The URL can be used to link to this page

08-103404 O�. IA King Fire & e 'cL RECEI '-tails CITY OF �t�� .S.L -6�- Federal Way "` E 1 tt• COMMUNITY DEVELOPMENT SERVICES B SF MF CO ME EL PL DE ENO' JUL 1 5 , ,m.�..__. . -33325 8 AVENUE SOUTH•PO BOX 9718 CAT-10$2 "'°" FEDERAL WAY.WA 98063-9718 I � iD Approved '153-835-2607•FAX .. ©_ .>'. LI / / wow dhloffederalm C p v The following is required irnf r/ngrsl�'�-a nnc tte application will not be accepted. Please print legibly(in ink)or type. �••U • PROPERTY INFORMATION SITE ADDRESS '3160‘ 31J, A ij, S SUITE/UNIT#_3/6 ASSESSOR'S TAX/PARCEL# , - LOT SIZE(sf1 LEGAL DESCRIPTION(e.g.Acme Estates.Lot 1) r6 SS e k (Attach separate pgstjor Iengtay legal aesrn/aant l • PROJECT INFORMATION TYPE OF PERMIT ❑BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING )IRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu) Reb) ckge Glio tK.."- a3-i,reN TO 40314(ki... J F-z p fiNcusvt.".. PROJECT NAME(Name of Business or Owner Last Name) � /-:);IA.V s t'1 �S El PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER vn _ - l Fr. s /o. I ` t as3)9a4- ftgr MAILING ADDRESS � CITY.STATE, et score E-MAIL ADDRESS 3look 31,4 ewe. L .-GA% 9rpo t - CONTRACTOR COMPANY NAM(,�,,, APPLICANT NAME OFFICE PHONE Ct¢I-s s�,�- - L.jets�' . CI.e se Gle rYicy.,ks C E�7 f g - AY& MAILING S CITY,ST ZIP CELL PHONE Q�J('�•/ aket FEDERAL BUSINESS-LICENSE N E ( C 4 C. I 9 /� F03)9 - boeM CITY_19--i? 0000, lY—w-2L i 3ibscr ( -&3 )?3S C7/3 CONTRACTOR'S REGISTRATION NUMBER IRATION DATE E-MAIL ADDRESS R e es w as3-Lc ., 6/407 APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE FcQ� St�s ..s (,)eck- , JJ Cl� ( )s-ter -/9/6 MAti,IFIG ADWRE$ �'/C�7 ZIP CELL PHONE �- (a. 0. -f (an ) 09 ��i F�'ov� R 6 9 RELAT7vrvaNir 10 i'i2 CT FAX NUMBER ❑Architect ❑Tenant ❑Agent Other Rae,j C ( ) - PROJECT PRIMARY PHONE E-MAIL ADDRESS CONTACT �e- ele,, b ( )ONj Coq.? 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 $ f 300 SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) • PROJECT FLOOR AREAS ....................._. AREA DESCRIPTION EXISTING PROPOSED TOTAL S .FT. S .FT. SQ.FT. BASEMENT FIRST SECOND THIRD tt1rJ a,s-ve> 2-15-e° ADDITIONAL FLOORS(DESCRIBE) DECK(0 COVERED OR ❑UNCOVERED?) GARAGE ❑ CARPORT ❑ EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF NUMBER OF FLOORS **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$, (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBJS FANS GAS WATER HEATERS MISC(Describe) BOILERS FIREPLACE INSERTS HOODS)Commeroiai) COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS(or'Nib/Shower Combo) LAVS)Bathroom Sinks) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS rronrt, ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS SIGNATURE I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the issuance of 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 defense of such claim), which may be made by any person, including the undersigned, and filed against the city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. SIGNATURE: <! � DATE /5/0 Property Owner or Authorized Agent ` FOR OFFICE-USEEp NLY ❑NEW ❑ADDITION ❑ALTERATION c REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? o YES a NO ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? o YES ❑NO PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES o NO Bulletin#100—August 16,2007 Page 2 of 4 k\Handouts\Permit Application . • ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE Service or Feeder Each Add'n ❑ Single Family Square Feet (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 (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 ❑ 601-800 amp 423.00 179.00 ❑ 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 ❑ Mast or meter repair $102.00 ❑ 401 600 amp 205.00 102.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ 601 -800 amp 262.00 140.50 ❑ 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 ❑ 0 to 200 amp $92.50 ❑ 201 -600 amp 149.50 ❑ #of circuits to be added/altered ❑ over 600 amp 225.50 (1-5 circuits-$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 MOBILE HOME/RV PARK Residential/Multi-Family $65.00 ❑ it of service or feeders (First service/feeder-$74.00:each add'n-$48.00) Commercial/lndustrial Service or Feeder Ampacity ❑ 0- 100 amps $74.00 ❑ 101 -200 amps 94.50 ❑ 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) ell,Low Voltage �1n Li Swimming pool/hot tub $111.00 Square Feet to be served by system(s ]i�vu (Includes additional circuit.if required) 'Fire Alarm System ❑ Yard Pole meter loops $74.00 Security Alarm System ❑ Additional Plan Review $111.00/hour ❑ Voice Cabling (for modified submittals) ❑ r "- ❑ Automation Fee on all Permits .. $5.00 it 2500 ft2-$65.00: Each add'n 2500 ft2-17.00)*Per WAC 296-46-910(5Xb)ft&ill Bulletin#100-August 16,2007 Page 3 of 4 k\Handouts\Permit Application