02-101809City of FW ral Wa;=.
Community Developw&nt Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: VIDEO ONLY/HOME DEPOT
Project Address: 1643 S 352ND
Electrical Permit #:02 -101809 - 00 = IEL
Inspection request line: 253.835.3050
Parcel Number: 282104 9079
Project Description: ELE - Electrical for one freestanding sign. Rev. 9/16/02 to include new 125 amp service for sign.
Owner
Applicant
Contractor
HOME DEPOT USA #4703
I-5 SIGNS INC
I-5 SIGNS INC
1700 MARKET ST #1510
8751 COMMERCE PLACE DR NE
8751 COMMERCE PLACE DR NE
PHILADELPHIA PA
LACEY WA 98516-1326
LACEY WA 98516-1326
19103-3915
(800) 459-2967
Electrical Fixtures
Service/Feeder: 101-200 amps - Com Sign �1
PERMIT EXPIRES October 28, 2002, IF NO WORK IS STARTED.
Permit issued on May 1, 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:
See Application
F'NAa� k,. 0 V'ea � -s-
Date: 0,
City of Fe6.eral Wa
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Pb: 253.661.4000 Fax: 253.661.4129
Electrical Permit #:02 -101809'- 00 --'EL
Project Name: VIDEO ONLY/HOME DEPOT
Project Address: 1643 S 352ND
Project Description: ELE - Electrical for one freestanding sign
Inspection request line: 253.835.3050
Parcel Number: 282104 9079
Owner
Applicant
Contractor
HOME DEPOT USA #4703
I-5 SIGNS, INC
I-5 SIGNS, INC
1700 MARKET ST #1510
8751 COMMERCE PLACE DR NE
8751 COMMERCE PLACE DR NE
PHILADELPHIA PA
LACEY WA 98516-1326
LACEY WA 98516-1326
19103-3915
(360)459-2967
Electrical Fixtures
Sign 1
PERMIT EXPIRES October 28, 2002, IF NO WORK IS STARTED.
Permit issued on May 1, 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:Date: Jr d
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APR 2
CONSTRUCTION PERMIT APPLICATION
**The following is required information - Please print (in ink) or typer*QMMUMTY DEVELOPMENT
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate aA"I& 1 2002
PROPERTY•• •
SITE ADDRESS: 1643 S. 352ND ST. ASSESSOR'S TAX/PARCEL #: 2 8 2 1 0 4 - 9 0 7 9
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): SEE ATTACHED
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
X ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME: HOME DEPOT/VIDEO ONLY
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME: DAYTIME PHONE:
HOME DEPOT USA #4703 R VIDEO ONLY
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
NAME:
DAYTIME PHONE:
I-5 SIGNS, INC.
(360 ) 459
- 3200
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
8751 COMMERCE PLACE DR. N.E., LACEY WA 98516-1326 (new address)
(800) 459
-2967
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
- -
(800) 459
-3494
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) I F I V E S I 1510 3
10/30 /02 .
r
- i
NAME:
I-5 SIGNS. INC. (360) 459 - 3200
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
8751 COMMERCE PLACE DR. N.E., LACEY WA 98516-1326 (new address) (800) 459 -2967
RELATIONSHIP TO PROTECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT X OTHER ( DESCRIBE): CONTRACTOR (800) 459 -3494
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER APPLICANT CONTRACTOR I JSWANZYOI-5SIGNS.COM
DETAILED BUILDING INFORMATION
EXISTING USE: L EXISTING BUILDING ASSESSED/APPRAISED VALUATION
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ 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
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. SYSTEMS)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERTS) RANGE(S) MISC.
COMPRESSOR(S) FURNACE(S)
DUCTS) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
PLUMBING
LAVATORY(S)
RAINWATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
■ DISCLAIMER/ SIGNATURE BLOCK
WATER HEATER(S)
o ELECTRIC ❑ GAS
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," city as a part of this application.
NAME/TITLE: - DATE:
o PROPERTY OWN/R APPLICANT CONTRACTOR
L
h ~
Estimated Permit Fee: (6)
Estimated Plan Review Fee: (7)
Base Fee Number of F xtures 0 PLUMBING
$22.50 + { X $8.00/facture) _ (8) Estimated Permit Fee
Estimated Permit Fee
X .65 =
Miscellaneous Fixture Charge: (10)
(9) Estimated Pian Review Fee
SUb TOW (Page One): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) _ (il)
N ELECTRICAL
UXU31111
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 ft2-$75.00; Each add'n 500 ftZ -$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' -Sl 1.50
Each outbuilding or garage ............................
$31.00
MOBILE HOME/RV PARK
Square Feet:
(Inspected with service)
# of service or feeders
' Per WAC 296E(b)(i & ii)
_ Each outbuilding or garage ............................
$50.00
_
(First service/feeder-$50.00; Add'n service/
# of Signs (First si-$37.SQ 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
COMMERCIALANDUSTRIAL
(Includes three units or more)
Altered Service or Feeders
Service
Feeder
Amps Service or
Add'n
to 200 ............................................... $ 81.00
_ Up to 200 amp .............. $ 81.00 .................
$ 24.00
Feeder
-0
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 ................................................. $ 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 ............................................... 101,00
_ # of circuits
_
over 600 ................................................109.00
(1-4 circuits -$50.00; Add'n circuits $5 ea)
_
If 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=1 plan review for other submissions is $75.00/hr.
Estimated Permit Fee: (12)
Total Column (D)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $63.50 + ( X .35) = (13)
■ DEMOLITION
Estimated Permit Fee: (14)
Blond Amount: (15)