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02-101692 1 City of Federal Way Community Development Services Electrical Permit #:02 - 101692 - 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: INDOCHINE Project Address: 31406 PACIFIC S Parcel Number: 09211 '223 Project Description: ELE-Electrical work for the installation of (1)illuminated,open pan channel letter w Owner Applicant Contractor Dana Plaza Lie*Plaza Lic Dana* NEON SIGN SYSTEMS INC(CONSTRUC II• NEO GN SYS' ,S INC(ELECT', L c( 31260 PACIFIC HWY S 2021 130TH AVE NE SUITE B 2021 :0TH A E SUITE B FEDERAL WAY WA 98003-5448 BELLEVUE WA 98005 BEL VU ' 98005 (425) .:2 Electri' I Fixtures Ak II M ,- DOcriptipri,,;,e:;_ ' ems-`.:7 IE escript • , .. Quantic vE:=:-r ;?Descriptionr . ,t. 'CV. ity Sign 1 . Id PERMIT E \ ' S I •er 30,2002,IF N 0' .DD. t issued on M 3, 2 •I hereby 'fy that the above information i orrect and that the c tru ' e above •escribed property and the occup and the use will be in acco ce with the laws, nd 1 s of the State of Washington and the City of Way. Owner or agent: Date: ��3/© S—•Sc–(-Z derrueCe-4'n 5 'S. ) K vrr- 55,41 III aTo"r G RECEIVED CONSTRUCTION PERMIT APPLICATION EIDE/Z/91_ \)\) EKY APPLICATION NUMBER: 6L-' Jd/4'f 2,=OCA EL APR 2 3 2002 APPLICATION NUMBER: CITY OF FEDERA ppL tTWAY APPLICATION NUMBER: - • **The following iA�s9re t ligiftirmatiori—Please print•(ih ink)or type** - ' • '" • Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. -- - _.. _ -- __ -'-.. 1.%; ■ --PROPERTY INFORMATION - SITE ADDRESS: 3 1 210 6 U,l l+ C r S, ASSESSOR'S TAX/PARCEL #: D. �? o`f - 9 ZZ. 3 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): '`Y-at a.,'''• :•‘-';'•,":•:---,-.••••-• -f--",::,:--='. • i ■- PROTECT IN FORMATION I. TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): r A lett r-1 +0 4 4_5 C(m 6 -'6°fr--- vte 'A) x „ii.,.a iigh....ei - i PROJECT NAME: .Plat ti 4"-- - . ''_' ' - - - - ' IN PEOPLE INFORMATION . : -. _ . . - . - PROPERTY OWNER: NAME: , DAYTIME PHONE: cen fr;,v"-t ie I f7 '-f ITs,y'. s r' L' (53 ) $31 - 60 A.. MAILING ADDRESS(STREET ADORE ;C ,STATE,ZIP): � 3o -3q0av /JAcr(�OkiTY. S. x(05 / e:za, L-7'0,7 Gm q 8003 CONTRACTOR: NAME: DAYTIME PHONE: /iCo-, Si f,r, S St vv‘S ( '1 a5) g$f-o s Z ! MAIUNGc� ADDRESS(STREET A.DRESS;CIT ATE,ZIP): EVENING PHONE: O1po2 f r 3 0 44. Auto WO:- 13e i(Q v✓ (-.44 11005- ( ) - CITY Of FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: ( ) - CONTRACTOR'S REGISTRATION NUMBER: ��7� F EXPIRA N DATE: �j (Copy of Card required) /�`/� -( / /i SS--4-0 L/11 K / 6 / V t , APPLICANT: NAME: DAYTIME PHONE: /*IC C(CY ('1,2s) '' I - 0 MAILING ROA'ADDRESS(SIRE/30 AA fJTY,STATE,ZIP):P4 _6�IIe V q s�5 (EVENING PHONE: - RELATIONSHIP TO PROJECT: 'JPj'-1 FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR • - : '- . . . T - - '-- -- ■ -DETAILED BUILDING INFORMATION ' t ' . " - ' .=-"- EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ - PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ • SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: •ESTIMATED SELLING PRICE: $ • . . • - -• ■ PRO]ECT FLOOR AREAS • . . . S, . -' --,------z.--- •-'--FLOOR • • . EXISTING •.FT.'