04-100402 �► L'
4 r -%
e City of Federa'Way Electrical Permit #:04 - 100402 - 00 - EL
muntWvSelopment Services
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661 4129 Inspection request line: 253.835.3050
Project Name: EAGLE MORTGAGE
Project Address: 34709 9TH it FOR, S Parcel Number: 926480 0015
Project Description: Altering 3 circuits for new tenant.
Owner Applicant Contractor
Steve Willard KIRBY ELECTRIC INC KIRBY ELECTRIC INC
2000 124TH AVE NE#B100 4826 B ST NW SUITE 101 4826 B ST NW SUITE 101
BELLEVUE WA AUBURN WA 98001 AUBURN WA 98001
98005-2117 (253)859-2000
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits Commercial 3
PERMIT EXPIRES August 3,2004.
Permit issued on February 5,2004
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. �
Owner or agent: ,semi � Date: %��-S T 0 731"
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_ r C E,' V `D COMMUNITY DEVELOPMENT SERVICES
�.1.�v�^- 33530 FIRST WAY SOUTH•PO BOX 9718
cm wi�'�-�/ FEDERAL WAY,WA 98063-9718
Fe, derai 5 2004 PERMIT APPLICATION 253-6614115•FAX:253-6614129
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The ollowin• is re•uired in ormation-an incom.fete a.•lication will not be acce.ted. Please .rint le.ibl (in ink)or .•.
�/ ■ PROPERTY INFORMATION
SITE ADDRESS: /0 9 1 f L` 4 r.e. S t SUITE/APT# /4-Co a
ASSESSOR'S TAX/PARCEL#: - SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION(eg:Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
ArLECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
•--�
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only): /�,n,�,h�'
, Zw� r'
. o�e.•� y
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PROJECT NAME(Name 0 Business/Owner Last Name): /1"..-7-44.... I'e- ,.."-4-- iniC
-
■ PEOPLE INFORMATION
PROPERTY NAME: PRIMARY PHONE:
OWNER: Cs C r a !=v fee'do r( i-e.s ( ) -
MAILING ADDRESS(STREET ADDRESS,): UU CITY,STATE,ZIP
16 0 / 5- t"/A-ve, 5. /os— ='eJQ,,,,,1 I.,,.e,y ,
CONTRACTOR: NAMEL : r-1'}f COMPANY OFFICE
PHONE:) _
MAILINGS(STREET ADDRESS;)-Z z C
c.. S 3CITY,STATE,ZIP CE - D Ot
it-3a( 6 57`-. i.—. 5.,-k)e / - -4.b,,rn)t 4 �! (Rs3)Z0G=e{0A `7
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER:
- - / I RS3) 515—/ q 3(?
CONTRACTOR'S REGISTRATION NUMBER: �j m PIRATION DATE:
,
(coPy of card required with each application) 417R6
/j iL Z4Z V 7 Al/13/ r / / '3 / 0 S
LENDER: NAME: DAYTIME PHONE:
(If Proposed vase>$5,000) ( ) -
MAILING ADDRESS(STREET ADDRESS,) CITY,STATE,ZIP
APPLICANT: NAME: '[/I, ("ICY COMPANY OFFICE PHONE:
MAILING ADDRESS(ST�E ADDRESS): ��� CITY,STATE,ZIP EVENING)PHONE.
( )
RELATIONSHIP TO PROJECT: FAX NUMBER
0 Architect 0 Tenant 0 Other(Describe): ( ) -
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner 0 Contractor 0 Applicant E-MAIL ADDRESS-
■ DETAILED BUILDING INFORMATION - -
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES ❑ NO
WATER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
' • PROJECT FLOOR AREAS '.i
AREA DESCRIPTION1 EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL
BASEMENT •----- _• - - - ----
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED"))
GARAGE/CARPORT
HOW MANY FLOORS? TOT!I.EX1STI.G TOTAL PROPOSED TOTAL E\ISTING AND PROPOSED
* NEW HOMES ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE S
■ 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(commerc.al) W OO DSTOV ES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Showr.Combo) SHOWERS WATER CLOSETS(Toil,T I MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sulk VACUUM BREAKERS ELECTRIC WATER HEATERS
■ 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 supplied to the city as a part of this application.
NAME/TITLE: r, .9 .'e/d S(eivpr,(yawBATE: A. S /
(Signe (Tnl�/
RELATIONSHIP TO PROJEC D Property Owner @llpphcant (_Contractor U Architect
LFtOR OFFICE USE ONLY:
, o NEW ❑ADDITION n ALTERATION n REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES a NO
ZONING DESIGNATION: CHANGE OF USE? a YES c NO
NEW ADDRESS REQUIRED? - YES n NO UP/SEPA/SU? I YES n NO
PLATTED LOT? c YES r_ NO DEMO PERMIT REQUIRED? , YES c NO
■ ELECTRICAL PERMIT INFORMATION
-
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
CI Single Family Square Feet Service or Feeder Each Add'rt
(First 1300 62-$87 00, Each add'n 500 f 2-$28 00) U 0 to 100 amp $ 94 50 5 58 00
❑ Detached outbuilding or garage ❑ 101 -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) CI 801 1000 amp 405.50 169 50
Service Feeder ❑ Over 1000 amp 442 00 236 00
❑ Up to 200 amp $ 94.50 $ 28 00
CI 201 400 amp 117 50 58 00 ❑ Over 600 volts surcharge $74.00
❑ 401 - 600 amp 161 00 80.00
CI
or meter repair $80 00
❑ 601 - 800 amp 206.00 110 00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 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 ❑ 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 Jid 3 # of circuits to be added/altered
' ` (1-5 circuits-$74 00,Add'n circuits,$6.00/ea)
❑ # of circuits to be added/altered
(1-4 circuits-$58.00,Add'n circuits$6 00/ca) COMMERCIAL/INDUSTRIAL PLAN REVIEW
❑ Service over 200 amps
Li Mast or meter repair $43 50 ❑ 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
❑ 0- 100 $58 00 $51.00
MOBILE HOME/RV PARK
U 101 200 74.00 51 00
❑ 8 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
❑ 8 of Thermostats ❑ 8 of Signs
(First-$43.50, add'n-$13 50/ca) (First sign-S43 50, add'n sign $20 50/ca)
❑ Low Voltage ❑ Swimming pool/hot tub 887 00
Square Feet to be served by sv.>Ii•nt(s) (Includes additional circuit, if re•quir''d)
0 I tic Al.trni 5t•,tern ❑ Yard Pole meter loops . S58 00
❑ Sedum\ Alitrn St stem ❑ Additional Plan Review 887 01)/iota
❑ Vor,-e Cabling (for modified submittals) 1
O 0,1ta Cabling
I ❑
11'r_r S\•,t,vn(s) 1,2500 ft--151-t1 00,
Each add'n 2500 ft•-13 511) •1',,ti',r _ 4,,")n(05,
1