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04-100480 r a City ofFederalWay CommunityunityDevelopment Services Electrical Permit #:04 - 100480 - 00 - EL 33530 1st Way S lakeIR Federal Way,WA 98003-6210 Ph:253.661.4000 Fax:253 661.4129 Inspection request line: 253.835.3050 Project Name: AT&T WIRELESS DUMAS BAY Project Address: 4451 SW 313TH 54" Parcel Number: 211650 0090 Project Description: Installing a new 200 amp service to new cell site-connect BTS equipment on PSE pole#312132-161373 Owner Applicant Contractor AT&T WIRELESS SERVICES*MIKE MISCH VALLEY ELECTRIC CO OF MT VERN VALLEY ELECTRIC CO OF MT VERN AT&T WIRELESS SERVICES 3001 OLD HWY 99 S 3001 OLD HWY 99 S 425 PONTIUS AVE N MOUNT VERNON WA 98273 MOUNT VERNON WA 98273 SEATTLE WA 98109 (425)483-6869 Electrical Fixtures Description Quantity r Description Quantity Description Quantity Service/Feeder: 101-200 amps-Comm 1 PERMIT EXPIRES August 9,2004. Permit issued on February 11,2004 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, -s and regulations of the State of Washington and the City of Federal Way. Owner or agent:_ Date: 2 -//- b y 6,( 1'1\04 "Co 7— 19,— 6k 5de,,,,t'C—AL bye ret,i..,/ G S -3— ok 4\0) ovr-eD _____ ob j } tr("�� COMMUNITY DEVELOPMENT SERVICES ✓t`►[ i./ 33530 FIRST WAY SOUTH•PO BOX 9718 cm of^✓ ;'. 1 V FEDERAL WAY,WA 98063-9718 Federal v�k-''- PERMIT APPLICATION 253-661-1115•FAX:253-661-4129 WW.CitwlTedcrnlwrry mm For Mace Use Only!� OFW File Ni , — 0 , ; _ — 0' /S' / C : t- t / :� The ollou41V. ,I-: treti--(r or nation-an inco .lete a..iication will not be acce•ted. Please •rint -• • : (in ink)or j. . ■ PROPERTY INFORMATION SITE ADDRESS: 4,4 7 ..e Lc2.4 / 14)01 SUITE/APT/ # ASSESSOR'S TAX/PARCEL#: - SQUARE FOOTAGE ^/ AGE OF LOT: ' LEGAL DESCRIPTION (e.g.:Acme Estates,Lot 1) rf f ,p-Ze.-- 3/ 2_/3 2— - /4/ 9 3 (Attach separate page for lengthy legal description) ■ PROJECT INFORMATION TYPE OF PERMIT(This application): 0 BUILDING 0 PLUMBING ❑ MECHANICAL 0 DEMOLITION ? LECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit oniti): 7UJ Jag .-S:2 -vn-e-t ) L. e_j2..ei S %-1--e__-- — 6-...,,,,,,..(2_,,L /2 _c ...,z.7.t..„6-, ,-",-,-j- jL 44,1 ,P-S £ /g_ &-- 'z 7-z / 3 Z -- ' / 3 9 3 PROJECT NAME(Name of Business/Owner Last Name): ,i,j p�.g (S' -- PSF— / 4-- I ■ PEOPLE INFORMATION 0v PROPERTY NAME: PRIMARY PHONE: OWNER: f'S (f1 S ) ,02--- 2/O 9 MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP i'I�2- NL k/3" Ss _ , %tel/ �Y©c'' CONTRACTOR NAMECOMPANY OFFICE PHONE: U g6 (Y2-5-1- -a-_-.? - -‘;.7 { MAILING ADDRESS STREET DRESS;): •CITY,STATE,ZIP / CELL PHONE: .2 ) �� - / ►�-� s /'?„ /� i/ ,i/0.2_1 (e-pG) - -:5r. .g_� OF FEDERAL WAY BUSINESS CENSE NU BER: EXPIRATION DATE: FAX NUMBER: -L Q( ' -� 02- l 5( lMc( (y25) -ems «y CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required with each application) / / LENDER NAME: DAYTIME PHONE: (If Proposed Value>$5,000) ( ) - MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP APPLICANT: NAME: COMPANY OFFICE PHONE: t� �-y'~�, ( r s) �iA3 - .d-'?' MAILING ADDRESS( REET DESS): CITY,STATE,_ZIP ��% EVENING PHO NE: RELATIONSHIPr 11c AD') 12A-e-S // ��C��/ ( 1 O PROJECT: FAX NUMBER: ❑ Architect 0 Tenant >40ther(Describe): (1"--1 1,-7 az4w ( ) - CONTACT PERSON FOR THIS PROJECT: 0 Property Owner contractor 0 Applicant E-MAIL ADpR�S: ' ■ DETAILED BUILDING INFORMATION EXISTING USE: PROPOSED USE: EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES 0 NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN a HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) r SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) • ■ PROJECT FLOOR AREAS • • AREA