06-105220 f !
City of Federal Way Electrical Permit #: 06-105220-00-EL
Community Development Services
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: DR BRIAN WILLIAMS
Project Address: 32225 PACIFIC HWY S Suite 102 Parcel Number: 150050 0100
Project Description: Install(3) 1/v t-stats
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES MERIT MECHANICAL INC MERIT MECHANICAL INC
PO BOX 2708 9630 153RD AVE NE MERITMI163CM (6/1/07)
PORTLAND OR 97208-2708 REDMOND WA 98052 9630 153RD AVE NE
REDMOND WA 98052
•
Additional Permit Information
Electrical Fixtures
Thermd$tat 3
PERMIT EXPIRES Tuesday, April 10, 2007
Permit issued oThursday, October 12, 2006
I hereby certify that the above information is'I orrect and that the construction on the above described property and
the occupartcy`and the use will be in accordance with the laws,rules and regulations of the State of Washington
Viand the City of Federal Way.
Owner or agent: v I/.as eQ. Date: /0 - J' -o
.� 1 l 9_ - t,
THIS CARD IS TO REMAIN ON-SITE
CIOFA Community Development Inspection Record -
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-105220-00-EL
Owner: HARSCH INVESTMENT PROPERTIES
Address: 32225 PACIFIC HWY S Suite 102
FEDERAL WAY, WA 98003-6000
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) ❑ 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
.�, Rough Electrical (4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By 0 J Date AzAsup By Date By 0 .\.,.._, Date I _`Li ,et,`. ,❑ Under-slab groundwork(4295)
Approved
By Date
�lreF 006 D - / a 5 a a
Federa!Way 0C1 1 2JERMIT SF MF CO M��PL DE EN FP
33325DERALVX PO
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FsB3 s3s ZeW•Y FAXZ53 8UTHa35--Z60 ` Y yBOFENG PPLI CATI O N
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www.dtuoffedemhoau.com •
The ollowin• is re•uired in ormatlon-an into .lete a••lication will not be acce•ted. Please •rint legibl in in or
III PROPERTY INFORIVTATION
SITE ADDRESS 3 9 .. t - SUIT:/UNIT# /QR.
ASSESSOR'S TAX/PARCEL# - _\ LOT SIZE(s�
•
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) St2,e CX 4u-c_L e-�
•
(Attach separate page for lengthy legal description) .
■ PROJECT INFORMATION
I
TYPE.OF PERMIT 0 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)
i LI 1 % L v011r JLe.,--Nto s l,e..
•
PROJECT NAME(Name of Business or Owner Last Name) 1)0r-. ri G4 \, 4\ ,/"-5Pin, A
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER C .M-4....)....2ShvteAA\-- r epE.•— 'C_5 (S.,3)2`12 -2-°70O
MAILING ADDRESS CITY,STATE,ZIP
1(z( g W 50%.1.1,"491." Pq-f-L1-.1 02 `3)2-70 c
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
!Int I- nAe. L0 \ . -• --2,(-,_,...L, AN,..5e, ( ti 1 pop_ - ‘-r �a
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
%to3 /6-3" `it z AJ ` „1„,•o+..o( w ` t✓5- .(`a5) Ll y z -;-is `I3
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
1 `7-. -z o S 1 a 0--B L . . lz / 3/ /CSG (t/zs)5-6.-? - 0t4
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
111 t 2 i I M.� _2 L Ai- lT/ /p / Cr?
APPLICANT COMPANY NAME r APPLICANT NAME OFFICE PHONE
4s' ^.e .-�- :✓cel-J -�o-� /AvA�- a. ( ) -
MAILING ADDRESS CITY,STATE,ZIP I J CELL PHONE
( )•
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent 0 Other(Describe) ( ) . -
CONTACTNAME PRIMARY PHONE E-MAIL ADD
�� /) -.e (1/P.-.)Coote -137.2 Q ,tte$14A4ecLsiccl
' LENDER NAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE '''''Si'a..._..\-,�h- (fit-C-i, e_
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ CC)- •
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN . a HIGHLINE 0 PRIVATE(SEPTIC)
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 0 CARPORT 0
smarm rxorosso mew
NUMBER OF FLOORS
**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(commerci 1) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orrub/shower Combo) SHOWERS WATER CLOSETS(met) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
IAVS(Bathroom stnka) 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 tohe city as a part of
this application. 70/` —,/C,b
'5t� � ►` f
NAME/TITLE DATE l:'•ti'l4Ytli �(
(Signature) (Title)
RELATIONSHIP TO PROJECT o Owner 0 Agent ,ontractor ❑Architect 0 Other
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
6.1Single 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 ❑ 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) ❑ 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
❑ 601 -800 amp 254.00 136.00
❑ Over 800 amp 364.00 272.00 Service or Feeders
❑ 0to200amp $117.00
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 272.00
❑ 601 - 1000 amp 410.00
Service or Feeder ❑ over 1000 amp 456.50
❑ 0 to 200 amp $89.50
❑ 201 -600 amp 145.00 ❑ #of circuits to be added/altered
❑ 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
❑ Service or feeder only $71.50 •
❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residentia
i/IKuiti-Famiiy $63.00
0 #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
O 201-400 amps 107.50
❑ 401-600 amps 145.00
❑ over 600 amps 157.00
.
MISCELLANEOUS SERVICE/EQUIPMENT
#of Thermostats • ❑ #of Signs
(First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n sign.$25.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $107.50
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $71.50
❑ Security Alarm System ❑ Additional Plan Review $107.50/hour
❑ Voice Cabling (for modified submittals)
GI Data Cabling
0 ElAutomation Fee on all Permits .. $5.00
(Per Systems) 1'2500 ft2-$63.00;
Each add'n 2500 ft2-16.50) •Per WAC 296-46-910(5)(b)(i&5)
Bulletin#100-January 1,2006 _ _ _ Pare 3 of 4 k\liandouts\Permit Anolication