04-100361 •
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City of eveWay
Commuunityty Development Services Electrical Permit #:04 - 100361 - 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: MT RAINIER NATIONAL BANK
Project Address: 1230 slit 336THtSuiteE Parcel Number: 926503 0050
Project Description: Add circuits for tinant upgrades.
Owner Applicant Contractor
HASSEN PROPERTIES INC WILDERNESS ELECTRIC INC. WILDERNESS ELECTRIC INC.
3727 S 194TH ST 23220 MAPLE VAL-BLK DIA RD SE SUITE: 23220 MAPLE VAL-BLK DIA RD SE SUITE
SEATTLE WA MAPLE VALLEY WA 98038-0250 MAPLE VALLEY WA 98038-0250
98188-5360 (425)432-1747
Electrical Fixtures
Description Quantity Description Quantity Description ;Quantity
Circuits- Commercial ( 4
PERMIT EXPIRES July 31,2004.
Permit issued on February 2,2004
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: � Date: Z (/2(ay
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RECEIVED --
COMMUNTY DEVELOPMENT SERVICES
+ 33530 FIRST WAY SOUTT-•PO BOX 9718
crty��� � FEDERAL WAY,WA 98063-9718
Federal Way PERMIT APPLICATION 2dtq:fi61-1115•FAX.253-661-1129
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For o «u:o�y. FW File Number: 0 O 3 Cg - �( ,"L I(N-G DEPT./ /
The ollowin• is re•wired in ormation-an into •Tete a.•lication will not be acce•ted. Please •rint le•ibi (in ink)or •e.
■ PROPERTY INFORMATION
SITE ADDRESS: )2. C S 3 ats 5t SUITE/APT# )_-
ASSESSOR'S TAX/PARCEL#: - SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (e.g.:Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION •
TYPE OF PERMIT(This application): 0 BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION
ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu):
CRtLi- M t.e i..-
PROJECT NAME(Name of Business/Owner Last Name): '% -'
Q.A:(AI t g. ,/Jii'F ,11,,. ( B,1_,,,IC
■ PEOPLE INFORMATION
PROPERTY NAME: PRIMARY PHONE:
OWNER ( ) -
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
CONTRACTOR: NAME COMPANY OFFICE PHONE:
1....2i(ddr't- c E. (ec.{ 't . (Kzc )Y3L -!`JY7
MAILING ADDRESS(STREET ADDRESS;). CITY,STATE,ZIP CELL PHONE:
Z32-2O w4L(f Ut,t(44 4k SC 'o,, e( v��lcwA O V ( )3 10 -Ys
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CITY OF FEDERAL WAY BUSINESS LIC - Vi
LICENSE NUMBER: XPI TIQN DATE: FAX NUMBER: Z -311'1 3/�Q
r 1-__7 8_-O OQQ 1 (- /v1 ✓J l`
CONTRACTORS REGISTRATION NUMBER. EXPIRATION DATE:
(coPy of card required with each application) I /
LENDER NAME: DAYTIME PHONE:
(If Proposed Valve>$5,000) ( ) —
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
APPLICANT: NAME: COMPANY OFFICE PHONE-
( )
MAILING ADDRESS(STREET ADDRESS)' CITY,STATE,ZIP EVENING PHONE:
( )
RELATIONSHIP TO PROJECT. FAX NUMBER
❑ Architect ❑ Tenant 0 Other (Describe): ( ) -
CONTACT PERSON FOR THIS PROJECT: ❑ Property Owner 0 Contractor ❑ Applicant E-MAIL ADDRESS:
■ DETAILED BUILDING INFORMATION
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ❑ YES 0 NO
WATER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC)
• • PROJECT FLOOR AREAS
AREA DESCRIPTION T EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL
BASEMENT — —
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING 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.
MECIIA1VIC 9L
Value ofMechaniail Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG SYSTEMS
BBQS FANS HOODS(commre.al) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
_COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or cornboj SHOWERS WATER CLOSETS trodrr) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Smk 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: Li DATE: Z/Z/Or
(Slgnaturr) (Title)
RELATIONSHIP TO PROJECT: 0 Property Owner ❑ Applicant ❑ Contractor ❑ Architect ❑
FOR OFFICE USE ONLY:
a NEW a ADDITION a ALTERATION n REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? a YES ❑NO
ZONING DESIGNATION: CHANGE OF USE? c YES a NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? ;:YES ❑NO
PLATTED LOT? ❑YES c NO DEMO PERMIT REQUIRED? a YES ❑NO
,
• ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
U Single Family Square Feet
(First 1300 02-$87 00, Each add a 500 ft'-525 00 ❑ 0 to 100 amp $ 94 50 S 58 00
❑ Detached outbuilding or garage ❑ 101 -200 amp 117-50 74-00
(Inspected with service) S 36.50 ❑ 201 -400 amp 220.50 87.00
❑ Detached outbuilding or garage U 401 -600 amp 256 50 103 00
(Inspected separately) S 58.00 U 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
Li Up to 200 amp $ 94.50 $ 28 00
❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge S 74 00
Li 401 - 600 amp 161 00 80.00 ❑ Mast 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) Li 201 - 600 amp 220.50
Service or Feeder Li 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 Li over 1000 amp 369.50
❑ 201 -600 amp 117.50 bi- it
❑ 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 ❑ Medical/Educational/Institutional Facility
S 74.00 plus 35%of Permit Fec
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 ❑ 101 -200 74 00 51.00
❑ # of service or feeders ❑ 201 -400 87.00 n/a
(First service/feeder-$58 00;each add'n-$37 50)
❑ 401 -600 117.50 n/a
❑ over 600 127 00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats U # of Signs
(First-$'13 50, add'n-S13 50/ca) (First sign-$43.50; add'n sign$20 50/ea)
U Low Voltage U Swimming pool/hot tub ... . 587 00
Square Feet to be seised by systeni(s) (Includes additional circuit, if i 'quircd)
O Fire Alarm S_stem ❑ Yard Pole meter loops .. . . $58 00
O Securit Alarm S}stem U Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
(Per S}stem(s) 1,.2500 ft2-$51 00,
Each add'n 2500 02-13 50) •P.r l''u 2,,a,,"15"p1,)n.`4 ii)
I