05-104878 i' w
City of Federal Way Electrical Permit #: 05 - 104878 - 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)835-305a
Project Name: ORION INDUSTRIES
Project Address: 33926 9TH SParcel Number: 926480 0125
Project Description: Installation of(1)3 phase 100 AMP breaker and 175 ft run of conduit to J-box to be installed.
Owner Applicant Contractor
ORION INDUSTRIES FULLER ELECTRIC FULLER ELECTRIC
33926 9TH AVE S FULLER ELECTRIC FULLER ELECTRIC
FEDERAL WAY,WA 37107 12TH AVE S 37107 12TH AVE S
98003-6708 FEDERAL WAY WA 98003 (253)661-7181
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Service/Feeder: 0-100 amps-Comm. 1
CONDITIONS:
This parcel is located within a Wellhead Protection Area(Capture Zone 5)and must comply with FWCC,Chapter 22,
Article XIV"Critical Areas" and fill out a Hazardous Materials Inventory Statement,if applicable.
PERMIT EXPIRES March 21 2006.
Permit issued onSeptember 22,2005
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 accordance with the laws,rules and regulations of the State of Washington and
the City of Federal ay
Owner or agent: ty
Date: '7-2 Z
\I
~ �. THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 •
PERMIT#: 05-104878-00-EL
Owner: ORION INDUSTRIES
Address: 33926 9TH AVE S
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) 0 Ditch cover(4030) ir Pool Bonding(4195)
Approved to place concrete
ApprovedApproved
gy Date BYDate 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) Final-Electrical(4055)
Approved Approved
Approved i,
B Date By Date `By '��� Date q 4<
1Y
❑ Under-slab groundwork(4295)
Approved
By Date
I
RECEIVED - D
Federal Way PERMIT SEP — — L .
oDui(unmYDEVrscoPiBMSERvlLBs 2 2 2005 �SF MF CO M L •L DE EN FP
JJJ?SdERAL UE AY,WAlf(.po97X971Q APPLICA'E I DERAL W Y -
FEDBRAL WAY,FAX
53435-260
253-835-2607.FAX J53 dJ5?609 I
• eWu.ato ederakmya u BUILDING DEPT. -!`
The oilowi • is • fired in ormation-an inco ,fete . ••licatlon will not be acre•ted. Please •rint le.ibl n or p .
• PROPERTY INFORMATION
SITE ADDRESS 33 9 7 G - 974e/e c. ,�P�2/ Gilezi L 7 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# -TT— _ — _ LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Q/0 A/ 1?4%1!1•S'4je./ 't 4
(Attach Pre.Ia w> desolpdoa)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION piELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESC ON(Provide detailed description of work included on this permit only)
.1—ell/.. I 3p /GYJ.pig B.t kex 14 /7ST'Rug 0/ aAia4.f 76 T--Fox
'
PROJECT NAME(Name of Business or Owner Last Name) //RI ONealtR/ S
III PEOPLE INFORMATION
PROPERTY NAy� 0 ��� PRIMARY PHONE
OWNER /R( ,,i .•i•17Cftes74/� ,(S af3 ) ai - .7For"
MAILING ADDRESS CITY,STATE,ZIP -
3?9 26-C17/,4ae S. X 44/ C✓, Gem¢ 98003
CONTRACTOR CO ANY NAME APPLICANT NAME OFFICE PHONE
f eller fitel2,C Zc P016414 LSeth rio-e,7 us3 )44/ -7/F/
MAILING ADDRESS ., STATE,ZIP' • CELL PHONE
31[07- 121-#04-ac ( GJ - 444- 98c03 (;Zo4) Y.z3 '9as(
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXATION DATE 'PAX NUMBER
I ft-i3-.4 CL 3 .-• >(/ 1?
-B L " 3/ /z).5 ( )
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
r L L. E (.- Q 2. 7 8 A. f 1.23 /zoo 4
APPLICANT COM NAME f�� f APPLICANT NAME OFFICE PHONE
.? 't✓/ge(4,-- ( ) _
NG ADDRESS CITY,STATE,ZIP - CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑Tenant o Agent 0 Other(Describe) ( ) _
� (/Cx_
CONTACT PRIMARY PHONE/ 1Gc7 ) o/ _7fr�y '7 E-MAIL ADDRESS
LENDER :? ,d.� al,,,,, t ,r ra t•6rra r t, •'s: 7 /Y
k , •(a •1^.11C4 •'OS-,'-err Xie;r;x ,Xr,`r /
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
'4 Is ' E PROPOSED USE
EXISTING ASSESSED/APPRAIS r VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 13 YES 0 NO FIRE SUPPRESSION SYSTEM P•Z• •. :• • 'UIRED? a YES ❑ NO
WATER SERVICKPR2 VIDER a LAKEHAVEN a HIGHLINEE 0 TACOMA 0 PRIVATE(WELL)
SEW)R-SERVICE PROVIDER ❑LAKEHAVEN a HIGHLINE ❑ PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT. Z"
BASEMENT /
_ /
FIRST •
/,,
SECOND
2,
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE) N •
DECK(COVERED?) is N
,N, ,,,-
GARAGE
GARAGE 0 CARPORT 0
marrow PROPOS= ` '
marrowTOTAL ,4,1 0,,, fxv,:yl t it tt ,,21.4-f,0 .•. t '.,
NUMBER OF FLOORS N
I
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATE
``, D SELLING PRICE $
1
FIXTURES
Indicate number of each type offixture to be installed or relocated as part ofthis project. Do not include existing fixtures to remain.
MECHANICAL
f ,
Value of Mechanical Work $
F •
AIR HANDLING UNITS „EVAPORATIVE COOLERS -.OAS LOGS s, REFRIG.SYSTEMS
BBQS FANS HOODS(commeataq!' WOODSTOVES
BOILERS z FIREPLACE INSERTS RANGES , MISC(Describe)
• COMPRESSORS FURNACES OAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orTUb/Shower Combo) SHOWERS WATER CLOSETS(Tenet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
W ING MACHINES URINALS HOSE BIBBS
VS(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 Way,but only where such claim
arises out of the reliance of the city,Inc ng its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
h N
NAME/TITLE 6. DATE a2'-6f
(Signature (Title)
RELATIONSHIP TO PROJECT a Owner a Agent ls,Contractor a Architect 0 Other
' .'l - vole f'°(-ci,i .:',"i 054:4,t,0(t)4 T ,'i. 5):0',011; . 05),1,\J,t F VA:,)Z4C�'15'-1 ��t�._
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
)1/1
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
1
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet p,,� Service or Feeder Each Add'n
(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
O 801 - 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00
Service Feeder -
i ❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
O 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
O 401 -600 amp 193.00 96.00
❑ 601 -800 amp 247.00 132.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ 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 ❑ #of circuits to be added/altered
❑ 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 PARK ResidentialJMuIti-Family $61.00
❑ #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
O 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)
❑ Low Voltage 0 Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System 0 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
(Per System(s) 12500 fta-$61.00;
Each add'n 2500 ft2-16.00) 'Per WAC 296-46-910(5kb)6&5)
Bulletin#100-January,7,2005 Page 3 of 4 klHandoutsWermit Application •