06-104187I
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Federal Way. .......
I 7 2006 . P E R IVI I T . SF MP CO ME EL PL DE EzIcri).
.. . COMMUlaiiIMVXOPM1W111124456
Mil int AVMS DOWN.PO 10,T1)718 A 1-vr,T ./.
irs1=46voitYZA/:. t*,0 F.FEDERAL\ft.r ti Lil CATI 0 N Til • - . . '.*
vividdivoftbdetaismeo,r• ILDING DEPT. .
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0 lta• .! fire Ira 1 oivtation....,an{Iwo •fete . ••lication will not be acce• • cr; Please .tint le! . . n in 'or ,J.e
PROPERTY INFORMATION
' SITE ADDRESS * 9 1 el C/( ii, -e il 4 At4) -5- SUITE/UNIT* • •
• ASSESSOR'S TAX/PARCEL 41 - . . LOT SIZE(sf)
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LEGAL DESCRIPTION(e.g.Acme Estates,Lot!) '‘../e,-•c•1 144,,, ‘___,-as-5-1 k 6 Ric/4 3—
Wadi Wart*PaGelalmadi fetal desaiNkai •
- PROJECT INFORMATION
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TYPE.OP.PERmIT 0 BUILDING . 0 PLUMBING 0 IVIECHAIUCAL •
0 DEMOLITION 0 ELECTRICAL 0 ENGTNEERING (P.IRE PREVENTION SYSTEM
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PROJECT.DESCRIPTION(Pnitride detailed description yf work included on this permit only)
ii 71.4- 44-•&,... ,c 7, ' ivi 0 ie C:17•elec _5- r 6/-c- Cl/3 e.-/ jct../
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.Ci c`/ C7','1-c.._ 0 e cl.C....../-er- ,e/y _ .
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PROJECT NAME(Name ofBusiness or Owner Last Name) "7::/7c é,/e
PROPERTY NAME •
P ARY PHONE •
• OWNER. .. 0141(..4,5 Nig? LL C
10( "-) 1-/S-3 -
MAILING AnDRESS
CITY,STATE,ZIP (
f'/■) #ffiA A-lit 5t 5,..„1, 3ce)
CONTRACTOR COMPANY NAME
. APPUCANT NAME ' OFFICE PHONE
11Vv5Xle ()C6 ) 7 dor-381
MAILING ADDRESS
CELL PHONE
• • PR./004,/4,, /0/4e .s.,
7:7' ic:i pia4. 're tvii ( ) _
CITY OF FED RAUWAY BUSINESS LICENSE NUMBER . EXPIRATION DATE FAX NUMBER -
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CONTRACTOR'S REGISTRATION NUMBER(copy et card'requIzeil with etch applicationf
EXPIRATION DATE
..5' I 7 '3 Pa /a I 1
ld 67
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APPLICANT cypAttituz,,.. i ,....,
APAtcANT NI j OFFICE PHONE ' •
• 1 /A. " 147"C i jeCC-4-11 ) 7,‘‘... -d4t-0, 576 e 0. ( --14 Oda' -'1(7
MAILING AD DAMS / - CITY,STATE,ZIP CELL PHONE"
N Y feyLte- /4/lee S, 5-0;411-le; e4-,crif,-pt ( . )
RELATIONSHIP TO PROJECT 5 f• FAX NUMBER
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O Architect c•Tenant 0 Agent a Other Pescribe) aoh-e.,/-i-, (0e4 )7;Le - ,?(‘0
CONTACT 1 NA,,,, •
Z V / • •
. , . I PRIMARY PHONE I. :MAIL ADDRESS
. I wocr7eg - 38(7 E
LENDER ...z 04,271/1‘r10,',.--4.•6A,(8'0;%r A7.-3 ork-4-'t'AVi.i••'..vo',--4--' '', N ME
:- ._,..f..'4,944i;*,Q6 I i>,71)1,0 tf,i,)!',F,'rr,":., ,,--.0",
MAILING ADDRESS 0 0 ' ' cITY,STATE,ZIP ptiortp • .
