04-103951 r •
City of Federal Way Electrical Permit #: 04 - 103951 - 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) 835-3050
Project Name: EDWARD JONES
Project Address: 31835 PACIFIC S.$MiteG Parcel Number: 082104 9126
Project Description: Relocating the existing LfV thermostat
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES LLC AMBIENT CONTROL CO INC AMBIENT CONTROL CO INC
HARSCH INVESTMENT PROPERTIES LLC 1411 R ST 1411 R ST
1121 SW SALMON ST AUBURN WA 98001 AUBURN WA 98001
PORTLAND OR 97205 (253)876-9933
Electrical Fixtures
Description 1Quantity Description Quantity Description Quantity
Thermostat 1
PERMIT EXPIRES March 27,2005.
Permit issued on September 28,2004
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 m accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: ` �'� Date:-
vA00
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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#: 04-103951-00-EL
Owner: HARSCH INVESTMENT PROPERTIES L
Address: 31835 PACIFIC HWY S Suite G
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.
O Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) • �❑ Ceiling Cover(4020) Er---Final-Electrical(4055)
Approved Approved Approved
By Date By Date B Date Zr—p ii
❑ Under-slab groundwork(4295)
Approved
By Date
v�� oLI - ( 0 3951
Feder Wa EC ,1 — — —
y � PERMIT SF MF CO ME EL PL DE EN FP
COMMUNrIY DEVE(APMENT SERVICES
33325 8T"AVENUE SOUTTf•PO BOX 97,($^ 2 g 200A P P L I C AT`I O N TD
FEDERAL WAY,WA 53-8 3-9718 E r / /
253-835-2607•FAX 253-835-260
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CITY OF FEDERAL WAY
The following is req „;:„1 { ila-an incomplete a.•lication will not be acce•ted. Please .rint legibly(in ink)or type.
�; II PROPERTY INFORMATION
L
SITE ADDRESS Z D 3 ) �c---`. \(.. S., SUITE/UNIT# G
ASSESSOR'S TAX/PARCEL# 7s \ (j Li - 9' \ k-, LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION •
TYPE OF PERMIT 0 BUILDING ?)(
❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITIONELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJ T DESC ION(Provide detailed description of work included on thispermit onl
'�R LV ®fit�� c-c t>��Nri-C
PROJECT NAME(Name of Business or Owner Last Name) Q '_ lAM
'' U PEOPLE INFORMATION
PROPERTY A ' �1 Q PRIMARY PHONE
OWNER �-` C c- \- \ i Q (5(5) 2c-E2.-7-&-5
1,MAILI�` S ��S �ll�� �vcl C TATE.Z[PL oliL q7c -'-
CONTRACTOR MPANY NAME_ APPLICA NAME OFFICE PHONE
LING ADDR S ^ A E,Z � (233) 99 3
MAI t r('� ` -^
`I \\ ll� LS ` Ni cN LQ��c, (?iz'A\ ` ( 2L4.)1/43 m-*L ++
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DAT FAX NUMBER
Iel--9 q-1. 06. to-B°t9 ( Z' 3 t ' o (--( (7-S ) 6 9ssy
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) E IRATION ATE
APPLICANT MPANY NAME p AP NAME OFFICE PHONE
\k/QZ ..t<-l � U - 4111-at ► .A �' ' (.....Ai 61-'41.. (Z3 )Y'-Z(.:•-gg33
MAILING ADD CI STATE,ZIP CELL PHONE
Y`"A\\, 6 -�S - ki "CJu- Ll� ' 9 viron v (201,..)5th -Lu
ELATIONSTO PROJECT FAX NUMBER
❑Architect ❑Tenant a Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER ,p per RCW`19 27 0 5 Lender information is NAME
required if project value e>cceeds$5,000 a'
MAILING ADDRESS CITY,STATE,ZIP
1 ■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
f 1• EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER Cl LAKEHAVEN 0 HIGHLINE a 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
TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
HOW MANY FLOORS?
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
_ FIXTURES
Indicate number of each type of fixture 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(comm rLiail WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or T.m/sho..<rcombo) SHOWERS WATER CLOSETS Roucq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Eau....&A.) 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, ding its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE L im_ ,w' se �� 'i •j el DATE -Z-"Y `l ii
(Sign- rd • (Title)1
RELATIONSHIP TO PRO ✓ 0 Owner 0 Agent .A Contractor 0 Architec 0 Other
S ,
I
FOR OFFICE USE ONLY 1
o NEW a ADDITION a ALTERATION a REPAIR i TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES a NO 1
{ ZONING DESIGNATION CHANGE OF USE? ❑YES a NO !
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? ❑YES a NO I
1
i
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Bulletin 1!l00-March 30,2004 _ Page 2 of 4 kUiandouts-Revised\Permit Application
. . ELECTRICAL PERMIT INFORMATION
RESIDENTIAL ? ow COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet ❑ 0 to 100 amp $ 94.50 $ 58.00
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00)
❑ 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 0 601-800 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
CIOver 600 volts surcharge $74.00
1 0 201 -400 amp 117.50 58.00
0 401 -600 amp 161.00 80.00
❑ Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY 0 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 COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) $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
❑ 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) 0 201 -400 87.00 n/a
O 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
#of Thermostats CI #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 ❑ Yard Pole meter loops $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
O Voice Cabling (for modified submittals)
❑ Data Cabling
El
(Per System(s) 1' 2500 ft2-$51.00;
Each add'n 2500 its-13.50) 'Per WAC 29646-910(SXb)(i&ii)
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Bulletin#100-March 30,2004 Page 3 of 4 k\Handouts-Reviscd\Pennit Application