04-103115 City or Federal Way Electrical Permit #:04 - 103115 - 00 - EL
Community 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: FAMILT CHRISTIAN STORE
Project Address: 31835 PACIFIC SSuiteA Parcel Number: 082104 9126
Project Description: Install low-voltage w ring to relocate two system devices.
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES LLC FIRE PROTECTION,INC FIRE PROTECTION,INC
HARSCH INVESTMENT PROPERTIES LLC FIRE PROTECTION,INC FIRE PROTECTION,INC
1121 SW SALMON ST 12045 31ST AVE NE 12045 31ST AVE NE
PORTLAND OR 97205 SEATTLE WA 98125 (253)440-5763
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Low Voltage Fire Alarm-Commercia 6600
PERMIT EXPIRES February 1,2005.
Permit issued on August 5,2004
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: Date: g(0.5(0.
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THIS CARD IS TO REMAIN ON-SITE
CITY OF «:r., Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103115-00-EL
Owner: HARSCH INVESTMENT PROPERTIES L
Address: 31835 PACIFIC HWY S Suite A
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.
❑ Slab/Concrete Floor(4255) 0 Ditch cover(4030) '❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date J t By Date
❑ . Temporary Powers(4275) - 0 Service(4235) 0 Feeders/Sub-panels(4045)
Apprc.ved Approved • Approvcd
By Date By Date By Fate
,;ITS-71T-righ-E!ectrica3 (4225) • 9"" Ceiling Cover(4020) (Final-E.lectrical.(4055) I
Approved Approved Approved
[BY Date ,.6i.;I r/-- Late - <. Date .
❑ Under-slab groundwork(4295)
Approved
1
LBy _._ Date
RECEIVr AE
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Federal Way AUG 0 5 2004 PERMIT
COMMUNITY DEVELOPMENT SERVICES
SF MF CO ME EL PL DE EN FP
3353EDFIRST A WAYSWA 98063-Of FNG � 'LI CATION
FEDERAL WAY,WA 98063-9 TD / /
253-661-C15.FAX 253-661-4129 BUILDING
ororri VIII,,ICIA 0 <vn
The ollowi • is re• ired in orrrmtion—an incur •vete • U•lication will not be acre• •-• Please • nt le•I.1, or • •
PROPERTY INFORMATION
(j
SITE ADDRESS 31O +. CI 1 Li , .IIITE/I . T# A
ASSESSOR'S TAX/PARCEL# _ _ LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Math separate page for&mildly legal dem)
PROJECT INFOR4IATION
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 inchated on this permit onlel)
Low vot nc Ae Am 144 T,.1'
PROJECT NAME(Name of Business or Owner Last Name) raping ((pt1s f tAA 043-
PEOPLE INFORMATION
PROPERTY TY NAME �P„`� ^„^ e 71 —� PRIMARY PHONE
OWNER ►Ll-(+ t(JYNI�I'IZCi��1(ZT ( ) -
MAILING ADDRESS CITY,STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
F1 Pealtri JJ1 m((_ (-zOff) yq/¢ - 1763
MAILING ADDRESSCITY,STAT ,ZIP CELL PHONE
v2-0y5- 5(s AvJrri- kit' Seals e, 9 5 (10e) ' 't - 5767
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER - EXPIRATION DATE FAX NUMBER
L 9- 0' 0- 1 Q 2. '19LL-BL (Z-/ 31 / 9y (go{ ) f7 - Fn1I
CONTRACTORS REGISTRATION NUMBER(copy�.a[card with each application) �EXPIRATION DATE
O6
APPLICANT COMPANY NAMEy1., (�'�Jr�-'T'�ok I�c" APPLICANT NAME (YOFFI�PHO E - g O
MAILING ADDRESS CITY,STATE,ZIP CELL PH NE
(Z10ys 301 Av of S.a(11e,w 9'12'5 ( zO6 rya - 5163
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) (roe ) f(7 - 7057
CONTACT NAME lo,/ L. (p (RI206
e 06PHONE
V, - `J E-MAIL ADDRESS
lir
LENDER RCW 19.27.0951 Leader ►rMuai n le NAME
required span ect saiar exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTINGsr
USE ► /2 PROPOSED USE i� #
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 1/700'
SPRINKLERED BUILDING? KYES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? EYES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGELUSE o PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST 6/t�/OO
6,6o I ///M
SECOND G' OG
•
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? Tmmausraa TOTAL uaaroao ?O Atisiwmao Alar+eoeneeo
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type off cture 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 Icommm WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLS
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS trod MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(smhroomsmlcs) 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 r
am 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 Wag 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 racy of •rmation supplied to the city as a part of
this application.
NAME/TITLE Sato Uttil l f 4 C 9 J DATE ( O S o
(Signature) • e)
1
RELATIONSHIP TO PROJECT 0 Owner if,eQ,gent ptontracto 0 A a'teet ❑ Other
C oliows USE ONLY
a NEW a ADDITION a ALTERATION o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHAIN OF USE? a YES a NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? a YRS a NO
PLATTED LOT? n YES o NO DEMO PERM?REQUIRED? a YES o NO
Bulletin-=-100-March 30,2004 Page 2 of 4 k Handouts-Revised Permit Application
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ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
la Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) U 0 to 100 amp $ 94.50 $ 58.00
U Detached outbuilding or garage U 101-200 amp 117.50 74.00
(Inspected with service) $36.50 U 201-400 amp 220.50 87.00
❑ Detached outbuilding or garage U 401-600 amp 256.50 103.00
(Inspected separately) $58.00 U 601-800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) ❑ 801 - 1000 amp 405.50 169.50
Service Feeder U Over 1000 amp 442.00 236.00
U Up to 200 amp $ 94.50 $ 28.00
U Over 600 volts surcharge $74.00
la 201 -400 amp 117.50 58.00
U 401 -600 amp 161.00 80.00 U Mast or meter repair $80.00
U 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 ❑ 0 to 200 amp $ 94.50
U 201 -600 amp 220.50
Service or Feeder U 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 U over 1000 amp 369.50
U 201 -600 amp 117.50
❑ over 600 amp 177.00 U #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/ca) C CIAL/INDUSTRIAL PLAN REVIEW
$74.00 plus 35%of Permit Fee
U Mast or meter repair $43.50 U Service over 200 amps
U 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
U Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK ❑ 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
❑ #of Thermostats U #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
J.ow Voltage //„n U Swimming pool/hot tub $87.00
Sluare Feet to be served by system(s) S (Includes additional circuit,if required)
[9 Fire Alarm System U Yard Pole meter loops $58.00
❑ Security Alarm System U Additional Plan Review $87.00/hour
0 Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s) P.2500 ft2-$51.00;
Each add'n 2500 ft2-13.50)•Per wAc 296-46-910(5)(6J/i a ti)
Bulletin,=l00-March 30,2004 Page 3 of 4 k`Handouts-Revised Permit Application