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00-106029City or Federal Way Applicant Electrical Permit #: 00 - 106029 - 00 - EL Community Development Services NONE SHEPPARD & NELSON ELECTRIC 33530 1st Way S Federal Way, WA 98003-6210 Inspection request line: 253.661.4140 Ph: 253.661.4000 Fax: 253.661.4129 (3:30pm cut-off for next day inspections) 98003-5433 Project Name: LAKE GROVE ELEMENTARY Project Address: 303 SW 308TH Parcel Number: 072104 9180 Project Description: ELECTRICAL - Extend existing outside lighting circuit to reader board sign located in multi-purpose room/gym Owner Applicant Contractor FEDERAL WAY PUBLIC SCHOOL NONE SHEPPARD & NELSON ELECTRIC 31405 18TH AVE S FEDERAL WAY WA SHEPPARD & NELSON ELECTRIC 98003-5433 NONE PO BOX 3630 Electrical Fixtures Descri tion _ Quant: Description Quanti' Description Quantit Sign 1 PERMIT EXPIRES June 13, 2001, IF NO WORK IS STARTED. Permit issued on December 15, 2000 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: ��- Date: «�« G CONSTRUCTION PERMIT APPLICATION �NI Moor R EC E I � � E n PPLICATION NUMBER: D — 4 DEC 15 2(� PPLICATION NUMBER: PPLICATION NUMBER: — — **TibBU1LD t6d information — Please print (in ink) or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. PROPERTY INFORMATION SITE ADDRESS: _3 d S W 3d 8 `'' ASSESSOR'S TAX/PARCEL #: LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): ■ PROJECT INFORMATION TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION • %ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT L 4TDhE,TS_CjRIPTON (Provide detailed description): e X t s 7 /:LG Dce Jc t `d -e �C TArcu-% To r -ead -e r by az v, d PROJECT NAME: PROPERTY OWNER: CONTRACTOR: ■ PEOPLE INFORMATION NAME: DAYTIME PHONE: &-A4VO-1- bjv 5,6L M77 MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIFf. NAME:DAYTIME S Ls � PHONE: Q04) 07 -7333 ,, � c , h]q(U� ADDRESS �(STREET� DRESS; CITY ST/1©� � �EVENING PHONE: - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: - j , � � � - Ll� FAX NUMBER 70 -�V CONTRACTORS REGISTRATION NUMBER: s C P�1v C �5'� Fl ��i? EXPIRATIONJ`3 DATE: l 1o7 / o APPLICANT: NAME: DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: REIATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR DETAILED BUILDING INFORMATION 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: ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY" NUMBER OF ESTIMATED SELLING PRICE: FLOOR EXISTING SQ. FT. PROPOSED . FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) FAN(S) HOOD(S) WOODSTOVE(S) BBQ(S) RANGE(S) mist. ( ) BOILERS) FIREPLACE INSERTS) 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) SINKS) WATER CLOSETS) MISC. ( ) INTERCEPTOR(S) SUMP(S) 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 d as a part of this application. DATE: NAME/TITLE: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718 •253-661-4000 • FAX: 253-661.4129 o. ■ ELECTRICAL TABLE B SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES mily _ Service or feeder only ......................... $44.25 _ # of Thermostats (First -$33.50; add'n-S I0.50ea) FRESIDENTIALNTIAL 0 ft2-$67.00; Each add'n 500 ft2 -$21.50) - Service and feeder ............................... $72.25 - # of Low voltage fire or burglar alarms First 2500 ft2-S38.75; Each add'n 2500 ft2-$10.50 uildingor garage ........................... $28.00 MOBILE HOME/RV PARK Square Feet: with service) _ # of service or feeders • Per WAC 296-46-910(5)(b)(i & ii) L # Signs (First add'n sign Each outbuilding or garage ........................... $44.25 (First service/feeder-$44.25; Add'n service/ of sign -533.50; _ (Inspected separately) feeder -S28 each) $16.00 each) _ Progress inspection per 1/2 hr ...............