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04-103885 City of Federal Way Community Development Services Electrical Permit #:04 - 103885 - 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: COUNTRYWIDE HOME LOANS Project Address: 32001 32ndtS Suite110 Parcel Number: 215465 0010 Project Description: Install low-voat voice and data cabling. Owner Applicant Contractor • FOSS DEVELOPMENT ADVANCED CABLE SYSTEMS,INC. ADVANCED CABLE SYSTEMS,INC. FOSS DEVELOPMENT 1807 132ND AVE NE SUITE 4 1807 132ND AVE NE SUITE 4 1151 FAIRVIEW AVE N BELLEVUE WA 98005 BELLEVUE WA 98005 SEATTLE WA 98109 (425)556-1721 Electrical Fixtures Description ]Quantity Description ;Quantity Description Quantity Low Voltage-Other Commercial 7200 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 m accordance with the laws,rules and regulations of the State of Washington and the City of Federal Wa Owner or agent: A ` A __/Aa...__/' Date: ?'Z 3'C(-) ©.) •�1 THIS CARD IS TO REMAIN ON-SITE , CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 04-103885-00-EL Owner: FOSS DEVELOPMENT Address: 32001 32nd AVE S Suite 110 FEDERAL WAY, WA 98001-9625 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) ❑ Ditch cover(4030) ❑ Pool Bonding(4195) Approved to place concrete Approved Approved By Date By Date By Date ❑ Temporary Power(4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045) Approved Approved Approved By Date By Date By Date ❑ Rough Electrical(4225) Ceiling Cover(4020) tia Final-Electrical(4055) Approved Approved Approved By Date B INA Date S �. tisk By le(ri tlt Date 4 ❑ Under-slab groundwork(4295) Approved By Date A ,RECEIVED • Feder Ia Wa q _ ( 0 3 g 5 Y SEP 2 3 2004 PERMIT SF MF CO M (EL pL DE EIV FP COMMUNITY DEVELOPMENT SERVICES 33325E 8r+'AVENUE SOUTH•Po BOX 9718 a , ,L I C AT I O NJTD / / FEDERAL WAY,WA 53-8 3-2609 TY OF FEDE 253-835-2607•FAX 253-835-2609 urwm.atuofederaluau.com BUILDING DEPT. ` E The following is required information-an incomplete a.•lication will not be acce•ted. Please •rint legibly(in ink)or type. , .;;:':. . ...,,: ■` PROPERTY/NFO LRMATION SITE ADDRESS r • v t �/t� LA I f1 -" ) }� • ;i.21i�L�ntt SUITE/UNIT# / /0 ASSESSOR'S TAX/PARCEL# - _ _ LOT SIZE(s) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) IAuach separate page for lengthy legal description) ■ PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION ,j' ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) I.w r Ll, LOW VoL-#YI DASA 4 Jo 1 cz cA.8 y , PROJECT NAME(Name of Business or Owner Last Name) C(/1 V(T/2..-/ W )0L- 16- E LOT1 V)S - NI PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER ( ) MAILING ADDRESS CITY,STATE,ZIP CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE AcVA Y1 two C1BLZ A ,6 - �a ori )�s� 17Z. MAILING` j�- ADDRESSCITY, //�� )�- T}Y,STATE,ZIP S��///��1 CELLELPHONE _(/��7 )CITY O 1 D RAL WAY-?4 ENS)NUMB 3 81:• LEX �IRg7C DATEq (F /NUMBER S� I 2h7 - - - B L / / ( ) - CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE / / APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE ( ) - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) RELATIONSHIP TO PROJECT • FAX NUMBER 0 Architect 0 Tenant ❑Agent 0 Other(Describe) ( ) - CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS Ave. I-4 G , 2"r AN 5611 - l'2-(:)-1 LENDER ter RCW 19 27 09$ Lender information is NAME 4, treguireA,ArproJect 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 a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO i . WATER SERVICE PROVIDER a LAKEHAVEN ❑HIGHLINE ❑TACOMA a PRIVATE(WELL) SEWER SERVICE PROVIDER a LAKEHAVEN ❑HIGHLINE 0 PRIVATE(SEPTIC) PROJECT FLOOR AREAS �""'"— ` –---- TOTAL AREA DESCRIPTION EXISTING S•.FT. PROPOSED S•.FT. 5631— SCS SECOND THIRD b FOURTH IIIIIIIIIIII ADDITIONAL FLOORS(DESCRIBE) 111111111111111111111111111111 i■ 1 DECK(COVERED?) 