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02-100204 City of unFederal Way Community Development Services Electrical Permit #:02 - 100204 - 00 - EL C"� � 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: LLOYD ENTERPRISES OFFICE BUILDING Project Address: 34667 PACIFIC S Parcel Number: 202104 9160 Project Description: ELE-Low voltage work for CATV outlets on 2nd floor office. Owner Applicant Contractor RMP INVESTMENTS*Ent Rodomske-Pitts* KIRBY ELECTRIC INC KIRBY ELECTRIC INC PO BOX 878 1519 WEST VALLEY HWY SUITE 102 1519 WEST VALLEY HWY SUITE 102 AUBURN WA 98071-0878 AUBURN WA 98001 AUBURN WA 98001 (253)804-6756 Electrical Fixtures Description Quantity Description Quantity ,Description Quantity Low Voltage-Other Commercial 1662 PERMIT EXPIRES July 14,2002,IF NO WORK IS STARTED. Permit issued on January 15,2002 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 y. /J > Owner or age / Date: / f / � 1 ( ( 1 fl 1- ( 1( .v f C-D ve v---r27/'C 4 (1,1 2ND 1---(00K-0 ) CLQ �+= CONSTRUCTION PERMIT - ... vv JAN 1 9 20U CITY UIF FEDERAL LDING DEPT.WAY TIO PLICAN:NUMBEI ;: _._ .`• __.: . **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. /-�e /■ PROPERTY INFORMATION Zi U �? / SITE ADDRESS: S 14 6'V 7 Pae.I t c- /7�✓y S ASSESSOR'S TAX/PARCEL#:20 Z l 0 / - ( / ( 0 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH/SEPARATE DESCRIPTION IF LENGTHY): • PROJECT INFORMATION TYPE OF PROJECT(This application): o BUILDING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION ED ELECTRICAL o ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): //73 74/ C0 l'v 0‘,714 YS 4'''- 42"41/ 4."" PROJECT NAME: h E.-1 7P( C..$ /34( • PEOPLE INFORMATION PROPERTY OWNER: NAME: � pp DAYTIME PHONE: / aX O / Er�'6 r/SCS' /L�, 4vPsfhs.PH)j( ) - M MAIUNG DRESS ADDRESS;CITY,STATE,/LIP): 14.4 ? / 7 af� vrN 7 CONTRACTOR: NAME: / r . DAYTIME PHONE: Xr.6y ` C (2s3) PaY- 67,s6. MAIUNG ADDRESS(STREET ADD SS;CITY,STATE, P): EVENING PHONE: CITY OF FEDERAL WAYIN(hj //e , 44.-� /v / 2_ FAX NUMBER: lE? P - 10 .1R ? 7 - d0 ( ) - CONTRACTOR'S REGISTRATION NUMBERL4�� EXPIRATION DATE: / (copy of card required) See �'7 APPLICANT: NAME: ( DAYTIME PHONE: '3asr".s fr /%rr t s (25.3 ) $ V -67J-6 MAILING ADDRESS(S�TRE�ET ADDRESS; STA P): ld Z EVENING PHONE: /.57 SHIPTOPRO�IECT: �O'/>5, y ( ) - / / FAX NUMBER: ❑ARCHITECT o TENANT )3 OTHER(DESCRIBE):i c ` P0,14-4'c-rte' ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER ❑APPLICANT ❑CONTRACTOR • DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? 0 YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑YES ❑ NO WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) rr* NUMBER 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.SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( ) COMPRESSOR(S) FURNACES) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC o GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o GAS DRINKING FOUNTAIN(S) SHOWERS) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( ) INTERCEPTORS) 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 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 s to the city as a part of this application. NAME/ ///% % /. DATE: /—/4—'& o PROPE OWNER ❑APPLICANT 14.CONTRACTOR FOR OFFICE USE ONLYR:.1 a NEW: t'i ADDITION ❑ALTERATION : a REPAIR.::: :iii TENANT IMPROVEMENT . : CENSUS.CODE: : :: I:OT SIZE::. .. ZONING DESIGNATION:: .- :..: BUILDINGSHELi4:ONLY?:: ©YES.: :a NO . .... COMP PLAN DESIGNATIONi .. :BASIC PLAN?' :::O.?CES : :[#NO :�:: �.�- -:-:: - SECTION TOWNSHIP -- --:.:RANGE= NEW AD1'iRESS:REQUIRED?: :: :::&a[ES:: .[tN0.. PLATTED LOT? :_ 0 TES; ri NO:: :CHANGEOF Ute: r- 0 YES :: ©.NO:'::::: : COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718.253-661-4000•FAX:253-661-4129 • ELECTRICAL TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only $48.00 _#of Themmostats(First-$36.00;add'n-$11.00ea) (First 1300 ft2-$72.00;Each add'n 500 ft2-$23.00) _Service and feeder $78.00 _#of Low voltage fire or burglar alarms Square Feet: First 2500 ft-$42.00;Each add'n 2500 ft2-$11.00 -Each outbuilding or garage $30.00 MOBILE HOME/RV PARK Square Feet: I 69 Co (Inspected with service) _#of service or feeders *Per WAC 296-46-910(5)(bxi&ii) _Each outbuilding or garage $48.00 (First service/feeder-$48.00;Add'n service/ _#of Signs(First sign-$36.00;add'n sign (Inspected separately) feeder-$31 each) $17.00 each) _Swimming pool,hot tub,spa 72.00 Yard Pole meter loops 48.00 - 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 $ 78.00 _Up to 200 amp $ 78.00 $ 23.00 Feeder _201-600 182.00 _201-400 amp 97.00 48.00 _0 to 100 $ 78.00 $ 48.00 _601-1000 274.00 _401-600 amp 133.00 66.00 _101-200 97.00 61.00 _over 1000 305.00 _601-800 amp 170.00 91.00 _201-400 182.00 72.00 _#of circuits _Over 800 amp 243.00 182.00 _401-600 212.00 85.00 (1-5 circuits-$61.00;Add'n circuits,$5 ea) ALTERED SINGLE/MULTI FAMILY _601-800 274.00 116.00 (When inspected separately from the services.) _801-1000 335.00 140.00 TEMPORARY SERVICE Service or Feeder _Over 1000 365.00 195.00 Residential/Multi-Family/CommerciaUlndustrial _0 to 200 amp $66.00 _Over 600 volts surcharge 61.00 _0-100 48.00 201-600 amp 97.00 _Mast or meter repair 66.00 _101-200 61.00 -over 600 amp 146.00 _201-400 72.00 - rcuMast or meter repair 36.00 ---401-600 97.00 _#of ciits _over 600 105.00 (1-4 circuits-$48.00;Add'n circuits$5 ea) If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+$61.00.Add'l plan review for other submissions is$72.00/hr. .:......TIVURE DESCR1I #IOI4 0 :<`:= fl itETE :0:01 >f.A@titrVB ::::::1 u1410EE. OP:ONI'!'sV•::>sii:: >:':>:>iiii:: >i >: 'E'AC 1;l'.' •::gi....' Total Column(D) Estimated Permit Fee: (12) Estimated Permit Fee from line 12 Estimated Plan Review Fee: $61.00+( 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 (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24) Bulletin#100-November 15,2001