07-103302 City of Federal Way Electrical Permit #• 07-103302-00-EL
• [ Commervices •
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
FILEProject Name: HOME DEPOT
Project Address: 1715 S 352ND ST Parcel Number: 282104 9008
Project Description: Installation of(1)LA'phone jack and (1) 120V outlet.
Owner Applicant Contractor `
HD DEV OF MARYLAND INC BERGELECTRIC BERGELECTRIC
1420 5TH AVE#4100 6026 NE 112TH AVE BERGEC*021K6(5/26/08)
SEATTLE WA PORTLAND OR 97220 6026 NE 112TH AVE
98101-2375 PORTLAND OR 97220
Additional Permit Information
Electrical Fixtures
Circuits- Commercial 1 Low Voltage-Other Commercial.. 100
PERMIT EXPIRES Thursday, June 12, 2008
Permit „„„sued on Monday, June 1.8 0 7
I hereby certify that the above information cormct and € construction on abovedescribed r lay and
the occupancy and the use will be in accordance the laws, rules and regulations of the' tate tit W gton
and the City of Federal Way.
RECEIVED
Owner or agent: See
Date:
Application JUN 1 8 2007
CITY OF FEDERAL WAY
BUILDING DEPT.
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• THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-103302-00-EL
Owner:
Address: 1715 S 352ND ST
FEDERAL WAY, WA 98003-8316
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) ❑ Ditch cover(4030) ❑ 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) 0 Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By / 66 Dates 7
0 UFER Ground (4295)
Approved
By Date
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
A RECEIVED
CITY OF Q 7 — � 1� S � /•'�
Federal Way PERMIT SF \ �j y�
COMMUNITY DEVELOPMENT SERVICES
E N 8 2 T SF MF CO ME EI, PL DE EN FP
3332E D AVENUELWAY, AT 8 609718 APPLICATION
FEDERAL WAY,WA 98063.9718
253-835-2607•FAX 253-835-2609�+
'plow.Milo�rederalwail.co ITY OF FEDERG AL WAY
The followingis re utirea inr j`orinanonT'an incom incomplete application will not be accepted. Pleaseprint legibly(in ink)or
• 4 P PP P 9• U type.
• PROPERTY� INF�ORMATIOON, Q
SITE ADDRESS IT 5 Si 32�, +. fecie cti �•/Q, W� 1 3 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 2_ 0 Z I C) - `i' 0 ^�C) g LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) -The- 4Ot-YY' GQb"t-
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION(ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
Inta.1.1- :h.6n oc U low vo I 0-1,o-ki- (Iph&vu lack.) 4- ( I) I
vol+ owl-Iet C G( i✓3 1 Ci rev,, w i cut Sc-oc t We f'c L toe) .
PROJECT NAME(Name of Business or Owner Last Name) 111.....e--l� rne. UePO T, * '-Ii o5
In PEOPLE INFORMATION
PROPERTY NAME ^ PRIMARY PHONE
OWNER 1C hUrne DI✓'PUT,USP ( N, -
ZIING 55 Dgt,CES Rid Q . CITY,Flilet1'lt"&I bA E-MAIL rtAk
CONTRACTOR ,t.OMPANY NAME APPLICANT NAME OFFICE PHONE
feu C v-tC, Co2.P. Je-S C-p- B►Zuivsvv (5o3) 25S - I
MAILING ADDRESS CITY.STATE.ZIP CELL PHONE
(002-I0 NE ‘1'2-11 five. PoY+tcundi De.°II2Zo ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
10—oto -I oks31,3 -coo -- X31-- tZl al I u'"1 (503)255 - 19)9
COPY / COy{N��•TTR�iACTORR''S REGISTRATION( NUMBER �j EXPIRATION DATE'
E-MAIL ADDRESS
with� �. tion ~ 6• V zb E 021 �.Jr �+I� JI+CO8
I
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
N�
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RArchitect
TO PROJECT X �'EC -v e..,&.Q _ G �FAX NUMBER
0 Architect ❑Tenant ❑Agent Other /�C`3�-� ) - k,
PROJECT NAMEss E �C- 132 NSti t a PRIMARY PHONE E-MAIJ.ADDRESS '�IlrIct
CONTACT (503)06S - %Slso e x+•31Gj
