04-103891 •
City ii!f Federal Way Electrical Permit #: 04 - 103891 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection request line: (253) 835-3050
Ph:(253)835-7000 Fax:(253)835-2609 p q
r
Project Name: UPS STORE
Project Address: 31811 PACIFIC,SSuiitteA Parcel Number: 082104 9126
Project Description: Installing a new 2(0 am),3-phase subpanel from an existing service,HVAC,receptacles,and light
fixtures.
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES LLC D RIDDING ELECTRIC D RIDDING ELECTRIC
HARSCH INVESTMENT PROPERTIES LLC 19630 N DANVERS RD 19630 N DANVERS RD
1121 SW SALMON ST LYNNWOOD WA 98036 LYNNWOOD WA 98036
PORTLAND OR 97205 (425)778-1064
Electrical Fixtures
Description Quantity [_ Description ,Quantity Description kQuantityl
Service/Feeder: 101-200 amps-Comr 1
PERMIT EXPIRES March 28,2005.
Permit issued on September 29,2004.
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use - in accord.nce with the laws,rules and regulations of the State of Washington and
the City of Federal Way
g
Owner or agent: / ' / Date: O C ' Z ay
flI1114"5)
(-z ----0
THIS CARD IS TO REMAIN ON-SITE ..
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103891-00-EL
Owner: HARSCH INVESTMENT PROPEkTIE§ L
Address: 31811 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) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
El Temporary Power(4275) �� Service(4235) ��, Feeders/Sub-panels(4045)
Approved Approved Approved
By Date B -%L41"N. Date -6 0 ,By r
Date l0 1
ME
Rough Electrical (4225) 1. Ceiling Cover(4020) ii Final-Electrical(4055)
Approved Approved Approved
By "7 Date Cl ....U[\ : B AT Date $ $ Cyl.--2":15
Date ,,, �.
•
�❑ Under-slab groundwork(4295)1 �'
Approved
By Date
- RECEDED b Li - / 0 3 ' cl t
Federal Way p 1 R M IT
COMMUNITYDEVELDPMENTSEQI�� 2 3 ��� SF MF CO M:el•L DE EN FP
33325 BTM AVENUE SOUTH• I8
FEDERAL WAY,WA 98063-9718 APPLICATION TD /
253-835-2607•FAX 25 260 /
unuw.aluoffederahk OF FEDERAL WAY
BUILDING DEPT.
The following is required information-an incomplete ap•lication will not be acce.ted. Please .rint legibly(in ink)or type.
III PROPERTY INFORMATION
SITE ADDRESS 31 g 11 P, '�•u w`�/ S SUIT AASSESSOR'S TAX/PARCEL# - — — LOT (
sfi
LEGAL DESCRIPTION(e.g.Acme Estates,Lot l)
(Attach separate page for lengthy legal desenption)
, , IN PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION>1 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
Zoo 4 3/f/ 5118Pn,'-L Fee ryr ellef 7/•v4- ce-1//ee. I/71 e ieiCc.gtS
Z../47-0. FC
PROJECT NAME(Name of Business or Owner Last Name) K r J S7)f
" - MI PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER /-14-,es/! o vv/e1 fft7 ,v7S ( ) -
MAILING ADDRESS CITY,STATE,ZIP
CONTRACTOR nCO PANY NAME APPLICANT NAMEOF ICE PHONE
• /?/490/414 &-Z-c ( V2-51 77$ - (0 6 St
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
/ 6 y A/ 2.9AiiiX /,y/k/vreo9/WA ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER �EXPIRATION DATE, FAX
/NUMBER
�7
- - - B L e// / ' / C Z �
t ( 725-) /1Z R
- CS-
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE
ag . .090 -4(.D L B2 °Yl -7 l ° 6
APPLICANT COMPANY NAME
� o ` APPLICANT NAME OFFICE PHONE
De /� /P-ACV, c2& ( -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT • FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER -1Per RC[Y`19 27.095 Lender information is NAME
required if project valueexceeds$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 O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES a NO
WATER SERVICE PROVIDER 0 LAKEHAVEN O HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC)
::- ._.. PROJECT FLOOR AREAS .
TOTAL
•
a PROPOSED S•.FT.
.. ' AREA DESCRIPTION EXISTING S�.FT.
SECOND IIIINIIIIIIIIIIIIIIIII
THIRD IIIIIIIIIIIIrIIIIIIIIIII
.__
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
111111111111111111111111111
DECK(COVERED?) IIIIIIIIIIIIIIIIIIIIIIII
GARAGE/CARPORT
illIlIllIllMIIIIIIIIIIII
HOW MANY FLOORS? TOTAL CXISTDfp AND PROPOSED
"NEW HOMES ONLY" NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE $
FIXTURES : ._.
