02-100083 City of Federal Way
Community Development Services Electrical Permit #:02 - 100083 - 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
i
Project Name: CITI FINANCIAL
Project Address: 1010 336TH S Parcel Number:
Project Description: ELE-Wire 28 voice and 13 data cables
Owner Applicant Contractor
ASA PROPERTIES INC. GEE TELEPHONE SERVICES GEE TELEPHONE SERVICES
8805 148TH AVE NE GEE TELEPHONE SERVICES GEE TELEPHONE SERVICES
REDMOND WA 98052 6220 MISSION AVE 6220 MISSION AVE
MARYSVILLE WA 98271 (206)653-3470
Electrical Fixtures
:'Description -Quantity Description Quantity Description , . Quantity,
Low Voltage-Other Commercial 1
PERMIT EXPIRES July 6,2002,IF NO WORK IS STARTED.
Permit issued on January 7,2002
11111 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: / ' 1 O c
/— 9— 62- Cen„-(4/ Caq//s
i — zs—Cr—e-- g ( a /' .
moo.uV . CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER: D - L Q a D$"3 - az,
APPLICATION NUMBER: - -
APPLICATION NUMBER: - = _
_--_-_- - _ -
**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.
' = • ' . ■ '=PROPERTY INFORMATION -
SITE ADDRESS: / 0 I 0 3 I S SSS• S . ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■•PROTECT INFORMATION • _
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING Cl MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): W (rt V e' (-t- 13 v qA Gy,\p\c S
PROJECT NAME: C '� l `L\b.`n l ••
- = ■ PEOPLE INFORMATION -•. - •
PROPERTY OWNER: NAME: DAYTIME PHONE:
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAME: DAYTIME PHONE:
Ctt -rei\-41\< Sccvv-ti (s c1
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): !9ENINMPH8NE:
(360 ) 6S3 -3910
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required)
APPLICANT: NAME: DA ONE:
G«T�\C t..h . Sc-y v , fe. c eilibn6s3 - IH'10
MAILING ADDRESS(STREET ADDR ;CITY,STATE,ZIP): EVENING PHONE:
Ca-a-0 P')•, s s'oi A v t , Marx r,.�� l y V�.i 9' t a-1 ( ) s°'—
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): (3 6 0 )CS) - �-( 2S-
E-MAIL
SE-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT .CONTRACTOR
■-.DETAILED BUILDING INFORMATION r7 : - - : -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
IN 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) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ 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 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 supplied to the city as a part of this application.
NAME/TITLE: t 41"-c'Cy G- DATE: f 7- 4 4
❑ PROPERTY OWNER ❑ APPLICANT 7ONTRACTOR
'FOR OFFICE USE ONLY:---1
• ❑`NEW' ,,x=.❑ADDITION =0 ALTERATION ❑ iLEPAIR . - .E_❑ TENANT IMPROVEMENT
CENSUS CODE: :-= "LOTSIZE:-
„ZONINGvDESIGNATION: 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
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 Thermostats(First-$36.00;add'n-$11.00ea)
' (First 1300 ft2-572.00;.Each add'n 500 ft2-$23.00) _Service and feeder • 578.00 #of Low voltage fire or burglar alarms
Square Feet: First 2500 It2-$42.00;Each add'n 2500 ft2-511.00
Each outbuilding or garage $30.00 MOBILE HOME/RV PARK Square Feet: /(t: V S
-7(Inspected with service) •_#of service or feeders •Per WAC 296-46-910(5)b)(i&ii)
_Each outbuilding or garage $48.00 (First service/feeder-548.00;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 S 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/Commercial/lndustiral
_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
_Mast or meter repair 36.0Q _401-600. 97.00
#of circuits _over 600 105.00
(1-4 circuits-$48.00;Add'n circuits$5 ca)
If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+561.00.Add'l plan review for other submissions is$72.00/hr.
101FDCiUREDESCRIPTION(A) IFIXTUREFEE'FROM TABLE B(B)r :=°iANUMBER OF_UNITS(C) e' ' #EtTOTAL(D) `M-=-= '
1
:TOTAL COLUMN(D):-
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from Roe 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(Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)_ (24)
I
Bulletin#100-August 20,2001