04-100129 City ofFederal Way
Communityty Development Services Electrical Permit #:04 - 100129 - 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: MAGGIE MOO'S
Project Address: 31653 PACIFIC S SuiteC Parcel Number: 082104 9196
Project Description: Electrical for new low voltage fire alarm system
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES LLC FIRE PROTECTION INC FIRE PROTECTION INC
HARSCH INVESTMENT PROPERTIES LLC MILL CREEK WA 98082 MILL CREEK WA 98082
1121 SW SALMON ST
PORTLAND OR 97205 (206)440-5763
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Low Voltage Fire Alarm-Commercia 1450
PERMIT EXPIRES July 20,2004.
Permit issued on January 22,2004
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.
/ (-22 ^d �
Owner or agent: Date:
eb
_off `
CONSTRUC t ION PERMIT APPLICATION
CITY OF ‘01' � APPLICATION NUMBER:
Federal Way
APPLICATION NUMBER:
JAS! 1 5 700/APPLICATION NUMBER: 04- 11)01. 2.4 _ 0-u
"The lThe following is required information—Please print(in ink)or
Please note: Electrical, Fire Prevention Sy� 5/ J�l-D_RAL WAY
�f£'� leering permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS: / I653 at iiC - Yii1 C ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
I'4 33f� f403`s - Suez C ( P3vilion C_¢Aler
-.;.\:,t4„;-;-- . 1 PROTECT INFORMATION •
TYPE OF PROJECT(This application): o BUILDING o PLUMBING 0 MECHANICAL 0 DEMOLITION
ELECTRICAL 0 ENGINEERING D FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
Lava `✓&c mGe- FIRE 6tAlet4 i . w; tL rK ecnni
PROJECT NAME: p1 R GG U HOO S
- .- .:;!♦ PEOPLE INFORMATION :.::,•::_=` - • .=-
PROPERTY OWNER: NAME: (,( ; DAYTIME PHONE
OW,
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
i I
CONTRACTOR: I NAME: DAYTIME PHONE.
t i2 r✓�oTJ,.iNC• ; ( ) Yyo - 5763
MAILING ADDRESS(STREET A DRESS•CITY,STATE.ZIP)- I EVENING PHONE-
, (2095 315/ hI Sgl4(e,WR gY(2 5 ; ( 206 ) qc,'c - 5 (3
ICITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: I n G I FAX NUMBER
0 0 - 2
- ° eLI ( /06 ) 4114 - W57
CONTRACTORS REGISTRATION NUMBER: I EXPIRATION DATE:
(copy of card requtred)
APPLICANT: NAME: DAYTIME PHONE'
Flee PR-01E0-0J, 1O . I (Z06 ) hyo - 5'/0
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE•
2.6 V5 '3 154 hue Ne/ SQA14lq (•z 06 ) '(ro - 5763
RELATIONSHIP TO PROJECT: FAX NUMBER
0 ARCHITECT o TENANT lA OTHER(DESCRIBE): CON RRCF0( (206 ) `((7 - 8'05 •
E-MAIL ADDRESS.
I
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER LZ APPLICANT CONTRACTOR I
- ■ DETAILED BUILDING INFORMATION -. _' - - **-*•
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: 6 PROPOSED VALUATION FOR IMPROVEMENTS: $ '/455"
SPRINKLERED BUILDING? ((ES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:LK YES 0 NO
WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN 0 HIGHLINE o PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• -• f: • ■ 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: 0 ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC o 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 claim arises out of the reliance of the dty,including Its officers and employees,upon the accuracy
of the Information supplied to the city as a part of this application.
NAME/TITLE: s /
ok `✓k TU15 -D DATE: i l i i(�/o I/
❑ PROPERTY OWNER del..APPLICANT d CONTRACTOR
_FO R.O FFICE.U S E_ONLY:I
`� EWr �pADUITION' "'`r"D ALTERATIONrREPAIR, :TENANTrIMPROVEMENT » >•
nZONiNG DESIGNATION�,e Y BUILDIIVG.SHELLONLI(7 a YESu=rn NO
--- - -3j�'i�-` --;_�n�-���=�=� �BASIC_PU1N?;�;��❑YES -�-a°NO "_ vr'- - --
�SECTION;; �%
"PLATTEU LOT?:-cti its ',t-❑'NO- z;? n?a ' :'CH NGE OF USE?,Y =_;"'°'=o YES -ONO',
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvoffederaiwa V.Com
•
I ELECTRICAL'
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
Single Family Service or feeder only S57 00 #of Thermostats(First-$43 00,add'n-513 00ea)
_
(First 1300 ft2-585 50.Each add'n 500 ft -527 50) Service and feeder 593 00 ri of Low voltage fire or burglar alarms
square Eeet __ -irst 2500 ft2-$50 0 .Each add'n 2500 ft'-513 Or,
_Each outbuilding or garage 535 50 MOBILE HOME/RV PARK Square Feet i - 50
(Inspected with service) #of service or feeders ' Per WAC 6-46-910(5)(b)(i& ii)
Each outbuilding or garage 557 00 (First service/feeder-557 00.Add'n service/ 4 of Signs(First sign-$43 00,add'n sign
(Inspected separately.) feeder-537 each) $20 00 each)
Swimming pool,hot tub,spa 585 50
__ Yard Pole meter loops 557 Oi•
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three unit.or morel Altered Service or Feeders
Scrvici Feeder Ampsservice Or Add ii 0 to 200 i ,),":xi
_Up to 200 amp .. 5 93 00 5 27 50 Feeder 201 -600 . . . 216 5C,
201 -400 amp . 115 50 . . 57 00 0 to 100. ...I 93 00 . 5 57.00 _601 - 1000 . . . . 326 50 ,
_
401 -600 amp . . .... 158.50. . 78.50 _I01 -200.... ............ 115.50.........72.50 over 1000 363 00
___
601 -800 amp 202.50. . 108.50 _201 -400....... ... .. . 216.50........ 85.50 #of circuits 1
_
Over 800 amp . 289.50 ..... 216 50 _401 -600.. 252.50... . 101.00 ' -5 circuits-572 50.Add'n circuits,$0 ea'
_
ALTERED SINGLE/MULTI FAMILY _601 -800 326.50 138.00
(When inspected separately from the services.) _801 -1000 399.00 166.50 TEMPORARY SERVICE
Service or Feeder Over 1000 434.50 232.00 Residential/Multi-Family/Commerciai/Industrial
0 to 200 amp. S 71.50 _Over 600 volts surcharge 72.50 0- 100. 5 57.00
_
_
___201 -600 amp............ 115.50 Mast or meter repair 78.50 _101-200 ............._72.50
over 600 amp. .. .... . 174 00 201 -400 ... .. ... .. 85 50
_
Mast or meter repair ... . . . --43 00 401 -600 i I i so
— —
—
e of circuits —over 600. -. ... . 125 00
(1-4 circuits-557 00,Add'n circuits$6 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%of
Permit fee+572 50.Add'I plan review for other submissions is$85.50/hr .
i FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D) !
i I 1
- I I
. i
; I
TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from hoe 12
Estimated Plan Review Fee: $72.50+( X.35) =(13)
.
Estimated Permit Fee: (14)
Bond Amount:(15)
.1---•--".'' - ----' .-`'----* ' - -.:----'---- ---"--' - -------..-----:-;- ---:,:-:- '-'----- -• ":-f-"---
Estimated Permit Fee:(16)
Bond Amount: (17)
. .
--
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Total(Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)i-(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100—December 23, 2002