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02-103053 _ . .. City of Federal Way Community Development Services Electrical Permit #:02 - 103053 - 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: WASHINGTON STATE DEPARTMENT OF REVENUE RE'1 5 Peke''--"' Project Address: 3455 S 344TH Suited I4Q Parcel Number: 222104 9006 Project Description: ELE-Hookup one new split cooling unit. Add 3 dedicated circuits and 17 new outlets. Add 4 light switches.Added 1-100amp feeder. Owner Applicant Contractor BEDFORD PROPERTY INVESTORS LAZER ELECTRIC LAZER ELECTRIC • 701 N 34TH ST SUITE 308 9523 19TH AVE E 9523 19TH AVE E SEATTLE WA 98103 TACOMA WA 98445 TACOMA WA 98445 (253)535-1900 Electrical Fixtures Description - 4A!e-scription':r� `' .,.Quantity _=Description' . ;;`. Quantity Alt.Serv./Feeder up to 200 amps-Co 1 Circuits- Commercial 5 PERMIT EXPIRES January 14,2003,IF NO WORK IS STARTED. Permit issued on July 18,2002 I hereby certify t I.t a •.ove ' is .do . ect and that the construction on the above described property and the occupancy an th a Is 9 ba • - laws,rules and regulations of the State of Washington and the City of Federit Owner or agent: `,• �� ( Date: (5(..___/0 e CwSr )6 0- r -Ci C'c I. „�� ��r-`Ai ^ UZ F ,rd ./-03 0.} C�� City of Federal Way Electrical Permit #:02 - 103053 - 00 - EL Community Development Sernces 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: WASHINGTON STATE DEPARTMENT OF REVENUE Project Address: 3455 S 344TH Suite125 Parcel Number: 222104 9006 Project Description: ELE-Hookup one new split cooling unit. Add 3 dedicated circuits and 17 new outlets. Add 4 light switches. Owner Applicant Contractor BEDFORD PROPERTY INVESTORS LAZER ELECTRIC LAZER ELECTRIC 701 N 34TH ST SUITE 308 9523 19TH AVE E 9523 19TH AVE E SEATTLE WA 98103 TACOMA WA 98445 TACOMA WA 98445 (253)535-1900 Electrical Fixtures Description �� � QI c�r,pttori , r ;[Quantity :; Descriptiolt:r., .,'4,;,,lQuaritity Circuits- Commercial 5 PERMIT EXPIRES January 14,2003,IF NO WORK IS STARTED. Permit issued on July 18,2002 I hereby certify tha - .ve informatio, is c• t . •a that the construction on the above described property and the occupancy and - wil : . . c,rdanc,41'aws,rules and regulations of the State • Wash'•gton and the City of Federal ►; Owner or agent: A;� 4_,11 .......--,117--41111 � ....... it A. Date: 6 or_ �+ off 7 , 3 ( - D2 Leta Coo _ , CIr.a - RECEIVED CONSTRUCTION PERMIT APPLICATION L APPLICATION NUMBER:' Ot -I_ as 3 - E(, VV AY JUL 1 8 2002 APPLICATION NUMBER: - - CITY OF FEDERAL WAY APPLICATION NUMBER: - - **The followil ii-Phkgr ?,Tormation-Please print(in ink)or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. • ■LPROPERTY INFORMATION 7 SITE ADDRESS: (55- sJ ' 3 1 T 4-1 t%. a` ASSESSOR'S TAX/PARCEL#:Z Z. z / O y - ? o o 6 Y - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): 2 _ y ■ PROTECT INFORMATION TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION 'ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM ' PROJECT ESCRIPTIO i(• ovide detailed description): ti y (A_ W 1 � + cO I - , L( L Go --(- e._ - - .' c- Cy - PROJECT NAME: VI(1c 0 I[.vk, b � T a "& " ■ ,PEOPLE INFORMATION 6 PROPERTY OWNER: NAM8 4n rrl , - `moi DAYTIME PHONE-: �eY p .A... )e.,46 j,...s MAILING ADDRESS( REETJ DDt S$;C STATE, 1P): n C- w ilia_ CONTRACTOR: NA? 7e-c E: DAYTIME PHONE: E ( c- <-- L vs-s)s-3s-/Soo MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP)• EVENING PHONE: 9i5 I yt``AOe. .-, Ti . (J4 98 Y `ts- L?.