04-104617 w ^ . 1
City of Feral Way Electrical Permit #: 04 -104617 - 00 - EL
Community Development Services
P.O.liox 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax (253)835-2609 Inspection request line: (253) 835-305a
Project Name: DRISCOLL FINANCIAL
Project Address: 33400 8THISnSui e205 Parcel Number: 926500 0110
Project Description: Altering(1)circuit for 1 new light switch and 4 new outlets.
Owner Applicant Contractor
BONHAM INVESTMENTS COMPAN SUPERIOR BUILDERS INC LAZER ELECTRIC
1727 NW HOYT ST 2112 CENTER ST 9523 19TH AVE E
PORTLAND OR TACOMA WA 98409 TACOMA WA 98445
97209-2226 (253)535-1900
Electrical Fixtures
Description Quantity Description Quantity Description Quantit i
Circuits- Commercial 1
PERMIT EXPIRES May 11,2005.
Permit issued on November 12,2004
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 m accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: SI '
Z. Date: 1//&`0
171
FINALED1"3
C\s\-).\\'\J
THIS CARD IS TO REMAIN ON-SITE
CITY OF
Community Development Inspection 'Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104617-00-EL
Owner:
Address: 33400 8TH AVE S Suite 205
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.
❑ Slab/Concrete Floor(4255) ❑ 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
. Rough Electrical(4225) Ceiling Cover(4020) L1 Final-Electrical(4055)
A Approved Approved Approved
By ``i
�- Date \\ `A By i 7 Date /Z_ Bye Date Z— Ai,
❑ Under-slab groundwork(4295)
Approved
By Date
.
RECEIVED c_�� ( ) COMIIIVMJYDEVELOPMENT SERVICES
.� 33E30 FIRST WAY SOUTH•PO BOX 9718
FEDERAL WAY,WA 9d06,l-9714
Federal PERMIT APPLICATION . • 761661-41M FEDERAL
R, 98067-lwou �t:9
NOV � 2 7004'
) /n
•
OfSoe
C WJ1 111
4 0 �/ 1 ' -- 0 , To:
i BUILDING DEPT. /
/
The ollowin• is re•uired in ormation-an inco •fete a••lication will not be Otte•ted. Please •rine le•it,/ (in ink)or •e,
. . . 1 1 PROPERTIINFORMATION •
SITE ADDRESS: 33(.1
O 0 ) 43e , t SUITE/APT N Z.°
ASSESSOR'S TAX/ .".RCEL tl:9. Z _6_, ,_5_0O- _ I 1C2 SQUARE FOOTAGE OF LOT: /9 Sr- 000
LEGAL DESCRIPTION (e.g.:Acme Estates,Lot l) DI t I to C. 0 P' 00(, i7 G> g, '-,gg /j Cd
(Attach separate page for engih7 egal description)
.-..-:.-.1•• •••'' 1 PROJECT INFORMATION _. . -
TYPE OF PERMIT(This application): 0 BUILDING 0 PLUMBING a MECHANICAL 0 DEMOLITION
`ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM •
PROJECT DESCRIPTION (Provide detailed escription of work included on thispermit l . 1
C (� l• /..'f. . v : — Lc �►��. --)
PROJECT NAME(Name of Business/Owner Last Name): •� r j(.;'(I 1:::t' 's•-3 R/•)c..ss( icv /
PEOPLE IIQ1r�ORMATION
PROPERTY NAME: PRIMARY• PHONE:
OWNER: B,'�It,,, s N J e- 7 r-L.eA- S t(„:206)��06) _s-Ls--06, 0
MAIUNG ADDRESS(STREET ADDRESS:(: CITY.STATE.ZIP
CONTRACTOR: NAME COMPANY OFFICE PHONE:
UCLA) S( kA-Ne { -e-c- LA 2_e-s- (254 535 / )C)
MAILING ADDRESS(STREET ADDRESS.): CITY,STATE.ZIP CELL PHONE:
`1SZ3 i '14-.1 Je-. .E, TSG • 9e vt-(S 1,5-3) -7 32-604S-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: . FAX NUMBER:
- / / ( ) -
CONTRACTOR'S REGISTRATION NUMBER: l 7� EXPIRATION DATE:
(copy of card rcgnircd with tach application(L. ' `�^} 2. _ R\` i j_ O . s .b 3/
LENDER: NAME: DAYTIME PHONE:
MAILING ADDR S(S EET •S.);\,/ ! CITY.STATE.ZIP
APPLICANT: NAME' CO''r 't OFFICE PHONE:
t.ver +zee- t � (Ass) 573 - / Gcrg
MAILING ADDRESS(STREET ADDRESS(: CITY,STATE,ZII' EVENING PHONE:
Z17-:� `'/)t1
5T , ( /1-C-' k)/1 4-1gYoZ.- PZSN ZZY -If313(it
RELATIONSHIP TO PROJECT: FA.X NUMBER: p-7
0 Architect 0 Tenant Other (DcsaibcJ Lc,.. --1--z---4,....-L. RS-1) 57.3 - 17 ( /
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner 0 Contractor
pplicant E•lSAILADDRESS:
S•1 �I tiflGt`,D,- (4
r ,_m'
. • - ■ DET I EDBUILDINGINFORMATION • ••• 5 . ' • . • • .••.' •
EXISTING USE: 6r PROPOSED USE: D
ft
tLC___
EXISTING ASSESSED/APPRAISED VALUE $_ Fes/ 7 VALUE OF PROPOSED WORK: $
7/
SPRINKLERED BUILDING? 0 YES +10 FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES 0 NO
WATER SERVICE PROVIDER• 4i.LAKE1tAVEN D I(IGI(LINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDE!: LAKEIIAVEN 0 IIIGULINE 0 PRIVATE(SEPTIC)
AREA DESCRIPTION - EXISTING S .FT. PRO>P:•.3ED SQ. r c. zv A Ai,
BASEMENT
FIRST •
•
SECOND
THIRD
FOURTH•
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
TOTAL EXISTING TOTAL PROPOSED TOTAL W0571NG AND PROPOSED
HOW MANY FLOORS?