1111111111111 GARAGE/CARPORT lIllIllIllIllNIIIIIIITOTA1 CJaSTIXG MD TROPOSCD Zc�c� HOW MANY FLOORS? mijjillIlMiliiM "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ r _FIXTURES -. .. ,- iixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. Indicate number of each typ e of f • MECHANICAL Value of Mechanical Work $________-- . GAS LOGS REFRIG.SYSTEMS EVAPORATIVE COOLERS REFRIG SYSTEMS _ AIR HANDLING UNITS FANS HOODS(come.aai) MOO (Describe) BBOIL FIREPLACE INSERTS RANGES GAS WATER HEATERS COMPRESSORSOPRS FURNACES — DUCTS GAS PIPE OUTLETS _ PLUMBING SHOWERS WATER CLOSETS(rodeo MISC(Describe) DISHWASHERSBATHTUSS(orTuh/snow«comnol SINKS DRINKING FOUNTAINS PIPE OUTLETS SUMPS RAINWATER SYST GASURINALS HOSE BIBBS WASHING MACHINES VACUUM BREAKERS ELECTRIC WATER HEATERS LAYS Bathroom Sulks z - _ DISCLAIMER/SIGNATUREBLO _ - - - that myhe best of I further agree , hold I certify under penalty owner of perjurthat the information furnished o me is whichharid the peectrm to s incurred curt d isn the made. I investigation and t o h l d ha authorized by he of the above premises to perncosts,the oro enses and attorneys'f t application amf harmless the City of FederalWaymas y ens clamuin(includingte der expense;and filed against the City of Federal Way,but only where such claim such cs out which may be made i any g,including the undersigned, arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. / �� DATE • NAME/TITLE / �� (Mak) •• % � (Signal re) f ❑ Architect ❑ Other i RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent 0 Contractor L IFOR OFFICE USE ONLY )'TENANT IMPROVEMENT ( ❑ALTERATION u REPAIR o YES o NO a NEW ❑ADDITION BASIC PLAN? °YES o NO BUILDING SHELL ONLY? ❑YES o NO CHANGE OF USE? ZONING DESIGNATION ❑YES °NO i UP/SEPA/SU?. i NEW ADDRESS REQUIRED? °YES a NO DEMO PERMIT REQUIRED? °YES o NO PLATTED LOT? °YES °NO • • • f Bulletin ff I00—March 30,2004 _ Page 2 of 4 k\[{andouts—Revised\Pemtit Application 1 . ELECTRICAL PERMIT INFORMATION 4, 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 ft2-$87.00;Each add'n 500 ft2-$28.00) 0 101 -200 amp 117.50 74.00 (Insppeectteded with ❑ Detached or garage 0 201 -400 amp 220.50 87.00 service) $36.50 CI 401 -600 amp 256.50 103.00 CI Detached outbuilding or garage I (Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50 ❑ 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 O 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00 CI 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 ❑ 0 to 200 amp $ 94.50 AT TERED 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 CI 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 CIMast 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 CI Service and feeder $94.50 Commercial Residential 'I IL ❑ #of service or feeders MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00 1 CI 101 -200 74.00 51.00 1111 (First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00 n/a ❑ 401 -600 117.50 n/a O over 600 127.00 n/a 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) CI pool/hot tub $87.00 Squareow Voltage �O (Includes additional circuit,if required) Feet System be served by system(s) 1 ❑ Yard Pole meter loops $58.00 El Security❑ Fire Alarmy A Alarm System CI Additional Plan Review $87.00 hour 3/1 Voice Cabling (for modified submittals) lil Data Cabling (Per❑ System(s) 1•,2500 ft2-$51.00; Each add'n 2500 ft2-13.50)•Per WAC 296-46-910(5)(10&ii) Page 3 of 4 !;\handouts-Revised\Permit Application Bulletin#100-.March 30,2004