04-104930 � e
City of Federal Way Electrical Permit #: 04 - 104930 - 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: PAVILIONS
Project Address: 31653 PACIFIC S SuiteD Parcel Number: 082104 9196
Project Description: Install 5 115-volt duplex outlets on two circuits.Install 5 voice/date outlets.
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES LLC SHEPPARD&NELSON ELECTRIC SHEPPARD&NELSON ELECTRIC
HARSCH INVESTMENT PROPERTIES LLC PO BOX 3630 PO BOX 3630
1121 SW SALMON ST KENT WA 98032-0210 KENT WA 98032-0210
PORTLAND OR 97205 (206)878-7333 -
Electrical Fixtures
Description Quantity Description iQuantity Description Quantity
Circuits- Commercial 2 Low Voltage-Other Commercial 2958
PERMIT EXPIRES June 4,2005.
Permit issued on December 6,2004
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 be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way. /J
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Owner or agent: Date: 12 "0� ' d `
Z— z 7-0/ . ..4 4of5'4'GS
FtNI\LED
5§11
. THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104930-00-EL
Owner: HARSCH INVESTMENT PROPERTIES L
Address: 31653 PACIFIC HWY S Suite D
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.
0 Slab/Concrete Floor(4255) 0 Ditch cover(4030) ..1I—J_, 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
00 Rough Electrical(4225) [ Ceiling Cover(4020) *❑ Final-Electrical(4055)
Approved ApprovedApproved
B '.����
Date 9,`A— By Date V2\2 GS Date f_... .2_ 6.5,---
-❑ Under-slab groundwork "` \(4295) '
Approved
By Date
/
I RECEIVED
COMMUNITY DEVELOPMEVICES
tRY of�� nn r 6 33530 FIRST WAY SOUTH•PO BOX 9718
Federal WayU E 0 200 FEDERAL WAY,WA 98063-9718
PERMIT APPLICATION 253-661-44115" 25339
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For OfficeUa-Oorc ITV i .
B MING a er:0 - 1,_ Qq 3o - L/ 7v:
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The oliowin• is r-• fired in ormation-an inco •lete • ••lication will not be acce•ted. Please • 'at le•ibl in I or p
■ PROPERTY INFORMATION
SITE ADDRESS: j)(psi 4c, 1111, So,l Su/r .0 ASSESSOR'S TAX/PARCEL#: a 8 a I Q r _ 3 1 s j
LEGAL DESCRIPTION(eg:Acme Estates,Lot 1)
6-8 (Attach separate page for lengthy legal description)
SQUARE FOOTAGE OF LOT:
■ PROJECT INFORMATION
TYPE OF PERMIT(This application): ❑ BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION
41 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Prouide detailed description of work included on this permit onlu/: 2"4/&/.4 11 1/tie )1.6-1.4a it-
2. L .. , Z"-- - c , • .
O t >fs G
PROJECT NAME Name 0 Business/Owner Last Nam:,:
IN PEOPLE INFORMATION
PROPERTY NAME:
PRIMARY PHONE:
OWNER: iiRc) .1-' / Pr'o ier?rs ( ) -
MAILING ADDRESS(STREET ADDREs's;�: r�
CITY/STATE,ZIP
)!2I Siw, Shltircic. s); _Pornl..hvci / CA'. 97ZOS ''
CONTRACTOR: NAME 1 /r
/RhI L 1\4J3d�/ b/C/ ��Yj��rd �i �e/sov OFFICE PHONE: {�'
MAILING ADDRESS(STREET ADDRESS;): 97S,),A, .Z P irCT/dl� (CELL PHONE:�7O`. -'333
P O i 6x 3 6 3 t7 K� '/ %P a/G
( ) 7) q - '8?Z
CITY OF FEDERAL WAY USINESS LICENSE U BER: EXPIRATION DATE: FAX NUMBER:
CONTRACTORS REGISTRATION NUMBER / �7 N r k 'j' /� �J
(copy of card required with each application( 5 LL L 1 E ,l -v Y1 EXPIRATION
3/N DATE:/ 06—
LENDER NAME: -
)Irhop.ied Value>85.000) DAYTIME PHONE:
I ( )
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
APPLICANT: NAME: COMPANY OFFICE PHONE:1
(
MAIUNG ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
RELATIONSHIP TO PROJECT: ( )
FAX NUMBER:
❑T Architect ❑ Tenant ❑ Other(Describe): ( ) -
ICONTACT PERSON FOR THIS PROJECT: 0 Property Owner ,(Contractor 0 Applicant I E-MAIL ADDRESS
: J
■ DETAILED BUILDING INFORMATION
EXISTING USE: • g/vt c r7 PROPOSED USE: ON (ii Av r 5.4 le s
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ Z/ Z D®• 0--t
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: 0 YES ❑ NO
WATER SERVICE PROVIDER: a LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
ti
t PROJECT FLOOR.AREAS,
AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ FIXTURES
Indicate number of each type of fixture that is 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(comm,,,-.4 WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/ShowerCombo) SHOWERS WATER CLOSETS-rode) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
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: DATE:
(Signature) (Title)
RELATIONSHIP TO PROJECT: 0 Property Owner 0 Applicant 0 Contractor 0 Architect ❑
FOR OFFICE USE ONLY
❑NEW o ADDITION a ALTERATION a REPAIR ❑TENANT IMPROVEMENT
BUILDING:SHELL ONLY? ' a YES a NO BASIC«PLAN?. a YES a NO
ZONING DESIGNATION: CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES o NO
Paget
t ELECTRICAL PERMIT INFORMATION
4,
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
CI Family Square Feet: Service or Feeder Each Add'n
(First 1300 ft2-$87.00; Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage LI 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) ❑ 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
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY . ❑ 0 to 200 amp $ 94.50
(Inspected separately from service) ❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
0 0 to 200 amp $ 72.50 0 over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 'i #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
❑ Service over 200 amps
❑ Mast or meter repair $43.50 0 Medical/Educational/Institutional Facility .
$74.00 plus 35%of Permit Fee
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES TEMPORARY SERVICE
❑ Service or feeder only $58.00
0 Service and feeder $94.50 Commercial Residential
❑ 0- 100 $58.00 $51.00
MOBILE HOME/RV PARK ❑ 101 -200 74.00 51.00
❑ #of service or feeders ❑ 201 400 87.00 n/a
(First service/feeder-$58.00;each add'n-$37.50)
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
'�-•-\ _lr.... MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats U #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
2.19.5-8
IA Low VoltageU Swimming pool/hot tub $87.00
Square Feet to be served by system(s):1011 (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
IdVoice Cabling
(for modified submittals)
g Data Cabling
CI
(Per System(s): 1•,2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5)M*&ii)
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