05-104665 •
City of Federal Way Electrical Permit #: 05 - 104665 - 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: HIGHMARK vp`i
Project Address: 3450 S 344TH'guite115 Parcel Number: 222104 9040
Project Description: Adding light switches and outlets for new tenant
Owner Applicant Contractor
BEDFORD PROPERTY INVESTORS SUPERIOR BUILDERS INC LAZER ELECTRIC
701 N 34TH ST SUITE 308 PO BOX 1849 9523 19TH AVE E '
SEATTLE WA 98103 MILTON WA 98354-1849 TACOMA WA 98445
(253)535-1900
Electrical Fixtures
Description Quantity Description Quantity]L _ Description Quantity
Circuits- Commercial 8
PERMIT EXPIRES March 12,2006.
Permit issued on September 13,2005
I hereby certify t : .'.ve ' , . ,Ion s orrectandat the construction on the above described property and
the occupancy and •►;tilk
a a,ccor� . with the laws rules and regulations of the(State . Washinga a and
the City of Feder: MIN 410
i" ii g
Owner oragent: Aur�\=�:1���� AP. Date: 6--
\Ivy IMP
,.\)O 4
\.,\X''') \
\ `,I
`�=
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104665-00-EL
Owner: BEDFORD PROPERTY INVESTORS
Address: 3450 S 344TH WAY Suite 115
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) ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) ❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date Date By Date
❑ Rough Electrical(4225) #❑ Ceiling Cover(4020) Final-Electrical(4055)
Approved Approved ^ Approved
Date/0, B Date J' `` � �� �4
G5 /G /Q-off, y � P1 B Date >\
❑ Under-slab groundwork(4295)
Approved
By Date
1
i
` °T•« 0CONSTRUCTION PERMIT APP ICATION
APPLICATION NUMBER: '
P 3 2Q05 APPLICATION NUMBER: - -
• APPLICATION NUMBER: - -
CITY OF FF*i lf�AY is required information-Please print(in ink)or type**
BUILDING
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
• • PROPERTY INFORMATION • -
��
SITE ADDRESS: J LiSe5ti. / (/� , ASSESSOR'S TAX/PARCEL #:Z Z / o y - I Q
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ,4C..4e.c..‘
'' • ■ PROTECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING El MECHANICAL ❑ DEMOLITION
'ELECTRICAL ❑ EENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECTpCRI (TION (Prpvide detailed descriqti ): A_ot`I^ ) C\-+" .. ) r -l- � 4-
P
PROJECT NAME: P( rt-e-vi---it�
- ■ PEOPLE INFORMATION
PROPERTY OWNER: NA8 r\ r-,. Q DAYTIME coPNE:
MAILING ADDRESS( TREET ADD S ;C STATE, IP): •
7o ( k , 31=j iiZ- D --I IC/ k)4
CONTRACTOR: NMI: (D,AYTIME PHONE:
L A -7 e� £ ( � C- 1'z ME
' , )..s-r-35--/9 00
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
9s s W4''g0e. .L, Tom, LS4 5e Y 'tS c2.5- ) G o6 -o y 9
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
- - g_S- ) S3S--/7(r
CONTRACTOR'S REGISTRATION NUMBER: EXPI TION DATE:
(copy of card required)
L ' 1 - !— v 3 > P 1 6, i 0
APPLICANT: NAME:5-0
DAYTIME PHONE:
MAIIIG ADDRESS(STREETADDRESS
r1]nITY q ZIP): r EVENING PHONE:
ti,eO`4 / iLk ( ` 1-O�! ASEJ ( -
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): 2s5 ))S-73-171 1
E-MAIL
S-73- 717-
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR 1e c! r12C.-14(4- 1C4/1
- ■ DETAILED BUILDING INFORMATION -
EXISTING USE: Oe- EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ 1'/
• l/. ktCOO/ Dai
PROPOSED USE: 'c( PROPOSED VALUATION FOR IMPROVEMENTS: $ —7r So 0
SPRINKLERED BUILDING? *ES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: Cl YES ❑ NO
WATER SERVICE PROVIDER: • LA,LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: i (LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
W IR
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• . - ■ PROTECT FLOOR AREAS -
FLOOR EXISTING SQ. FT. PROPOSED SQ.FT. TOTAL -
-
BASEMENT
FIRST
SECOND
THIRD
-
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
"-
•
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.(_____110
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( )
INTERCEPTOR(S) SUMP(S)
-, ` . . .. al 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 b - owner of the above premises to perform the work for which the permit application is made. I
further agree • hold harmle the CI of Federal Way as to any claim (including costs,expenses,and attorneys'fees incurred in the
investigation allii
f•nse o'such .i, ),which may be made by any person,including the undersigned, and filed against the City of
Federal Way,br+ 1 • h u• `des out of the reliance of the city,including its officers and employee, upon the accuracy
of the informs •• _• 11 y •hof this ap. • .tion.
