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04-104163
R 1 . City of Federal Way Electrical Permit #: 04 - 104163 - 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) 835-305C Project Name: H&R BLOCK Project Address: 31875 GATEWAY CENTER`S. d Parcel Number: 092104 9137 Project Description: Alter(4)circuits for install of meters and rewires of lights Owner Applicant Contractor WELLS FARGO BANK MINNESOTA LAZER ELECTRIC LAZER ELECTRIC WELLS FARGO BANK MINNESOTA 9523 19TH AVE E 9523 19TH AVE E PO BOX 21469 TACOMA WA 98445 TACOMA WA 98445 SPOKANE WA 99201 (253)535-1900 Electrical Fixtures Description Quantity Description Quantity Description Quantity Circuits- Commercial 4 PERMIT EXPIRES April 10,2005. Permit issued on October 12,2004 I hereby certify •t the a ove informs ; s correct and that the construction on the above described property and the occupancy an• •- •1 •- Ircor•• ,th the laws,rules and regulations of the State of Washingt 6 1 and the Cityof Feder, �` Owner or agent: ` to � Al�� ifirA0-4111 ��. �,�= Date: ( v /l -/7-e-34 0r/-'ec' S 4e)II �� FINALED D--)\(---06...e6 THIS CARD IS TO REMAIN ON-SITE CITY OF4,A Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 04-104163-00-EL Owner: WELLS FARGO BANK MINNESOTA Address: 31875 GATEWAY CENTER BLVD S 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 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) ❑ Service(4235) 0 Feeders/Sub-panels(4045) Approved Approved Approved By Date By Date By Date ® Rough Electrical(4225) 0 Ceiling Cover(4020) , Final-Electrical(4055) Approved Approved Approved Byteis Date/0— . -z -o By Date 1..1, --(. Date/j/7 ❑ Under-slab groundwork(4295) Approved By Date • I Y �„1� (7 GOMMUMlYDEVELOPAIENTSERVICES rr ct0e .REC E 33530 FIRST WAY SOUTH•PO BOX 9718 FEDERAL WAY,WA 98063.9718 Federal Way PERMIT APPLICATION • 2S59 OCT 1 2 2004 — ' TO: For On Use Only: ra • • ?.er: — r til gra r L dip _ _ BUILDING DEPT, The ollowin• is re.uired in ormation-an Inco .tete a••lication will not be acce•ted. Please •rint le.ibl (in ink)or . • ... �. ■ `PROPERTY INFORMATION SITE ADDRESS: '.. / )`75 . - e�14 W� 'C c- 1?)!v 4' �r SUITE/APT # Y C) ASSESSOR'S TAX/PARCEL#: - SQU FOOTAGE OF LOT: 7 S ©O LEGAL DESCRIPTION(e.g.:Acme Estates,Lot 1) "IfQW\e (Attach separate page for lengthy legal description) - . . - _ - -� ■ PROJECT INFORMATION .: -. _ ... TYPE OF PERMIT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL o DEMOLITION %ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PR JECT DESCRIPTION(Provide detailed descrlipttion of work included on this permit onl . 7/L),j4A 1( er"-to-0/ PROJECT NAME(Name of Business/Owner Last Name): H l (la- 1 z- /- t _.• PEOPLE INFORMATION - PROPERTY NAME: l( - PRIMARY PHONE: OWNER e. 11-fie- V e-S o$ (Sg ) e 7 9 -'(SS NCITY, PC gic o2 ) K 6 c Spo roe( (Z el crt zio/ CONTRACTOR NAM _ COMPANY OFFICE PHONE: 6-/'4'Ze �I t'G f 1,15-6)53S- -/,06 MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP CELL PHONE: 9 5 z- 1 1 " Thse_ . .t 1r4 c c4 9 8 `tW 1,2s- mss-- ler (( CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: . FAX NUMBER: - - - / / ,?.S.S) 7 HOZ. c CONTRACTORS REGISTRATION NUMBER. �� ±`— /� EXPIRATION DATE: (copy of card required with each application) '//'T Z �.Fc I T 3 F / 4, l O__S- LENDER NAME: 4_ I DAYTIME PHONE: pi P,opod Value.$5,0001 1/ ( - u MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP APPLICANT: NAME: COMPA•Y OFFICE PHONE: akk,• 5� (4-z�k � g3 (PsN573- /f°8 MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE: ID*oI* 1 1B 9 el 1 t71 " g83Sy Cs-s)z2L( - i3aY RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ Architect ❑ Tenant 0 Other(Describe): c4S' .S7 47, 7 CONTACT PERSON FOR THIS PROJECT: 0 Property Owner 0 ContractorIiikplicant E-MAIL ADDRESS: ii S IDe-C')Oa."-Seitti ti • ■ DETAILED BUILDING INFORMATION • EXISTING USE: 0 111 1.