04-105049 City of Federal Way Electrical Permit #: 04 - 105049 - 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: BROADCOM(*it,
Project Address: 32001 32ND S Suite410 Parcel Number: 162104 9001
Project Description: Install 100-amp subpanel and wiring for tenant improvements.
Owner Applicant Contractor
FOSS REDEVELOPMENT TRI-NAR INC TRI-NAR INC
PO BOX 94449 PO BOX 28 PO BOX 28
SEATTLE WA 98124 REDMOND WA 98073 REDMOND WA 98073
(425)228-8542
Electrical Fixtures
j Description Quantity Description Quantity Description !Quantity
Alt.Sery/Feeder up to 200 amps 1
PERMIT EXPIRES June 12,2005.
Permit issued.on December 14,2004
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 W
Owner or agent: ` Date: /2-(9,-0 Y
THIS CARD IS TO REMAIN ON-SITE , ,
CITY OFA
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-105049-00-EL
Owner: FOSS REDEVELOPMENT
Address: 32001 32ND AVE S Suite 410
FEDERAL WAY, WA
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) 0 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
la Rough Electrical(4225) la Ceiling Cover(4020) 1'1 Final-Electrical (4055)
Approved Approved Approved
5 Date�z_2'�-0�{ By ��i cor
Date 1 (06./
By ,��, Date sr
1
❑ Under-slab groundwork(4295)
Approved
By Date
6I- totecI7
RECEIVED
aererA 4 - ( 0 L� _IFederal way DEC 14 2oo 4PERMIT
COMMUNITY DEVELOPMENT SERVICES
SF MF CO MEal, DE EN FP
333258�AVENUE. .I1)BOXCITY
OF F
FFEA ,I ,','' ICATIONFEDERAL WAY,WA 98063-9778
253.8352607•FAX 253835-2609 BUILDIN9. ' ', • / -
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lialskawassimgman
The •Vaud _• is -• •red i orneatlon-an i -• •,•lets . •Iteatlon wit/not be • - - • • • Please •rint _ or • •
• PROPERTY INFORMAATION
/
SITE ADDRESS # "3 2-O('1 — av-e sUITE/UNIT* 4/0
ASSESSOR'S TAX/PARCEL# - — — — — LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
Gwa:h s.Parat.w+0.7., r kfgad l
MI PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION XELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only,)
U A U tk u fK- (.4. -•),..J2E 4-;tiA_S -Fr,..It %re) ..r. c,,,. _ CU
..AANN-t-fAl- .nS
Spk 5-1± c cirAk v U„,t�w..a. L>wvQc_ k••%1.1.,"...-
PROJECT
-\ 'PROJECT NAME(Name of Business or Owner Last Name) -e r 0 GALX lAW”-
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER FpcS� .R .- ` YhP
-
MAILING ADDRESS CITY,STATE,ZIP
1111 c(n\Y' v'--Pi-, &LLZ. I`ti6• A O C
l 05
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
`C'Y.' -NA-( • MC., -SeCk \kCt.-✓ (4er) e, - `(z,3,j
MAILING ADDRESS TY,OFSTATE,ZIP CELL PHONE
w�^�` ��.J���/�' ?('
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE ' FAX O��1
2-CO -a-0 4_3_&Co_-B L IZ /31 /?01 HZ,r) 55-' - 4,;cl
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
T 11- L Al A- Z K U- 127 v —/or /' s--
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER Per BCW I9.2?.09Se Ladertefirsattonss NAME
, ha.- $6,000
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORE $
SPRINKLERED BUILDING? ❑YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑NO
WATER SERVICE PROVIDER ❑LAREHAVEN ❑ HIGHLIIIE ❑TACOMA ❑PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAXEMAVEN 0 HIGHLUIE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EIDSTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.PT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
sanvn PROPOSED TOTAL TOTr.sssrsees • 1sra6twaslorE ti ,} let s/r
NUMBER OF FLOORS •
"IVEW HOMES ONLY''' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of future to be installed or relocated as part of this project. Do not include existing fixtures to remain.
IIAl11ICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(l:ommemiej) 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(rou,q MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sino.( 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 to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Wag as to r (including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be made by . ,.0 . /. hiding the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city, * officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. /fr•
NAME/TITLE 1111
V i `�6 DATE l -1 11 / 0
ature) (Title)
RELATIONSHIP T r`` ` ❑ Owner ❑Agent (contractor 0 Architect ❑ Other
/Olt 0117#01 Wilt MIX gitric-44-
o NEW o ADDITION o ALTERATION o REPAIR: o TENANT DIPROVEINENT
BUILDING SHELL ONLY? o YES o NO RABIC PLAN? o YES o ROS
ZONING DENIGRATION CHANGE or USE? o YES a NO
NEW ADDRESS REQUIRED? o TES o NO UP/SEPA/SUP a YES ,Q NO
PLATTED LOT? o TES o NO DEMO PERMIT REQUIRED?` a YES ^ a NO:
Bulletin#100—August 19,2004 Page 2 of 4 k1FIandouts\Penuit 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-$87.00;Each add'n 500 fta-$28.00) 0 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage 0 101-200 amp 117.50 74.00
(Inspected with service) $36.50 0 201-400 amp 220.50 87.00
❑ Detached outbuilding or garage ❑ 401-600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50
NEW MULTI-FAMILY MILY(three units or more) ❑ 801 - 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
O 201-400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
❑ 401-600 amp 161.00 80.00 0 Mast or meter repair $80.00
❑ 601-800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
U Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY 14.0 to 200 amp $ 94.50
0 201 -600 amp 220.50
Service or Feeder 0 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 0 over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 0 #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ #of circuits to be added/altered
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW
$74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 0 Service- 1,000 amps or greater
O Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
U Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARR U 0-100 $58.00 $51.00
O #of service or feeders ❑ 101-200 74.00 51.00
(First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00 n/a
❑ 401-600 117.50 n/a
O over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
O Low Voltage U 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 $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
0 Voice Cabling (for modified submittals)
❑ Data Cabling
El
(Per System(s) 1u 2500 1P-$51.00;
Each add'n 2500 fta-13.50)•Per WAC 296-46.910(5)(14 a u)
Bulletin#100-August 19,2004 Page 3 of 4 ktHandoutslPermit Application