"NEW HOMES ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
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 S
••AIR HANDUNG UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(cemaucui WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
_COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tueisn•.<.csl.a SHOWERS WATER CLOSETS(r•�,) MISC(Dcscnbe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAYS(D.wo•m Sv,k VACUUM BREAKERS ELECTRIC WATER HEATERS
•
• . ■ DISCIAIMER/SIGNATURE BLOCK •' . . . • .
I certify under penalty of perjury that the information furnished by mc is true and correct to thc best of my
knowledge, and further, that I am authorized by the owner of thc abov.'c premises to perform the work for which the permit
application is madc. I further agrcc to hold harmless the City of Fcdcral Way as to any claim(including costs, c>;pcnscs, and
attorneys'jets i u •. i the invest'-•tion and defense of such claim), which may be made by any person, including the
undersi ncd, and i cd •, ainst it -• • I Way, but only where such claim arises out of the rcliancc of the city,
including its offic ;t•• a' .1c - •`1 .•aac•,_•cy of the information supplied to the city as a part of Thi application.
�`,,g - -_ e> ���ATE: I l f o
NA-ME/TITLE: \ I-.
. (irtk)
RELATIONSHIP TO \OJECT: 0 Property Owner 0 julicanI 0 Contractor 0 Architect 0
FOR OFFICE USE ONLY:
o NEW o ADDITION o ALTERATION o REPAIR. o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? a YES o NO
ZONING DESIGNATION: • CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? o YES o NO
I:uCi•(::t .ii .. . . • . . , Pn,^,c 2
) .1111161r • RESIDENTIAL • COMMERCIAL
•
NEW COMMERCIAL/INDUSTRIAL SERVICE
NEW RESIDENTIAL SERVICE
Service or Feeder Each Add'n
0 Single Family Square Feet: f
(First 1300112-$87.00;Each add'n 500 ftz-$28.05) 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 0 601-800 amp 332.00 140.50
• 0 801 - 1000 amp 405.50 169.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp442.00 236.00
Service Feeder
❑ Up to 200 amp $ 94.50 $ 28.00
0 Over 600 volts surcharge S 74.00
❑ 201 400 amp 117.50 58.00
0 Mast or meter repair $80.00
0 401 -600 amp 161.00 80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCLAL/INDUSTRL4L
❑ Over 800 amp 294.50 220.50
Service or Feeders
f
ALTERED SINGLE/MULTI FAMILY 0 0 to 200 amp S 94.50
(Inspected separately from service) 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 369.58
❑ ove -600 amp 117.50 111,411%�
• 0 over 600 amp 177.00
a cuf b / .
( circuitscircuits-$74.00;
to A•d' circ, ,/ea)
❑ # of circuits to be added/altered
(1.4 circuits-558.00;Add'n circuits$6.00/ca) COMMERCIAL/INDUSTRIAL PLAN REVIEW
• 0 Service over 200 amps
❑ Mast or meter repair S 43.50 0 Medical/Educational/Institutional Facility
S 74.00 plus 35%of Permit Fec
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
S 74.00 plus 35%of Permit Fcc
MOBILE HOMES TEMPORARY SERVICE
❑ Service or feeder only S 58.00
0 Service and feeder S 94.50 Commercial Residential
❑ 0- 100 S58.00 .$51.00
MOBILE HOME/RV PARR 0 101 -200 74.00 51.00
i • ❑ # of service or(ceders 0 201 -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
MISCELLANEOUS SERVICE/EQUIPMENT
1
❑ # of Thermostats 0 ✓: of Signs
(First -$13.50; add'n-513.50/ca) (First sign-S-13.50; add'n sign $20.50/ca)
❑ Low Voltage 0 Swimming pool/hot tub SS7.00
Square Feet to be served by system(s): (Includes additional circuit,if required)
❑ Fire Alarm System 0 Yard Pole meter loops $58.00
❑ Security Alarm System 0 Additional Plan Review 587.00/hour
❑ voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per Systcm(s): 1•,2500 ft2-$51.00;
Each add'n 2500112-13.501 •Per WAC 29G-46-910(SM,..i)
• . . .
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