07-102273 f
s
City of Federal Way Electrical Permit #: 07-102273-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2$07 Fax:(253)835-2609 Inspection Request Li - 050
Project Name: AMERICAN FAMILY INSURANCE
Project Address: 31653 PACIFIC HWY S Suite C .rcel Number. 182104 91'
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•1 its
Project Description: Demo some existing elecrical rough in outlets.Alt ring1(7j E m
,
Owner Applicant Contracto
HARSCH INVESTMENT PROPERTIES LLC CEDAR GROVE ELECTRIC C' ' G%ROV CTRIC
1121 SW SALMON ST 1819 CENTRAL ST S SUITE 71 CED• :C 1/2009)
PORTLAND OR 97205 KENT WA 98032 1819 C T 11
NT '8032
0
. Additional Pe ' Information6(
64)\4
Elec es
Circuits- Commercial 7
S esday, October 23, 2007
mit r: . Thursday,April 26, 2007
I h rtify that -bove inform- is correct and that the construction on the above described property and
ccupancy and th. e e will be in - . dance with�the laws, rules and regulations of the'State of Washington
and the City of Federal Way.
ner ent: � :A-Ai Date:
q 2b -07
` THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Reeord
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-102273-00-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.
❑ Slab/Concrete Floor(4255) ❑ Ditch cover(4030) 0 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) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
BK.—e"5 Dates z —07
� By Date By Date
ElUnder-slabgroundwork(4295)
Approved
By Date
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
CITY OF
401641.4 ln��d�Iv�v 07_ - _I-0 :
Federal Way PERMIT
COMMUNITY DEVELOPMENT SERVICA 2 6 2007 SF MF CO ME L, PL DE EN FP
3332'J8TM AVENUE SOUTH•PO 130X 9718 p L I CAT I O N
FEDERAL WAY,WA 98063-yy77,,ta m / /
253-835-2607•PAX 253-831e4A9Y OF FL DERA
unnw_dtuoffederalwa«.cor BUILDING DEPT.
The following is required information—an incomplete application will not be accepted. Please print legibly(in ink)or type.
0 PROPERTY INFORMATION
SITE ADDRESS_31(' 3 p -t. k-wci 5.`-'). -Su 1 r� L 1c3 SUITE/UNIT# C---
ASSESSOR'S
-ASSESSOR'S TAX/PARCEL# — LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING 0 PLUMBING 0 MECHANICAL
❑ DEMOLITION )LECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
Te-14/10 o a a -ei,,' -e fec_,4 c.pei-/ c..y 4 c vt 19c.c7(el,5 4--
ne S1-04-i l LO STI "Ii (.- ffri4
PROJECT NAME(Name of Business or Owner Last Name) fr1b e-Vt L b¢h - t4t4't ii y 4_05«y i-VI Ge
• PEOPLE INFORMATION
PROPERTYNAME PRIMARY PHONE
OWNER W[1....N.
( ) -
MAILIN A DRESS CITY,STATE,ZIP E-MAIL ADDRESS
•
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
(_eO*v &ro� ._ E.(ec-6,-,`4_ Jr Bvitit.��-,-, (2-53 ) 37 3 - =�
MAILING ADDRESS CITY,STATE,ZI CELL PHONE
l Tt `I Ceti iaf e_ ...5c, Keerr (} o32 (2-c' ) (tit -415-.4p 57
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION-DATE FAX NUMBER
20 - 06 - 1 o3-7 g' --cc:. - at ( — c)--? ( ) -
COPY of card regal d CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
with each application q55- C._ / 3 I Cr. 15f• /4-41
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
r
RELATIONSHIP TO PROJECT FAX NUMB ER
0 Architect o Tenant o Agent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ CIS—CD/
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 IHIGHLINE ❑ PRIVATE(SEPTIC)
AREA DESCRIPTION EXISTING., PROPOSED �vxY MR TOTAL
SQ.FT. SQ. FT. SQ.FT.
BASEMENT •
FIRST
•
SECOND
•
THIRD •
•
ADDITIONAL FLOORS(DESCRIBE)
DECK(O COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EEtsTum PROPOSED TOTAL TOTAL ESB7DI0 sr TOTAL PROPOSED Sr TOTAL el
•
•
"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.
•
MECHAMCAL •
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
MR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS _ FIREPLACE INSERTS HOODS(commer.am
COMPRESSORS FURNACES RANGES •
DUCTS • GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS lorTub/Shower combo) LAVS(s.tbro.m mak.) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS crones
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 authorised by the owner o the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal ayas to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be a by any person,including the undersigned, and filed against the City of Federal Way,but only where such claim
arises out of the reliance f city,including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
•
NAME/TITLEr - DATE g'-p<(a --07
ature (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor 0 Architect 0 Other
❑NEW a ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO . BASIC PLAN? o YES n NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? . o YES a NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—April 2,2007 . Page 2 of4 k\Handouts\Permit Application
•
•
- - . . . ELECTRICAL,PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
0 Single Family.Square Feet Service or Feeder Each Add'n
• (First 1300 ft2-'$111.00;Each add'n 500 ft2-$35.50) ❑ 0 to 100 amp $120.50 $74.00
❑ Detached outbuilding or garage ❑ 101-200 amp 149.50 94.50
IF (Inspected with service) $47.00 ❑ 201-400 amp 280.00 111.00
❑ Detached outbuilding or garage ❑ 401-600 amp '327.00 131.00
(Inspected separately) $74.00
0 601-800 amp 423.00 179.00
• 0 801 - 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 0 Mast or meter repair $102.00
❑ 401._600 amp 205.00 102.00 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 262.00 140.50
1 ❑ Over 800 amp 375.50 280.50 Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 280.50
❑ 601 - 1000 amp 423.00
Service or Feeder ❑ over 1000 amp 471.00
❑ Oto200amp $92.50
❑ 201 -600 amp 149.50#dicircuits to be added/altered
❑ over 600 amp 225.50 11-5 c'rktits-$94.50;Add'n circuits,$7.00/ea)
❑ #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
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
t MOBILE.HOME/RV PARK •Residential/Multi-Family $65.00
t ❑ # of service or feeders
(First service/feeder-$74.00;each add'n-$48.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0- 100 amps $74.00
❑ 101-200 amps 94.50
0 201-400 amps 111.00
❑ 401-600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ # of Signs
(First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea)
I ❑ Low Voltage ❑ Swimming pool/hot tub $111.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System CI Yard Pole meter loops $74.00
❑ Security Alarm System
0 Additional Plan Review $111.00/hour
❑ Voice Cabling (for modified submittals)
0 Data Cabling
• 0 ❑ Automation Fee on all Permits .. $5.00
1st 2500 ft2-$65.00;
Each add'n•2500 ft2-17.00) •Per WAC 296-46-910(5)(b)(i&ii)
)
1 Bulletin#100-April 2,2007 Page 3 of 4 k\Handouts\Permit Application