04-100324 e �
City of Federal Way
Community Development Services Electrical Permit #:04 - 100324 - 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: SHOES 'N FEET
Project Address: 31653 PACIFIC S SuiteE Parcel Number: 082104 9196
Project Description: Adding 200amp subpanel with new lights and hvac circuit.
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES D.RIDDING ELECTRIC D.RIDDING ELECTRIC
HARSCH INVESTMENT PROPERTIES D.RIDDING ELECTRIC D.RIDDING ELECTRIC
1121 SW SALMON ST 19630 N DANVERS RD 19630 N DANVERS RD
PORTLAND OR 97205 LYNWOOD WA 98036 (425)778-1064
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Alt.Serv./Feeder up to 200 amps-Corn 1
PERMIT EXPIRES July 26,2004.
Permit issued on January 28,2004
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use f.e in acco ce with the laws,rules and regulations of the State of Washington and
the City of Federal Way
i
Owner or agent: Date: /s ;-/-
�/-
G-- —OAK a ve r-
COMMUNITY DEVELOPMENT SERVICES
33530 FIRST WAY SOUTH•PO BOX 9718
CITY OF^�� FEDERAL WAY,WA 98063-9718
Federal Way PERMIT APPLICATION 253-661-4115.FAX:253-661-1129
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For OQiro Von Only: 0 _ 1 /� /� 3 ^ TD
FW File Number: �/L/ /\LI �'..��Q/-. - /
The ollowjn. is re•uired in ormation-an inco •lete a.•lication will not be acce•ted. Please .rint le•ibl (in ink)or -.
■ PROPERTY INFORMATION
SITE ADDRESS: 31 ,g 1 1 PA- C tA 1 S 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 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
XLECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
o PROJECT DESCRIPTION(Provide detailed description of work included on this permit only):
T6414k1 ��Pr/-64'61 7` - ,vim L/4#eTs / ',4,,le Cv/'ck ,i / Zia'4 3 P//
P/9veL fm a-A 1f7 764 I rice
PROJECT NAME(Name of Business/Owner Last Name): I/T 14 S /v l'ar-Er
• PEOPLE INFORMATION
PROPERTY NAME: PRIMARY PHONE:
OWNER L5'(,� ( ) -
MAILING DRESS(STREET ADDRESS;): CITY,STATE,ZIP
CONTRACTOR NAME COMPANY OFFICE PHONE.
D. R 1OV/,t/4 11-,g-4 ( �2f1 77e -/o y
MAILING ADDRESS(STRE ADDRESS;(: CITY,STATE,ZIP CELL PHONE:
I MP 3a N D4-vve&!J / j (/I 'A'°�a2 /6,4- r,44 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER:
/ / ( ) -
CONTRACTORS REGISTRATION NUMBER: /•� / 9 EXPIRATION DATE: h h /
(copy of card required with each application) .1) 11- 1 P I r y-V 4 1 7 O l / A'WI 2OO 1p
LENDER NAME: DAYTIME PHONE:
IlfProposed Vslae>$5,000)
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
APPLICANT: NAME ,
'•�"/I,{/�,� S /�-� ( COMPANY OFFICE PHONE:
(41
MAILI RD ESS(STREET AD RES ): V/ �� CITY,STATE,ZIP E VENING�PHONE.
( -
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 Architect 0 Tenant 0 Other(Describe): ( ) -
e
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? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
■ PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SSC . 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.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commorc,m) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES - MISC(Descnbe)
_COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS)orrnb/show+rc„mix,) SHOWERS WATER CLOSETS rroao) 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 ` 'nsthe
J of Fec , bu
claimarises oathe
pthe city,
including officers :mPloy uPone accuracy of the information supplied to the city s a Part of this application.
`/
NAME/TITLE:
DATE: 0r' a-S O vO T
Ignature) / (Title)
RELATIONSHIP TO PROJECT: ❑ Property O% er ❑ Applicant XContractor 0 Architect ❑
FOR OFFICE USE ONLY:
❑NEW ❑ADDITION o ALTERATION ❑ REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION: CHANGE OF USE? n YES ❑NO
NEW ADDRESS REQUIRED? Ll YES ❑NO UP/SEPA/SU? r,YES ❑NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? r i YES n NO
1.
• ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Faintly Square Feet
Service or Feeder Each Add'n
(Fust 1300 112- $87 00, Each add n 500 ft--S28 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 ❑ 401 -600 atop 256 50 103 00
(Inspected separately) S 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
LI 201 -400 amp 117 50 58.00 LIOver 600 volts surcharge $74.00
❑ Mast or meter repair S 80.00
Li 401 - 600 amp 161.00 80.00
LI 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
�/ Service or Feeders
ALTERED SINGLE/MULTI FAMILY U U 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
Li 201 -600 amp 117.50
❑ over 600 amp 177.00 ❑ 1 # 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
$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 ❑ 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
U ft of Thermostats U # of Signs
(First-$43 50, add'n-$13.50/ea) (First sign-$43.50, add'n sign $20 50/ca)
❑ Low Voltage ❑ Swimming pool/hot tub . $87 00
Square Feet to be served by system(s) (Includes additional circuit, if required)
❑ rue Alarm System ❑ Yard Pole meter loops . . S58 00 '
❑ Security Alarm System ❑ Additional Plan Review S87 00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
(Per S,-,tern(s) I,'2500 ft'-S51 00,
Each add'n 2500 ft2-13 50) *r,r u,ul<<n, 97n/5/(b//r 5 u)