08-103513City of Federal Way • ' 08-103513-00-E L
Community Development Services Electrical Perml� ,'.
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253)835-2607 Fax: (253)835-2609 Inspection Request Line: (253) 3353050
Project Name: WILDWOOD ELEMENTARY SCHOPL. PORTA,"
Project Address: 2405 S 300TH ST Parcel Number: 042104 9167
Project Description: Installation of 9 voice/data cables -Flo backb6ne cable1 "
Owner
FEDERAL WAY PUBLIC SCHOOLS
31405 18TH AVE S
FEDERAL WAY WA 98003-5433
Applicant
F G C LLC, dba CONVERGENT
TECHNOLOGY SYSTEMS
2720 S ASG ST
TACOMA WA 98409
Additional Permit Information
Service greater than 1000 Amps? .......................... No
Electrical Fixtures
Low Voltage - Other (Commercial' 1
Contractor
F G C LLC, dba CONVERGENT
TECHNOLOGY SYSTEMS
CONVEB946NC (8/30/10)
2720 S ASG ST
TACOMA WA 98409
PERMIT EXPIRES Thursday, July 23, 2009
Permit Issued on Wednesday, July 23, 2008
1 hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will /beeina ante with the laws, rules and regulations of the State of Washington
and the City of Federal Way. ty
Owner or agent: �� Date: ` 2
4 THIS CARD IS TO F"MAIN ONSITE
Cl" OF � %_-ommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08 -103513 -00 -EL
Owner: FEDERAL WAY PUBLIC SCHOOLS
Address: 2405 S 300TH ST
FEDERAL WAY, WA 98003-4225
This card is part of your required inspection documents.
Scheduled inspections may be failed if this card is not on-site. DD NOT LQSI IBIS 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
are logged on the back of this card.
sequence. On-going inspections
❑
❑
❑ UFER Ground (4295)
Ditch cover (4030)
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By Date
By
Date
By
Date
❑ Pool Bonding (4195)
❑
Temporary Power (4275)
❑
Service (4235)
Approved
Approved
Approved
By Date
By
Date
By
Date
❑ Feeders/Sub-panels (4045)
❑
Rough Electrical (4225)
❑
Ceiling Cover (4020)
Approved
Approved
Approved
By Date
By
Date
By
Date
❑ Final - Electrical (4055)
Approved
By Date
For inspector
❑ Rough Electrical
Approved
By Date
reference only
❑ FINAL - Electrical
Approved
By Date
L3-
Clrr of
'D-3(
Federal way 2 20oaPERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF CO ME JIB PL DE EN FP
33325 D AVENUE, WA 9 • PO BOX 9718 � PATI O N
FEDERAL WAkWA 98063-9718
253-835-2607• FAX 253 8 O
n�+r{r•,rlf�i�rrlr,aluri�..: --��"'1���/
The ji lowing is required WbrmQ5 an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS INA 6' &7') "S f� �„ 1JG ' . /I SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # �r _[_� "V _+-% LOT SIZE (sfi
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(AIS IL sepmafepayejorlergfhy legal descrtpuoN
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 0 PLUAWING ❑ MECHANICAL
❑ DEMOLITION R4 MECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION :aide det4lled scrfptdon of work included on this Deradi ori /
VO C� G � - eA ori V — OV v
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
N
,e el— 1
PRIMARY PHONE
V-53 ) -2D71V
CITY, STATE, ZIP
MAILING ADA"l
CITY, STAT& 77� j� (
eWe 7t.0 W
E-MAIL ADDRESS
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
COMPANY NAMEAPPLICAF T NAME OFFICE PI [ONF
1Ea�� --��Yt 74 &-ref r � oc�,, " (z5-3 ; ff�-� =
�Dg>� ,far; 5`]nl�lir P�� c:s�.l. P}[Dors: 1�
city OI' FROF.RAL WAY BUSINESS LICENSLr NUMBER EXPIRATfON DATE VAX NUMBER
(953 ) W `{ - SS SS
CONTRACTOR'S REGISTRATION NUMBER E T10N DATE F MAII.ADDRESS _
et 1103 1'yb Al e-- t �v / 0 ►-c� dtr� eerg ,ccs
,qOMPANY NAME APPLICANT NAME
OFFICE PHO
p:'7'
MAILING AI]I]RES,S
CITY, STATE, ZIP
Pi I()!r'i•:
( )
MA1t.IN(; MPUs &MATF. M.
