04-103875 City of Federal Way
Community Development Services Electrical Permit #:04 - 103875 - 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: ANIMAL SUPPLY
Project Address: 32001 32ND S Suite420 Parcel Number: 162104 9001
Project Description: Install telecommunications wiring.
Owner Applicant Contractor
FOSS REDEVELOPMENT SLI ELECTRIC*STEVE IHLANFELDT* SLI ELECTRIC*STEVE IHLANFELDT*
FOSS REDEVELOPMENT 2207 242ND ST SW 2207 242ND ST SW
1111 FAIRVIEW AVE N BOTHELL WA 98021 BOTHELL WA 98021
SEATTLE WA 98109 (425)218-9102
Electrical Fixtures
Description Quantity L__ Description Quantity Description Quantity
Flow Voltage-Other Commercial 3000
PERMIT EXPIRES March 22,2005.
Permit issued on September 23,2004
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,' accordance wi the laws,rules and regulations of the State of ashingten and
the City of Federal Way.
Owner or agent. Date:
`�O
�P oY
12 ./0):\
�
/ 6*.
A , THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103875-00-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 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) #❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
•
O Rough Electrical(4225) Ceiling Cover(4020) Fi -Electrical(4055)
Approved Approved Approved
By Date By *At Date Cj t `By ..,,>/,'' Date `� - 0
❑ Under-slab groundwork(4295) CA
Approved
By Date
A... . .
. arrof 0 tE - / o 3 7- -? g-"'
Federal Way .rl, Ak)filf
COMMUNDYDEVELOPMENTSERVICES SF MF CO M�L DE EN FP
33325 D AVENUE SOUTH•63 BOX 9718 /f, PPI I/{ NP I O 7�T TD
FEDERAL WAY,WA 98063-9718 1(�1 Y Y iplJh- ,t[%; (-1�J 1 11\VI
I 253-835-2607•FAX 253-835-2609 \
www.dtuoffederaluau.cone
CITY OF FEDERAL WAY
The following is required information-an tnc a44l:,,t,.vj-.i k 1ipn will not be acce•ted. Please •rint legibly(in ink)or type.
^ l J al PROPERTY INFORMATION �J
SITE ADDRESS � 2fes I % c SUITE/UNIT# ✓`''
ASSESSOR'S TAX/PARCEL# - _ — _ 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 0 P UMBING 0 MECHANICAL
0 DEMOLITION (LECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION oui a detailed es ti of k' ud d on this permito
//5; cdbIVA/7604--/-7,1Y
\t'i/i 7
PROJECT NAME(Name of Business or Owner Last Name) /446(444(—L— - .c /)/4((C`) •
PEOPLE INFORMATION
PROPERTY NAME > t ` PRIMARY PHONE
OWNER tet ./ /!� `J/� Ar,/� -
CONTRACTOR COMPANY E _�� APPLICANT�� OFFICE PHONE d4
MAILING ADDRESS CITY,S TE CELL
ELL PHONE
rii
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
-B L / / (
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
5 (,- 2/ 70 PP / /
APPLICANT COMPANY. AE APPLICANT NAME OFFICE PHONE
MAHING 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 Per'RCW 19 27095 Lender informaiaortis 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? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ❑ NO
I . WATER SERVICE PROVIDER ❑ LAKEHAVEN a HIGHLINE ❑ TACOMA ❑PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS '
-----------7.--------.._—_—_-----
---- ----�~.. PROPOSED S .FT. TOTAL
AREA DESCRIPTION EXISTING S•.FT.
•
riaIIIIIIIIIIIIIIIIIIIIIIII 11111111111111
SECOND 11111111111111111111111111
THIRD ■
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
1111111111111111111111111111
DECK(COVERED?) 11111111111111111111111
IIIIIIIIIII
GARAGE/CARPORT TOTAL EXISTING
MD PROPOSED
HOW MANY FLOORS?
"NEW HOMES ONLY`* NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE
- -FIXTURES -.-, - res to remain..
Ind
irate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtu
• MECHANICAL
Value of Mechanical Work $_---
.