>^3) G 06-0yy? CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER: _ - - JZS3) Sas -/q(( CONTRACTOR'S REGISTRATION NUMBER* L 6 EE � J. 0 3 yEXPI TION DATE:, (copy of card required) 2� � ' / 6/V / APPLICANT: ( ` DAYTIME PHONE: NAME: D h� M �� � ���� (2S-- ,57 46,746 46 MAIIZIG ADDRESS(STREET C DRES TTY,$T ,ZIP):tk ( 1-O�r A ari33 C� EVENING PHONE: - RELATIONSHIP TO PROJECT: / v1 J FAX NUMBER:J ❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): /75-S)S--7- -1 71 1- E-MAILADDRESS: _ CONTACT PERSON FOR THIS PROJECT: CI PROPERTY OWNER PPLICANT Cl CONTRACTOR sKrG*-eO t-10-C-44 (4f1« ■ DETAILED BUILDING INFORMATION EXISTING USE: r RA rC-t EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ J 5. 3c a9o PROPOSED USE: V T ' CC. PROPOSED VALUATION FOR IMPROVEMENTS: $ J-5-6O 0 SPRINKLERED BUILDING? E AES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO WATER SERVICE PROVIDER: • V-)LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: K.LAKEHAVEN ❑ HIGHLINE 0 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: • . -.• 'FIXTURES • - 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 INSERT(S) RANGE(S) MISC.( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: El 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) -- - -• . - . . . ■ 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 armless the Ci of Federal Way as to any claim (including costs,expenses,and attorneys'fees incurred in the investigation .nd de e se of such .frrft .hich may be made by any person,including the undersigned,and filed against the City of Federal Way, , •nl ap — k claim alp,-o • t.• reliance of the city, including its officers and employees,upon the accuracy of the informs \r• city as - part • A.lication. Ott") I DATE: ( 7(7o NAME/TITLE: �� . . ❑ PROPERTY O ``,\ER Al , ••LICANT ❑ CONTRACTOR FOR OFFICE USE ONLY: ❑ NEW ❑ ADDITION ❑ ALTERATION 0 REPAIR ❑ TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES ❑ NO COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO rnw,nu mf1Tv nr,ri npM! JrtC1 PvIrrc.11CZn FIVCT\v Av Ili lT11. 'n nr1Y Q71R.rrtlrRAt WAY WA 'RPA1-9718• 251 r,f.1-4fNl(1.FAY- )'1(d.1-4179 • Construction Permit Fee Calculation Sheet *******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT. CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED!******* Building, mechanical,and fire prevention system fees are based on the following schedule. TABLE A TOTAL VALUATION FEE FACTOR (1)$1 00 to$500 00 (1)$24.25 (2)$501 00 to 52,000 00 (2)$24.25 for the first$500.00 plus 5317 for each additional$100 00 or fraction thereof,to and including$2,000 00 (3)52,001.00 to$25,000.00 (3)$71.46 for the first$2,000.00 plus$1500 for each additional$1.000 00 or fraction thereof,to and including 525,000 00 (4)525,001.00 to$50,000 00 (4)$403.61 for the first$25,000.00 plus$1082 for each additional 51,000 00 or fraction thereof,to and including 550,000 00. (5)$50,001.00 to$100,000.00 (5)$664.35 for the first$50,000.00 plus$7.50 for each additional$1,000 OQ or fraction thereof,to and including $100,000 00 (6)$100,001.00 to 5500,000 00 (6)$1,025.55 for the first$100,000.00 plus 56 00 for each additional 51.000 0Q or fraction thereof,to and including 5500,000 00 (7)$500,001.00 to$1,000,000 00 (7)$3,337.23 for the fist$500,000.00 plus 55 09 for each additional 51,000 0Q or fraction thereof,to and including $1,000,000 00. (8)51,000,001 00 and up (8)$5,788.23 for the first$1,000,000.00 plus$3 91 for each additional 51.000 00 or fraction thereof. Bold number is the base fee for the specified increment Italicized underlined number is the fee per additional specified increment PLUS: Add 65 percent of the base building permit fee for plan review fee. Add 25 percent of the base mechanical permit fee