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02-101959�rCity0if Federal Way Coinmun`.iv Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: Project Address HOME DEPOT 1715 S 352ND Electrical Permit #:02 -101959 - 00 - EL Project Description: SG - Install (1) 120V circuit for display/info kiosk Inspection request line: 253.835.3050 Parcel Number: 282104 9008 Owner Applicant Contractor HOME DEPOT U S A INC DW CLOSE CO INC DW CLOSE CO INC 1700 MARKET ST #1510 3317 3RD AVE S 3317 3RD AVE S PHILADELPHIA PA SEATTLE WA 98124 SEATTLE WA 98124 19103-3915 (206) 242-0058 Electrical Fixtures ' Qescri tion T Vis+ i tt©n. _ . Q�rant t ;Descr tion.. Q lar�titx Circuits - Commercial 1 PERMIT EXPIRES November 9, 2002, IF NO WORK IS STARTED. Permit issued on May 13, 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 thela , rules and regulations of the State of Washington and the City of Federal Way. 0 Owner or agent: Date: RECEIVED E6r— a"Olf G CONSTRUCTION PERMIT APPLICATION uVL MAY 1 3 PPLICATION NUMBER: -Q;-- "PLICATION Z -"PLICATION NUMBER: -- -- ------ CITY -- OF FEDERAL WAY PPLICATION NUMBER:_ BUILDING DEPT. — — — — — — - **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: _�%.S �7o�-/U IL) i�ST ASSESSOR'S TAX/PARCEL #: - LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): 0 PR03ECT INFORMATION TYPE OF PROJECT (This application): ❑ B�NG ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION EIS LECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM 'XPROJECT DESCRIPTION (Provide detailed description): i/ �_/0-ye •• ■ PEOPLE INFORMATION �) PROPERTYOWNER: CONTRACTOR: APPLICANT: NAME' j--(owcc� Dc:�T --T—DAYTIME PHONE: (zs3) �� i - S zcb MAILING ADDRESS (STREET ADDRESS, STATE, IIP): NAME: DAYTIME PHONE: �s lJ (Z0G)Z1CeZ -CI-61O MAILINGADDRESS (STREET ADDRESS; QTYSTE? LG_ - -S /sSi EVENING PHONE: ( ) QTY OF FEDERAL WAY BUSINESS LICENSE NUMBER:� - � � f 0- - � FAX NUMBER: - CONTRACTOR'S REGISTRATION NUMBER: (.DPY d d )SCO / — OGt) EXPIRATION`) DATE: MAILING ADDRESS (STREET ADDRESS; CRY, ST ❑ ARCHITECT ❑ TENANT Lel OTHER ( DESCRIBE): Cro01TrWi/„{%C Lr—z- CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT B -CONTRACTOR EXISTING USE: PROPOSED USE: SPRINKLERED BUILDING? WATER SERVICE PROVIDER: SEWER SERVICE PROVIDER: ■ DETAILED BUILDING INFORMATION EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ ❑ YES ❑ NO PROPOSED VALUATION FOR ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE 11 LAKEHAVEN 11 HIGHLINE 11 PRIVATE (SEPTIC) DAYTIME PHONE: (?iLY� ) Z'CeZ - c255 EVENING PHONE: ( ) FAX NUMBER- ( ) ❑ YES ❑ NO **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: FLOOR EXISTING SQ. FT. PROPOSED . FT. TOTAL BASEMENT _ _ FIRST SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: AIR HANDLING UNIT(S) BBQ(S) BOILERS) COMPRESSOR(S) DUCT(S) BATHTUB(S) DISHWASHERS) DRINKING FOUNTAIN(S) GAS PIPE OUTLET(S) INTERCEPTORS) Indicate number of each type of fixture MECHANICAL EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) FAN(S) HOOD(S) WOODSTOVE(S) FIREPLACE INSERTS) RANGE(S) MISC. [ FURNACE(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING LAVATORY(S) RAIN WATER SYS. SHOWER(S) SINK(S) SUMP(S) URINAL(S) VACUUM BREAKER(S) WASH MACHINE OUTLET WATER CLOSET(S) ]iSCLAiMER/SIGNATURE BLC WATER HEATER(S) ❑ 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 hwestigation 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 ere such claim ari out of the reliance of the city, including its officers and employees, upon the accuracy of the information s lied to the d t!2& of this application. \ , ' . X NAME/TITLE: ATE: X, 13 PROPERTY OWNER 11 APPLICANT CONTRACTOR v'= CDMMUNIfY DEVaOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063.9718.253%61-4000 • FAX: 253-661-4129 www.ckvofrederalway.com TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES Family _ _ Service or feeder only ......................... $50.00 _ # of Thermostats (First 437.50; add'n-S 11.50ea) -Single (First 1300 ft' -$75.00; Each add'n 500 11=424.00) _ Service and feeder ............................... $81.00 _ # of Low voltage fire or burglar alarms Square Feet: First 2500 W -S43.50; Each add'n 2500 112411.50 _ Each outbuilding or garage ........................... $31.00 MOBILE NOME/RV PARK Square Feet: (Inspected with service) _ # of service or feeders • Per WAC 29646-910(5)(b)(i & ii) _ Each outbuilding or garage ........................... $50.00 (First service feeder -$50.00; Add'n service/ _ # of Signs (First sign -537.50; add'n sign (Inspected separately) feeder -$32 each) 517.50 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 ..............................................S 81.00 _ Up to 200 amp .............. S 81.00................ $ 24.00 Feeder _ 201-600 .............................................. 189.00 _ 201 - 400 amp ................ 101.00.................... 50.00 _ 0 to 100 .........................S 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 Z # 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 Residcntial/Multi-Family/Commercial/Industrial _ 0 to 200 amp ............................................... S 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 .............................................. 101.00 _ # of circuits _ over 600 ...............................................109.00 (14 circuits -$50.00; Add'n circuits S5 ea) It 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) Estimated Permit Fee: (14) Bond Amount: (15) Estimated Permit Fee: (16) Bond Amount: (17) Mitigation Fee: (18) SBCC Surcharge: (19) (20) ■ DEMOLITION ■ OTHER FEES (22) (23) Total (Pages one&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24) Bulletin #100 - February 19, 2002