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04-101961 I City of Federal Way Community Development Services Electrical Permit #:04 - 101961 - 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: ABAM BUILDING Project Address: 33301 9TH 3 ASL S Parcel Number: 926501 0130 Project Description: Retrofit of lighting for energy conservation; using t8 lamps and electronic ballasts Owner Applicant Contractor SHELBY COMPANY LLC NORTHWEST EDISON NORTHWEST EDISON SHELBY COMPANY LLC NORTHWEST EDISON NORTHWEST EDISON 1201 PACIFIC AVE SUITE 1400 16331 N HWY 21 16331 N HWY 21 TACOMA WA 98402 REPUBLIC WA 99166 (509)775-0446 Electrical Fixtures Description 1Quantity Description Quantity Description Quantity 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. f� Owner or agent: Date: - /7 6 V 1 � , RECEIVED 6—C- - MAY 1 9 2004 COMMUNITY DEVELOPMENT SERVICES 33530 FIRST WAY SOUTH•PO BOX 9718 �Pr•F FEDERAL WAY,WA 98063-9718 � I Wall PERMIT APPLICATZONDERAL WAY 253-661-1115•FAX:253-661.1129 www.situolTederdwau mm . . , ,,-1, ,, .. . 44 , BUILDING DEPT. ?arab:*flan ont�rc� , 's F1711?bY:' _ SfEk • The ollowin• is -• fired in ormation-an incom•rete • ••lication will not be acce•ted. Please •rint 1 •ibl in in or _i• . 2� n t f • PROPERTY INFORMATION 2 SITE ADDRESS: c x V 0 I `l 4 k Av P� cS. SUITE/APT# ASSESSOR'S TAX/PARCEL#: - SQUARE FOOTAGE OF LOT: LEGAL DESCRIPTION (e.g.:Acme Estates,Lot 1) q&/ N( l7d u \ct i ` (Attach separa sage for lengthy legal description) • PROJECT INFORMATION TYPE OF PERMIT(This application): ?BUILDING ?PLUMBING ?MECHANICAL ?DEMOLITION ELECTRICAL ?ENGINEERING?FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide ailed de cn ion of work included on this permit only): •• a.r s. O. r -• • r 4,4 //fir..-� "--fie4e-t f ! .ie c e.7`..2dn > c /G/fir PROJECT NAME(Name of Business/Owner Last Name): AISAA ALL,11(4; -3h 1 s , • • , OL I , c.i o ( A kidder ` • • • PEOPLE INFORMATION �i �_ 1G__ PROPERTY NAME: ' A �,l PRIMARY PHONE: OWNER: &Q J b*SCI4 Yi t7 LLQ e/0 V A KI � '�,,os (253 )122 i45C MAILING AD S(STREEE"Tr ADD �;): CITY,STATE,ZIP an I Pic.l4 kit, xi k. X406 'Cxi_nr i L)A 91,f-PO2 CONTRACTOR: NAME , COMPANY OFFICE PHONE: aoo QQ��l n�rl-h 1- i son (& ) 1`15 -0-14(0 INS] (STAEDRESS;): CITY,STATE,ZIP CELL PHONE: Ple-PAI 1 OF t•.WAY BUS u LICENSE NUMBER: t IRA�ON)4 99 I/01 (nal) NUMBER: P -3c - - - / / (509 ) T15-8021 CONTRACTOR'S REGISTRATION NUMBER: ''(�' f,,.� j' Q A 2 EXPIRATION JDATE: y� (copy of card required with each application) �. 0 1 L G 1 S�a R 6 )2../ `� I / O / LENDER: NAME: DAYTIME PHONE: (If Proposed Yam.>X6,000) ( ) - MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP APPLICANT: NAME: COMPANY OFFICE PHONE: �i cI rC O�,t�r, �o�r44,(tys-�- &iisarc (5 ) -ri S -cj-lLI1D 11 LING ADDRESS(((STREET ADDRESS): CITY,STATE,ZIP t (� EVENING PHONE: ,�T' y1/- RYA330TIONSHIP ,O PROJECT: lo 21 ,1 iUUII `_liL4 til./l )715 -vI7VJ �� /1��1 r FAX NUMBER: 1 f�0 ?Architect ? Tenant ©Jther(Describe): Yl l.S-n n1-�+i- Ir- (�9).�'65 - 6021 CONTACT CONTACT PERSON TOR THIS PROJECT« ?Property Owner s pontractor ()Applicant 1�b ADD Int iv iv t" JL QLI Q�. M • 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? itirAL MMHG Tohit.mpe 6AND °rod **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(commercu0 WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Yoder) 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)1St_I.\I1\1I'.I.',SIGN\TUGS BLOC!, 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 authorised 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 racy racy of the infotion supplied to the�city as a part of this application. Q NAME/TITLE: '/ t're b�erik- DATE: '' / - (Signature) rtle) RELATIONSHIP TO PROJECT: ? Property Owner ? Applicant 0Contractoor ? Architect ? »+w. Y'a tai..cr'met.. ?NEW ?ADDITION ?ALTERATION ?REPAIR ?TENANT IMPROVEMENT SING SEEM.ONLY? ? ?NO. BASIC PLAN? ?US ?NO amnia Fist)t; CHANGE OF USE? • ?TES ?NO NEW AMUSE REQUIRED? ?TEE ?1Q• UP/SEPA/SU? ?'TEE ?JO I,A1"I' D uttii• ?'S ?NO' DEMO PERMIT REQUIRED? ' ?TES ?NO 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 1 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) ❑ 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 U 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) U 401 -600 117.50 n/a U 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 1Cablbling _1 /(Per System(s): 11 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