LENDER NAME 0 O Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE.ZIP PHONE1
( ) -
• DETAILED BUILDING INFORMATION �,,�/
J
EXISTING USE T PROPOSED USE WOOL•ib ‘IfThraty� Ve...y 4 Lift terl6C111016
EXISTING ASSESSED/APPRAISED VALUE$ NVVALUE OF PROPOSED WORK $ I SOC
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES )(NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT ptQLLst sce-Cz:tii:t vte-D
FIRSTOn-tyke
-S: C, FYI7Yl.1 r side 0 — c:9 NIA '4 ni`4-
SECOND VeArkari f
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?) NI�
GARAGE 0 CARPORT ❑ ,/f�
NUMBER OF FLOORS I RITING PROPOSED TOTAL TOTAL EXuTWO SF TOTAL PROPOSED SF TOTAL SF
"NEW HOMES ONLY** NUMBER OF BEDROOMS ri ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of furture to be installed or relocated as part of this project. Do not inc 7O existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(ibi)et)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 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 irtformation supplied to the city as a part of
this application. CA
�j�1�4M c �`�,,,, �,,�
NAME/TITLE !�/1 i t, 5E eV ICE Ct�'J�K�O a-+V' DATE U ( ri'I Z031
(Signature) (Title)
RELATIONSHIP TO IIROJECT 0 Owner 0 Agent Contractor 0 Architect 0 Other
a ky441 f1;""',!-- we)
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES ❑NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—April 2,2007 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-$111.00;Each add'n 500 82-$35.50) ❑ 0 to 100 amp $120.50 $74.00
U Detached outbuilding or garage ❑ 101-200 amp 149.50 94.50
(Inspected with service) $47.00 ❑ 201-400 amp 280.00 111.00
U Detached outbuilding or garage U 401-600 amp 327.00 131.00
(Inspected separately) $74.00 ❑ 601-800 amp 423.00 179.00
O 801 - 1000 amp 516.50 216.00
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $35.50 ❑ Over 600 volts surcharge $94.50
❑ 201 -400 amp 149.50 74.00 U Mast or meter repair $102.00
❑ 401 -600 amp 205.00 102.00 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 262.00 140.50
❑ Over 800 amp 375.50 280.50 Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 280.50
Service or Feeder ❑ 601 - 1000 amp 423.00
❑ over 1000 amp 471.00
❑ 0 to 200 amp $92.50
❑ 201 -600 amp 149.50 ❑ #of circuits to be added/altered
❑ over 600 amp 225.50 (1-5 circuits-$94.50;Add'n circuits.$7.00/ea)
I121. #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$74.00;Add'n circuits$7.00/ea) $94.50 plus 35%of Permit Fee
❑ Service- 1.000 amps or greater
❑ Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
U Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $65.00
❑ #of service or feeders
(First service/feeder-$74.00;each add'n-$48.00) Commercial/Industrial Service or Feeder Ampacity
U 0- 100 amps $74.00
U 101-200 amps 94.50
❑ 201-400 amps 111.00
U 401-600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats U #of Signs
(First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea)
Low Voltage LC'5Sfriari
� ❑ Swimming pool/hot tub $111.00
Square Feet to be served by system(s)__ I� (Includes additional circuit.if required)
❑ Fire Alarm System U Yard Pole meter loops $74.00
O Security Alarm System U Additional Plan Review
❑ Voice Cabling $111.00/hour
D to bung (for modified submittals)
ElAutomation Fee on all Permits .. $5.00
1•t 2500 ft2-$65.00;
Each add'n 2500 ft2-17.00)•Per WAC 296-46-910(51@1(i&Ii
Bulletin#100-April 2,2007 Page 3 of 4 k\I-Iandouts\Pennit Application