05-103852 r
s •
City of Federal Way Electrical Permit #: 05 - 103852 - 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
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Project Name: FEDERAL WAY HOLLYWOOD VIDEO
Project Address: 27320 PACIFIC S Parcel Number: 332204 9009
Project Description: Adding 10 circuits for new cashwrap,installing wiring for 2 Curly Q cord drops,installing wiring for 2
TV locations.
Owner Applicant Contractor
BALDRIDGE-FEDERAL WAY LLC D F ELECTRIC INC D F ELECTRIC INC
11825 MANCHESTER RD 718 NI ST 718 N I ST
SAINT LOUIS MO TACOMA WA 98403 TACOMA WA 98403
63131-4620 (253)572-3704
Electrical Fixtures
r DescriptionQuantity Description ��Quant Description Quantity
Circuits- Commercial 10
PERMIT EMPIRES January 29,2006.
Permit issued on-August 2,2005 ,.
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.
<Agrii,
Owner or agent: ' Date:
1
• A
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103852-00-EL
Owner:
Address: 27320 PACIFIC HWY S
FEDERAL WAY, WA 98003-6999
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.
❑ Slab/Concrete Floor(4255) ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
•
ElTemporary Power(4275) 0 Service(4235) ❑ Feeders/Sub-panels (4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) Final-Electrical(4055)
Approved Approved Approved
4
By Date By DateBy A��1' Date Ilk
❑ Under-slab groundwork(4295)
Approved
By Date
4
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0,_,A20 _ 10 _5S5 ,a
Federal WayRECE VED PERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF CO ME®PL DE EN FP
333252FED AVENUE SOUTH 8 63 BOX 9718 2oPsPPLI CATI ON
FEDERAL WAY,WA 98063-9718
253-835-2607•FAX 25335-2609 A U G 0 - / /
www.cdooffederalumu.com py
The ol , is+;, , ,- s. 2.1',L,W"an -, ,fete , , ,lication will not be acc 'ted. Please ' ' t _ (in ink)or p
(�A • PROPERTY+ INFORMATION�/�/ ASo
SITE ADDRESS 2 q 3 Zo 1'4C1 Fl6 rl l(�rl W'A-Y SoUTh SUITE/UNIT#
ASSESSOR'S TAX/PARCEL I LOT SIZE(sn
LEGAL DESCRIPTION(e.g.Acme Estates.Lot 1)
(Attach separate page for lengthy begot eeuriptm)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION, LECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT REScRIPTION(Provide Wed description of work incluyed on this permit onto) 1 f
rT) t s (l b..�; r?�� V"-- rnt, w CA(GIi.,e y , C) I.i54 I V h' b✓'
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PROJECT NAME(Name of Business or Owner Last Name) N O Z.LY w O o b V I bEO
• PEOPLE INFORMATION
PROPERTY NAME - PRIMARY PHONE
OWNER ( ) -
MAI,IVG ADDRESS CnY.STATE,ZIP
CONTRACTOR COMPANY NAME Al' CANT NAME OFFICE PHONE
1).F€ CLEcrr IC 1 NC. A1-0ç)12 ) 13 Tc.s (tc3 ) c: a -3404
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
Po (30?c --q-Zos T IAA_ Rgegx,„ (25) (204, -Sq43
CITY OF FEDERAL WAY BUSINESS LIC DI .E I c ER / EXPIRATION DATE FAX NUMBER
0 I - - I )" 1 S.(7`B I / / (2 S3) SP Z 4135
CONTRACTORS REGISTRATION NUMBER(copy of card cognized with application) EXPIRATION DATE
F EEE 1 x / 31 /Zoo-F
APPLICANT COMPANY NAMECANT NAME ...., OFFICE PHONE
D. F. Etxcr�2)c /NCC- C'gct+�.i ErrLEr ( 3)SI z - 3 3o¢
MAILING ADDRESS Cr1Y.STATE,ZIP CELL PHONE
Po '3o)C --Zas .-gcoM4 144 gg406, (ZS3) -5943
RELATIONSHIP TO PROJECT 1 FAX NUMBER
❑Architect ❑Tenant ❑Agent Nt Other(Descnbe)Sit
CON-1 i^ (Z53)57Z Z -44 35
CONTACT ^
NAME PRIMARY PHONE g�/AD
1 T(�b2�1„s � '�f �(' (2S3 ) ��Z 3 (74/a c1:17-7c E 4 k /p"h I.a)Ai
LENDER Per RCW 19.27.095: Lender Infrmatiat is NAME
required ff pngject value exceeds$5,000
MAILING ADDRESS CITY,PATI,i PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN ❑ 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
NUMBER OF FLOORS =serum nate® TOTAL TOTALQUITO/0 sw °'""QO°®g TOTAL
**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(commerests WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orlob/Shower Combo) SHOWERS WATER CLOSETS(mtlet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sink.) 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 officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE - � Pee ee )bld' DATE g— Z Cs-
(Signature) ('rile)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent NContractor o Architect ❑ Other
FOR OFFICE USE ONLY
❑NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
ELECTRICAL PERMIT INFORMATION
-a
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
❑ 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
❑ 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 ID #of circuits to be added/altered
❑ over 600 amp 212.50 ( ' (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
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 U 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 ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
U Low Voltage U Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
O Fire Alarm System U Yard Pole meter loops $104.50
O Security Alarm System U Additional Plan Review $104.50/hour
0 Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
(Per System(s)la 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 296-46-910(5)1b)(t&it)
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application