05-104754 City of Federal Way .� Electrical Permit #: 05 - 104754 - 00 - EL
" Community Development Services
P.O.Box 9718
Federal(25Way,WA 98063-(253 Inspection request line: (253) 835-3050
Ph:(253)835-7000 Fax:.(253)835-2609 P Q
Project Name: WASHINGTON PARK
Project Address: 33801 1ST Y Parcel Number: 926504 0150
Project Description: Install 20amp circuit from electrical room to automatic door opener on 1st floor east side entrance
Owner Applicant Contractor
WASHINGTON PARK CUSTOM CONTROLS CORPORATION CUSTOM CONTROLS CORPORATION
33801 1ST AVE S 4630 16TH ST E SUITE B24 4630 16TH ST E SUITE B24
FEDERAL WAY WA 98023 FIFE WA 98424 FIFE WA 98424
(253)922-5874
Electrical Fixtures
Description Quantity Description Quantity Description i!Quantityj
Circuits- Commercial 1
PERMIT EXPIRES March 18,2006.
Permit issued on September 19,2005
I hereby certify that the above •information is correct and that the construction on the above described pro ld
the occupancy and the use will be in accordance with the laws,ales a id regulations of the-State of Washington and
the City of Federal Way.
Owner or agent:�i� � 2 Date: 09/9— d-�`
FINALEL,
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F/N
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THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104754-00-EL
Owner: WASHINGTON PARK
Address: 33801 1ST AVE S
FEDERAL WAY, WA
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.
O 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) t❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By7-c-' Date% �)
❑ Under-slab groundwork(4295)
Approved
By Date
)
.,
.
‘2.5-- _i _o_q.. ,c
Federal way PERMIT
COMMUNITY DEVELOPMENT SERVICES
SF MF CO MF, PL DE EN FP
33325 AVENUE SOUTH•PO BOX 9718 APPLICATION m J�
FEDERAL WAY.WA 98063-9718
253-835-2607•FAX 253-835-2609 / /
WI=.cltuoffederalwau.com
The ollowin. is r .wired i orfnation-an into •lete a•.lication will not be acre,ted. Please .rint le!ibl (in ink)or - .
• PROPERTY INFORMATION
\k4ITE ADDRESS 33801 --I- 4-4-A iip , Fed,,-a/ wp/, wA SUITE/UNIT#
(,�SIZE LOT s
ASSESSOR'S TAX/PARCEL# -
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION Cif ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed desc ' tion of Mork included on this permit only)
lin.44JJ •g0 fair cryo /'4 goal e%c7rlca/ roots,' 40 al./.240/g14-71/c-
QrOov 15IeArof t7 it 1'r? c/o ov (a.r4 side efi'Jrslce.
PROJECT NAME(Name of Business or Owner Last Name) /f lQ5 t 1' co Pe-se K
111!ll���/// i
• PEOPLE INFORMATION
PROPERTY NAME ll / PRIMARY PHONE
OWNER kia.r4i�t�J01 /ArA ( ) -
MAILING ADDRESS CITY,STATE,ZIP
33101 1 JTitye° JL / lir./, WA
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
CaJihoi Coil�r%r (o y 6Pi<r/d.AA, (.Zf.3 )92z 3879
MAIL G ADDRESSCITY,STATE,ZIP CELL PHONE
9 30 /6 '� S4 P Jul'i B.2y /: /3, wt} 91925' ( 5J ) 5105 -/92'9
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
I2-1 2- O 7 6 0 'L-B L /2 /3/ /0s (253 ) 92‘ -3262
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
C(4. 1 TQC c Q 75- D 0S" / 09 907
4APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Carte <oito%r Cr,, 6e' i / Fo% (253 ) 9f f 5,79
MAILING ADDRESS ,/ CITY,STATE,ZIP CELL PHONE
Y 63 / J,' IJu;4cI.2y A , ivy 91WW9. Us3 ) %Vs- 989
RELATIONSHIP TO PROJECT FAX NUMBER /
❑Architect 9 Tenant 0 Agent 0 Other(Describe) (,,5.3 )'.e,C - 3,Z 6Z
NTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( -
LE ER '• RCW 19.27 ° ; ► {, information is
-,t .. tval $5,000
MAILING ADDRESS CITY,STATE.ZIP - ONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXIS I ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WO, t $
SPRINKLE I BUILDING? ❑ YES 0 NO FIRE S ' ' ION SYSTEM PROPOS' '/REQUIRED? ❑ ❑ NO
WATER SERVIC' ' -OVIDER 0 VEN 0 HIGHLINE • TACOMA r ' ' ATE(WELL)
SEWER SERVICE PR• I i I ER ❑ VEN ❑ HIGHLINE ❑ ' . EPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.PT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
NUMBER OF FLOORS EXISTING PROPOS= TOTAL rorwIMAEl NG85 TOTAL TOTAL IF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture to be instnilpd or relocated as part of this project. Do not inclIAP existing fixtures to remain.
MECHANICAL
Vohip of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SY51 ,MS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or7Ub/Shower Combo) SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLEIS 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 Wag,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. G /
NAME/TITLE �i�CusGDATE 619-19-es
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent ❑ Contractor 0 Architect ❑ Other
'OROFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? n YES o NO - BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES' ❑NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? ❑YES ❑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
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50
❑ 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
❑ 801 - 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00
Service Feeder
❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
❑ 201 -400 amp 141.00 69.50 ❑ 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 ❑ 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
❑ 0 to 200 amp $87.00 /
❑ 201 -600 amp 141.00 LAY / #of circuits to be added/altered
U over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL 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
❑ Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARS 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
❑ 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
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
U Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $104.50
❑ Security Alarm System ❑ Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
0
(Per System(s)lst 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)"Per WAC 296-46-910(51(bl(i&1U
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application