IC
NAME/TITLE: `Iz�� �' it A---\-- DATE: • bc
❑ PROPERTY 0 '\ER APPLICANT ❑ CONTRACTO•
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
III
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? El YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
' rns,,,,r -ury nr-,rI nrr.lrrJr CF RVIrFC.1 15in FIR'T WAY C(li 1111.P n RrlY Q7111•IIIWPAI WAY WA 9R0f 1-971R• ?Si 1",f1-4(VVI.FAY• 7c1 r.r.1.417,1
. ■ ELECTRICAL " .1
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_
Single Family _Service or feeder only $44.25 _#of Thermostats(First-$33.50;add'n-S I0.50ca)•
(First 1300 ft2-$67.00;Each add'n 500 ft'-S21.50) _Service and feeder $72.25 pir#of Low 2500 ft'voltage firEorh burglar d'n r alarms00 ft' $10.50 '
Square Feet:
_Each outbuilding or garage $28.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders • I'cr WAC 296-46-910(5)(h)(i R ii)
_Each outbuilding or garage $44.25 (First service/feeder-S.44.25;Add'n service/ _#of Signs(First sign-533.50;add'n sign
(Inspected separately) feeder-$28 each) $16.00 each)
Progress inspection per 1/2 hr $33.50
_Swimming pool.hot tub.spa 67.00
Yard Pole meter loops 44.25
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Service or Add'n _0 to 200 $72.25
_Up to 200 amp $72.25 S 21.50 Feeder _201 -600 169.00
_201-400 amp 89.75 44.25 _0 to 100 $72.25 $44.25 _601 - 1000 254.50
_401-600 amp 123.25 61.50 _ 101 -200 89.75 56.25 over 1000 282.75
_601-800 amp 158.00 84.25 _201 -400 169.00 67.00 #of circuits
_Over 800 amp 225.25 169.00 _401-600 197.00 78.75 1-5 circuits-$56.25;Add'n circuits.$5 ea) 1
ALTERED SINGLE/MULTI FAMILY _601 -800 254.50 107.25
(When inspected separately from the services.) _801 -1000 310.75 129.75 Temporary Service
Service or Fccdcr _Over 1000 339.00 181.00 _0 to 60 $38.75
_0 to 200 amp S 61.50 _Over 600 volts surcharge 56.25 _61 - 100 44.25
_201-600 amp 89.75 _Mast or meter repair 61.50 _101-200 56.25
_over 600 amp 135.25 _201 -400 67.00
-Mast or meter repair 33.50 _401 -600 89.75
-#of circuits _over 600 97.75
(1-4 circuits-$44.25;Add'n circuits S5 ea)
- Ifservicc is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+556.25.Add'I plan review for other submissions is$67.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
1111
TOTAL COLUMN(D): _
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $56.25 + X.35 = (13)
■ DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
■ ENGINEERING
Estimated Permit Fee: (16) '
Bond Amount: (17)
• OTHER FEES
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
III
Total (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-January 3, 2001