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02-103378City of Federal Way Community Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: SPORTS RACK Project Address: 34940 ENCHANTED S Project Description: ELE - Electrical for (1) wall sign. Electrical Permit #:02 - 103378 - 00 - EL Inspection request line: 253.835.3050 Parcel Number: 219260 0570 Owner Applicant Contractor WEST CAMPUS SQUARE *WEST CAMPUS: SPORTS RACK *ATTN: BUSINESS OWNER NORTHWEST ELECTRIC & SERVICE 2001 6TH AVE #3202 SPORTS RACK 10224 29TH ST E SEATTLE WA 34940 ENCHANTED PKWY S EDGEWOOD WA 98372 98121-2522 FEDERAL WAY WA 98003 (253) 445-7029 Electrical Fixtures Description Quantity Description Quantity Description Quantity I Sign --- PERMIT EXPIRES February 24, 2003, IF NO WORK IS STARTED. Permit issued on August 28, 2002 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: Dater G �.or G RECEIVED vV��A G062002 CONSTRUCTION PERMIT APPLICATION PPLICATION NUMBER: O Z - 101 APPLICATION NUMBER: CITY OF FEDERAL WAY APPLICATION NUMBER: BUILNWRP�,Tlowing is required information — Please print (in ink) or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. SITE ADDRESS: 3"'40 �^WCAA A,-JrED A&R,,A�1 S ASSESSOR'S TAX/PARCEL #: 9 Z C Z--- —© - Ga — LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): ■ PROSECT INFORMATION. TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION Q ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): r)-tC%!L 11z1—Ile—J PROJECT NAME: _5'a`�'u5 PROPERTY OWNER: Iecd w- ki aj cenf�a�l�r � ■ PEOPLE INFORMATION NAME: DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS; QTY, STATE, IIP): NAME: DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS; QTY, STATE, ZIP): EVENING PHONE: QTY OF FEDEAL WAY BUSINESS CENSE NUMBER: FAX NUMBER: CONTRACTOM REGISTRAT! NUMBER: EXPIRATION DATE: (Copy of card required) SCANT-- NAME: DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR DETAILED 13UILDING INFORMATION EXISTING USE: PROPOSED USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ SPRINKLERED BUILDING? ❑ YES ❑ NO WATER SERVICE PROVIDER: SEWER SERVICE PROVIDER: PROPOSED VALUATION FOR IMPROVEMENTS: $ FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PR03ECT FLOOR AREAS FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT AIR HANDLING UNIT(S) FIRST GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) SECOND HOOD(S) WOODSTOVE(S) BOILER(S) THIRD RANGE(S) MISC. ( ) COMPRESSOR(S) FOURTH DUCT(S) OTHER FLOORS (DESCRIBE) HEAT SOURCE: ❑ ELECTRIC ❑ GAS DECK BATHTUB(S) GARAGE HOW MANY FLOORS? URINAL(S) WATER HEATER(S) DISHWASHER(S) TOTAL: VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) ....,... .� f,.::.,��. x..�,,.�,�.•a:�.:....,._.�.,,�..obt�:,.:,.:��.Y:�,�:.�t•:FIX'TURES.��,•:z:;�-.���.r;:�:.;.;..;:.,:::��.,.,.<;�,.:.�., :�«.::i.;�;�.�;••�f:.ti.. 'fTSCLOTMER%SIGNATURE nu 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 authorized 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 filed against the City of Federal Way, 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. NAME/TITLE: Q„ DATE: 7 A X �- ❑ PROPERTY 01M1( ER ❑ APPLItANr ❑ CONTRACTOR / C COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 980639718 • 253-661-4000 • FAX: 253-661-4129 ww W . Cityg f t'de g I way. Com Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC. ( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( ) INTERCEPTOR(S) SUMP(S) 'fTSCLOTMER%SIGNATURE nu 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 authorized 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 filed against the City of Federal Way, 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. NAME/TITLE: Q„ DATE: 7 A X �- ❑ PROPERTY 01M1( ER ❑ APPLItANr ❑ CONTRACTOR / C COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 980639718 • 253-661-4000 • FAX: 253-661-4129 ww W . Cityg f t'de g I way. Com IL f r ' ' ■ .