08-100051SUBATED
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Federal WaY JAN o 4 2008 PERMIT ')X0
Commm Y DEVzoma" sawca
39345 dW AVENUE SOUiH • PO
E D 9AITY OF FE D E4- 0FAX ?s3. 835.1609 BU+ LDIN "TUCATION
it�ulu.dtyolfcrlerofinalL•mm
SITE ADDRESS
ASSESSOR'S TAX /PARCEL #
33(0' Sp.►
LEGAL DESCRIPTION (e.g. Arme Estates, Lot I)
will not be
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(Attach eep —tepW f- WWft food desaW44
■ PROJECT INFORMATION
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SF MF CO ME EL PL DE E FP
pted. Please print legible (in ink) or tune.
TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING ❑ MECHANICAL
SUITE /UNIT #
LOT SIZE (s))
O DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING K FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this vermit only)
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_PAId, AUd.O VISUAL dR.�i CGS. A' /( New Cleg►cte S w-1 l lot; qx:dfeSfAl p%-e. t /=Ve t
�12v�c4� wart be_ r'66 40 Ale-J. These. ct"Mc -el CLre- AO adtireSSAble-
PROJECT NAME (Name of Business or Oumer Last Name) L:Aa, Oe < t t E -6S A IVAP 4- A .t,SO C-.
PEOPLE •- •
PROPERTY
OWNER
CONTRACTOR
9
APPLICANT
CONTACT
LENDER
NAME PRIMARY PHONE
OMAol:
MAILING ADDRESS CITY, STATE, ZIP
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MEZ41Ai4 SECUMT
-77- AW2i
(Z63) 638 - 1-7g2
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
- 12 S-- (Z b '
FAX NUMBER
(253 ) (636 - 0 3%
B L
RELATIONSHIP TO PROJECT
CONTRACTORS REOISTRATION NUMBER (copy of card required with a %ch application) EXPIRATION DATE
M C 2 I 5 E 0 Z 2 b S 03 /qa
COMPANY NAME
APPLICANT NAME
OFFICE PHONE '
ub 084 Se-cy g Lq
-77- AW2i
(25 ) G3 - l 79z-
MAILING ADDRESS
CITY, STATE, ZIP
(gyp
CELL PHONE '
70. Q& "71"7(
/� ;,
K� Wp. l&Li
( )
RELATIONSHIP TO PROJECT
FAX NUMBER
o Architect ❑: Tenant ❑ Agent ❑ Other (Describe)
V5 ) 63 F3 `03 J'(;,
253_) 638 - /7-T?-
NAME
MAILING ADDRESS CITY, STATE, ZIP PHONE
( ) _
EXISTING USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE 3(; VALUE OF PROPOSED WORK (C 60 o0
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED %REQUIRED? O YES O NO
WATER SERVICE PROVIDER O LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER O LAKEHAVEN . ❑ HIGHLINE O PRIVATE (SEPTIC)
0 0
AREA DESCRIPTION
EMSTING
S . FT.
PROPOSED
SO. FT.
TOTAL
SO. FT.
BASEMENT
WOODSTOVES
FIREPLACE INSERTS
RANGES
FIRST
FURNACES
GAS WATER HEATERS
SECOND
/00-00
/0 WD
THIRD
MISC (Describe)
SINKS
DRINKING FOUNTAINS
FOURTH
—�_ SUMPS
RAINWATER SYST
ADDITIONAL FLOORS (DESCRIBE)
HOSE BIBBS
VACUUM BREAKERS
DECK(COVERED ?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
sasrno
reopmu
ToT.u.
"NEWHOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
number of each type offtxture to be installed or relocated as part of thisproject. Do not include existing fudures to. remain.
