000 2, VtO:OrC..s . OkiC aAC*( orJ i s' Z''° t 3c" F`oos
M.1%.1 TM FAC--- \ iiTy-& FII1 A _Actr\ PAw'EL
PROJECT NAME(Name of Business or Owner Last Name) M 1 T C G:.L ?LA C E
PROPERTY NAME PRIMARY PHONE
OWNER G u.glJTut- \-\(.t1AAGE--rrt .n3T )
MAILING ADDRESS CITY,STATE,ZIP
O Vaox IMO Lxot�vst000 \fAstt 9 803C0
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
O . _12oc_ 4:E \i./ KL.E.tr.) ( 206) 57S - 03 it
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
Poi 58528 uKWtLA QrA 4S13g ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
0 L-t o-L g 9 _y o Q-B L 12 / 3( / 06 (2.53) 872 - 7590
CONTRACTORS REGISTRATION NUMBER[copy of card required with each application) EXPIRATION DATE
R col -cQg9 K \./ 5 /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
ckke ( JE i - DALE 4 (Zv(- )56 -03) I
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect o Tenant riAgent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
DALE KLG—.\►J (2O ) 57S - 0:31(
LENDER 1' NAME
MAILING ADDRESS CITY,STATE,ZIP
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EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
•
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
NEW MULTI-FAMILY(three units or more) ❑ 801 - 1000 amp 486.50 203.50
Service Feeder ❑ Over 1000 amp 530.50 283.00
❑ Up to 200 amp $113.50 $33.50
❑ 201 -400 amp 141.00 69.50 ❑ Over 600 volts surcharge $89.00
❑ 401 -600 amp 193.00 96.00 ❑ Mast or meter repair $96.00
❑ 601 -800 amp 247.00 132.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 353.50 264.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $113.50
❑ 201 -600 amp 264.50
Service or Feeder ❑ 601 - 1000 amp 398.50
❑ 0 to 200 amp $87.00 ❑ over 1000 amp 443.50
❑ 201 -600 amp 141.00
❑ over 600 amp 212.50 ❑ #of circuits to be added/altered
(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
❑ Mast or meter repair $52.00 ❑ Service- 1,000 amps or greater
❑ 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 $69.50 TEMPORARY SERVICE
U Service and feeder $113.50
Residential/Multi-Family/Commercial/Industrial $61.00
MOBILE HOME/RV PARK
❑ #of service or feeders Commercial/Industrial Service or Feeder Ampacity
(First service/feeder-$69.50;each add'n-$45.00) ❑ 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
U #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
1 \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
❑ Voice Cabling (for modified submittals) -
❑ Data Cabling
❑ ..__ .
(Per System(s) 1.,2500 ft2-$61.00;
Each add'n 2500 ft2-16.00N,Per WAC 296-46-910(5)(b)(i&ii)
Bulletin#100-December 8,2004 Page 3 of 4 k\Handouts\Permit Application
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
NUMBER OF FLOORS EEISTISO PROPOSED TOTAL TOTM, XISTDiOSF TOTALPROPOSEDSt TOTAL St
**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(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sin>m) 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 b any person, lu ing the undersigned, and filed against the City of Federal Way, but only where such claim
arises out of the reliance of the c cludinr is of ers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
A.)/,
NAME/TITLE /` DATE ///)
ignatu (Title)
RELATIONSHIP TO PR' T ■ Owner 0 Agent 0 Contractor 0 Architect 0 Other
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o ADDITION;:. a ALTERATION o REPAIR C.TENANT IMPROVEMENT.:
BUILDIN SHELL ONLY? a YES o;NQ.... B IC PLAI!1?..... ra YES ENO
ZONING DESIGNATION
;> CIl€A7+7LlE OF;IISE? a YES a NO
NEW ADDRESS REQUIRED? e: .. a NO. IIx'/..SEPA/SU? ea YES u NO
PLATTED IAT? c'f S ea.NO ... DEMO PERMIT.REQUIRED? a YES a:ILIO
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Bulletin#100—December 8,2004 Page 2 of 4 k\Handouts\Permit Application