02-103380City 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: STARBUCKS
Project Address: 2032 S 320TH
Project Description: ELE - Install low voltage alarm & video
Electrical Permit #: 02 -10338
Inspection request
Idd
049296
Owner
Applicant
Contr
Andrew Cratsenberg
DIEBOLD INC
DIEBOLD INC
1260 16TH AVE W
3415 S 116TH ST SUITE 113
15 S 116TH ST E 113
SEATTLE WA 98119-3101
SEATTLE WA 98168
E W 8
(20 1-
Ele 'cal
Description Quantity Desc Q tit escription Quantity
[-17.,v O-fta ge - Other Commercial 2500 Low V e Burgl larm - Comm
%k PE EXPIRES February 3, 2003, IF NO WORK IS STARTED.
Permit issued on August 7, 2002
!vion is correct and that the construction on the above described property and
rdance c0with the laws, rules and regulations of the State of Washington and
Date: 6
Owner oil
p
�ECEiv ED T
CONSTRUCTION PERMIT APPLICATION
• EnErzRL AUG 0 7 2002
Vf�Y APPLICATION NUMBER:
V
APPLICATION RUMBER:
00 OF FEDEDREP WAY APPLICATION NUMBER: - - - - - - -
BUILDING - - - - - - -
"The following 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: (��/� �/. 77\— ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
''' ' ' ■ PR03ECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑DEMOLITION
V ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME: �11 e'i,i�(�G.j'
PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME- y,,,, [ _ DAYTIME PHONE:
/1� X' ' , l 14 i9 ) -
MAIgLING A/DDRLSS (STREET ADDRESS;
,j C//IT-Y, STAT,'E--, 11 ):
/ ?-(,o o i 6�V64 0 -
NAME:
MAILING
❑ ARCHft-Fe fl TENANT ❑ OTHER ( DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
/DAYTIME PHONE:
)
EVENING PHONE:
FAX NUMBER:
E-MAIL ADDRESS:
EX NG BUILDING ASSE4S /APPRAISED VALUATION,_
)POSED U PROPOSED VALUATI FOR IMPROVEMENTS: $�
UNKLER BUILDI G? ❑ Y S ❑ O FIRE SUPPRES ION SYSTEM PROPOSED/RE
TERSE VICE PROM ER: ❑ N Q HIGHL114E El A ❑ PR�1/ATE (WELL)
CE,-AftOVI[� : LAKEHAVEN HI NE ❑PRIVATE(SEP IC)
d+i ■
DAYTIME PtIO�E
`/106 J`
- � �J CO
MAILING ADDRESS (STREET DDRESS; CIN, STATE, ZIP):
5
EVENIN PHONE:
-
CITY OF FEDERAL AY BUSINESS LIC NSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
(copy of card required) Cr
Q 3
EXPIRATION DATE:
NAME:
MAILING
❑ ARCHft-Fe fl TENANT ❑ OTHER ( DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
/DAYTIME PHONE:
)
EVENING PHONE:
FAX NUMBER:
E-MAIL ADDRESS:
EX NG BUILDING ASSE4S /APPRAISED VALUATION,_
)POSED U PROPOSED VALUATI FOR IMPROVEMENTS: $�
UNKLER BUILDI G? ❑ Y S ❑ O FIRE SUPPRES ION SYSTEM PROPOSED/RE
TERSE VICE PROM ER: ❑ N Q HIGHL114E El A ❑ PR�1/ATE (WELL)
CE,-AftOVI[� : LAKEHAVEN HI NE ❑PRIVATE(SEP IC)
d+i ■
RESIDENTIAL CONSTRUCTION ONLY"
OF BEDROOMS:
ESTIMATED SELLING PRICE: $
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSORS)
DUCT(S)
BAT B(S)
DI WASHER(S)
KINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
number of each type of
MECHANICAL
EVAPORATIVE COOLER(S)
FAN(S)
FIREPLACE INSERT(S)
FURNACE(S)
GAS PIPE OUTLET(S)
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
GAS LO) REFRIG. SYSTEM(S)
HOOD(S) WOODSTOVE(S)
RANGE(S) MISC. ( )
HEAT SOURCE: ELECTRIC ❑ GAS
URINAL(S) TER HEATER(S)
VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC.
ITSCURTMERIATGNOTURE RLC
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 o th as a part of this application.
NAME/TITLE: DATE: 7 21
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES- 33S30 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-661-4129
www.cKWffeden Iwa V.Com
EXISTING SQ. FT.
PROPOSED SQ. FT.
TAL
MENT
tFIRSOOR
T
n
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSORS)
DUCT(S)
BAT B(S)
DI WASHER(S)
KINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
number of each type of
MECHANICAL
EVAPORATIVE COOLER(S)
FAN(S)
FIREPLACE INSERT(S)
FURNACE(S)
GAS PIPE OUTLET(S)
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
GAS LO) REFRIG. SYSTEM(S)
HOOD(S) WOODSTOVE(S)
RANGE(S) MISC. ( )
HEAT SOURCE: ELECTRIC ❑ GAS
URINAL(S) TER HEATER(S)
VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC.
ITSCURTMERIATGNOTURE RLC
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 o th as a part of this application.
NAME/TITLE: DATE: 7 21
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES- 33S30 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-661-4129
www.cKWffeden Iwa V.Com
■ -ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES
MOBILE HOMES
MISC EQUIPMENT/TEMP SERVICES
Single Family
_ Service or feeder only .........................
$50.00
_ # of Thermostats (First 437.50; add'n-$ 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 2500 ft' -$43.50; Each add'n 2500 ft' -$11.50
Each outbuilding or garage ........................:..
$31.00
MOBILE HOME/RV. PARK
Square Feet:4520
(inspected with service)
_ # of service or feeders
• Per WAC 2 6-46-910(5)(b)(i & ii)
_ Each outbuilding or garage ...........................
$50.00
(First service/feeder-$50.00; Add'n
service/
_ # of Signs (First sign -$37.50; add'n sign
(IrLspected 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 amp ..............................................
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 .............................................. jol.00
_ # of circuits
_ over 600 ...............................................109.00
(14 circuits -$50.00; Add'n circuits $5 ea)
1t a new or altered commercial service is 200 amps or greater, or a new or altered residential service is greater than 400 amps, a plan review is required. Fee is 35% of
permit fee +$63.50. Add'! plan review for other submissions is $75.00/hr.
FIXTUREDESCRIPTION' A FIXTURE FEE FROM TABLE B B NUMBER OF UNITS C TOTAL D
TOTAL COLUMN (D):
Estimated Permit Fee: (12)
Total Column (D)
Estimated Permit fee from line 12
Estimated Plan Review Fee: $63.50 + ( X .35) = (13)
Estimated Permit Fee:
Bond Amount: (15)
Estimated Permit Fee: (16)
Bond Amount: (17)
Mitigation Fee: (18) _
S80C Surcharge: (19)
■ DEMOLITION
■ OTHER FEES '
(20) (22)
(21) (23)
_f0tal (Pages one &Two): Une(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) =
Bulletin #100 - February 19, 2002