Jto number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Indica
• MECHANICAL
Value of Mechanical Work $__________—
, GAS LOGS REFRIG.SYSTEMS
EVAPORATIVE COOLERS REF G SYST
_ AIR HANDLING UNITS FANS HOODS(comm«Ci 1) MOO (Describe)
BBQS RANGES
OVES
FIREPLACE INSERTS GAS WATER HEATERS
COMPRESSORSOPRS FURNACES
_ GAS PIPE OUTLETS
DUCTS
PLUMBING SHOWERS WATER CLOSETS Ro,kg
M(SC(Describe)
BATHTUBS�o,T�blsno�«combo) SINKS DRINKING FOUNTAINS
DISHWASHERS SUMPS RAINWATER SYST
GAS PIPE OUTLETS URINALS HOSE BIBBS
WASHING MACHINES VACUUM BREAKERS ELECTRIC WATER HEATERS
LAVS :att,r000astDtcs _ - _
4 , .l :. =:;DISCLAIDRER/SI
GNATUREBLOCK- _� =.. _ ': - '. - -
that I
ty of perjury os true a the correct
t the best
Ston my
made. I further agree further,thold
rutho iz undyr penal bove e o pe furnished o k it whi h thed per fee ti coated Iin he de. Iifurt a odeJo of
enses, and att ey
am authorized by the owner of the above premises to perform the work
m
such claim),
the City of Federalm Way as anyo any claim including
theg understs, exp and filed against the
such sotto,which may be made by pew f its officers and employees,�upon the accuracy of theft formation supplied to the city as a partof Federal Way,but only where such of
arises out of the reliance of/.
Inc 9
this application. /„,„„ii.
/ / / /
U�r��. (�
DATE
/ (Title)
NAME/TITLE '��_naturel
i RELATIONSHIP TO PROJECT 0 Owner ❑ Agent X] Contractor 0 Architect 0 Other
.1
E
FOR OFFICE USE ONLY 6 TENANT IMPROVEMENT
1. a ALTERATION ❑REPAIRo YES a NO
�• a NEW ❑ADDITION
o YES o NO BASIC PLAN? o YES a NO
BUILDING SHELL ONLY? CHANGE OF USE?
ZONING DESIGNATION a YES o NO
{ UP/SEPA/SU? o NO
I NEWADDRESS REQUIRED? a YES o NO DEMO PERMIT REQUIRED? o YES
PLATTED
ED LOT? ❑YES o NO
r '
f
•
�
Bulletin#100—March 30,2004 — Page 2 of 4
k\Handouts—Revised\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
r COMMERCIAL
NEW COMMERCIAL/INDUSTRIAL SERVICE
NEW RESIDENTIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet CI 9/to 100 amp $ 94.50 $ 58.00
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) 101 200 amp 117.50 74.00
❑ Detached outbuilding or garage ❑ 201-400 amp 220.50 87.00
(Insppecteddwith service) $36.50
0 401-600 amp 256.50 103.00
❑ Detached outbuilding or garage
(Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50
0 801 - 1000 amp 405.50 169.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 442.00 236.00
' Service Feeder
❑ Up to 200 amp $ 94.50 $ 28.00 ❑ Over 600 volts surcharge $74.00
❑ 201 -400 amp 117.50 58.00 ❑ Mast or meter repair $80.00
0 401 600 amp 161.00 80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50 Service or Feeders
4i'0 to 200 amp $ 94.50
ALTERED SINGLE MULTI FAMILY ❑ 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
177.00 ❑ #of circuits to be added/altered
❑ over 600 amp (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
❑ Service over 200 amps
❑ Mast or meter repair $43.50
❑ Medical/Educational/Inslitutional Facility
SINGLE MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES TEMPORARY SERVICE
ElService or feeder only $58.00
❑ Service and feeder $94.50 Commercial Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
0 101 -200 74.00 51.00
❑ #of service or feeders n/.
(First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00
a
O 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Signs
❑ #of Thermostats (First sigof$43.50;add'n sign$20.50/ea)
(First-$43.50;add'n-$13.50/ea)
❑ Swimming pool/hot tub $87.00
ElSow Voltage (Includes additional circuit,if required)
O Fire Alarm S
Square Feet to beSystem
served by system(s) ❑ Yard Pole meter loops $58.00
m $87.00/hour
❑ Security Alarm System ❑ Additional Plan Review
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
(Per❑ System(s)1"2500 ft2-$51.00; &
Each add'n 2500112-13.501.Per WAC 29646-910-5/(1/( 1
Page 3 of 4 k\Ilandouts-Rcviscd\Pennit Application
Bulletin#100-March 30,2004 •