04-104856 City of Federal Way
Community Development Services Electrical Permit #: 04 - 104856 - 00 - EL
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: COMMUNITY HOME TGAGE
Project Address: 33400 8TH,p Suit ,Z D S— Parcel Number: 926500 0110
Project Description: New voice/da a cabling.(20)CAT3 and(17)CAT5E data runs
Owner Applicant Contractor
COMMUNITY HOME MORTGAGE TRI-TEC COMMUNICATIONS TRI-TEC COMMUNICATIONS
33400 8TH AVE S 25130 74TH AVE S 25130 74TH AVE S
FEDERAL WAY WA 98003 KENT WA 98032 KENT WA 98032
(253)852-7777
Electrical Fixtures
Description Quantity ' Description Quantity Description Quantity
Low Voltage-Other Commercial 4100
PERMIT EXPIRES May 30,2005.
Permit issued on December 1,2004
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 b- in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
I
` Z/01/041
Owner or agent: ' 4 i Date:
I/
FINALED
rot
• THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-104856-00-EL
Owner: COMMUNITY HOME MORTGAGE
Address: 33400 8TH AVE S Suite 117
FEDERAL WAY, WA 98003-6382
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) 0 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
0 Rough Electrical(4225) Ceiling Cover(4020) F" Final-Electrical(4055)
Approved Approved Approved
By Date By 2} Date/2—l Date �2^�
❑ Under-slab groundwork(4295)
Approved
By Date
. etoe.i. :::,
, RECEIVE®
cm of -
-deralWay PERMP' - 1 2004 0 g_ - 4_ p_c 5 (a
COMMUNITY DEVELOPMENT SERVICES SF MF CO ME L aL DE EN FP
33325 8r"AVENUE SOUTH•PO BOX 9718 t -AL W AY
FEDERAL WAY,WA 98063-9718 A P P L I C Pl ►X l EPT• TD / /
253-835-2607•FAX 253-835-2609
wwwcillo ed- •__..,. ._t
The ollowin• is re•uired in ormation-an incom•lete a••lication will not be acce•ted. Please •rint le•ibl in ink or t j•e.
•five
INFORMATION
SITE ADDRESS �3%�J l�j�/L/? 6 h fiV 5 44117 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sfl
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
/Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION yELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
P ECT DESCRIPTION (Provide detailed description ofo included on this .ermit onl-
I U n (2_0) Ca-i 3 U6)cQ aci lk e (uhS �h 1 (/7) C.1-5e- -i-
rUn�
PROJECT NAME(Name of Business or Owner Last Name) COrY7N/U/11 Ha _ /1/krIgaq
MI PEOPLE INFORMATION
PROPERTY PRIMARY PH
ONE
OWNER NAmrDV,n )- 3f1g V (m) gib
-7-/J!
54_
/ vec re,STeEfrei,ZIP / QIti/ /i�I
CONTRACTOR CO ANY NAAP NT NNA E / OFFICE PHONE
4 /C / /�n/ / L
-
/e �in/null 1C/ ides
MAILING ADDRESS CIITY,SDR ,ZIP /
L PHONE
' / °' 7t7� es lakt `/f .
9 ay.1 (P")w. -7 777 _
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
1 9-q a-.4 a 1 - / / cR53) a �c0o
CONTRACTORS REGISTRATION NUMBER)copy of card required with each application) EXPIRATION DATE
5 L1 'J, � C? 1 0 gI Q k? / /
APPLICANT CO ANY NAMEAPPLICANT NAME OFFICE PHONE
M e a 5 Diff racof-- ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAME M PH IL. DRESS
�Q I`� 1��111f PRI( ? 777 'p Qr�e f n-fec,.C
LENDER PerRCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTIN I o PROPOSED USE
EXISTING ASSESSED/APPRAI ' = UE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ _ '+ i PRESSION SYSTEM PROPOSED/RE• I -a • = - S ❑ NO
WATER SER - •VIDER ❑ LAKEHAVEN ❑ HIGHL - ❑ TACOMA ❑ PRIVATE(WELL)
SE' - SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ■ ' ' ATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMEN
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ • 'ORT❑
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL.PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**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
e of Mechanical Work $
AIR '• G UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(comm)-.).1) W s OD STOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS k:CES "TER HEATERS
DUCTS GAS PIPE •■ ._
PLUMBING
BATHTUBS(or Tub • ombo) SHOWERS WATER CLOSE MISC(Describe)
DISHW: -' SINKS DRINKING FOUNTAINS
• PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom shks( 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 Fede 1 Way as to any claim(incl .ing costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may b made by any rson,incl ng the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the relianc of the city,i luding it- .fficers and employees,upon the accuracy of the information supplied to the city as a part of
this application. 4 /
f /
NAME/TITLE ; 80.Satt.SS 44q ,v_ DATE / O,
(Si
gnat/e( (Title)
RELATIONSHIP TO PROJE ❑ Owner ❑ Agent contractor Architect ❑ Other
FOR OFFICE USE ONLY
o NEW ❑ADDITION ❑ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDINGSHELL ONLY? ❑YES ❑NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? ❑YES n NO
PLATTED LOT? o YES' o NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#100—August 19,2004 Page 2 of 4 k\Handouts\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101-200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 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(three units or more) CI 801 - 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 ❑ 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 U 0 to 200 amp $ 94.50
❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 ❑ #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 ❑ Service- 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
U Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
U Service or feeder only $58.00 TEMPORARY SERVICE
U Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK U 0-100 $58.00 $51.00
❑ #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
U 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats U #of Signs
(F' st-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
IVLow Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s)1.410_ (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $58.00
❑ S,,,e curity Alarm System U Additional Plan Review $87.00/hour
'ce Cabling (for modified submittals)
to Cabling
0
(Per System(s) 1s•2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5)(b)(184 ii)
Bulletin#100-August 19,2004 /nU l Page 3 of 4 k\Handouts\Permit Application
‘k.,