DESCRIPTION EXISTING SQ.FT pappio' TOTAL • BASEMENT • FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE/CARPORT HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXasnNG AND PROPOSED "NEW HOMES ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ FIXTURES Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ --AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(commaciaJ WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(orrub/shotecombo) SHOWERS WATER CLOSETS(roaoq MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYS WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom Sink VACUUM BREAKERS ELECTRIC WATER HEATERS I 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. Ifurther 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 • : employees,upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE: DATE: (Si:... re) (Title) RELATIONSHIP TO PRO. 0 Property Owner o Ape's cant [contractor ❑ Architect ❑ FORAFFICE,USE ONLY:, o NEW - a ADDITION o ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES a NO BASIC PLAN? o YES a NO ZONING DESIGNATION: CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES o NO PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? a YES a NO nul:cuic J:ii: L.... ,2.-U-( Page 2 • ELECTRICAL PERMIT INFORMATION J RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE ❑ Single Family Square Feet: Service or Feeder Each Add'n (First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00 ❑ Detached outbuilding or garage X101 -200 amp 117.50 74.00 (Inspected with service) $36.50 ❑ 201-400 amp 220.50 87.00 ❑ Detached outbuilding or garage ❑ 401 -600 amp 256.50 103.00 (Inspected separately) $58.00 ❑ 601 -800 amp 332.00 140.50 NEW MULTI-FAMILY(three units or more) ❑ 801 1000 amp 405.50 169.50 Service Feeder ❑ Over 1000 amp 442.00 236.00 /III ❑ Up to 200 amp $ 94.50 $ 28.00 Li201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00 ❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00 ❑ 601 800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL LI 800 amp 294.50 220.50 Service or Feeders ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50 (Inspected separately from service) ❑ 201 -600 amp 220.50 Service or Feeder Li 601 - 1000 amp 332.00 ❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50 ❑ 201 -600 amp 117.50 ❑ over 600 amp 177.00 ❑ #of circuits to be added/altered (1-5 circuits-$74.00;Add'n circuits,$6.00/ea) ❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits-$58.00;Add'n circuits$6.00/ea) ❑ Service over 200 amps ❑ Mast or meter repair $43.50 Li Medical/Educational/Institutional Facility $74.00 plus 35%of Permit Fee SINGLE/MULTI FAMILY PLAN REVIEW ❑ Service Over 400 amps $74.00 plus 35%of Permit Fee MOBILE HOMES TEMPORARY SERVICE ❑ Service or feeder only $58.00 ❑ Service and feeder $94.50 Commercial Residential ❑ o- 100 $58.00 $51.00 MOBILE HOME/RV PARK ❑ 10I 200 74.00 51.00 Li #of service or feeders ❑ 201 -400 87.00 n/a (First service/feeder-$58.00;each add'n-$37.50) . ❑ 401 -600 117.50 n/a ❑ over 600 127.00 n/a MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Thermostats ❑ #of Signs (First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea) ❑ Low Voltage ❑ Swimming pool/hot tub $87.00 Square Feet to be served by system(s): (Includes additional circuit,if required) ❑ Fire Alarm System ❑ Yard Pole meter loops $58.00 ❑ Security Alarm System ❑ Additional Plan Review $87.00/hour ❑ Voice Cabling (for modified submittals) ❑ Data Cabling 0 (Per System(s): 1•'2500 ft2-$51.00; Each add'n 2500 ft2-13.50) •Per WAC 296-6-910(5)ft,) .ii) .1.11:x.., 'r• ..,. .,4., I. 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