07-102537 City of Federal Way Electrical Permit #: 07-102537-00-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: AMERICAN FAMILY INSURANCE
Project Address: 31653 PACIFIC HWY S Suite C Parcel Number: 082104 9196
Project Description: Installing a new L/V thermostat
`
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES LLC TEAM MECHANICAL INC TEAM MECHANICAL INC
1121 SW SALMON ST PO BOX 789 TEAMMI*044C9
PORTLAND OR 97205 MONROE WA 98272 PO BOX 789
MONROE WA 98272
Additional Permit Information
Electrical Fixtures
Thermostat. 1;
PERMIT EXPIRES Monday, November 5, 2007
Permit Issued on Wednesday, May 9, 2007
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 ederal Way.
Owner or agent: /_4ir . # 1 -���.-e Date:,�7/0-
/ //
F k"NLt°
THIS CARD IS TO REMAIN ON-SITE
CITY of.-A .
Community Development Inspection Record .
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-102537-00-EL
Owner: HARSCH INVESTMENT PROPERTIES LLC
Address: 31653 PACIFIC HWY S Suite C
FEDERAL WAY, WA 98003
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) ❑ 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) 0 Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date Date //-402
❑ Under-slab groundwork(4295)
Approved
By Date
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
0 i 1
EC�I'E° 0—3-- — ( O .. 5 3 7-
'CITY OF A R -
Federal Ways ® 9 2007 PERMIT
COMMUNITY DEVELOPMENT SE SF MF COM PL DE EN FP
3332E D AVENUE SOUTHW •63 BOX 9718 AP P L I C AT I O N FEDERAL WAY,WA 98083-9718 �
253-835-2607•FAX 25�B, 2�opF FEDERAL -
www.cftuQuedclTd mBUILDING DEPT. / ��
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY IINFORRMATION
SITE ADDRESS,V-d s3 &Pie II y. > .1//k. G SUITE/UNIT 0 Ci
ASSESSOR'S TAX/PARCEL 0 Q U Z / 0 y - 9 / 9 4 LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for length')diol description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING X54rECHANICAL
0 DEMOLITIONI ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide d•tailed description of work included on th .•rmit onl
i,- ' -—_ -,••c.Fs-A•.Arinice•*72.% 3litfrll/ffl��J ',iii/ IAV •
t - S
PROJECT NAME(Name of Business or Owner Last Name),41 fCr 7G//10*Astir-aliGe-
• PEOPLE INFORMATION
PROPERTY NAMEf A =`� / PRIMARY PHONE
OWNER f?/YR /7/ ' 7flEA' / / ' rac-.LLC' ( )
LING ADDRESS CAN STTATE,ZI E-MAIL ADDRESS
//Z/ ..o / rteil --92: /5,7�7h,/c 97Z0S _
CONTRACTOR •
COMPANY NAME 1 APPLICANT NAME OFFICE PHONE
/I-e4/11/h6Cfir'f11 2NL 3t&4—____ :)6-77/.6e_
t&4 S�E77/ (360 )? -/ S
/{'M��AILINGGAADDDRESS I CITY.STATE.ZIP
'�j(`�� CELL PHONE
0 OF FEDERAL BUSINESS LICENSE NUMBER M c;t5c,tIRATIO9g ? FAX )29 -16'V7
cny (ado ) Se,
CONTRACTOR'S REGISTRATION NUMBER EXPPIRA3OON DATE1._,.. E-MAIL ADDRESS
COPY of card required
wih"AePPLpthmL �� 1. ✓rDON/ CO ` l 2 V's /O 1/ x:34. rJ 1 IlO QQDel/yy'
APPLICANT COMPANY NAME APPLI NAME OFFICE PHONE
014,"Ifei-lA 'l .' �5 •,. (36a ) FroS -/P3S
MMAAIILIINNNG(/AADD'DRESSB /��COY, ATE.ZIP CELL PHONE
RELATIONSHIPT'0 PROJ CT /'`++-11' ret/wA 9QZ-7Z (2oL FAX BEs` j -8A5/7
0 Architect 0 Tenant o Agent o Other 1pl'7f�'(+l(�l (36) 9Vf S $
PROJECT NAME PRIMARY PHONE p u+� E-MAIL ADDRESS /� ) I-I
CONTACT �e (-�g) 394 - O P7 / #Z1.0i P id`l.'�Ql.G'1-
LENDER NAME Per RCW I9.27.095:
Lender information is required{f project value exceeds$5,000
MAILING S CITY.STATE.ZIP PHONE
( ) -
U DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
n
NUMBER OF FLOORS nrnioo PROPOSED TOTAL TOTAL EXISTAIGer TOTAL PROPOSED sr TOTAL SP
**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$2,20 . (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS _ WOODSTOVES
BBgS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commerolall Re 12a
COMPRESSORS FURNACES RANGES ��jj``�� `1`i�
DUCTS GAS LOG SETS REFRIG.SYSTEMS i�-�0 S �X
PLUMB
BATHTUBS torTub/Shower Combo) LAVS(Bathroom Sinks( URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roues)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I cert(fy 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 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 informationsupplied to the city as a part of
this application.
