06-100529 T.
City of Federal Way Electrical Permit #: 06-100529-00-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: ST PAUL TRAVELERS
Project Address: 33650 6TH AVE S Suite 200 Parcel Number: 926480 0210
Project Description: Alteration of service for(15)new circuits
Owner Applicant Contractor
ST PAUL TRAVELERS H&M ELECTRIC H&M ELECTRIC
1501 4TH AVE SUITE 400 8227 44TH AVE W SUITE G HMELEI*077KR 5/19/05
SEATTLE WA 98101 MUKILTEO WA 98275 8227 44TH AVE W SUITE G
MUKILTEO WA 98275
Additional Pers it"'I�nformation
40-if 4i i« ids
i re
Alt. Serv,/Feeder up to 200 amps- 1
CONDITIONS:
PERMIT EXPIRES Tuesday, August 1, 2006
Permit Issued on Thursday,February 2, 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
and the City of Federal Way.
Owner or agent: D L._
Z 6
J
0.
THISICARD IS TO REMAIN ON-SITE
` ..A,
CITY OF Community Development Inspection Record "
Federal Way IVR INSPECTION REQUEST PHONE# (253) 835-3050
PERMIT#: 06-100529-00-EL
Owner: ST PAUL TRAVELERS
Address: 33650 6TH AVE S Suite 200
FEDERAL WAY, WA 98003-6754
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) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
la
Rough Electrical(4225) �ID Ceiling Cover(4020) a Final Electrical(4055)
Approved ( , Approved Approved
yJ) ��
B Date.9, ` 5 ife B ,V' Date ByQ, k. ' Date eh N_1 1 , 6
.❑ Under-slab groundwork(4295)
Approved
By Date
r
• Neo
! ea
A EB ® � 2UDE 2
Federal Way F �. 6 - I. a — 1
COMMIINI'IYDEVEIAPMENTSERV(CFS eRA , 'ERMIT
Y� SF MF CO ME L L DE EN FP
3 5 AX 5-26 p 113PLI CATION
N
EEDERA, ��pIN4 r / /
The of • , is -• iced• •rmation-an into •lete • u•lication uriU not be • • •ted. Please • t le! •1. (in ink)or ._i• .
• PROPERTY INFORMATION
SITE ADDRESS 3 3 W SD (p 41"Tye-- S_ SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# — — LOT SIZE(s,1
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
renachseparate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION et ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)(
�i
j.t�/iGw�j�� I lel,V PRIM-en,\.4 -
I -- -eAet�•-vA-1, 1"..,i. IA e�
.�, "Lt. ") SIV'-�(t.v�. C..— A
C) Ll..4l., 1 r It,yAA-c_L ez t�f 7vci i I t. L-i- vwy./f
PROJECT NAME(Name of Business or Owner Last Name) S-Li -Pm,'ice' fP.A-V e,/2-✓.3
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER . -p,a-v� 770 vf 22S ( ) -
MAILING ADDRESS CITY,STATE,ZIP
3 3(oso i12-d"Avc_ S F-e.l.c. e.4 1/-)1 , (A1/ /gva S
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
M, f LL« -—,2 - IA/E;i0a2�,cis fir-a-- (1(7 112-5- 92-S-7)
nejuwc ADDRESS CITY.STATE.ZIP CELL PHONE
y2- ?-yr1-WAvc.it) Pt LIL,T6.30, 1,44° eV-7r(200) 779- 2,3t0
CrTYaOF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE�,q FANUMBER
-L- I
I � i-1 ? 32 7-B L Ib�/3l /00 (Lay296- 57-/q
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
Li �1 .ei 1 .- 11 .2 " .- LZ S—/ /cif / 6`7
APPLICANT COMPANY �� APPLICANT NAME roFFicE PHONE -
MAILING D CITY,STATE.ZIP CELL PHONE
( ) -
REIATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER Per RC1Y 19.29.098: Lender irfformatlon is NAME
required(f project value awards$8.000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE o PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
89.FT. SQ.FT. 039.Fr.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS Awa PROPOS® TOTAL TOTALAmTIm SF TOTAL PROPOSED S
OTOTAL EP
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offbchire 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.SYSILMS
BBQS FANS HOODS(commerdafl WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHIIJBS(ormhh/ShowerComho) SHOWERS WATERCLOSEIS(ibilet) 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
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 authorised 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 ofFederal Way,but
arises out of the reli he city,including its officers and onlyh whereysuch claim
employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE DATE 21/ (/(D
(Signature) (Title) `Y
RELATIONSHIP TO PROJECT ❑ Owner o Agent Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
o NEW o ADDITION ❑ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? ❑YES a NO
NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? o YES o NO
PLATTED LOT? a YES ❑NO DEMO PERMIT REQUIRED? o YES ❑NO
1
Bulletin#100-January 1,2006 Page 2 of 4 kWandouts\Permit Application
•
ELECTRICAL PERMIT INFORMATION
l
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$107.50;Each add'n 500 ft2-$34.50) ❑ 0 to 100 amp $117.00 $71.50
❑ Detached outbuilding or garage U 101-200 amp 145.00 91.50
(Inspected with service) $45.50 U 201-400 amp 272.00 107.50
U Detached outbuilding or garage U 401-600 amp 317.00 127.00
(Inspected separately) $71.50
U 601-800 amp 410.00 173.50
❑ 801 - 1000 amp 500.50 209.50
NEW MULTI FAMILY(three units or more) U Over 1000 amp 546.00 291.00
Service Feeder
U Up to 200 amp $117.00 $34.50 U Over 600 volts surcharge $91.50
❑ 201 -400 amp 145.00 71.50 U Mast or meter repair $99.00
U 401-600 amp 198.50 99.00 ALTERED COMMERCIAL/INDUSTRIAL
U 601 -800 amp 254.00 136.00
U Over 800 amp 364.00 272.00 Service or Feeders
(0 to 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 272.00
U 601 - 1000 amp 410.00
Service or Feeder
U over 1000 amp 456.50
❑ 0 to 200 amp $89.50
U 201 -600 amp 145.00 a„\3S1S #of circuits to be added/altered
U over 600 amp 218.50 (1-5 circuits-$91.50;Add'n circuits.$7.00/ea)
U #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
U Service- 1,000 amps or greater
U Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
U Service or feeder only $71.50
U Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $63.00
U #of service or feeders
(First service/feeder-$71.50;each add'n-$46.50) Conunerclai/Industrial Service or Feeder Ampacity
U 0-100 amps $71.50
❑ 101-200 amps 91.50
U 201-400 amps 107.50
❑ 401-600 amps 145.00
U over 600 amps 157.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats U #of Signs
(First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n sign$25.00/ea)
U Low Voltage U Swimming pool/hot tub $107.50
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $71.50
❑ Security Alarm System
U Additional Plan Review $107.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling 10 Automation Fee on all Permits .. $5.00
(Per System(s)1812500 ft2-$63.00;
Each add'n 2500 ft2-16.50)*Per WAC 296-46-910(51@)(i&U)
Bulletin#100-January 1,2006 Page 3 of 4 k\Flandouts\Permit Application `.