for mechanical plan review fee. Add 15 percent of the base building permit fee for Fire District #39 surcharge,commercial only. Add $4.50 for WA State Building Code Council,plus$2.00 per unit for duplex&above. ** Electrical,plumbing,and mechanical fees are calculated separately ** - - ■ BUILDING • PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: (a) Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (1) Estimated Plan Review Fee: (2) Estimated FW Fire Department Surcharge: (3) (COMMERCIAL ONLY) ■ MECHANICAL • • PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: (a) Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (4) Estimated Plan Review Fee: (5) - - = • FIRE PREVENTION SYSTEM • PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (6) Estimated Plan Review Fee: (7) ... . - - ■ PLUMBING • - - Base Fee Number of Fixtures $21.00 + { X$7.00/fixture) = (8) Estimated Permit Fee Estimated Permit Fee X .65 = (9) Estimated Plan Review Fee Miscellaneous Fixture Charge: (10) c thTntxl rw.,.n• 1ino(c1(114/7\4/1\*(4\s/c)4(e14(714all+1014(1M = (111 ■ ELECTRICAL • TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES Single Family _Service or fccdcr only $44.25 — _ #of Thermostats(First-S33 50,add'n-S 10.50ea) (first 1300 ft'-567.00;Each add'n 500 ft'-$21.50) —Service and(ceder.... 572.25 I-ir#of 20Low 0 1l''voltaetSg fire or r buburglar ala00 fts-SIU 50 Square Feet: Square Feet: Each outbuildingor_^garage...... .. .. . S28 00 MOBILE HOME/RV PARK (Inspected with service) — #of service or feeders • Per WAC 296-46-910(5)(b)(i R ii) _Each outbuildingor garage.."................ .$44.25 (First service/feeder-544 25,Add'n service/ —#o�6 Signs (Fiob ll�st sign-533 50,add'n sign (Inspected separately) feeder-528 each) _Progress inspection per' hr $33.50 _Swimming pool•hot tub.spa...............67.00 Yard Pole meter loops......... 44 25 NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL Altered Service or Feeders (Includes three units or more) Service Feeder Amps Service or Add'n —0 to 200 . S 72.25 Feeder —201 -600 169.00 _Up to 200 amp S 72.25. S 21 50 00. $72 25.. $44 25 —601- 1000 254 50 56 2� over 1000 282.75 _201-400 am 89.75. ........... .44 25 —0 to l _401-600 amp I23.25........ ...... 61.50 —101 -200............. 89 75. - -601-800 amp158.00 . ......84 25 —201 -400........... . 169.00.... .67 00 ��s:of circuits 1 (1-5 circuits 556 25;Add'n circuits.$5 ca) Over 800 amp....... .....225.25... ... 169 00 —401-600.................. 197.00..... 78.75 601-800....... ....... ...254.50 .... 107.25 ALTERED SINGLE/MULTI FAMILY — (When inspected separately front the services) —801- 1000..................310.75 Temporary 7> p rY Scrvicc Service or Feeder —Over 1000.................339.00....... 181 00 —0 to 60 . . ... ..... . $38 75 $G 1.50 —Over 600 volts surcharge 56 25 —61 - 100 44.25 —Oto 200 amp 5G 25 89.75 —Mast or meter repair61.50............. ........ —101-200 201-GOO amp2p l-a 00 67.00 135.25 over 600 amp ..... — 33 50 501-600. ..... 89 75 _Mast or meter repair....................... .. —over 600 97.75 _#of circuits — (1-4 circuits-544.25;Add'n circuits$5 ca) , - Ifservice is greater than 200 amp,a plan review is req'd Fee is 35%of permit Ice+556 25.Add'I plan review for other submissions is$67.00/hr. FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D) ,—• TOTAL COLUMN(D): Total Column(0) Estimated Permit Fee: (12) Estimated Permit Fee from line 12 Estimated Plan Review Fee: $56.25 + 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) Total (Pagesone&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24) Bulletin #100–January 3, 2001