NAME/TITLE 417..
,C/.� - / /' DATE S
/ /v
s_ }ire) (Title) /
RELATIONSHIP T i • 'OJECT ❑ Owner o Agent )(Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—April 2,2007 Page 2 of 4 k\Handouts\Permit Application
•
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE EW COMMERC IND ST. SERVIC'
❑ Single Family Square Feet Service or Feeder . h Add'n
(First 1300 ft2-$111.00;Each add'n 500 ft2-$35.•0) ❑ 0 to 100 amp $120.50 $ 4.00
❑ Detached outbuilding or garage ❑ 101 -200 amp 149.50 94.50
(Inspected with service) $47.00 ❑ 201 -400 amp 280.00 111.00
❑ Detached outbuilding or garage U 401 -600 amp 327.00 131.00
(Inspected separately) $7 00 ❑ 601 -800 amp 423.00 179.00
❑ 801 - 1000 amp 516.50 216.00
NEW MULTI-FAMILY(three units .r more) U 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. 0 74.00 ❑ Mast or meter repair $102.00
O 401 -600 amp 205 0 0 102.00
El601 -800 amp 26 .00 140.50 T' ' ' COMM' ' I US
❑ Over 800 amp 3 5.50 280.50 Service or Feeders
❑ 0 to 200 amp $120.50
TE' 'D SING E TI F• ,IL' U 201 -600 a 280.50
❑ 601 - 1000 . p 423.00
.eruice or Feeder •
❑ over 1000 .mp 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- circuits-$94.50;Add'n circuits,$7.00/ea)
❑ #of circui s to be added/altered COMM: •CIAL INDUSTRIAL PLAN REVIEW
(1-4 circuits-': 4.00;Add'n circuits$7.00/ea) $94. 1 plus 35%of Permit Fee
❑ rvice- 1,000 amps or greater
❑ Mast or met r repair $55.00 ❑ • edical/Educational/Institutional Facility
' U' 'D HOMES
❑ Service o feeder only $74.00
❑ Service •d feeder $120.50
TEMPORARY SERVICE
MOB 4 E HOME RV PARK Residential/Multi-Family $65.00
❑ #of service or feeders
( irst service/feeder-$74.00;each add'n-$48.00) Commercial/Industrial Sero' or Feeder Ampacity
❑ 0- 100 amps $74.00
❑ 101 -200 amp 94.50
❑ 201-400 ps 111.00
❑ 401 - amps 149.50
❑ ov 00 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
9 #of Thermostats ❑ #of Signs •
(First-$55.00; add'n-$17.00/ea) (First sign-$55.00: add'n sign ' 6.00/ea)
U Low voltage U Swimming pool/hot too $111.00
Square Feet to be served by system(s) (Includes additional circ .if required)
❑ Fire Alarm System U Yard Pole mete .ops $74.00
❑ Security Alarm System U Additional ' an Review $111.00/hour
❑ Voice Cabling (for me. '-d submittals)
❑ Data Cabling ❑ Au ., tion Fee on all Permits .. $5.00
1a 2500 ft2-$65.00;
Each add'n 2500 ft2-17.00)•Per WAC 296-46-910(5HbHI&tU
Bulletin#100-April 2,2007 Page 3 of 4 k\Handouts\Permit Application