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05-104618
City of Federal Way Electrical Permit#: 05 - 104618 - 00 - Et. 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: BROOKLAKE VILLAGE ADDITION PHASE II Project Address: 1015 S 348TH 51- Parcel Number: 202104 9140 Project Description: Installation of(6)L/V Thermostats. Owner Applicant Contractor NWCH INVESTMENT PROPERTIE PRO STAFF MECHANICAL PRO STAFF MECHANICAL 5312 PACIFIC HWY E PRO STAFF MECHANICAL PRO STAFF MECHANICAL TACOMA WA PO BOX 33370 PO BOX 33370 98424-2602 SEATTLE WA 98133 (206)361-0071 Electrical Fixtures Description Quantity Description Quantity _ Description Quantity Thermostat 6 PERMIT EXPIRES March 11,2006. Permit issued on September 12,2005 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 accordanwith the laws,rules and regulations of the S,!.. e of Washington and the City of Federal Way. / - I Owner or agent: > Date: ?//2/o/ tefY V I . . THIS CARD IS TO REMAIN ON-SITE CITY of Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-104618-00-EL - Owner: Address: 1015 S 348TH ST FEDERAL WAY, WA 98003-7027 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 • El Temporary Power(4275) ❑ Service(4235) 0 Feeders/Sub-panels(4045) Approved Approved Approved By Date By Date By Date ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ,[ Final-Electrical(4055) Approved Approved Approved By Date By Date By "�i l(6 Date 12—(Z.4067 L❑ Under-slab groundwork(4295) Approved By Date _ RECEIVED - / IJ Federal a PERMIT SEP 1 2 200S COMMUN17Y DEVELOPMENT SERVICES SF MF CO M: •L DE EN FP 333258TMAVENUE SOUTH•P0 BOX 9718 APPLI CA 1"l EDERAL FEDERAL WAY WA 98063-9718 253-835 2607 FAX 253-835-2609 I N G PT The foilowin l is •uired information-an incom.lete a.,lication will not be acce.ted. Please . ' t •'•ly(in ink)or ty• L • PROPERTY INFORMATION SITE ADDRESS I OP" S, % -. SUITE/UNIT# ASSESSOR'S TAX/PARCEL# J LOT SIZE(sJ) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) BL[)A Pag.p4 1) 11- 0 1 <•--Q(.7 (Attach separate page Jar Ienatha legal descriptor) • PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING - • ,-BING KMECHANICAL ❑ DEMOLITIO )EL TRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of wor / uded on this permit only) • sr - — - _ / X LOv✓ ✓,71-T/-1-fn(' l4 =R-fr+=2S TA-1`s PROJECT NAME(Name of Business or Owner Last Name) aa.OO1c.L./11<e_ IJ i i _4- ■ PEOPLE INFORMATION PROPERTY NAME , PRIMARY PHONE OWNER C-JTAT)VN I�"/� ;�l4NA-c,-) Mr=/lT c-c zc' MAILING ADDRESS CITY,STATE.ZIP S$3)z PAC-. D144/ F: F)F1=/ 1,v11- 9 el-r2-4 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE Pzo- 57-At-Ft= ill)�4-Mi)`A-_ C41=ma=y (7-v14-0c7I MAILING ADDRESS CnY,STATE.ZIP CELL PHONE X 333-7 a 5rA-7--n( q xiv s ( ) M- COY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER 2O - p =- ) OfJ a L I7- /3/ / F77 ( Zvi) 4-1 0424' CON'TRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE )^' g. 0 sT iM %- 77 "2- 14- L> (. /'3? / U', APPLICANT COMPANY NAMEAPPLICANT NAME OFFICE PHONE 1. f lY C/4411/c P45 n;)2 ►Z►-LL4/ (Ov) 3LI MAILING ADDRESS CITY.STATE.ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect ❑Tenant ❑Agent Other(Describe)I1 .c.1-F Cox - CONTACT NAME,( PRIMARY PHONE E-MAIL ADDRESS T>riZ i-ln / (-20a '31-)- ©e2 / pEi1 1r2r''i2,-S"iA}iI`- 01/�i.►I+Fr+11t-�Y<- LENDER Per RCW 19.27.095: Lender information is NAME Gs1 required if project value exceeds$5,000 MAILING ADDRESS CRY,STATE.ZIP PHONE DETAILED BUILDING INFORMATION EXISTIN . : PROPOSED USE EXISTING ASSESSED/APPRAISED VAL ' VALUE OF • • = r "ORK $ SPRINKLERED BUILDING? 0 YES ❑ NO FI - " •- •N SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO WATER SERVICE PROVIDER ❑ LAKE , ❑ HIGHLINE 0 TACOMA .• ATE(WELL) SEWER SERVICE PROVIDE' C HAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) ilk ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE Service or Feeder Each Add'n U Single Family Square Feet (First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50 U Detached outbuilding or garage ❑ 101 -200 amp 141.00 89.00 (Inspected with service) $44.00 ❑ 201 -400 amp 264.50 104.00 ❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50 (Inspected separately) $69.50 ❑ 601 -800 amp 398.50 168.50 O 801 - 1000 amp 486.50 203.50 NEW MULTI-FAMILY(three units or more) U Over 1000 amp 530.50 283.00 Service Feeder U Up to 200 amp $113.50 $33.50 U Over 600 volts surcharge $89.00 U 201 -400 amp 141.00 69.50 U Mast or meter repair $96.00 ❑ 401 -600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL U 601 -800 amp 247.00 132.00 ❑ Over 800 amp 353.50 264.50 Service or Feeders ❑ 0 to 200 amp $113.50 ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 264.50 ❑ 601 - 1000 amp 398.50 Service or Feeder ❑ over 1000 amp 443.50 ❑ Oto 200 amp $87.00 ❑ 201 -600 amp 141.00 ❑ #of circuits to be added/altered ❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea) U #of circuits to be added/altered COMMERCIAL/INDUSTR.IAL PLAN REVIEW (1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee ❑ Service- 1.000 amps or greater ❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility MOBILE HOMES U Service or feeder only $69.50 ❑ Service and feeder $113.50 TEMPORARY SERVICE MOBILE HOME/RV PARK Residential/Multi-Family $61.00 U #of service or feeders (First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity U 0- 100 amps $69.50 ❑ 101 -200 amps 89.00 ❑ 201 -400 amps 104.50 ❑ 401-600 amps 141.00 ❑ over 600 amps 152.50 MI I ' -OUS SERVICE/EQUIPMENT & of Thermostats r La of Signs (F' -$52.00;add'n-$16.00/ea) --. (FIrst sign-$52.00;add'n sign$24.50/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 U Yard Pole meter loops $104.50 o Security Alarm System U Additional Plan Review $104.50 hour ❑ Voice Cabling r modified submittals) ❑ Data Cabling ElAutomation Fee on all Permits $5.00 (Per System(s) la 2500 ft2-$61.00; Each add'n 2500 ft2-16.00) •Per WAC 296-46-910(5)(b)(i&iil Bulletin#100-January 7,2005 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 ❑ CARPORT❑ EXISTING PROPOSED TOTAL TOTAL EXISTING to Tam.PROPOSED Gr TOTAL SF NUMBER OF FLOORS **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type of facture 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 MA/shower Combo) SHOWERS WATER CLOSETS rrodro MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom suxyl 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 Sigature) DATE 45//2-/)1:( / T RELATIONSHIP T ECT ❑ Owner ❑ Agent Contractor 0 Architect 0 Other FOR OFFICE USE ONLY o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? a YES o NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application