GAS LOGS REFRIG.SYSTEMS
EVAPORATIVE COOLERS WOODSTOVES
_ AIR HANDLING UNITS FANS HOODS Icomm«datl MISC(Describe)
BBQS FIREPLACE INSERTS RANGES
-- BOPRS FURNACES GAS WATER HEATERS
COMPRESSORS GAS PIPE OUTLETS
DUCTS
PLUMBING SHOWERS
WATER CLOSETS 1-rode) MISC(Describe) i
BATHTUBS Io,T�nlsno�<,comnot SINKS DRINKING FOUNTAINS
DISHWASHERS SUMPS RAINWATER SYST
GAS PIPE OUTLETS URINALS HOSE BIBBS
WASHING MACHINES VACUUM BREAKERS ELECTRIC WATER HEATERS
LAVS c attvoom Sulk
-DISCLAIMER/SIGRATUREBLOCK-.. _
certifyunder penalty of perjury which the permit application is made. I further agree to hold
I 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 incurred in the invebtigation and defense of
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees
sucks out which may be the
ecit air udin'its officers and employees,upon the athe undersigned,and filed ccuracy of thegainst the n formation ssuppyeas!to the ly where
as a partom
f
arises out of the reliance of the city,
this application.
DATE
NAME/TITLE ' I ���/ (Tiue�
(Sig -to 4.- 1�
�
! RELATIONS ' TO PROJECT 0 Owner ❑ Agent Contractor ❑ Architect 0 Other
i
1
FOR OFFICE USE ONLY
• o ALTERATION o REPAIR a TENANT IMPROVEMENT
o NEW o ADDITION o YES ❑NO
o YES o NO BASIC PLAN? o YES o NO
it BUILDING SHELL ONLY? CHANGE OF USE?
ZONING DESIGNATION ❑YES a NO
UP/SEPA/SU?.
t NEW ADDRESS REQUIRED? o YES a NO DEMO PERMIT REQUIRED? o YES a NO
PLATTED LOT? °YES a NO
f
i -
Bulletin#100—March 30,2004 _ Page 2 of 4
k\Handouts—Rcvised\I'ermit Applicationi
ELECTRICAL PERMIT INFORMATION
risfic-
RESIDENTIAL COMMERCIAL
NEW COMMERCIAL/INDUSTRIAL SERVICE
NEW RESIDENTIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet ❑ 0 to 100 amp $ 94.50 $ 58.00
(First 1300 ft,-$87.00;Each add'n 500 ft,-$28.00)
0 101 -200 amp 117.50 74.00
❑ Detached outbuilding or garage ❑ 201 -400 amp 220.50 87.00
(Inspected with service) $36.50
❑ Detached outbuilding or garage 0 401-600 amp 256.50 103.00
' (Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50
f0 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
❑ 201 -400 amp 117.50 58.00 0 Over 600 volts surcharge $74.00
❑ Mast or meter repair $80.00
O 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
❑ 0 to 200 amp $ 94.50
ALTERED SINGLE MULTI FAMILY ❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ Oto 200 amp
$ 72.50 0 over 1000 amp 369.50
❑ 201 -600 amp 117.50
177 00 0 # 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/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES TEMPORARY SERVICE
i ❑ Service or feeder only $58.00
0 Service and feeder $94.50 Commercial Residential
$51.00
MOBLE HOME/RV PARK CI - 100 $58.00
I51.00
❑ #of service or feeders ❑ 101 -200 74.00 n/
(First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00
a
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Signs
❑ #of Thermostats
(First-$43.50;add'n-$13.50/ea) (First sigof$43.50;add'n sign$20.50/ea)
' �� ❑ Swimming pool/hot tub $87.00
1CY Low Voltage (Includes additional circuit,if required)
,Square aserved by systems) ❑ Yard Pole meter loops $58.00
❑ Fire Allarm m System $87.00/hour
Security Alarm System
❑ Additional Plan Review
Voice Cabling (for modified submittals)
ata Cabling 6 If 5-6-
(❑Per System(s) 1.2500 ft2-$51.00; &li
Each add'n 2500 h-13.50)•Per WAC 29646-9 r 0f 51 XDJ( )
Page 3 of 4
k\f iandouts-Revised\Perrnit Application
Bulletin#100-.March 30,2004