$33.50 _ Swimming pool, hot tub, spa .................67.00 Yard Pole meter loops ...........................44.25 NEW MULTI -FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (Includes three units or more) Altered Service or Feeders Service Feeder Amps Service or Add'n -0 to 200 ...............................................$ 72.25 Up to 200 amp ............... $72.25 ................. $ 21.50 Feeder _ 201-600 .............................................. 169.00 _ 201 - 400 amp .....:............ 89.75 .................... 44.25 _ 0 to 100..........................$72.25 ........ $ 44.25 _ 601-1000 ............................................ 254.50 _ 401 - 600 amp ................ 123.25 .................... 61.50 _ 101-200 .......................... 89.75........... 56.25 _ over 1000.............................................282.75 _ 601- 800 amp ................ 158.00 .................... 84.25 _ 201-400 ........................ 169.00........... 67.00 AV # of circuits _ Over 800 amp ................. 225.25.................. 169.00 - 401-600 ........................ 197.00........... 78.75 (1-5 circuits -S56.25; Add'n circuits, $5 ea) _ ALTERED SINGLE/MULTI FAMILY 601-800 ........................254.50......... 107.25 (When inspected separately from the services.) - 801-1000 ...................... 310.75......... 129.75 Temporary Service Service or Feeder -Over 1000 ...................... 339.00......... 181.00 - 0 to 60..................................................$38.75 0 to 200 amp ................................................ $ 61.50 _ Over 600 volts surcharge ...................... 56.25 - 61-100 .................................................. 44.25 _ 201 - 600 amp ................................................ 89.75 - Mast or meter repair.............................. 61.50 - 101-200 ................................................ 56.25 over 600 am 135.25 201-400 ................................................67.00 - Mast or meter repair ....................................... 33.50 _ 401-600 ................................................ 89.75 _ # of circuits - over 600 .................................................97.75 _ (1-4 circuits -$44.25; Add'n circuits $5 ea) It service is greater man ary amp, a pian review is rcq u. rcc u » io vi panu. ice-.cju.cj. r uu . p.au Total Column (0) Estimated Permit Fee: (12) Estimated Plan Review Fee: $56.25 + Estimated Permit Fee: (14) Bond Amount: (15) Estimated Permit Fee: (16) Bond Amount: (17) Mitigation Fee: (18) SBCC Surcharge: (19) Estimated Permit Fee from line 12 (20) (21) ■ DEMOLITION ■ OTHER FEES X.35 = (13) (22) (23) TOtal (Pagesone&Two): Line(s) (11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24) Bulletin # 100 - August 29, 2000 ........... "A RTMENTt,QRL INDUSTRIES OVIDE. Ic W AS !ENSED' AS'P',, OR I�A D,-IBYi. I, _CONTR'"-, GENERAL 9 x 1b "Tt v, NELSOWELECTRIC t—, PPA RD BOX '0'3630 T ,VA V9.8032 0210/ o -A:: 4 6� .. .. ....... .. Kt -7; W Nv 'W N" 'W -if. Y OF Washington BUSHES3 .,..'.-.,'-'<226,59: PACIY.,XC;:HWY S X 98198 LOCATION OF BUSINESS S CERTIFIES that the business or individual listed below Is hereby lice sed to do mess within the City of Federal Way, WA. s 0.4. SHEPPARD &VELSON ELECTRIC C-:' ,POB r 3630 -Aij ENTs WAr 98032 EXPIRATION DATE DEC ,31j 2000 DATE ISSUED 12114199 LICENSE NUMBER .:4911 SIC NUMBER, 0 0 01 7 SALES TAX CODE NO. 1732 CITY CLERK This license is to be displayed conspicuously at the location of business, and is not transferable or assignable. k A& It'll p M '4 Five 4- 7