04-103625 of
City tmity Federal Way Electrical Permit #:04 - 103625 00 - EL
Conunwtity Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax.253 661.4129 Inspection request line: 253.835.3050
Project Name: NEW FEDERAL WAY CITY HALL
Project Address: 33325 8TH SA Parcel Number: 926500 0290
Project Description: Install(2)gate operators
Owner Applicant Contractor
CITY OF FEDERAL WAY GUARDIAN SECURITY GROUP GUARDIAN SECURITY GROUP
PO Box 9718 5424 S TACOMA WAY 5424 S TACOMA WAY
TACOMA WA 98409-4313 TACOMA WA 98409-4313
PO Box 9718 !Federal Way,WA 98063-9718 (253)474-5855
Electrical Fixtures
Description Quantity Description Quantity Description (Quantity
I Service/Feeder: 0-100 ampsComm. 2
PERMIT EXPIRES March 8,2005.
Permit issued on September 9,2004
I hereby certify that the above inf• tion is correct and that the construction on the above described property and
the occupancy and the use w' •e in ;ccordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way
Owner or agen • i Date: /3/G<�
t
THIS CARD IS TO REMAIN ON-SITE - ' , ,
arr of Community Development Inspection Reqn4c1
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103625-00-EL
Owner:
Address: 33325 8TH AVE S
FEDERAL WAY, WA 98003-6325 •
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.
❑ Slab/Concrete Floor(4255) ❑ Ditch cover(4030) 0 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 By Date By Date
0 Rough Electrical(4225) El Cover(4020) r Final-Electrical (4055)
Approved Approved Approved
By Date By Date �! Dat
�By \itif
k
❑ Under-slab groundwork(4295)
Approved
By Date
r cm OF A - 4_ OZ._ SL_ - s1
Federal Way PERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF CO M �:L DE EN FP
33530 FIRST WAY,WA 9•PO BOX 3-9718 9718 APPLICATION
FEDERAL WAY,WA 98063-9718 TO / /
253-661-4115•FAX 253-661-4129
wwwcit uofederalwa u•com
The ollowi • is re• ired in ormation-an inco •lete a••lication will not be acce•ted. Please •rint le•ibl in in or • .
22 PROPERTY INFORMATION
SITE ADDRESS ZS J t' ff it� �Uc J SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING o PLUMBING 0 MECHANICAL
❑ DEMOLITION kELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description ofwork included on this permit onlu)/
PROJECT NAME(Name of Business or Owner Last Name) V 'tc C/(/Cy L/r /76(--��-t'
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER ( ) -
MAILING ADDRESS CITY,STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAE OFFICE PHONE
u
� adv ' Ca/ (&/21,c/6 /90//9/ /r(i (zs7) 5/71/ -575-5—
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
,XYZ(/ 3C .7-6/ i-rcr Gt!i y 7-//-04,10; 6v/9 7//o% ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER 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
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
(
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
bee
•
• PROJECT FLOOR AREAS
►t
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTALEEUSTINO TOTAL PROPOSED TOTAL EUSTINO AND PROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture 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(Commercial) 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
• authorised 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 a erson,includin• the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the c ,i luding its of rrployees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE i,t DATE 1/04/Cr"
(Signature) (Title)
RELATIONSHIP PROJECT 0 Owner 0 Agent 0 Contractor ❑ Architect 0 Other
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATIONCHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? " o YES o NO UP/SEPA/SU? ❑YES o NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application
to 1
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
CI Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101-200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201-400 amp 220.50 87.00
❑ Detached outbuilding or garage ❑ 401 -600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) ❑ 801 - 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
U Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY U 0 to 200 amp $ 94.50
❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 ❑ #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ #of circuits to be added/altered
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW
$74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 ❑ Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑. Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
U Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK U 0- 100 $58.00 $51.00
❑ #of service or feeders ❑ 101 -200 74.00 51.00
(First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00 n/a
U 401 -600 117.50 n/a
U over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
U #of Thermostats U #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
U Low Voltage U Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $58.00
❑ Security Alarm System U Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s) 1 t 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) *Per WAC 296-46-910(5)(b)(i&ii)
Bulletin#100-March 30,2004 Page 3 of 4 k\Handouts-Revised\Permit Application