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04-104082 F.- City of Federal Way s Electrical Permit #: 04 - 104082 - 00 - EL mm Counity Development Service P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax (253)835-2609 Inspection request line: (253) 835-3050 f Project Name: ANIMAL SUPPLY Project Address: 32001 32NIAS��e420 Parcel Number: 162104 9001 Project Description: Altering 200amp service for new UPS,208V,1,100amp and furniture connections Owner Applicant Contractor FOSS REDEVELOPMENT H&M ELECTRIC H&M ELECTRIC FOSS REDEVELOPMENT H&M ELECTRIC H&M ELECTRIC 1111 FAIRVIEW AVE N 8227 44TH AVE W SUITE G 8227 44TH AVE W SUITE G SEATTLE WA 98109 MUKILTEO WA 98275 (425)423-9350 Electrical Fixtures — — -- ------- Description Quantity l` Description Quantity L Description ,Quantity Alt.Serv./Feeder up to 200 amps-Co 1 PERMIT EXPIRES April 4,2005. Permit issued on October 6,2004 I hereby certify that the above information is correct anti that the construction on the above described property ane the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington end the City of Federal Way. Owner or agent: Date: ) 0 �p O 000a THIS CARD IS TO REMAIN ON-SITE CITY OF A Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04-104082-00-EL • Owner: FOSS REDEVELOPMENT Address: 32001 32ND AVE S Suite 420 FEDERAL WAY, WA 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 tight,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) ❑ Service(4235) El Feeders/Sub-panels(4045) Approved Approved Approved 1 lis By Date By Date BV,C Date l la ` ❑ Rough Electrical(4225) 0 Ceiling Cover(4020) .rini Final-Electrical( 155) Approved Approved Approved By Date By Date B Dat= 0 (.57---G/ ❑ Under-slab groundwork(4295) Approved By Date arcs REG E1V ED .7"1—` 12 ! r Federal Way - - r - —� " COMMUMIYDEVELOPMENT SERVI{4? T 20v : PERMIT SF MF COM40 PL DE EN FP 33530 FIRST WAY SOUTH•PO BOX .11( FEDERAL WAY, 53-631718 OF FEDERAL, P LI CATION 12s3-66I411s•FAX 2s366 ,Tr / / wuno.atuotfederalwau.mn BUILDING DEPT. The ollowin. is re•uired in ormation-an inco 'Tete a.•lication will not be acce•ted. Please •rint le•ib1 (in in or • . PROPERTY INFORMATION SITE ADDRESS ..Z.-.Op "-.. -Z- 1-11.--2:)-- )�- . SUITE/UNIT 1k 4 Z ASSESSOR'S TAX/PARCEL# - LOT SIZE(4) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal deu.iption) PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING ❑ MECHANICAL 0 DEMOLITION `i ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work`included on this permit only) _` JLC lir!"=T'l7 I�Q.1 PROJECT NAME(Name of Business or Owner Last Name) - ( t'At,W ? (.-- PEOPLE PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER �U.S C4 i- ) V of v\ —&.) r- (Lt2 Z= 1G MAILING ADDRESS CITY,STATE,ZI ��• L Vie,,) t � -t, a . .S - ii4- . lF /61 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE -r-a..i -, t(151._, s--(4,4,3 (4 tg 423 -'zS MAILING ADDRESS Cr - / CITY,STATE,ZIP CELL PHONE ©2Z�- - - .A.ur LYctd--/-a-0i cc Z9ZAS drib 4Z3 5'2 cc CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATI N DATE FAX NUMBER k-�—9 _i Q 3 G(_ B L 1 3.t RP* (4-z, Z- o -c3-/4. CONTRACTORS REGISTRATION NUMBER!copy of card required with each application) ` EXPIRATION DATE APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE i'N'C'wl;4 __ ( ) MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) - CONTACT NAM PRIMARY PHO E E-MAIL ADDRESS o -C-(� , (41S 4- 1 t50 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? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ 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? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED **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. n. MECHANICAL Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(commercial) W OODSTOV ES 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 j 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 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,includin• the undersigned,and filed against the City of Federal Way,but only where such claim arises out of th I of the city, including its offi•-rs and employees,upon the accuracy of the information supplied to the city as a part of this applicati n. NAME/TITLE _. / DATE \ 0 U S ( G 4, ( gnature) i (Title) RELATIONSHIP TO PROD T ❑ Owner 0 Agentgntractor 0 Architect 0 Other FOR OFFICE USE ONLY a NEW o ADDITION o ALTERATION o REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES o NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? ❑YES a NO Bulletin#100.—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application I. 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) CI 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 Li 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ Over 800 amp 294.50 220.50 Service or Feeders ALTERED SINGLE/MULTI FAMILY to 200 amp $ 94.50 ❑ 201 -600 amp 220.50 Service or Feeder ❑ 601 - 1000 amp 332.00 i ❑ 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 Cl 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) Li 201 -400 87.00 n/a ❑ 401 -600 117.50 n/a ❑ over 600 127.00 n/a 1 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) 1 ❑ Fire Alarm System ❑ Yard Pole meter loops $58.00 k El Security Alarm System ❑ Additional Plan Review $87.00/hour ! ❑ Voice Cabling (for modified submittals) ❑ Data Cabling (Per System(s) 1.,2500 ft2-$51.00; Each add'n 2500 ft2-13.50) *Per WAC 29646-910(5)(b)(i&ii) , Bulletin#100-March 30,2004 Page 3 of 4 k\l landouts-Revised\Permit Application i P