• PROPOSED •.FT. . • TOTAL. • ,-. . • .,i SECOND . THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: ■ FIXTURES Indicate number of each type of fixture - MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS.PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC 0 GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET I GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( ) I INTERCEPTOR(S) SUMP(S) .. •. ■ 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 1 further agree to hold harmless the City of Federal Way as to any daim(including costs,expenses,and attorneys'fees incurred in the Investigation and defense of such claim),which may be made by any person,induding the undersigned,and filed against the City of i Federal Way,but only where such daim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy of the Information supplied to the d as a part of this application. • NAME/TITLE: tiff( e DATE: �/0(3/Q ❑ PROPERTY OWNER ❑ APPLICANT SONTRACTOR FOR OFFICE USE ONLY: 1_0„NEW4 =1=AODI1ION 0 ALTERATION __CLREPAItt-I.: 1]TENANT irNPROVEMENT_ =-- =CENSOS:CODE:-: =- --_ ___ -_ -LOT.SIZE -- - - _ ZONING ) SIGNA7ION BUTLDING St(EIl ONLY? 0 YES-= -0 NO COMP_PL IN DESIGNATION _ _-_- BASIC PIAN'- °[]YES- --❑ to - .- SECTION - _ TOWNSHIP RANGE- NEW ADDRESS,REQUIRED? = 0 TES ❑ NO LAT-TEOTOT? 0 YES- 0 NO CHANGE OF USE?_ + - -.❑YES -❑-NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH-PO BOX 9718•FEDERAL.WAY,WA 98063-9718•253-661-4000-FAX:253-661-4129 www.dtyoffederalway.com r • ELECTRICAL - TABLE B - • NEW RESIDENTIAL SERVICES • MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES . _Single Family •' _Service or feeder only $50.00 _N of Thermostats(First-$37.50;add'n-$11.50ca) ((first 1300 ft2-$75.00;Each add'n 500 ft'-524.00) _Scrvjce and feeder $81.00 _N-of Low voltage fire or burglar alarms • Mow': Square Feet:'',-`'It"-------. -- - -• • ' First 2500 112-543.50;Each add'n 2500 112-S11.50 - . _Each outbuilding Or garage , • • $31.00 MOBILE HOME/RV PARK • Square Feet: • (Inspected with service) _4 of service or feeders • •Per WAC 296-46-910(5)(b)(i&ii) _Each outbuilding or garage . . . .. ...$50.00 (Dust service/feeder-550 00,Add-it service/ - -f if of Signs(First sign-537.50,add'n sign (Inspected separately) feeder-532 each) $17 50 each) Swimming pool,hot tub,spa 575 00 Yard Pole meter loops .... ... ...550 00 NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (Includes three units or more) Altered Service or Feeders Service Feeder Amps Service or Add'n _0 to 200....- . ..S 81.00 -Up to 200 amp...... .. S 81.00. . . . $ 24.00 Feeder _201-600. ..- 189 00 201-400 amp.... ........ 101.00. ....50.00 0 to 100...... ....$ 81.00 ... $ 50.00601- 1000 . .............. ..... ..284.50 401-600 amp 138.00 68.50101.0063.50over 1000 317.00 _ _101-200 _ .................. . - _601-800 amp 176.50 94.50 _20l -400 189.00 75.00 _4 of circuits _Over 800 amp 252.50 189.00 _401-G00 220.50 88.50 (1-5 circuits-563.50,Add'n circuits,$5 ca) ALTERED SINGLE/MULTI FAMILY _601-800 284.50 120.50 (When inspected separately from the services.) _801-1000 348.00....... 145.50 TEMPORARY SERVICE Service or Feeder _Over 1000 379.00......202.50 Residential/Multi-Family/Commercial/Industrial _0 to 200 amp S 68.50 _Over 600 volts surcharge 63.50 _0-100 S 50.00 -201-600 amp 101.00 -Mast or meter repair 68.50 _101-200 63 50 _over 600 amp 151.50 201-400. . - ...75 00 _Mast or meter repair 37.50 _401-600.................. 101 00 4 of circuits over 600 ........... ...... ...... 109.00 (1-4 circuits-$50.00;Add'n circuits$5 ca) If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+$63.50.Add'I plan review for other submissions is$75.00/hr. FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D) TOTAL COLUMN(D): Total Column(0) Estimated Permit Fee: (12) Estimated Permit Fee from line 12 Estimated Plan Review Fee: $63.50+( X.35) =(13) - ' - • - • DEMOLITION ' . • . • Estimated Permit Fee: (14) Bond Amount:(15) - . •■ ENGINEERING - -- . - . - - . . Estimated Permit Fee:(16) Bond Amount: (17) . . _ ..• . - -- - - - ■ OTHER FEES -- . , . Mitigation Fee:(18) (20) (22) SBCC Surcharge:(19) (21) (23) Total(Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24) Bulletin #1013-January 18, 2002