.�� �� tzA 9 yd
CELL PHONE
(663) 301 -9 go
[.ATIONSmP TO PROJECT p
❑ Architect ❑ Tenant ❑ Agent Other `�/�0+� r Ccl r!/'✓' -i✓
FAX NUMBER
(�5'7,) -
N PRIMARY PHONE E-MAIL ADDRESS et- mef,
��' ?13 J 20.E - �3 •t z r.
NAME01
Per RCW 19.27.098:
Lender igformation is required (f project value exceeds $6,000
MAILING AI]I]RES,S
CITY, STATE, ZIP
Pi I()!r'i•:
( )
EXISTING USE
EXISTING ASSESSED/APPRAISED VALUE S_
SPREUMERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
PROPOSED USE _
VALUE OF PROPOSED WORK $
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES
❑ HIGHIdNE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
70W
PROJECT FLOOR AREAS qW
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
89. FT.
TOTAL
SQ. FT.
BASEMENT
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
FIRST
COMPRESSORS
FURNACES
RANGES
SECOND
GAS LOG SETS
REFRIG. SYSTEMS
CHANGE OF USE?
THIRD
❑ NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP/SEPA/SU?
ADDITIONAL FLOORS (DESCRIBE)
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
DECK (❑ COVERED OR ❑ UNCOVERED?)
❑ NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
MMn"6
PROPOSED
TOTAL
TmeLXXRMIMsr
TOrAL�xur WSF
TOTAL sr
"«NEW HOMES ONLY"" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of f xture to be installed or relocated as part of this project Do not include exisdrigfUtures to remain.
MECIL IVICAL
Value of Mechanical Work
(A COPY OF BID OR ES77MA7E MUST BE INCLUDED V=APPLTCAITON)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (Co,o,ne,daq
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS (or7Lb/shower Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
LAVS (Bathroom Sink.)
URINALS MISC (Describe)
RAINWATER SYST
VACUUM BREAKERS
SHOWERS
WATER CLOSETS rlLLLet)
SINKS
WASHING MACHINES
SUMPS
BUILDING SHELL ONLY? ❑ YES ❑ NO
I cerft under penalty 4f perjury that I am the property owner or authorized agent of the property owner. I cert(fy that to the best of my
knowledge, the irlformation submitted in support Qf this permit application is true and correct, I cert(fy that I wall comply with all applicable
City 4f Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance 4f this permit
does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws.
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 d@�ns f such claim), which may be made by any person, including the undersigned, and filed against the city, but only
where such claim t of the re nce of the city, including its officers and employees, upon the accuracy of the information supplied to
the city as a par Is ppll97"0ft.
DATE
Owner and/or Authorized Agent
FOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP/SEPA/SU?
❑ YES
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 — January 1, 2008 Page 2 of 4 k\Handouts\Pernut Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
P RESIDENrlAi. SERVICE
❑ Single Family Square Feet ........ .