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOHXRS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (or Tab /sb~rconj*
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVE P,1h -0,k4
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
FANS
HOODS (coo mercM
WOODSTOVES
FIREPLACE INSERTS
RANGES
MISC (Describe)
FURNACES
GAS WATER HEATERS
GAS PIPE OUTLETS
SHOWERS
WATER CLOSETS ( tM
MISC (Describe)
SINKS
DRINKING FOUNTAINS
—�_ SUMPS
RAINWATER SYST
URINALS
HOSE BIBBS
VACUUM BREAKERS
&LI=RIC WATER HEATERS
I cart{ fg under penalty of perjury that the information furnished by nee is true and correct to the best of my knowledge, and further, that 1
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 flied against the City of Federal Way, but only where such claim
arises out of the reliance the city, including its officers and employees, upon the accuracy of the information supplied to the city as apart of
this applicatior I , h
NAME /TITLE
MWIREure( - t,gucl
RELATIONSHIP TO PROJECT Q Owner O Agent Contractor O Architect [] Other
PnoP 7 of 4
k\Handmi s \Permit Annlication
0 0
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL /INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ti'- $107.50; Each add'n 500 tt2- $34.50)
❑ 0 to 100 amp $117.00 $ 71.50
❑ Detached outbuilding or garage
❑ 101.7 200 amp 145.00 91.50
(Inspected with service) $45.50
❑ 201- 400 amp 272.00 107.50
❑ Detached outbuilding or garage
❑ 401- 600 amp 317.00 127.00
(Inspected separately) $71.50
❑ 601- 800 amp 410.00 173.50
❑ 801 - 1000. amp 500.50 209.50
NEW MULTI- FAMILY (three units or more)
❑ Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $ 34.50
❑ Over 600 volts surcharge $91.50
❑ 201 - 400 amp 145.00 71.50
❑ Mast or meter repair $99.00
❑ 401 - 600 amp 198.50 99.00
Q 601 - 800 amp 254.00 136.00
ALTERED COMMERCIAL /INDUSTRIAL
❑ Over 800 amp 364.00 272.00
Service or Feeders
❑ 0 to 200 amp $117.00
ALTERED SINGLE /MULTI FAMILY
❑ 201 - 600 amp 272.00
❑ 60i - .1000 amp 410.00
Service or Feeder
❑ over 1000 amp 456.50
❑ 0 to 200 amp $ 89.50
❑ 201 - 600 amp 145.00
❑ # of circuits to be added /altered
❑ over 600 amp 218.50
(1 -5 circuits - $91.50; Add'n circuits, $7.00 /ea)
❑ # 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
❑ Service - 1,000 amps or greater
❑ Mast or meter repair $53.50
❑ Medical /Educational /Institutional Facility
MOBILE HOMES
❑ Service or feeder only $71.50
0 Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME /RV PARK
Residential/Multi-Family $63.00
❑ # of service or feeders
(First service /feeder - $71.50; each add'n - $46.50)
CommerciaWndustriai Service or Feeder Ampaeity
❑ 0 - 100 amps $ 71.50
❑ 101- 200 amps 91.50
❑ 201- 400 amps 107.50
❑ 401 - 600 ampa 145.00
❑ over 600. amps 157.00
MISCELLANEOUS SERVICE /EQUIPMENT
❑ -# of Thermostats
❑ -# of Signs
(First - $53.50; add"n- $16.50/ea)
(First sign- $53.50; add h sign $25.00 /ea)
Low Voltage
❑ Swimming pool /hot tub ................ $107.50
Square Feet to be served by system(S) 10,000
(Includes additional circuit, if required)
e Alarm System
❑ Yard Pole meter loops ..................... $71.50
❑ Security Alarm System
❑ Additional Plan Review $107.50 /hour
❑ Voice Cabling
(for modified submittals)
�] Data Cabling
❑ Automation Fee on all Permits $5.00
(Per Systeai(s) 1- 2500 !t-$63.00; Ill -56
..
Each addb 2500 ft2- 16.50) • Per WAC 296- 46910(5)(bJ(i & H)
RiillPfin al nn _ Tnmiary 1 ?nnA TN-