02-100019If
City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Electrical Permit #:02 -100019 - 00 - EL
Project Name: TEAM HEALTH
Project Address: 3455 S 344TH
Project Description: ELE - Low voltage permite for 1 exhaust fan
Owner Applicant
BEDFORD PROPERTIES INVESTORS MCKINSTRY CO.
BEDFORD PROPERTIES INVESTORS P.O. BOX 24567
701 N 34TH ST
SEATTLE WA 98102
01h(
the
the
0
Owner
Inspection requ
N
MIFCO.
P.O.B 24567
)764-1671
:.253.835.3050
PERMIT EXPIRES July 2, 2002, IF NO WORK IS STARTED.
Permit issued on January 3, 2002
that the above information is correct and that the construction on the above described property and
�lcy and the use will be in accordance with the laws, rules and regulations of the State of Washington and
Federal Way.
i t
T
Date: t 1?, &2—
ADDRESS: J".J 3 , D `r `I vi ASSESSOR'S TAX/PARCEL #: -
.L DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ UILDING ❑ PLUMBING ❑ MECHANICAL El DEMOLITION
NJ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): L W NQ
01 1 -
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
NAME:
DAYTIME PHONE:
( ) %2
- 33iI
MAILING ADDRESS (STREET 6PORESS, QTY, STATE, ZIP):
EVENING PHONE:
17, . 316L,
qj 124
( )
-
CITY OF FEDERAL WAY BUSINESS LICENgE NUMBER:
FAX NUMBER:
_
)
(zuo
-
I k-71
dCONTRACTOR'S REGISTRATION NUMBW-
EXPIRATION DATE
<���� M
3
(2 / Sk
/02
APPLICANT: NAME. DAYTIME PHONE:
c, eo.
MAILING ADDRESS (STREET ORESS; CITY, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT:�,� tt^�-- FAX NUMBER -
El ARCHITECT E]ltd TENANT OTHER ( DESCRIBE): Q [VI , Oa4j tt jL ( -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
.4DETAILED BUILDING INFORMATIO14
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
' FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
AIR HANDLING UNIr(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)
I certify under penalty of perjury thak 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:
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
DATE:
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-661-4129
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIr(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)
I certify under penalty of perjury thak 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:
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
DATE:
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-661-4129
TABLE B
SIDENTIAL SERVICES
MOBILE HOMES
MISC EQUIPMENT/TEMP SERVICES
e Family
_ Service or feeder only ......................... $48.00
_ # of Thermostats (First -$36.00; add'n-$11.00ea)
t 1300 fig -$72.00; Each addn 500 W -$23.00)
Service and feeder........... ..................... $78.00
_ # of Low voltage fire or burglar alarms
First 2500 fe-$42.00; Each add'n 2500 fe-$11.00
at:
Square outbuilding or garage ........................... $30.00
MOBILE HOME/RV PARK
Square Feet:
ected with service)
# of service or feedersPer
WAC 296 4G-910(S)(b)(i & ii)
outbuilding or garage ........................... $48.00
(First service/feeder-$48.00; Add'n service/
_ # of Signs (First sign -$36.00; add'n sign
ected separately)
feeder -$3l each)
$17.00 each)
I
Swimming pool, hot tub, spa .................72.00
Yazd Pole meter loops ...........................48.00
ULTI-FAMILY
COMMERCIAL/INDUSTRIAL
COMMERCIAL/INDUSTRIAL
s three units or more)
Altered Service or Feeders
Service Feeder
Amps Service or Add'n
0 to 200 ..............................................$ 78.00
200 amp .............. $ 78.00................ $ 23.00
, Feeder
0 100 78.00....... $ 48.00
201-600...........------.............................182.00
601-1000 274.00
- 400 amp .................. 97.00 .................... 48.00
to .........................$
_ ............................................
401 - 600 amp ................ 133.00 .................... 66.00
_ 101-200 .......................... 97.00 ........... 61.00
-over 1000 ............................................. 305.00
601- 800 amp ................ 170.00 .................... 91.00
_ 201-400 ........................ 182.00 ........... 72.00
_ # of circuits
_
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
_ 0 to 200 amp ................................................ $ 66.00
201- 600 amp ................................................ 97.00
-over 1000 ...................... 365.00...------ 195.00
_ Over 600 volts surcharge ...................... 61.00
_ Mast or meter repair.............................. 66.00
Residential/Multi-Family/Commercial/Industirat
_ 0-100 .................................................... 48.00
_ 101- 200................................................61 �j
_
over 600 amp 146.00
_ 201 - 400------.....--.................................71.00
--
_ ................................................
Mast or meter repair ....................................... 36.00
_ 401-60,0 . . ......................................... _97.00
_
# of circuits
_ over 600 ..............................................105.00
_
(1-4 circuits -$48.00; Add'n circuits $5 ea)
it service Is greater titan Wu a1111), a mall tovjcw n rcq U. I c a jj iu vi Puu... a + r• _.._.. _-- _ _ ---- -- --
Total Column (D)
Estimated Permit Fee: (
Estimated Permit tee from Gne 12
Estimated Plan Review Fee: $56.25 +
DEMOL117ON
Estimated Permit Fee: (14)
Bond Amount: (15)
Estimated Permit Fee: (16)
Bond Amount: (17)
Mitigation Fee: (18)
SBCC Surcharge: (19) _
>.■ OTHER FEES
(20)
X .35 = (13)
(23)
TOtal (Pages one&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24
Bulletin # 100 - August 20, 2001