-r--C .41. II PROPOSED USE: EXISTING ASSESSED/APPRAISED VALUE VIVO $ 2( 009, I ° VALUE OF PROPOSED WORK: $ /1p©0 SPRINKLERED BUILDING? ❑ YES FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ❑ YES �NO WATER SERVICE PROVIDER '4IIAKEAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) • ! • SEWER SERVICE PROVIDER jLAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC) -• r - •.-. • AREA DESCRIPTION EXISTING SQ.FT. PRO) D SQ.FT. TOTAL ' BASEMENT FIRST -2-, 8 L/ C e Y �e V -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 that is to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECEANICAL Value of Mechanical Work '• •-AIR HANDLING UNITS EV• •••• • - •• ERS GAS LOGS REFRIG.SYSTEMS BBQS FANS 00 DS 1e—.orm•y W OODSTOV ES BOILERS RTS '' `a- MISC(Describe) COMPRESSORS FURNACES GAS WATER '— RS DU IN GAS PIPE OUTLETS • PLUMBING BATHTUBS lorTob/sho..<,comb.4..------- - - SHOWERS -"---_ WATER CLOSETS troa•q MISC(Describe) DISHWASHERS SINKS DRIN. \ 7 ' l•••U- GAS PIPE OUTLETS PS RAINWATER SYS WASHING MACHINES U' •• • -. HOSE BIBBS LAVS(B,throomSink 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 ant author ed by the owner of the above premises to perform the work for which the permit application is ••e. I further agree t' hot• harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees ied in the Jams gation and defense of such claim), which may be made by any person, including the undersigned, an. ' ••inst the • ty of F dcral Way, but only where such claim arises out of the reliance of the city, including its offic: •loyfe upon .-- rac of the information supplied to the city as a part .1 this . •.lication. I�t `,� •� 0 � �Ii j DATE: f CZ t NAME/TITLE: il�= it �� (Signat c) - itic) RELATIONSHIP ' 0 PROJECT: • Propert Appli ant ❑ Contractor 0 Architect 0 FOR OFFICE USE ONLY: o NEW o ADDITION o ALTERATION a REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES a NO ZONING DESIGNATION: CHANGE OF USE? o YES a NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? a YES o NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES ❑NO I tul:cull 1 V;; .:i Page 2 i ..- • - - - RESIDENTIAL 4.1. COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE LISingle Family Square Feet: Service or Feeder Each Add'n (First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) 0 0 to 100 amp $ 94.50 $ 58.00 ❑ Detached outbuilding or garage 0 101-200 amp 117.50 74.00 (Inspected with service) $36.50 0 201-400 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 ( 0 801 - 1000 amp 405.50 169.50 NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp Feeder 442.00 236.00 ❑ Up to 200 amp $ 94.50 $ 28.00 0 201 -400 amp 117.50 58.00 0 Over 600 volts surcharge $74.00 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 to 200 amp $ 94.50 (Inspected separately from service) 0 201 -600 amp 220.50 Service or Feeder 0 601 - 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 fI (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) 0 Service over 200 amps ❑ Mast or meter repair $43.50 ❑ Medical/Educational/Institutional Facility $74.00 plus 35%of Permit Fee SINGLE/MULTI FAMILY PLAN REVIEW ❑ Service Over 400 amps $74.00 plus 35%of Permit Fee MOBILE HOMES TEMPORARY SERVICE ❑ Service or feeder only $58.00 ❑ Service and feeder $94.50 Commercial Residential ❑ 0- 100 $58.00 $51.00 '' MOBILE HOME/RV PARK f` ❑ 101 -200 74.00 51.00 k i ❑ #of service or feeders 0 201 -400 87.00 n/a (First service/feeder-$58.00;each add'n-$37.50) ❑ 401 -600 117.50 n/a ❑ over 600 127.00 n/a 1 ! MISCELLANEOUS SERVICE/EQUIPMENT ❑ # of Thermostats 0 #of Signs (First-$43.50;add'n-$13.50/ca) (First sign-$43.50; add'n sign$20.50/ca) ❑ 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 0 Additional Plan Review $87.00/hour ❑ Voice Cabling (for modified submittals) ❑ Data Cabling 0 (Per System(s): 10,2500 ft2-$51.00; Each add'n 2500 ft2-13.50) •Per WAC 29&-46-910(5)(4i&ii) i Page 3 •