04-103149 S
0
City of Federal Way
Community Development Services Electrical Permit #:04 - 103149 - 00 - EL
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: COUNTRYWIDE HOME LOANS
Project Address: 32001 32nd1S Suiten() Parcel Number: 215465 0010
Project Description: Install two subpanelsnbto serve lights,switches,recepticles and furniture connectsions.
Owner Applicant Contractor
FOSS DEVELOPMENT H&M ELECTRIC INC H&M ELECTRIC INC
FOSS DEVELOPMENT 8227 44TH AVE W 8227 44TH AVE W
1151 FAIRVIEW AVE N MUKILTEO WA 98275 MUKILTEO WA 98275
SEATTLE WA 98109 (425)423-9250
Electrical Fixtures
r Description Quantity I_- Description Quantity _ Description Quant y]
f Alt.Serv./Feeder up to 200 amps-Co, 2 I
i
PERMIT EXPIRES February 28,2005.
Permit issued on September 1,2004
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: Ste 4- 1 2004/
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THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103149-00-EL
•
Owner: FOSS DEVELOPMENT
Address: 32001 32nd AVE S Suite 110
FEDERAL WAY, WA 98001-9625
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 By Date By Date
Rough Electrical(4225) gi Ceiling Cover(4020) r Final-Electrical(4055)
Approved Approved Approved
By Via,' Date By L J. Date el-Z 3-O zy `�`_ Date /v — y i
❑ Under-slab groundwork( 295)
Approved
By Date
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Federal Way PERMIT
COMMUNITY DEVELOPMENT SERVK G U 9 2004
SF MF COM EL L DE EN FP
33530 FIRST WAY SOUTH•63 BOX 9778 p LI C ATI O N
FEDERAL WAY,WA 98063-9718 A p
253-661-4/15•FAX253-¢61WIQ0, FEDERAL'Vt1'R'�' / /
uu fin, ,
BUILDING DEPT.
The olio is tred rnration-an lets Ucation will not be tad. Please t or
SITE ADDRESS )ZC-4:)t - -5L yc; • SUITE/UNIT# f i 0 -32-J
ASSESSOR'S TAX/PARCEL# — — — — LOT SIZE kr)
LEGAL DESCRIPTION(e.g.Aane Estates,Lot 1)
(Attach sede page for lengthy legal desvtptron)
PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 'LECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
�Y-tJ d � L t-� i"LO I..) -�Lz,cJ�T l L, (--,�r2G'� ��.�7 .. a -1T.
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PROJECT NAME(Name of Business or Owner Last Name) C.0%.1^.— C1 3.\ D L:� tArs@"t_C _ Lo %
PEOPLE INFORMATION
PROPERTY NAME., PRIMARY PHONE
OWNER �o kZL C-ZLK c.�.,Lt�`-T- K-A ' )'Z C_- ( FUO
MAILING ADDRESS ,STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
-t-t �1.-G,4' -.c2-it:.- . ra.) , `—C�+-�:� (42C;)4-2.: -92s0
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
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ZZA- mow :i_kJ . �,, .... -A-cam liof(C. -- `fir' ( 1
OF FEDERAL AY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
xci.-1,' -i Q ra-ci -B L / / ( ) -
CO • •R REG - •N NUMBER -. .. card required with each application) EXPIRATION DATE
!j illi _ ♦ _ ILL ' 1 '14 A al or_. _ �i Ott
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APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
�" ( )
MAILING ADD - CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent )(Other(Descriloe)C Z- ( ) -
CONTACT NAME PH E E-MAIL ADDRESS
LENDER Per lam'/9.21'..095; Lender inibnItatiaa to NAME
r+ptinndWpm**solos acomodo$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOrI&wwoem Taali alma se'
**NEW HOMES ONLY"' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTI'RES
Indicate number of each type offixture to be installed or reheated 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 icormorrotog WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAB WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUJfBING
BATHTUBS pr Tub/Shower Combo)
SHOWERS WATER CLOSETS Iroilq 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 peftatty of perjury that the information famished by me is true and correct to the best of mg knowledge,and flusher,that I
am authorised by the owner of the above premises to perform the work fir which the permit application is made. I farther agree to hold
harmless the City of Federal Way as to any claim(inchiding costs, • and attorney,'flea incurred in the y,but gation and defense of
such claim),which by any person,including the and filed against the City of Federal Way,but only where ouch claim
arises out of the re .,nos of city,including its o,-- and amp e:dwiloto7 upon the accuracy of the information supplied to the city as a part of
this application. (04-'FAME/TITLE DATE .---`4-'(G
(Signs ) f6�1
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent - ontractor ❑Architect 0 Other
1Pott 00710111 US ONLY ='
a NEW a ADDITION a ALTERATION a REPAIR a'TENA I?
BUILDING SHELL ONLY? a YES 0 NO BASIC PLAN? Ia YESn 110
O DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? tin YES ❑NO UP/SEPAfst!? a YES a ltd
PLATTED LOT? n YES a NO DEMO PERMIT REQUIRED? a YES o NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
GI Family Square Feet ; Service or Feeder Each Add'n
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) -I to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage 'r 01-200 amp 117.50 74.00
(Inspected with service) $36.50 201-400 amp 220.50 87.00
❑ Detached outbuilding or garage U 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) 1=1 801 - 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
U 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
U 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY 2.2Q to 200 amp $ 94.50
❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 U 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 COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea)
$74.00 plus 35%of Permit Fee
U Mast or meter repair $43.50 U 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
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ 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)
U 201 -400 87.00 n/a
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
❑ Low Voltage ❑ 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 ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s)1s,2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 296-46910(5)(b)(185 ii)
Bulletin#100-March 30,2004 Page 3 of 4 k\Handouts-Revised\Permit Application