05-104470 City of Federal Way Electrical Permit #: 05 - 104470 - 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) 835-305C
Project Name: DASH POINT STATE PARK SHOP CONVERSION
Project Address: 5700 SW DASH POINT Parcel Number: 102103 9002
Project Description: Add/alter up to(5)circuits for rewiring.
Owner Applicant Contractor
STATE OF WASHINGTON STATE OF WASHINGTON STATE OF WASHINGTON
PO Box 42668 PO Box 42668 PO Box 42668
PO Box 42668 !Olympia,WA 98504-2668 PO Box 42668 !Olympia,WA 98504-2668
Electrical Fixtures
Description IQuantity Description Quantity Description 1Quantity
Circuits- Commercial 5
PERMIT EXPIRES February 28,2006.
Permit issued on September 1,2005
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 Way
Owner or agent: /1t Date: - 0 / -0 s-
5
THIS CARD IS TO REMAIN ON-SITE , -
CITY OF4111
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104470-00-EL
Owner:
Address: 5700 SW DASH POINT RD
FEDERAL WAY, WA 98023-2045
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) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
ID Temporary Power(4275)
I-1 Service(4235) El Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
114-4 Rough Electrical(4225) ❑ Ceiling Cover(4020) Final-Electrical(4055)
Approved Approved Approved
B Date b d< By Date Bye_ 14‘,.� Date a,1 S,,a
❑ Under-slab groundwork(4295)
Approved
By Date
RECEIVED Q
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FEDERAL WAY,WA 98063-9714 ° ll�,
253-8354607•FAX 25343S-2609
Ivww.dtuoffederalway.com ) Y FEDERALOF _� /
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BUILDING DEPT
The oilowi • is re•uired in ormation-an Inco •lete • ••lication will not be acce•ted. Please •rint le•ibi in or
■ PROPERTY INFORMATION
SITE ADDRESS .5-7e Si-Li .04'6 Al P C X P SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# / D 2_ L. ® _3 - / 0 0 LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate pager lengthy kW.,da,)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL _
0 DEMOLITION;81 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on;his eermit only)
i IJJ Q€ "> fig et-,/ 's
4 'O e.45' -AF- "414"7:t.l7
PROJECT NAME(Name of Business or Owner Last Name) inff'.4t "I" 544 A4�e�.
• PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER
Svi TE. o F W rtsM/&6 rA,/ I (2S-3)L 6i - .WS-5
MAILING ADDRESS CITY,STATE,ZIP
PO a &, t 4/2 -A48 � o ( g-/ W* . ES-Oct
CONTRACTOR COMPANY NAME y,�� / APPLICANT NAME OFFICE PHONE
3T-MAILING R o i V..)14.,I�il�./476t (2C3) 64 I- S--
CITY,ESS STATE,ZIP CELL PHONE
,40 , Bev( 4iZ 6 6 r di y s s�� 2s'S I1• r 7
CITY OF'FEDERAL WAY BUSINESS LICENSE NUMBER /�- P� � 1�� /�O Y
EXPIRATION DATE - FAX NUMBER
_B. L / / ( _
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
lr47-g- o r k✓•isill 7 _ (zs3 ) /- 'j7yS
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
. gelit y 2,4 4 0 (23) zs-s= 54.17RELATIONSHIP TO PROJECT FAX NUMBERZ Sr' ie: 7
a Architect a Tenant a Agent a Other(Describe) ( ) _
CONTACT ( NAME PRIMARY PHONE E-MAIL ADDRESS
I I (2 31 4.6( - q9',.5-15-
LENDER i, .;dri„
a r 9 )-II iii ,Of;-4,•,, ik - I;Zi;
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE 51/d f O1e/c/'cc*” PROPOSED USE 2 A-F�c G ,»P-t
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES /6-NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES NO
WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER O LAKEHAVEN 0 HIGHLINE Cl 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
narrow PF POS!D rorty. n;,..°.-.,:,74,r_,,,, i:{:,i: -r.* . -'s
NUMBER OF FLOORS ; , Kas o,:J'
**NEW HOMES ONLY** NUMBER OF BED•I`•MS ESTI D SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed o •locat•% as part of this project. Do not include existing fixtures to remain.
MECEIAMCAL
Value of Mechanical Work $ //
•
AIR HANDLING UNITS EVAPORATCVE COOLERS OAS LOGS REFRIG.SYSTEMS
BBQS FANS / DS(comm«J4q WOODSTOVES
BOILERS •.., FIREP CE INSERTS RAN MISC(Describe)
• COMPRESSORS PU ACES GAS WA HEATERS
DUCTS - Giti3 PIPE OUTLETS
PLUMBING `\
BATHTUBS(orrub/shower Combo) SHOWERS WATER CLOSETS Roakq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
OAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(9uhmomsisks) 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 to the city as a part of
this application.
Ci— e
NAME/TITLE4773-al--".....,_.. DATE / —"di)=2 -6:,
( ignature) (Title)
RELATIONSHIP TO PROJECT owner e-Agent ❑ Contractor ❑ Architect 0 Other
e
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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 0 101-200 amp 141.00 89.00
(Inspected with service) $44.00 0 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage 0 401-600 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
0 601 -800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
Al III 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY sir❑ 201-600 amp 264.50
❑ 60 - I;' amp 398.50
• Service or Feeder
• ❑ 0 to 200 amp $87.00 ❑ ove00 p 443.50
❑ 201 -600 amp 141.00 �1 ' IIV J # •f circuits to be added/altered
❑ over 600 amp 212.50 1- ircuits-$89.00;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered C• .MERCIAL/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
I MOBILE HOME/RV PARK Residential/Multi-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
❑ I01-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps 141.00
❑ over 600 amps 152.50
•
MISCELLANEOUS SERVICE/EQUIPMENT
U #of Thermostats CI #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'nsign$24.50/ea)
O Low Voltage ❑ 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) 1•t 2500 ft2-$61.00;
Each addh 2500 ft2-16.00)•Per WAC 296.46-910(51(6)(1&i5)
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application