04-104373 t* •
City of Federal Way Electrical Permit#: 04 - 104373 - 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: UPS STORE
Project Address: 31811 PACIFIC S Suite* Parcel Number: 082104 9126
Project Description: Adding 6 new circuits for new outlets,etc.;low voltage data/voice(ADDED 11/18/04)
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES LLC JOHNSON ELECTRIC,INC JOHNSON ELECTRIC,INC
HARSCH INVESTMENT PROPERTIES LLC 11816 NE 116TH ST 11816 NE 116TH ST
1121 SW SALMON ST KIRKLAND WA 98034 KIRKLAND WA 98034
PORTLAND OR 97205 (425)821-8226
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits- Commercial 6 Low Voltage-Other Residential 2500
PERMIT EXPIRES April 23,2005.
Permit issued on October 25,2004
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,m • and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: I 0
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�ity of Federal Way Electrical Permit #: 04 - 104373 - 00 - EL
P.O.
Box.ty 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: UPS STORE
Project Address: 31811 PACIFIC S SuiteA Parcel Number: 082104 9126
Project Description: Adding 6 new circuits for new outlets,etc.
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES LLC JOHNSON ELECTRIC,INC JOHNSON ELECTRIC,INC
HARSCH INVESTMENT PROPERTIES LLC 11816 NE 116TH ST 11816 NE 116TH ST
1121 SW SALMON ST KIRKLAND WA 98034 KIRKLAND WA 98034
PORTLAND OR 97205 (425)821-8226
Electrical Fixtures
�
Description Quantity Description Quantity Description Quantity
Circuits- Commercial 6
PERMIT EXPIRES April 23,2005.
Permit issued on October 25,2004
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. et
77Owner or ag Date: 'l�. -2S-Oq
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THIS CARD IS TO REMAIN ON-SITE '.. ,.
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-104373-00-EL
Owner: HARSCH INVESTMENT PROPERTIES L
Address: 31811 PACIFIC HWY S Suite A
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) 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) VII
ail Final-Electrical(4055)
Approved Approved Approved 0`
By Date By Date By Date `Nlib
❑ Under-slab groundwork(4295)
Approved
By Date
1 RECEIVED Zer,cf-67,505
COMMIINI7Y DEVELOPMENT SERvIcrs
33530 FIRST WAY Sour,'•PO BOX 9718
FEDERAL WAY,WA 98063-9718
Federal Way0CT 2 5 2004 PERMIT APPLICATION 253-661-411S.FA.IL231,729
'muti cam
- — —
For Office Use -TY U 11A1�FY 0 ' - Si •- . TD:
l� �1�� / /
BUILD-NGBEr( — — — —The ollowin• is re•uired in ormation-an incom•tete a.•lication will not be acce•ted. Please •tint le•ibi (in ink)or j• .
11 S.
PROPERTY INFORMATION
SITE ADDRESS: 31 S(v` Pi4C1`Fl`C- 1{
. 54terG- 4 SUITE/APT#
ASSESSOR'S TAX/PARCEL#: - SQUARE FOOTAGE OF LOT:
•
LEGAL DESCRIPTION(e.g.:Acme Estates,Lot 1)
•
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION •
TYPE OF PERMIT(This application): 0 BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION
\ X ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT, � ,
DESCRIPTION((Provide detailed description `
iar-
of work included on this permit only):
j
t Dc (G) geld 2dA Roy C /Met-F - it. 7V. -
PROJECT NAME(Name of Business/Owner Last Name): ( Rs a6 8P-
■ PEOPLE INFORMATION
PROPERTY NAME: PS PRIMARY PHONE:
OWNER.: "l (J ('!t5 ) 77t( - y(S5
MAILING ADDRESS(STREET ADRESS;): CITY,STATE,ZIP
3(g(( Mon ' Y S. f D «Ay , CSA
CONTRACTOR: NAME aft0 i`4 �^�-Ff_ _^ , COMPANY OFFICE PHONE: O
VV �/{fi1�( i . ( tiZ )Sal -dZz!
MAILING ADDRESS(STREET ADDRESS;): •CITY,STATE,ZIP CELL PHONE:
11816 N� 0'6- s1 (U RKI ALCD WA Pliv3y ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER
- - - 7 ( SL{ / / ( )
CONTRACTORS REGISTRATION NUMBER:
aolime 1 O[f is 1,-4.4...
\r3' EXPIRATION DATE:
(copy of card required with each application) J y t / 30
/ br
LENDER: NAME: DAYTIME PHONE:
Of Proposed Value s$5,000) ( ) —
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
APPLICANT: NAME: COMPANY OFFICE PHONE:
( )
MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 Architect 0 Tenant 0 Other(Describe): ( ) -
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner )(Contractor //ft.Applicant E-MAIL ADDRESS:
■ 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: o LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: O LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
a -_..-----iv
■ PROJECT FLOOR AREAS .
AREA DESCRIPTION 1 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(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
-_COMPRESSORS FURNACES GAS S WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS •
DISHWASHERS SINKS
MISC(Describe)
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 e loyee on the accuracy of the information supplied to the city as a part of this application./
NAME/TITLE: / DATE: /6/Z//(gyp
(Signature (Title!
RELATIONSHIP TO PROJECT: 0 Property Owner 0 Applicant Contractor 0 Architect 0
FOR OFFICE USE ONLY:
0 NEW c ADDITION a ALTERATION c REPAIR c TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES Li NO BASIC PLAN? o YES o NO
ZONING DESIGNATION: CHANGE OF USE? o YES o NO . - 11,
NEW ADDRESS REQUIRED? n YES o NO UP/SEPA/SU? 0 YES a NO
—
PLATTED LOT? c YES r NO 1 DEMO PERMIT REQUIRED? r YES o NO
ELECTRICAL PERMIT INFORMATION
•
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
O Single Family Square Feet 0 0 to 100 amp $ 94.50 $ 58.00
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00)
❑ 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
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
O 201 -400 amp 117.50 58.00
0 Over 600 volts surcharge $74.00
O 401 -600 amp 161.00 80.00
0 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 0 to 200 amp $ 94.50
❑ 201 -600 amp 220.50
Service or Feeder 0 601 - 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)
❑ q 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 over 200 amps
0 Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
1 0 Service or feeder only $58.00 TEMPORARY SERVICE
L3 Service and feeder $94.50
I Commercial Residential
MOBILE HOME/RV PARK 0 0-100 $58.00 $51.00
❑ 41 of service or feeders ❑ 101 -200 74.00 51.00
{First service/feeder-$58.00;each add'n-$37.50) 0 201 -400 87.00 n/a
❑ 401-600 117.50 n/a
O over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
O N of Thermostats 0 41 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
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System 0 Yard Pole meter loops $58.00
I ❑ Security Alarm System
❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s) l.t 2500 ft2451.00;
Each add'n 2500 ft2-13.50) •Per WAC 296-46-91 a51(Ll(i&ii#
Bulletin 11100-March 30,2004 Page 3 of 4 k\liandouts-Revised\Pennit Application