02-103156 City of Federal Way
Community Development Services Electrical Permit #:02 - 103156 - 00 - EL
.33530 1st Way S
Federal Way,WA 98003-6210
Ph 253 661 4000 Fax•253 661.4129 Inspection request line: 253.835.3050
Project Name: RAINIER PACIFIC
Project Address: 33650 21ST SW Parcel Number: 930100 0020 .
Project Description: ELE-Adding branch circuit for future new sign. Sign to be permitted by separate contractor.
I
Owner Applicant Contractor
RAINIER PACIFIC LAZER ELECTRIC LAZER ELECTRIC
33650-21ST AVE SW 9523 19TH AVE E 9523 19TH AVE E
FEDERAL WAY WA 98023 TACOMA WA 98445 TACOMA WA 98445
(253)535-1900
Electrical Fixtures
v.:VIMMErriCAPIMai towlimesoplitiNT11-40076f0 ; V9444p1 e,* =r r-:Quant
Circuits- Commercial 1
PERMIT EXPIRES January 20,2003,IF NO WORK IS STARTED.
Permit issued on July 24,2002
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 W
f::: ._
Owner or agent: !\ OVA f Date: -- 7 0 Z--
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Rough-in inspection: -- �" / ¶-2.6--6 2
Date
Service inspection:
Date
FINAL inspection: q_ u)- y-
G Cos a � --- Date
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!� G RECEIVED CONSTRUCTION PERMIT APPLICAT
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APPLICATION NUMBER: 1)g - L 3156 - �d1
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s� JUL 2 4 2002 APPLICATION NUMBER: - -
,-/ -23,,63 / APPLICATION NUMBER:
G6 :. CITY OF F
t,x,t_ ollowinglj pE4gyrT tion--Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering Y g g permits may require a separate application.
L • PROPERTY INFORMATION
SITE ADDRESS: 33 6SO 2 1 S) S✓"ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
' ■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION
ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): J/Yj' ,i / RCnc`- C,(Itfil4 Iy
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PROJECT NAME: �Ci'\1 fir— k Gc- L. ?ThC)A k
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME:
i\CA l"1e� DAYTIME PHONE:
L.' &c k (9Zs3)1.z6 -0/Z_
MAIUNGADDRESS(STRE DDRESS;CITY,STATE,ZIP):
1—)00 ?Ctr:L (. t4 y C %ca*is we'• q(614/241
CONTRACTOR: N ME: DAYTIME PHONE:
2C r' £/cam i-n L czs3 )S3S - r100
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
9S21 \CCr`` AVC L- ince i wc, 9E i/ ( ) -
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
Q- 2)52.c) /9//
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: DAYTIME PHONE:
(
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT 0 OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT XCONTRACTOR
■ 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 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
CCWCn ccn ,rnc nnwrrncn. f-7 . ....- .._. r, ___________ .--,
f i
**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:
,.......,_ . ,- - . ._ .. . . .... .,, .-�..r..�n., p.•.N FIXTURES}:i� . ....,., ._......., . r ... -,.._ �.. s... , _
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(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 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.(
INTERCEPTOR(S) SUMP(S)
- = ■ 'DISCLAIMER/SIGNATURE BLOCK
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 daim(induding costs,expenses,and attorneys'fees incurred in the
Investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information s lied to the city assaa^part of this application.
NAME/TITLE: 0Y1Y1 �/,/���'� \ DATE: L L/
O Z—
I ❑ PROPERTY OWNER ❑ APPLICANT )000NTRACTOR
I.
i ;EUR F,FICE.USEPNLY:
I : �Ii�`at Wr,>z4kstX# h_e� p- %>ri-. � E<gxv 1.•-e-n,.r�:=- . s
EIN i fAbDIadki -❑ALTERATION_ LEO_ R- .'T.E.401 MP�(209VEMEIVT_`, ' ;
NSUs,icObt:. --- -�. �, -, �:i-. -��" �,-��� OT IZE•: ';�rtf.�z _.�-t- .::�.:::� �_� .��--�I�-:s�ti�- ;.
CO t i sIGNAtI -- T.•, l U' " ELi.ONL.' 7 WES ►:"❑ t1U: `y -;.:: "°
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ECUONlrr,,-r? '-TOWNSHIP_ rRANGE. , y.2 ;/.15B i:SS;LEQIUIftED7 �,��� M t r IN *'r-
.LOT?. L, ;NO_ ' t,Ifa.,,).CNJ1NGE-0FIJSE7>.=; 0:YES, .4311(0�__>_V>,:,a4 =.
COMMUNITY DEVELOPMENT SERVICES.33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citvofl`ederalway.com
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■ -ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only 550.00 _N of Thermostats(First-537.50;add'n-S1 I.50er
(First 1300 ft'-575.00;Each add'n 500 ft'-$24.00) _Service and feeder $81.00 _N of Low voltage fire or burglar alarms
Square Feet: First 2500 ft'-S43.50;Each add'n 2500 ft'-511.50
Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _Si of service or feeders •Per WAC 296-46-910(5Xb)(i&ii)
•_Each outbuilding or garage $50.00 (First service/feeder-550.00;Add'n service/ _N of Signs(First sign-$37.50;add'n sign
(Inspected separately) feeder-532 each) 517.50 each)
_Swimming pool,hot tub,spa
Yard Pole meter loops 50.0
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 anip S 81.00 $ 24.00 Feeder _201-600 189.00
_201 -400 amp 101.00 50.00 _0 to 100 S 81.00 S 50.00 _601 -1000 284.50
_401-600 amp 138.00 68.50 _l01-200 101.00 63.50 _over 1000 317.00
601-800 amp 176.50 94.50 _ (1
201-400 189.00 75.00 _N of circuit
_Over 800 amp 252.50 189.00 _401-600 220.50 88.50 -5 circu' -563.50; d'n circuits,55 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/Industr
_0 to 200 amp $ 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
_ovcr 600 amp 151.50 _201 -400 75.00
_Mast or meter repair 37.50 _401-600 101.00
N of circuits _over 600 109.00
(1-4 circuits-550.00;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%r
permit fee+563.50.Add'I plan review for other submissions is$75.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) -TOTAL(D)
•
TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from tine 12
Estimated Plan Review Fee: $63.50+( X.35) _ (13)
■ DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
_ ■ ENGINEERING
•
Estimated Permit Fee:(16)
Bond Amount: (17)
■ OTHER FEES
Mitigation Fee:(18) (20) (22)
•
SBCC Surcharge:(19) (21) (23)
F
Total (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)-i-(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)