04-101962 City of Federal Way Electrical Permit #:04 - 101962 - 00 - EL
Community Development Services
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: RUSSELL PLAZA
Project Address: 33600 6TH C 4v4 S Parcel Number: 926480 0205
Project Description: Lighting retrofit,energy conservation project with exctronic ballast and T8 Lamps
Owner Applicant Contractor
Api NORTHWEST EDISON NORTHWEST EDISON
88050 148TH AVE NE NORTHWEST EDISON NORTHWEST EDISON
REDMOND WA 16331 N HWY 21 16331 N HWY 21
98052 REPUBLIC WA 99166 (509)775-0446
Electrical Fixtures
Description Quantity Description_ Quantity Description Quantity
I Low Voltage-Other Commercial 15000
PERMIT EXPIRES November 15,2004.
Permit issued on May 19,2004
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. p�
Owner or agent: /k / A�c-` �. Date: -.57
(oI too 6�'1
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•
• . RECEIVED 6-Ct
AMAY 1 g 2 COMMUNITY DEVELOPMENTSERVICES
U`f 30 FIRST WAY SOUTH•PO BOX 9718
r pF FEDERAL WAY,WA 98063-9718
PERMIT APPLICATIQ )TOF FEDERAL
7WA�"" "° almau.6com129
way
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The oilowin• is re' fired in ormation-an inc• •lete • • •lication will not be acce•ted. Please •rint le•ibl in in or _j, .
2 n ^ c
• PROPERTY INFORMATION
SITE ADDRESS: 3(0dn (,+k -Ave S SUITE/APT#
ASSESSOR'S TAX/PARCEL#: - SQUARE( FOOTAGE OF LOT:
LEGAL DESCRIPTION (e.g.:Acme Estates,Lot 1) KU(y QQIA I c[Ii I e1( 1l\Q
)) (Attach separate p for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT(This application): ?BUILDING ?PLUMBING ?MECHANICAL ?DEMOLITION
CF ELECTRICAL?ENGINEERING?FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detail description of work included on this permit onlur L �}-i r Re �[')p..,--1-
,4-7A&
{"�
�yA � /7 4f � y C�� ?oma /�1
���f� � �drr7 ' —� ,g..i�
PROJECT NAME(Name of Business/Owner Last Name):Rl1,SSLI I P,111,41 i A P i- Per,. Y i� l L L. _� C/(7("1 Y k
•
PEOPLE INFORMATION
Mail/let'6
PROPERTY NAME: (� f 1 PRIMARY PHONE:
,,cam
• OWNER: AP�— P k 'mo 1 Y i 1 (. L L-C % VA OdCf-tic (2 ) (22 1456MAILING ADDRESS(STREET ADDRESS;): i CITY,STAT ,
120► ��;.ci Aj�,su.1-. 14 Tias I I.r)A 984a
CONTRACTOR: NAME C MP OFFICE PHO
NE:
EEMAILING RES ARittc): i� LS4- ECI i Sn n OM) N {5 -641'70
CITY,STATE,ZIP CELLN :
14X-. 0 11 44LOU 21 �PLIL61►� <1 A CFI ( tet) ('M - 7()
CITY OF FEDERAL WAY BUSINH�f LICENSE NUMBER: + EXPIRAON ATE: FAX NUMBER:
- - - / / (5c1) 115- 8021
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required with each application)�0 RT. Id E X 9 e ia LL 12./ ,`{ /
LENDER: NAME: DAYTIME PHONE:
(If Proposed Wk.>$5,000) ( ) -
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
APPLICANT: {'(�[)�M1 E'�'�,}^N�/u�( `Wo�• COMPANY OFFICE PHONE:
MMLING ADDRESS(STREET ADDRESS): CITY,OrSTATE,ZIP� t�r) EVE ) 7 O44
(60
Imo NI0RQ�' lic- LSA cAk0t ( off �5 -ci- 1
RELATIONSHIP TO PROJECT: i FAX NUMBER: ^ '
..i
?Architect ? Tenant (pther(Describe): C_d'V,,,,..ff,,��,,Y (`' i 75 -30,L
CONTACT PERSON FOR THIS PROJECT: ?Property Owner 4161 • , • otos ?Applicant EMAIL ALiDIt�a9((
18-MAIL %eL 6 '7"10 r
• 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 ?NO
WATER SERVICE PROVIDER: ?LAKEHAVEN ?HIGHLINE ?TACOMA ?PRIVATE(WELL)
SEWER SERVICE PROVIDER: ?LAKEHAVEN ?HIGHLINE ?PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST -
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? ..i +' Tor.V.voloromp, rOriii :atould oriisiCem
**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(commercial WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or7Lb/showercombo) SHOWERS WATER CLOSETS(rode) 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)ISCL-\ILII:R/SIGN VI'uRI: IILOCIc
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 Fed I Way,but only where such claim arises out of the reliance of the city,including its officers
and employees,upon th cura of the information supplied to the city as a part of this application.
NAME/TITLE: ' Prf-SC An* DATE:
(Signature) 1 itle)
RELATIONSHIP TO PROJECT: ? Property Owner ? Applicant Contrac • ? Architect ?
?NEW ?ADDITION 7 ALTERATION ?REPAIR 7 TENANT IMPROVEMENT
BUILDING mat,atom P 7C ?NO BASIC PLAN? . P YEN • 'P 10
ZONINGI?IA' Cil%. .,, a{ . CHANGE OF USE? . .7-TES ?NO
PEW AOORNlq li RIQUIRED? PS? O _' :. s. 'UP/SEI+A/8U'?.
PLAN L417
?TEN -Tlb "�r . - DRAW nutlitI`RE MEUBrD? �1t S . PRO
Bulletin#100—January 13,2004 Page 2 of 4 k:\Handouts—Revised\Permit Application
•
• ELECTRICAL PERMIT INFORMATION
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 ❑ 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) ❑ 801 - 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -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
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY U 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 ❑ #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)
U Service over 200 amps
❑ Mast or meter repair $43.50 ❑ Medical/Educational/Institutional Facility
$74.00 Dlas 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
❑ #of service or feeders ❑ 201 -400 87.00 n/a
, (First sdrvice/feeder-$58.00;each add'n-$37.50)
U 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats U #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
U Low Voltage U Swimming pool/hot tub $87.00
Square Feet to be served by system(s): (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $58.00
❑ Security Alarm System U Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
❑
(Per System(s): 1•t 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50)•Per WAC 296-46-910(5)(b/(i&ii)
Bulletin#100-January 13,2004 Page 3 of 4 k:\Handouts-Revised\Permit Application