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02-100037City of Federal Way Community Development Services 33530 1st Way S Federal Way, WA 98003-6210 Pb: 253.661.4000 Fax: 253.661.4129 Electrical Permit #:02 - 100037 - 00 - EL Inspection request line: 253.835.3050 Project Name: CENTER FOR DIAGNOSTIC IMAGING Project Address: 33801 IST S Suite101 Project Description: ELE - Electrical work for fire alarm system Parcel Number: 926504 0160 Owner Applicant Contractor SPIEKER PROPERTIES L P FIRE PROTECTION INC FIRE PROTECTION INC 33801 1 ST WAY S MILL CREEK WA 98082 MILL CREEK WA 98082 FEDERAL WAY WA 980034546 (206)440-5763 Electrical Fixtures riptionuarlti Low Voltage Fire Alarm - Commercia 1500 PERMIT EXPIRES July 7, 2002, IF NO WORK IS STARTED. Permit issued on January 8, 2002 • I hereby certify that the above information is correct and that the construction on the above described property and the occ-pancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and the Ciry of Federal Way. Owner or agent: 1/1TI-lanq �� Date: -2, lite ve 2, '(o ©R 9 12/27/2001 09:01 FAX 2536614129 CITY FGDIiRALNAY 0 001 CONSTRUCTION PERMIT APPLICATION (.. - ?i UJ:?iSLiiy: i?i4:t!Sit=.iv'irs:::n:{�':::r:r .•.5.; .. �{��1/ JAN �N 4 ���I':•�2':fi�i:;tlSf.::iYi:�:..,..... _.__ .......:................... .. ... .. ....: ]_.....'i•_ '..i..in.�.?i... (;IVY OF rE:[at;FIAL rvrAr Fw BUILDING DEPT. REMEMIX **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. �/ PROPERTY•- • eAtSITE ADDRESS: 9D!°u ��ASSESSOR'S TAX/PARCEL: LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): ■ PROJECT INFORMATION TYPE OF PROJECT (This application): ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION CAL ENGINEERINf IRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed descfription): -51"" ;, /,q e — G PROJECT NAME: PROPERTY OWNER: CONTRACTOR: APPLICANT: ■ PEOPLE INFORMATION NAME. —T -DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): NAME: DAYTIME PHONE: MAIUMG�DRESS � ET ��� ,STATE, 21P):f EVENING PHONE: - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: CONTRACTORS REGISTRATION NUMBER: _ EAR�A N DATE: (copy of card required) MAILING ADDRESS; CRY, STATE, IIP): /EVENING RHONE: l ) - RELATIONSHIPTO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT �r HER(DESCRIBE): 5 CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER f *:i Ciii, [4k&1 i o APPLICANT o CONTRACTOR EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ - SPRINKLERED BUILDING?cy;� 131"NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRE �Y ❑ NO WATER SERVICE PROVIDER: ❑ LAREHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN a HIGHLINE a PRIVATE (SEPTIC) 11/27/2001 09:01 FAX 2536611129 CITY F;D :R2,kL1fA **NEW RESIDENTIAL CONSTRUCTION ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: ■ PROJECT FLOOR AREAS [A 002 FLOOR EXISTING . FT. PROPOSED SQ. FT. TOTAL BASEMENT AIR HANDLING UNIT(S) FIRST GAS LOGS) REFRIG. SYSTEMS) W(S) SECOND HOOD(S) WOODSTOVE(S) BOILERS) 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) 'TSCLATMFR/STGNATURF 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 fled 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 sup the city as a part of this application. NAME/TITLE: , h , L�2DATE: ❑ PROPERTY OWNER ❑ APPLICANT' ( RACTOR COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129 FIXTURES Ind -nate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOGS) REFRIG. SYSTEMS) W(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILERS) FIREPLACE INSERTS) 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) RAINWATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. ( ] INTERCEPTORS) SUMP(S) 'TSCLATMFR/STGNATURF 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 fled 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 sup the city as a part of this application. NAME/TITLE: , h , L�2DATE: ❑ PROPERTY OWNER ❑ APPLICANT' ( RACTOR COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129 ■ ELECTRICAL TABLE B DENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES Family _Service or feeder only.......:.......:.........548.00: # of Thermostats F' t-$36.00; add'n-$I1.00ca) fir burglar 2 300 W-$72.00; Each add'n 500 ft -$23.00) _ Service and feeder ............................... $78.00 Sof Low volts c alarms First 2500 ft= -$42.00; Each add'n 2500 fe-$11.00 Feet: Square Fect: ,�� utbuild'mgorgarage..................:........$30.00 MpBILE HOME/RV PARK # or feedersPcr WAC 29G 4G-9I0(5)(b)(i & ii)utbuilding ted with service) or garage ........................... $48.00 [Fa of service (First service/feeder-$48.00; Add'n service/ _#of Signs (First sign -$36.00; add'n sign ed separately) feeder -$31 each) $immi each) Swimming pool, hot lub, spa .................72.00 Yard Pole meter loops ...........................48.00 LTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (Includes three units or more) Altered Service or Feeders Service Feeder Amps Service or Add'n _ 0 to 200 ..............................................5 78.00 Up to 200 amp .............. S 78.00................ $ 23.00 Feeder _ 201-600 .............................................. 182.00 _ 201-400 amp .................. 97.00.................... 48.00 -0 to 100 .........................5 78.00....... $ 48.00 _ 601-1000 ............................................ 274.00 _ 401- 600 amp ................ 133.00 .................... 66.00 _ 101-200 ................ ......... 97.00........... 61.00 _ over 1000.............................................305.00 800 amp ................ 170.00 .................... 91.00 _ 201-400 ........................ 182.00 ........... 72.00 _ # of circuits _601- 800 amp ................. 243.00 .................. 182.00 _ 401-600 ........................ 212.00........... 85.00 (1-5 circuits -$61.00; Add'n circuits, $5 ea) _Over ALTERED SINGLE/MULTI FAMILY _ 601-800 ........................ 274.00......... 116.00 (When inspected separately from the services.) _ 801-1000 ...................... 335.00......... 140.00 TEMPORARY SERVICE Service or Feeder -over 1000 ...................... 365.00......... 195.00 Residential/Multi-Family/Commercial/Industiral 0 to 200 amp ................................................ $ 66.00 _ Over 600 volts surcharge ...................... 61.00 _ 0-100 .................................................... 48.00 _ 201- 600 amp ................................................ 97.00 _ Mast or meter repair.....----..................... 66.00 _ 101-200 ................................................ 61-00 _ over 600 amp ................................................ 146.00 _ 201-400 ................................................ 72.00 _ Mast or meter repair ....................................... 36.00 _ 401-600 . ., .............................................97.00 _ # of circuits _ over 600 ...............................................105:00 _ (14 circuits -$48.00; Add'n circuits 55 ea) 'ell nAil- 11 Service Is greater than tw amp, a ptart ICV IOW a icy U. rao a -.o.,. P...11..,-- Estimated Permit Fee: Estimated Plan Review Fee: $56.25 + Estimated Permit Fee: Bond Amount: (15) Estimated Permit Fee: (16) Bond Amount: (17) Mitigation Fee: (18) S80C Surcharge: (19) _ Total Column (D) Estimated Permit Fee from ine 12 X.35 = (13) �:-�.)• DEMOLITION ,.: - - - -°; --. z,:■ OTHER FEES (20) (22) (21) (23) Total (Pages one&Trao): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = Bulletin # 100 - August 20, 2001