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., ..y. i.:.:,.. ..,,.::,•.•,:;,...:.,:...,:‘.,.:..;,..'.; ''.....';';'.'...- ',;;;',',.••:-,::•:'........i.,'DETAII.,EDBUILDING,INFORMATION. :',:.:. 7„,',',';...:'•.,..'.,'.:', , , •, . , :::. , ' , , • ', !'
EXIETING USE PROPOSED USE
O EXISTING ASSESSED/APPRAISED VALUE $ •. VALUE OF PRomman tvenrw fh
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PROJECT FLOOR AREAS
- AREA DESCRIPTION EXISTING PROPOSED. TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST'
SECOND
THIRD
FOURTH '
ADDITIONAL FLOORS(DESCRIBE)
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DECK(COVERED?)
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GARAGE O CARPORT 0.
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NUMBER OF FLOORS s1°A11r° raoroew roi v t,
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**NEW NOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of f xture to be installed or relocated as part of this project. Do not include existingfixtures to remain.
IMUSC&ANICAL
Value of Mechanical Work
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG,SYSTEMS
BBQS FANS HOODS rasssatahe WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
CGIORE.SSORS FURNACES GAS WATER HEATERS
.DUCTS GAS PIPE OUTLETS
PLUMBING •
BATHTUBS(or Tub/shower Combo) SHOWERS WATER CLOSETS(r.net) . MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
. LAYS(asthma=sink.) 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,in uding the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,including i officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
�J , DATE 2— • 6—a 6
NAME/TITLE 1.-��.
(Signa (Title)
RELATIONSHIP TO PROJEC q Owner O Agent contractor ❑Architect 0 Other
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! w IJ� f 1 ft �•� it5�33$✓� �1 fSO � 72� ta�2 tr)22 x.`'49 3 ��..� x •, r
)i1�' v��i^l') (�t;il � :)40) 1 f�i .'�� r r S l
Qk■
141i: L:i4� " .,,. E alp �rf ✓7 .yr' fJ�`
l y,
a J Fr�J t.;C fJ �s ?'Cr ,�C 31 ■,5�� if Ft, j'i . 3 '3s'-3r<=.3'
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ELECTRICAL PERMIT INFORMATION
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RESIDENTIAL • COMMERCIAL •
1IEW RESIDENTIAL SERVICE FEW COMMERCIAL/INDUS RRIAI;SERVICE.
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 it2-$107.50;Each add'n 500 fta-$34.50) ❑ 0 to 100 amp $117.00 $71.50
❑ Detached outbuilding or garage 0 101:-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
❑ 601-.1000 amp 410.00
Bernice or Feeder ❑ over 1000 amp 456.50
❑ 0to200amp $89.50
❑ 201-600 amp 145.00 ❑ ii of circuits to be added/altered
❑ over 600 amp 218.50 (1-5 circuits-$91.50;Add'n circuits,$7.00/ea)
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❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(14 circuits-$71.50;Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee
❑ Service- greater
o amps 1,000 or e
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❑ Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $71.50
Cl Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $63.00
❑ 4 of service or feeders
(First service/feeder-$71.50;each add'n-$46.50) Commercial/Industrica Service or Feeder Ampacity
❑ 0=100 amps $71,50
❑ 101-200 amps 91.50
❑ 201-400 amps 107.50
❑ 40.1-600 amps 145.00
❑ over 600.
amps 157.00
MISCELLANEOUS SERVICE/EQUIPMENT
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❑ #of Thermostats . ❑ 0 of Signs
(First-$53.50;addn-$16.50/ea) (First sign-$53.50;add'n sign$25.00/ea)
-A Low Voltage ❑ Swimming pool/hot tub $107.50
Square Feet to be'served by systems) i SUV (includes additional circuit,if required)
❑ Fire Alarm System Cl Yard Pole meter loops $71.50
❑ Security Alarm System ❑ Additional Plan Review $107.50/hour
b Voice Cabling (for modified submittals)
Q Data Cabling
CI La Automation Fee on all Permits $5.00
(Per 8yeteui(s) 1st 2500 fit2-$63.00; .
Each add%2500 ft2-16:50) *Per WAC 296-46-91065M&ii)