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04-104241
rade City of Federal Way 1, Community Development Services Electrical Permit #: 04 - 104241 - 00 - EL 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: CINGULAR @ SOUTH 288TH STREET Project Address: 28405 MILITARY3��"0.,�0~ Parcel Number: 332204 9141 Project Description: Install 200-amp servic 'for cellular site. Owner Applicant Contractor CINGULAR WIRELESS LLC EXPERT ELECTRIC*KENNETH BAARD* EXPERT ELECTRIC*KENNETH BAARD* CINGULAR WIRELESS LLC 4619 PACIFIC AVE 4619 PACIFIC AVE 2445 140TH AVE N UNIT 202 FEDERAL WAY WA 98408 FEDERAL WAY WA 98408 BELLEVUE WA 98005 (253)471-1009 Electrical Fixtures Description Quantity Description Quantity Description Quantity Service/Feeder: 101-200 amps-Comr 1 PERMIT EXPIRES April 17,2005. Permit issued on October 19,2004 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 in accordance wththe''laws,rules and regulations of the State of Washington and the City of Federal Way. . Owner or agent: 41* Date: /9-0 Y r l.X 1 THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 04-104241-00-E L Owner: CINGULAR WIRELESS LLC Address: 28405 MILITARY RD S FEDERAL WAY, WA 98003-3327 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) la Ditch cover(4030) 0 Pool Bonding(4195) Approved to place concrete Approved Approved `By Date \By.eg"5 Date/0 — d-r1 By Date ❑ Temporary Power(4275) 1,3 Service(4235) ❑ Feeders/Sub-panels(4045) Approved Approved Approved By Date B c Date/0_3_47,-01 , By Date 0 Rough Electrical(4225) �❑ Ceiling Cover(4020) CIFinal-Electrical(4055) Approved Approved Approved By Date By Date By Date ❑ Under-slab groundwork(4295) Approved By Date • c RECEIVED O 4 - O `( af i Federal Way COMMUNI YBEVELOE PMENTSERVICES PERMIT SF MF CO MEG PL DE EN FP t 3J3� • ED8 AL WAYFAA93 pg 718 ocT 2 g�PLICATION TD www.cituo)]ederalwau.com CITY OF FEDERAL WAY QUILDING DEPT. The following is required information-an incomplete op•lication will not be acce•ted. Please •rint legibly(in ink)or type. - • /PROPERTY INFORMATION- ORMATION SITE ADDRESS 29 f O(I mil:ita v !\d (� 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 PLUMBING 0 MECHANICAL ❑ DEMOLITION GIN PROJECT DESCRIPTION(Provide detailed description of work included on thisELECTRICAL permit❑ ENonly) EERING 0 FIRE PREVENTION SYSTEM zoo 4 SCS:-vl�� /'J r^ �t 5-,4e.-. ( PROJECT NAME(Name of Business or Owner Last Name) 6.; 61?0 kV' '' - • PEOPLE INFORMATION PROPERTY NAME 1/ • i PRIMARY PHONE OWNER C::.1G lti(Or- Wj •^Q,(eS� ( ) - MAILING ADD CITY,STATE,ZIP Z� ec- IVO"' Ave, NE Z0• 3affe✓U-Z (4 /4 f'OoS CONTRACTOR COMPANY NAME t APP�LI�NT NAME i OFFICE PHONE Exp r+ Electric_L Kevi igaav'cl (2- c3) 417/ /o0 MAILING ADDRESS CITY,STATE,ZIP . CELL PHONE 4/6/ci Petc �(c Ave- _ T.i.ccek k9� ,4efes-3) 4,105-94 30 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER k-L© - -B L / i ( ) /" CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE 6- k e ER ETO d YZ- F 6 / G /06 APPLICANT COMPANY NAME APPLICANT NA&A.CVCL OFFICE PHONE Ekpe r l E7ec l c. ,I i (d SI3)'/7/ /04 9 MAILIN ADDR CITY,STATE,ZIP CELL PHONE 4/6/9 ,Cc:I;c At `raCa 11A6. bJ/I 9qO$ (zap ) 'fOT 96 3o RELATIONSHIP TO PROJECT / // FAX NUMBER ❑Architect 0 Tenant 0 Agent Other(Describe) 64'I4& /C 0 V (23-3)97/ 0 S)711 CONTACT NAME PRIMARY PHONE E-MAILDIRESS Keel bckavd us-3)903-96 30 e>��,i-eie Kecgeer+H 1.eIC LENDER „ x PerRCW 19 27 095 Lender information is ; NAME f PO- ,I-',- ',:i-egi4r4 1O- regidred sfproject 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 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO i . WATER SERVICE PROVIDER 0 LAKEHAVEN ❑HIGHLINE O TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST _ 1 SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE/CARP/ORT 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. • MECHANICAL Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(Commereiai) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS ) PLUMBING BATHTUBS or Tub/show<rcombo) SHOWERS WATER CLOSETS(rode) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS '-.:r-- '' DISCLAIDER/SIGNATUREBLOCK r - - 1 i 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 t 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,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. ��/ ]� A' • !/ fteS/ C/ 1 " /0 ' /g- 0L� NAME/TITLE DATE (Signature) (Title RELATIONSHIP TO PROJECT 0 Owner 0 Agent XContractor ❑ Architect 0 Other S i t ( FOR OFFICE UStONLY o NEW o ADDITION ❑ALTERATION a REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES a NO BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? ❑YES o NO NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? ❑YES o NO PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES a NO f ' Bulletin#100—March 30,2004 — Page 2 of 4 k\Handouts—Revised\Permit Application 1 / •.-• - • ELECTRICAL PERMIT INFORMATION 4 9 RESIDENTIAL \� COMMERCIAL r NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE Service or Feeder Each Add'n ❑ Single Family Square Feet (First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00 ( ❑ Detached outbuilding or garage X101 -200 amp 117.50 74.00 (Inspected with service) $36.50 $58.00 C3 201 -400 amp 220.50 87.00 CI outbuilding or garage 0 401-600 amp 256.50 103.00 (Inspected separately) ❑ 601-800 amp 332.00 140.50 NEW MULTI-FAMILY(three units or more) O 801 - 1000 amp 405.50 169.50 Service Feeder O Over 1000 amp 442.00 236.00 CI to 200 amp $ 94.50 $ 28.00 CI 201 -400 amp 117.50 58.00 O Over 600 volts surcharge $74.00 ❑ 401 600 amp 161.00 80.00 CI 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 ❑ 401 -600 117.50 n/a 0 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) ❑ 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 , ❑ (Per System(s) 1•,2500 ft2-$51.00; Each add'n 2500 ft2-13.50) •Per WAC 29646-910(5)(1)(i&iii Bulletin#100-March 30,2004 Page 3 of 4 k\handouts-Revised\Pennit Application