04-104648 City of Federal Way Electrical Permit #: 04 - 104648 - 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: WORLD VISION
Project Address: 3455 S 344THtSuite130 Parcel Number: 222104 9006
Project Description: Relocating 8 thirmostats on first floor of new tenant space
Owner Applicant Contractor
BEDFORD PROPERTY INVESTOR MCKINSTRY CO MCKINSTRY CO
701 N 34TH ST SUITE 305 PO BOX 24567 PO BOX 24567
SEATTLE WA 98103 SEATTLE WA 98124-0567 SEATTLE WA 98124-0567
(206)762-3311
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Thermostat 8
PERMIT EXPIRES May 15,2005.
Permit issued on November 16,2004
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 Wa
Owner or a_-nt: ` S Date: /( -w
1()
PS- i
o
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104648-00-EL
Owner: BEDFORD PROPERTY INVESTOR
Address: 3455 S 344TH WAY Suite 130
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) e❑ Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) CI Service(4235) .LI Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
.❑ Rough Electrical(4225) 0 Ceiling Cover(4020) 12l Final-Electrical(4055)
Approved Approved Approved
By Date By Date a i� -� Date/2,- 7., 46
❑ Under-slab groundwork(4295)
Approved
By Date
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CMDFeral W aVSC PERMIT SF MF CO M0., PL DE EN FP
Fed
COMMUNITY DEVELOPMENT SERVICES 1 6 200 A.
33325 8T"AVENUE SOUTH.Po•T�I3APPLICATION TD
FEDERAL WAY,WA 98063' /
253-835-2607•FAX 253-835-2609 L`^'^
www.cituoffederalwau.com DEXA 'JP
G YOFFE T,
The ollowin•�is e� •" • ion-an incom•iete • ••lication will not be acce• d. Please •rint le•ibl in ink or j• .
•r(41-it IINFORMATION �T
SITE ADDRESS 2,1-1,6C-7 �C ?ill t41-(t , �/ol� CSUITE/UNIT# ��
ASSESSOR'S TAX/PARCEL# 2" ,) { Qff L- - f C 0 `{' LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) �- .0 l 7\ Ti A( CA I
)
(Attach separate page for lengthy legal desr ipho)
• PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION AELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
/CrzccA-77Nr& (fl .-r-:--c-_-7)---A-7-1
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PROJECT NAME(Name of Business or Owner Last Name) (i) t2 L z(D V/,5/(I' (- Li/ ' I -,-
: .
'/TY /�(U PEOPLE INFORMATIONPROPE ` / /��y
V OWNER
/;�C�O ' / /�-1 ' ? '�� ( /"(t 111 C-'� ( ')PRIMARY PHONE
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MAILING ADDRESS __ J CITY STATE,ZIP t /
--7ri IQ. 'cj=TH Com( '� /Yf� - 2 ) �i[-r l L 1g. <<-
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
MO -t�jr � V �)• t,��C . t N`Jl P--A/Co (ZNe')76-L - > 1 I
MAILING ADDRESS l` ,..� CITYr�STATE,ZIP�� /^ ./� CELL PHONE
12C; f7C - /L - ILA 11 ,1( -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
0-- C-t: C= CC C '2- B L /2 - / I /cit (Z(:-1) -ir(/- l 7/
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE r
APPLICANT COMPANY NA,/M/E APPLICANT NAME OFFICE PHONE
olc
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant ❑Agent ❑ Other(Describe) ( )
N _ PRIMAI�,YPHONE E-MAIL ADDRESS
CONTACT !`t e: L��(?-t'"�' t� (-2C115--i:)- r i J -7 3'i y,u 6 me e k:_c(1 *t 9 .Ci
LENDER perRC1F 9.27 O95(4ender,is r►ndt`ran is NAME
700404 l p t*i1US ds,$5,0OO
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet ❑ 0 to 100 amp $ 94.50 $ 58.00
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00)
❑ 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
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY ❑ 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 COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) $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
❑ 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 PARK ❑ 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
Z� #of Thermostats ❑ #of Signs
,(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
Low Voltage ❑ Swimming pool/hot tub $87.00
quare Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
❑ voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s)1•t 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50)*Per WAC 296-46-910(5)(b)(i&ii)
Bulletin#100-August 19,2004 Page 3 of 4 k\Handouts\Permit Application
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 EXISTING PROPOSED TOTAL TOTALEBffiT[iGSF RocAL5 C oOa s► TOTALS,/
**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(commercial) 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(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sinks( 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,includiJ it ers and employees,upon the accuracy of the information supplied to the iy as a part of
this application.
tjag
/cit
NAME/TITLE\�--� DATE
l10t
(Signature) �- (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent Contractor ❑ Architect 0 Other
,V NEW; a ADDITION a ALTERATION: a REPAIR a TENANT IMPROVEMENT
G 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 ra NO IIP/ PA/SU?i �a ET
NO
PLATTED.1OT? a YES aNO DEMO.PERMIT REQUIRED?, a YES a NO
Bulletin#100—August 19,2004 Page 2 of 4 k\Handouts\Permit Application