05-103699 I •
City of Federal Way Electrical Permit #: 05 - 103699 - 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: FEDERAL WAY HIGH SCHOOL FOOD LAB
Project Address: 310 3 I Pati-c1c i fs! S Parcel Number: 082104 9001
Project Description: Altering service for food lab remodel
Owner Applicant Contractor
FEDERAL WAY SCHOOL DISTRICT GREENE GASAWAY ARCHITECTS *CAL SHEPPARD&NELSON ELECTRIC
1066 S 320TH PO BOX 4158 PO BOX 3630
KENT WA 98032-0210
\FEDERAL WAY WA 98003 \FEDERAL WAY WA 98063 (206)878-7333
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Alt.Serv./Feeder up to 200 amps-Co 1
PERMIT EXPIRES February 22,2006. •
Permit issued on August 26,2005
I hereby certify that the above information is correct and that the construction on the above described pro d
the occupancy and the use willbee,in accordance ,, the laws,rules and regulations of tile State of Washingtonv4d
the City of Federal Way. ,'
Owner or agent: � _ __� - - Date:
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THIS CARD IS TO REMAIN ON-SITE
CITY 0:4A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103699-00-EL
Owner: FEDERAL WAY SCHOOL DISTRICT
Address: 30611 16TH AVE S
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.
❑ Slab/Concrete Floor(4255) .❑ Ditch cover(4030) •❑ Pool Bonding(4195) `
Approved to place concrete Approved Approved
By Date By. S Date 9f 7-0.-----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) ►.d i ing Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
L
By/r Da if_� /� By Date ( B \ ( Date !Q— (3 Cc---
❑ Under-slab groundwork(4295)
Approved
By Date
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The ollo • is -, fired in ormation-an Inco •fete a• •lication will not be acce•ted. Please •rint le, •I in or
III PROPERTY INFORMATION
SITE ADDRESS FEDE,&/}L WAY Utr,J Sk11OO1. 30611 (IN 111(S PSD J(AL WA? h/if (�`�G03 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# al 0140 "9 OQ L"'a_- _ _ _
J LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)of Qfit write Negri( 0 e f Twp RNC 4. F W.M N. IN
(Math afl.watea far>eropwlegal desoipaay k,ivJC— CoLa.;Pr ' IvASH I -re/
■ 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)
'Mei tom. Goe kt hl6- t.
'(iii Rets /t.tQwrvldr Qm12 , , !wadi strum• �.cJC-v ow e4e ..,t.G / 2 i I7mP`�h«Ff�Pe 20/2
►' MJ LJuti( ati. Oki.c t b evrc-s ' ' c'f .,c/.c� Lwzi- ta. .A.-s�� /
s c.. .,.,.- ,per-r.,at ,�.a,,- So 2 , �
PROJECT NAME(Name of Business or Owner Last Name) ) m8 UV6M)E5 A L W 'l W4sH(_I�T /ft&#j
II PEOPLE INFORMATION Nb
PROPERTY NAME
A L 1,01Yv 1J C. S�06`S PRIMARY PHONE
OWNER FM)SN
MAILING ADDRESS r (.1S3 )q4�s - 54 3
CITY,STATE,ZIP
1066 3.Lo r+! Hoott iii- ws Y wit °feta l
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
a.. .: (; ) -
art OF FEDERALWAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
-
CONTRACTORS REGISTRATION NUMBER(copy of cud required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
G•C'q cif vt N 6A5,lWitY (zc3 )94( -1x937
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
e t -ou t�� F'tInQAL why (a6G ) rt r - 91.1,
LATIONSHIP TO PROJECT ),y % 4 8'063 FAX NUMBER
❑Architect ❑Tenant ❑Agent ❑ Other(Describe) (A3 ) 991 -S18 2—
CONTACT NAME PRIMARY PHONE E-MAILADDRESSr L.
LENDER ( ) - LgtNth gD 9 /4 rtl I¢ti
.4c1 ., ar•kz i,rad 4,1;n,„,,„ ,,,, , NAME . CCf '-
MAILING ADDRESS (((CIT?T? STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE k _ A PROPO - •
EXISTING ASSESSED/ .'PRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? • ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 13 YES ❑ NO
WATER SER -fir II ER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
"' - ERVICE PROVIDER a LAKEHAVEN a HIGHLINE ❑PRIVATE(SEPTIC)
•
- PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. S•.FT. _Ad S•.FT.
BASEMENT
FIRST ,
i
SECOND
THIRD
FOURTH .
ADDITIONAL FLOORS(DESCRIBE)
•
DECK-(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLO• s10srNo PROPOSED TOTAL
**NEWHi 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 furfur- . remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS • .: *GS REFRIG.SYSTEMS
BBQS • FANS - HOODS(Commercial) WOODSTOVES
BOILERS ,. FIREPLACE INSE• RANGES MISC(Describe)
• COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS O ' V 'E OUTLETS
PLUMBING -
BATHTUBS(or7ub/sh• mbo) SHOWERS WATER CLOSETS Roues , MISC(Describe)
DISHWASHE; SINKS DRINKING FOUNTAINS
GAS . ' OUTLETS SUMPS RAINWATER SYST
'HIND MACHINES URINALS HOSE BIBBS
LAVS(eaSuoomswa( VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify wider 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 b ade by an erson, ncluding the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reli city, udi fjicers and employees upon the accuracy of the information supplied to the city as a part of
this application. /
NAME/TITLEf e DATE
2.'1 •I 17 f
(Signa re) (Title(
RELATIONSR TO PROJ ❑ Owner 0 Agent o 'Contractor ❑Architect 0 Other
ter: (;; ,. ;', :: t--,:•.w'. •4_ `<
9 D1L Cly.._... L ,_ i'i
��?�'•f 6U�@ r't. C� f �E 4 3Vit� Q �� F �'�� VC�� t(✓�ah k,€ t 1�1 Ye�'b��ri�>VC -
.1.,clttie< 4 ' 1r: e��Ic'F:) n.,1 ',Ie _ - , :'I4ir(c sit,14.v ---•!..„,)- -,,_, 4°/
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4� I
Bulletin#100—Januaiy 7,2005 Page 2 of 4 Mandouts\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 0 101-200 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
❑ Over 800 amp 353.50 264.50 lit/ 0
, Service or Feeders
IZS/0to200amp $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 X 7 #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 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
i 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
O 0-100 amps _ $69.50
❑ I01-200 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
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
0
• (Per System(s)•la 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) Per WAC 29646.910(W&ii)
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Pennit Application