(First 1300 ft2- $115.50; Each add'n 500 112 - $37.00)
❑ Detached outbuilding or garage
(Inspected with service) $48.50
❑ Detached outbuilding or garage
(Inspected separately) $76.50
NEW MWTI-FAWJILY (three units or more)
Service or Feeder
Service
Feeder
❑ Up to 200 amp
$125.50
$ 37.00
❑ 201 - 400 amp
155.50
76.50
❑ 401 - 600 amp
212.50
106.00
❑ 601 - 800 amp
272.00
145.50
❑ Over 800 amp
389.50
291.00
ALTERED SINGLE/MMTI FAMILY
❑ # of circuits to be added/altered
(1-4 circuits -$76.50; Add'n circuits $7.50/ea)
❑ Mast or meter repair $57.50
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ Service and feeder $125.50
MOBILE HOME/RV PA1�Ii
❑ # of service or feeders
(First service/feeder-$76.50; each add'n -$50.00)
COMMERCIAL
1111M QOi RCiALIINDIISTRIAL SERVICE
❑ 0 to 100 amp
❑ 101 - 200 amp
❑ 201 - 400 amp
❑ 401 - 600 amp
❑ 601 - 800 amp
❑ 801 - 1000 amp
❑ Over 1000 amp
Service or Feeder
Service or Feeder
❑ 0 to 200 amp
$ 96.00
❑ 201 - 600 amp
155.50
❑ over 600 amp
234.00
❑ # of circuits to be added/altered
(1-4 circuits -$76.50; Add'n circuits $7.50/ea)
❑ Mast or meter repair $57.50
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ Service and feeder $125.50
MOBILE HOME/RV PA1�Ii
❑ # of service or feeders
(First service/feeder-$76.50; each add'n -$50.00)
COMMERCIAL
1111M QOi RCiALIINDIISTRIAL SERVICE
❑ 0 to 100 amp
❑ 101 - 200 amp
❑ 201 - 400 amp
❑ 401 - 600 amp
❑ 601 - 800 amp
❑ 801 - 1000 amp
❑ Over 1000 amp
Service or Feeder
Each Add'n
$125.50
$ 76.50
155.50
98.00
291.00
115.00
339.50
136.00
439.00
186.00
536.50
224.50
584.50
311.50
❑ Over 600 volts surcharge $98.00
❑ Mast or meter repair $106.00
ALTERED COMMERCIAL/MDUSTRIAL
❑ # of circuits to be added/altered
(1-5 circuits - $98.00; Add'n circuits, $7.50/ea)
COMMERCIAL DMUSTRIAL PLAN REVIEW
$98.00 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
TEMPORARY SERVICE
Residential/Multi-Family $67.50
Commercial/Industrial Service or Feeder Ampacity
❑ 0 - 100 amps $ 76.50
❑ 101 - 200 amps 98.00
❑ 201 - 400 amps 115.00
❑ 401 - 600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ 0 of Thermostats
rst 457.50; add'n-`17.50/ea)
Low Voltage
Square Feet to be served by system(s)
❑ Fire Alarm System
❑ Diet Ly li3ann System
�J aCabling
Mata Cabling
11
let 2500 ft2-$67.50;
Each add'n 2500 ft2 - $17.50) • Per WAC 29646-910(5)(b)(i & W
❑ # of Signs
(First sign -$57.50; add'n sign $27.00/ea)
❑ Swimming pool/hot tub ................
(Includes additional circuit, if required)
❑ Yard Pole meter loops .....................
V Ad nal Plan Review
{f madi€ie I sithmltt�ils]
Automation Fee on all Permits ..
$115.00
$76.50
$115.00/hour
$5.50
Bulletin #100 -January 1, 2008 Page 3 of 4 k\llandouts\Pennit Application
Service or Feeders
❑ 0 to 200 amp
$125.50
❑ 201 - 600 amp
291.00
❑ 601 - 1000 amp
439.00
❑ over 1000 amp
489.00
❑ # of circuits to be added/altered
(1-5 circuits - $98.00; Add'n circuits, $7.50/ea)
COMMERCIAL DMUSTRIAL PLAN REVIEW
$98.00 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
TEMPORARY SERVICE
Residential/Multi-Family $67.50
Commercial/Industrial Service or Feeder Ampacity
❑ 0 - 100 amps $ 76.50
❑ 101 - 200 amps 98.00
❑ 201 - 400 amps 115.00
❑ 401 - 600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ 0 of Thermostats
rst 457.50; add'n-`17.50/ea)
Low Voltage
Square Feet to be served by system(s)
❑ Fire Alarm System
❑ Diet Ly li3ann System
�J aCabling
Mata Cabling
11
let 2500 ft2-$67.50;
Each add'n 2500 ft2 - $17.50) • Per WAC 29646-910(5)(b)(i & W
❑ # of Signs
(First sign -$57.50; add'n sign $27.00/ea)
❑ Swimming pool/hot tub ................
(Includes additional circuit, if required)
❑ Yard Pole meter loops .....................
V Ad nal Plan Review
{f madi€ie I sithmltt�ils]
Automation Fee on all Permits ..
$115.00
$76.50
$115.00/hour
$5.50
Bulletin #100 -January 1, 2008 Page 3 of 4 k\llandouts\Pennit Application