06-105006 n !
City of Federal Way
Community Development Services Electrical Permit #: 06-105006-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: CINGULAR @ MILITARY TANK SC1832 (WA876)
Project Address: 28405 MILITARY RD S Parcel Number: 332204 9141
Project Description: Extend conduit and install light switch and fixture.
Owner Applicant Contractor
LAKEHAVEN UTILITY DISTRIC CITY PACIFIC SERVICES CITY PACIFIC SERVICES
FEDERAL WAY WA 512 MAPLE AVE CITYPS*955PR(10/19/07)
98063-4249 SNOHOMISH WA 98290 512 MAPLE AVE
SNOHOMISH WA 98290
Additional Permit Information
Electrical Fixtures
Circuits- Commercial 1
PERMIT EXPIRES Saturday, March 31, 2007
Permit Issued oa ot1
day, ctor 2 20p6
I hereby certify that the above ilf,, a to is'correct and that the construction the above #escribed property and
the occupancy and the use m- 'e in aC nee h the laws,ruts and regulations of the State of Washington
e ederal Way.
Owner or agen • I J Date: /0 2 De__
1
A' THIS CARD IS TO REMAIN ON-SITE .
CI of Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-105006-00-EL
Owner:
Address: 28405 MILITARY RD S
FEDERAL WAY, WA 98003-3327
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) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
O Rough Electrical(4225) ❑ Ceiling Cover(4020) El Final-Electrical(4055)
Approved Approved Approved
A
By Date By Date By`' ,V Date 1,1. .k,\pa
❑ Under-slab groundwork(4295)
Approved
By Date
RECEIVED
2 E1 - � d �
ctrror r�nnG
Federal Wad G 0 G�AS7�7 PERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF CO ME PL DE EN FP
3332FEDERAAVENUE SOA i1, LONG DEPT. CATION
FEDERAL WAY,WAA 7 TD
253-835-2607•FAX 253-83 LDING DEPT•
mLED cauorrrcaeratwati.r_er:
The ollowin. is re uired i ormation—an incom r tete a r •lication will not be acce t ted. Please , nt le!ibl_ (in ink)or r .
• PROPERTY INFORMATION
SITE ADDRESS a.g 4 Sit
0\o (Y\I% tilt y RoPt CI So a rM SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 3 3 2 Z Q L - 9 y _L LOT SIZE(sfi
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) SCu...r-h 2f, ,th Si- ttt LSite rtarn .)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION.ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
c)oirr d e_mai►ft ColrNctw t- \r`ro bu i d uv>44, _ Adel 12.4.cav r s u.srrety
c-cxt-uIe..
041 6,1 e rnLc / j1 t_____
PROJECT NAME(Name of Business or Owner Last Name) �,kS 1 vet ( (,V Pt w)
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER L.a -Vt.r u i til-y 6 1 C_.t" (25-3 ) 94140 -Sy4jo
MAILIN ADD CITY,STATE,ZIP
')•e. f30x l-17.4 cl Ft city0..A. a.V , w I} 9$oip,3
CONTRACTOR ' COMPANY NAME APPLICANT NAME OFFICE PHONE
G1- 'Axel#4 c. Sets')re- Dart e.oo '- ( Ls-430i
MAILING ADDRESS CnY,STATE,ZIP CELL PHONE
Sta (At1ptt. Five• Si'lorto Mi SIr1 t w P} 9$?S►O_ ( >) ; -
CnY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
B L / / (3100 )s—lc3 - 9344.}
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
�• iT `� PSS 4 .� CPR I / ,
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING
LIN FS TG1ti Aryl Ce S c'1 ,8A-N. Coo t. (atio
ny.STATE.ZIP PHONE
maga,
S'2%, 1Y\4,P1t-J 14.ve.. SALAAM',sti , wfF %2'd ) -
RELATIONSHIP TO PROJECT FAX NUMBER
CI Architect ❑Tenant 0 Agent iOther(Describe)SERV\Cc. ?coy 1dtR (3w0 )SW3 -g3(04•
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
(t1;k c. u)&- dr\ Lugo)414.2 - o v a mit)a l tit n@eiry he.•ea n
LENDER Per RCW 19.27.095:;Lender Information is NAME
NSArI
required 'project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $_
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES Cl NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
Sri
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 manna PROPOSED TOTAL Toni.EXIBTJNO TSF TOTAL PROPOSED ST TOT AL 9r
**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(Commermal) 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 made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the r lance o he city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. l l
NAME/TITLE et/'N V �,e, C �('�-pV\ DATE lb.-2 to
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent /Contractor 0 Architect ❑ Other
FOR OFFICE:USE ONLY
ci NEW o ADDITION ❑ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? a YES ❑NO
ZONING DESIGNATION CHANGE Or USE? o YES ❑NO
NEW ADDRESS REQUIRED? ❑YES a NO UP/SEPA/SU? o YESa NO
PLATTED LOT? a YES ❑NO DEMO PERMIT REQUIRED? ❑YES. ❑NO
Bulletin#100-January 1,2006 Page 2 of 4 k\Handouts\Permit Application
•
• ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
CISingle Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2-$107.50;Each add'n 500 ft2-$34.50) ❑ 0 to 100 amp $117.00 $71.50
❑ Detached outbuilding or garage U 101-200 amp 145.00 91.50
(Inspected with service) $45.50 ❑ 201-400 amp 272.00 107.50
❑ Detached outbuilding or garage ❑ 401-600 amp 317.00 127.00
(Inspected separately) $71.50 ❑ 601-800 amp 410.00 173.50
O 801 - 1000 amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) U Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $34.50 ❑ Over 600 volts surcharge $91.50
❑ 201 -400 amp 145.00 71.50 ❑ Mast or meter repair $99.00
❑ 401 -600 amp 198.50 99.00 ALTERED COMMERCIAL/INDUSTRIAL
U 601 -800 amp 254.00 136.00
❑ Over 800 amp 364.00 272.00 Service or Feeders
❑ 0 to 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 272.00
U 601 - 1000 amp 410.00
Service or Feeder ❑ over 1000 amp 456.50
❑ 0 to 200 amp $89.50
❑ 201 -600 amp 145.00 x. ( #of circuits to be added/altered
U over 600 amp 218.50 (1-5 circuits-$91.50;Add'n circuits,$7.00/ea)
�#of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50;Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
U Service or feeder only $71.50
❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $63.00
❑ #of service or feeders
(First service/feeder-$71.50;each add'n-$46.50) Commercial/Industrial Service or Feeder Ampacity
❑ 0- 100 amps $71.50
❑ 101-200 amps 91.50
❑ 201-400 amps 107.50
❑ 401-600 amps 145.00
❑ over 600 amps 157.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats U #of Signs
(First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n sign$25.00/ea)
U Low Voltage U Swimming pool/hot tub $107.50
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $71.50
❑ Security Alarm System U Additional Plan Review $107.50/hour
0 Voice Cabling (for modified submittals)
❑ Data Cabling
❑ U Automation Fee on all Permits .. $5.00
(Per System(s) 1st 2500 ft2-$63.00;
Each add'n 2500 ft2-16.50)'Per WAC 296-46-910(5)@)(i&it)
Bulletin#100-January 1,2006 Page 3 of 4 k\Handouts\Permit Application