06-100476 f --
City of Federal Way Electrical Permit #: 06-100476-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: FIRESIDE BANK
Project Address: 33915 1ST WAY S Suite 112 Parcel Number: 926504 0150
Project Description: Installation of LA'Voice Data Network
Owner Applicant Contractor
ESM BUILDING,LLC BLACK BOX NETWORK SERVICES BLACK BOX NETWORK SERVICES
320 106TH AVE NE SUITE 100 200 ANDOVER PARK E SUITE 1 BLACKBN964JK (4/14/06)
BELLEVUE WA 98004 TUKWILA WA 98188 200 ANDOVER PARK E SUITE 1
TUKWILA WA 98188
Additional Permit Information
Electrical Fixtures
Low Voltage-Other Commercial. 5,000
CONDITIONS:
PERMIT EXPIRES Sunday, July 30, 2006
Permit Issued on Tuesday, January 31, 2006
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 with the laws, rules and regulations of the State of Washington - -
1 an�d,t�h City of Federal Way.
Owner or agent: `� (` Date: r 0
THIS CARD IS TO REMAIN ON-SITE k
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-100476-00-EL 4
Owner: ESM BUILDING, LLC
Address: 33915 1ST WAY S Suite 112
FEDERAL WAY, WA 98003-6201
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.
0 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) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
Rough Electrical(4225) M Ceiling Cover(4020) s} r, • Final-Electrical(4055)
--' iApproved Approved - 4 Approved i
By ,‘1 _,,, Date Q Date +'.-4 B
' B fr.
� 02 1 0... r By ' 1... , �, r .A Date a� �`'c
,❑ Under slab groundwork(4295) ErE 1_` :, 4
Approved 1 A
,By - Date - - 1 i `
yr • RECEIVED
0.- / 00 -
Glrl/OP
JAN 3 1 2006—
F ,&
ederal Way PERMIT
COMMUMTYDEVELOPMENTSERVICES Y OF FEDERALSF MF CO L DE EN FP
3332FED SOUTH 97 89718 APPLI CATI '"G DEPT. 7__._______/-
253 835 2607*FAX 253-835-2609
www,cituoffederalwau.com I
The ollowin• is re,uired i ormation-an into •lete a,,lication will not be acce,ted. Please •tint le!ibl (in ink)or -
• PROPERTY INFORMATION
SITE ADDRESS 3'moi t s tr-e ` u.Sft`I? sa ltd SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ —_ _ LOT SIZE(4) 5 cab
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page jar lengthy legal descrtptloN
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION AELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onit)
INK .a•r,.rtJ oP Matz,. c-AR'S'E c-Asuies. vas 01:m4/DAM Mob 'ZerA,r
24.P"tCZ eOrst E o.L.NS ISIIMAWILIA -Tick` J - %%as 'D
iik.uw _ %' _ .
PROJECT NAME(Name of Business or Owner Last Name) VlAZCSIVM t!W Yt..—
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER trpM 3L'Dk- ..LC_ ( ) -
uut,ING ADDRESS CITY.STATE,ZIP
-32-ft tt c-r Ine" 104z scwirouLE: I t't80udk.
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
-----J (
per/ `/���, MAILING ADDRESS CITY,STATE.ZIP CELL PHONE
t ""' " '" , ( COY OF FEDERAL WAY BUSINESS LICENSE NUMBER • EXPIRATION DATE FAX NUMBER
02 (2- O -1 L 1 -Q 0-B L ( a/ 3 / oc ( )
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
gL6 _ g- gN 'a eiJ - if / IL( / der
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
,ItGtAllt.X N'EW 5*(c.S Z'o Vc M Acv.k a (ZD ) 5-)5- 13 6 3
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
Zap /Mgt.)40C. 1411/41114A. s7e$'C' 'it+c �xx 1u SIAS ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent 0 Other(Describe) (24L)$atep -(OS(A
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
31 WI 14h1e.tcdW' ( 2b ) $3a-(.51"3
LENDER Per RCW 19.27.095: Leader information is NAME
required.if project value exceeds$8.000
MAILING ADDRESS COY,STATE,ZIP PHONE
( )
• 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? 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) r
ale T
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
S$.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD \
FOURTH \`
ADDITIONAL FLOORSCRIBE)
DECK(COVERED?) \\\N
GARAGE 0 CARPORT❑ �\
NUMBER OF FLOORS Ex`ru \ PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED ar TOTAL OP
**NEW HOMES ONLY** NUMBER OF BEDROO 1..TIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be • led or r-.• ated 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)Cammercta) WOODSTOVES
BOILERS FIREPLACE INSERTS •o GES MISC(Describe)
COMPRE§B6RS FURNACES GAS ATER HEATERS
DLJIg� GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS -.He) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAI
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
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 made by any person including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the relian of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. '
NAME/TITLE N tUtigkAltiek.11 v P`DATE • 1
(Signature) (Title)
RELATIONSHIP TO R 0 Owner o t Contractor 0 Architect 0 Other
OR OFFICE U PSC L
oNEW ❑ADDITION o ALTERATION a REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY?' a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? ❑YES a NO
NEW ADDRESS REQUIRED? ❑YES n NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES ''a NO DEMO PERMIT REQUIRED? o YES a NO
Bulletin#100-January 1,2006 Page 2 of 4 k\Handouts\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$107.50;Each add'n 500 ft2-$34.50) U 0 to 100 amp $117.00 $71.50
❑ Detached outbuilding or garage ❑ 101-200 amp 145.00 91.50
(Inspected with service) $45.50 ❑ 201-400 amp 272.00 107.50
❑ Detached outbuilding or garage ❑ 401-600 amp 317.00 127.00
(Inspected separately) $71.50 ❑ 601-800 amp 410.00 173.50
O 801 - 1000 amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $34.50 ❑ Over 600 volts surcharge $91.50
❑ 201 -400 amp 145.00 71.50 ❑ Mast or meter repair $99.00
❑ 401 600 amp 198.50 99.00 ALTERED COMMERCIAL/INDUSTRIAL
U 601 -800 amp 254.00 136.00
❑ Over 800 amp 364.00 272.00 Service or Feeders
❑ Oto 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 272.00
❑ 601 - 1000 amp 410.00
Service or Feeder ❑ over 1000 amp 456.50
U 0 to 200 amp $89.50
❑ 201 -600 amp 145.00 ❑ #of circuits to be added/altered
❑ over 600 amp 218.50 (1-5 circuits-$91.50;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50;Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
U Service or feeder only $71.50
❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $63.00
❑ #of service or feeders
(First service/feeder-$71.50;each add'n-$46.50) Commercial/Industrial Service or Feeder Ampacity
❑ 0- 100 amps $71.50
❑ 101-200 amps 91.50
❑ 201-400 amps 107.50
❑ 401-600 amps 145.00
❑ over 600 amps 157.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ."''1U #of Signs
(First-$53.50;add'n-$16.50/ea) 1 (First sign-$53.50;add'n sign$25.00/ea)
Tilf Low Voltage ❑ Swimming pool/hot tub $107.50
Square Feet to be served by systeffi(s) ✓C ch (Includes additional circuit,if required)
❑ Fire Alarm system j U Yard Pole meter loops $71.50
❑ Security Alarm System 1\ U Additional Plan Review $107.50/hour
*Voice Cabling \. (for modified submittals)
Data Cabling U Automation Fee on all Permits .. $5.00
(Per System(s)lm 2500 ft2-$63.00;
Each add'n 2500 ft2-16.50)•Per WAC 296-46-91 o(5)(b)(t&ii
Bulletin#100-January 1,2006 Page 3 of 4 k\Handouts\Permit Application