-ELECTRICAL _TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES- MISC EQUIPMENT/TEMP SERVICES _ Single Family. _ Service or feeder only ......................... $50.00 _ # of Thermostats (First -$37.50; add'n-$ 11.50ea) (First 1300 ft' -$75.00; Each add'n 500 ft' -$24.00) _ Service and feeder ............................... $81.00_ # of Low voltage fire or burglar alarms Square Feet: First 2500112-$43.50; Each add'n 2500 ft'-$ 11.50 _ Each outbuilding orgarage ...........................$31.00 MOBILE HOME/RV PARK Square Feet: (Inspected with service) Each outbuilding or $50.00 _ # of service or feeders Add'n • Per WAC 29646-910(5)(b)(i & ii) L # Signs _ garage ........................... (First service/feeder-$50.00; service/ of (First sign -$37.50; add'n sign (Inspected separately) feeder -$32 each) $17.50 each) _ Swimming pool, hot tub, spa...............$75.00 _ Yard Pole meter loops .........................$50.00 NEW MULTI -FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (Includes three units or more) Altered Service or Feeders Service Feeder Amps Service or Add'n _ 0 to 200 ..............................................$ 81.00 _ Up to 200 amp .............. $ 81.00................ $ 24.00 Feeder _ 201-600 .............................................. 189.00 _ 201 - 400 amp ................ 101.00 .................... 50.00 _ 0 to 100.........................$ 81.00....... $ 50.00 _ 601 - 1000 ............................................ 284.50 _ 401 - 600 amp ................ 138.00.................... 68.50 _ 101-200 ........................ 101.00........... 63.50 -over 1000 ............................................. 317.00 _ 601 - 800 amp ................ 176.50 .................... 94.50 _ 201-400 ........................ 189.00........... 75.00 # of circuits _ Over 800 amp ................. 252.50.................. 189.00 _ 401-600 ........................ 220.50........... 88.50 _ (1-5 circuits -$63.50; Add'n circuits, $5 ea) ALTERED SINGLE/MULTI FAMILY _ 601-800 ........................ 284.50......... 120.50 (When inspected separately from the services.) _ 801-1000 ...................... 348.00......... 145.50 TEMPORARY SERVICE Service or Feeder -Over 1000 ...................... 379.00......... 202.50 Residential/Multi-Family/Commercial/Industrial _ 0 to 200 amp ............................................... $ 68.50 _ Over 600 volts surcharge ...................... 63.50 _ 0-100 ................................................ S 50.00 201 - 600 am 101.00 Mast or meter repair .............................. 68.50 _ 101-200 ......................................... ...... 63.50 _ over 600 amp ................................................ 151.50 _ 201 -400 ................................................ 75.00 _ Mast or meter repair ....................................... 37.50 _ 401-600 .............................................. 101.00 _ # of circuits _ over 600 ...............................................109.00 (14 circuits -$50.00; Add'n circuits $5 ea) a -, - . �w a.nN� V1 gIcarer, ur a new ur aucrcu reswenuai service is greater man 4uu amps, a plan review is requires. Fee is 3511. of permit fee +$63.50. Add'I plan review for other submissions is $75.00/hr. FIXTURE Estimated Permit Fee: (1 FROM TABLE B B NU Total Column (D) Estimated Permit Fee from line 12 Estimated Plan Review Fee: $63.50 + ( X .35) = (13) DEMOLITION Estimated Permit Fee: (14) Bond Amount: (15) ENGINEERING Estimated Permit Fee: (16) Bond Amount: (17) 0 OTHER FEES Mitigation Fee: (18) _ SBtx Surcharge: (19) UN (22) (23) TOtal(Pages one&Two): Une(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24 Bulletin #100 - February 19, 2002 TOTAL