04-101893 City of Federal Way Electrical Permit #:04 - 101893 - 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: METROPOLITAN MARKET
Project Address: 1618 SW DASH POINT Parcel Number: 189880 0020
Project Description: Installation of low voltage voice&data cable
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Owner Applicant Contractor
DASH POINT LLC NEXUS IS NEXUS IS
C/O BARTLEY'S REALTY MANAGEMENT NEXUS IS NEXUS IS
COMPANY 6020 S 190TH ST 6020 S 190TH ST
9777 WILSHIRE BLVD SUITE 1009 KENT WA 98032 (206)219-6030
BEVERLY HILLS CA 90212
Electrical Fixtures
Description Quantity Description Quantity Description IQuantity
Low Voltage-Other Commercial 9600
PERMIT EXPIRES November 13,2004.
Permit issued on May 17,2004
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: 5 Date: S of
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Federal Way RECEIVED J L —7 —
P PERMIT M IT SF MF CO ME EL PL DE EN FP
COMMUNTTY SERVICES
33530 FIRST WAY SOUTH•PO BOX 9718
FEDERAL WAY15•,FAX 253661WA 98063-97184129 MAY 1 7 APPLICATION ° / /
253-661-01
www Into federalway corn
The °Malin.. is r,• ii�eg AL WA
n •4isi'P AL anY Inco •iete a.•lication will not be acce•ted. Please •rint le•ibi (in ink)or
PROPERTY INFORMATION
SITE ADDRESS / 6I PA sk f%i(f 1 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# _ - LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desorption)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING ❑ MECHANICAL
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provid detailed description of work included' / on this permit onl`i
�rvS- wc
r -vie.i w r\, o- (O w 1)0( 4- V'mt Twp YJ r4Tq CtA43 1,e--
PROJECT
EPROJECT NAME(Name of Business or Owner Last Name) MF \ 0 L PYAN,( &A,,A AL.�c
PEOPLE INFORMATION
PROPERTY NAME "141-402,
/jJ�/J AA 1 G� _, ' PRIMARY PHONE
OWNER B ,"`ftl 02, ' 09Pl taut -3F �NC• ( ) -
MAILING ADDRESS CITY,STATE,ZIP
COMPANY'/O' 5 O /s- 40:1-, �A tt SeA1U� , &✓,q, 78106
CONTRACTOR ANY NAME APPLICANT NAME OFFICE PHONE
NrXVS ZS Soo-,TJF-r tsF.44 (2o6 ) ? -6036
MAILING ADDRESS CITY STATE,ZIP CELL PHONE
(00 2D so , 1q0,-(4 ST 1LF-•,•—,I WA (2.4.4 ) 1-12S -233°1
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- BL / / ( - 6 ) 573- - CStk
CONTRACTORS REGISTRATION NUMBER(coPy of card required with each application) EXPIRATION DATE
1\I E X_VS MS cl_(,0 63 / 02 /ZC1)6
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NA E PRIMARY PHONE E-MAIL ADDRESS
* CO-n— J FINS EA.( (ZDG ) tics - 60 3O to-rr.3TA4CP4 (i?.
LENDER Per RCW 19.27.095: Lender information is NAME N USIS, C-J1)n�
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
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 ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
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PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
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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 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 or Tub/Shower Combo) SHOWERS WATER CLOSETS((ode) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(BathroomSmks) 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 DATE 5-( f O H
(Stgnatur (Title)
RELATIONSHIP TO PROJECT a Owner a Agent ❑ Contractor ❑ Architect 0 Other
FOR OFFICE USE ONLY
o NEW a ADDITION o ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? ❑YES a NO UP/SEPA/SU? o YES a NO
PLATTED LOT? ❑YES a NO DEMO PERMIT REQUIRED? o YES o NO
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Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application
ELECTRIC:4 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 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 Cl 401-600 amp 256.50 103.00
(Inspected separately) $58.00 0 601-800 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 0 Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 Cl 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 0 to 200 amp $ 94.50
❑ 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
(1-4 circuits-$58.00;Add'n circuits$6 00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW
$74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 ❑ Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
❑ #of service or feeders ❑ 101 -200 74.00 51.00
(First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00 n/a
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
st-$43.50;add'n-$13.50/ea) G]f,erf) (First sign-$43.50;add'n sign$20.50/ea)
Low Voltage ( 1GVV ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) .�-t- (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $58.00
❑ S§eurity Alarm System ❑ Additional Plan Review $87.00/hour
Q��w9�ce Cabling (for modified submittals)
Ctata Cabling
0
(Per System(s) 1' 2500 ft2-$51.00,
Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5)(b)(&u)
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Bulletin#100-March 30,2004 Page 3 of 4 k\I landouts-Revised\Permit Application