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02-101674 r 1 City of Federal Way Communit}Development Services Electrical Permit #:02 - 101674 - 00 - EI{ 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: GARDEN TERRACE Project Address: 491 S 338TH Parcel Number: 926480 0220 Project Description: ELE-200 amp temp u/g service Owner Applicant Contractor FEDERAL WAY MEDICAL INVESTORS HIGH COUNTRY ELECTRIC CONSTRUCTIC HIGH COUNTRY ELECTRIC CONSTRUCTIC HIGH COUNTRY ELECTRIC CONSTRUCTIC HIGH COUNTRY ELECTRIC CONSTRUCTIC 975 11TH ST W 975 11TH ST W MERIDIAN ID 83642 (877)445-7285 Electrical Fixtures Quait#iV - Quantity Temp.Serv.101 amps-200 amps-C 1 PERMIT EXPIRES October 19,2002,IF NO WORK IS STARTED. Permit issued on April 22,2002 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: � � � Date: (q 5/ 2-- E to, Po te— bk ) 419.'6( aTeY or . CONSTRUCT l ION PERMIT APPLICATION APPLICATION NUMBER: O 2. - RECEIVED .APPi_ICATI©N NUMBER: - • - • - APPLICATION NUMBER: - - - • • **The following is rirI irtor��t�ori—Please print(ih Ink)or type** • Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. a i :_ A - - -j -: .._. •S1siGCE 3ifINFORMATION -• •." . " - . - 1 O\ S 3 ���' \ \ ASSESSOR'S TAX/PARCEL #: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ,:.a .. *,.:'.2,-;'-,:":!,.,:•'-•:'• ■. PROTECT INFORMATION .:1:•.••• . • . . ..--- . TYPE OF PROJECT(This application): ❑ BUILDINGCl PLUMBING ElMECHANICAL ElDEMOLITION r " ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM IIJECT DESCRIPTION(Provide detailed description): ___ __, 0 0 (s`-Nc`c\'i . *• ""\---t' •(N"\* ii) cl, ‘..i...‘-4.,_{..- C-----/ rATOJECT NAME: (TMC J 'A(V' . . i . " . - .• - -- --- ■'PEOPLE INFORMATION -. . . i- 0 PERTY OWNER: NAME: DAYTIME PHONE: MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): NTRACfOR: NAME: 1, DAYTIME PHONE: �v c1.1,4-- --0.._c_..1 � o rsV s �.c,c 0 h a.�.(,�, `�X1 1 3 �,9 MAILING ADDRESS(STREET ADDRESS; ,STATE,ZIP) EVENING "`/ E: CITY Of FEDERAL WAY BUSINESS NSEN MBE FAX NUMBER: - ( ) - CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) / / PLICANT: NAME: t� . DAY TIME PHONE: CO r.. 'r `�C"`�C\C O V1CC�VVh ( 0 )0k1-3Li y MAILING ADDRESS(STREET ADDRESS; ; TE.Z PHONE: NEi (%s,- c‘,._is -\ / �a`, 4J v p %0 kit— ) - RELATIONSHIP TO PROJECT: J FAXAIUMBER: ❑ ARCHITECT ❑ TENANT OTHER(DESCRIBE): Z\cd.l \G p„,N G p��A-1,, 0 r) - E-MAIL ADDRESS: OONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR • : . -• - - : .-. - - . . -•_■ "DETAILED BUILDING INFORMATION - - ' EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ t_ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ • SPRINKLERED BUILDING? El YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES El NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA El PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE El PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • • - - ■ PROJECT FLOOR AREAS • - `1,f *�` �`FLOOR EXISTING SQ.FT. • PROPOSED SQ.FT. TOTAL - 'BASEMENT' - ,rs.,:;3F`y?'4 •!v»1~••)44,-,-„ -.v.t,.. ,,. :-,-: _._-, . _ ` FIRST O';'" :< -: .SECOND - - • - . • • THIRD - FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: • ■ FIXTURES Indicate number of each type of fixture - - MECHANICAL AIR HANDLING UNITS) 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.( '4k, ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS.PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS - PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( ) 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 er,that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I • er agree to hold harmless the City of Federal Way as to any daim(induding costs,expenses,and attorneys'fees incurred in the estigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of •era(Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy • - information supplied to the city as a p. • of thi application. •K ME/TITLE: \ ��� � -,... ..t-ah.- DATE: IA 2 - 0 _:F�� '- PROPERTY OWNER Cl APPLICANT ❑ CONTRACTOR , X. :FOR OFFICE USE-ONLY: 1 i_ENEW- =s =Al DmON - ❑-ALTERATION__ _ REPAfR ❑TENANT MPROVEMENT- = - .CENSUS_CODE: _-----•--_. =-1--r_ -_-- t01-_SIZE:"__ ----e;-.- - -= 2'ONIN_G_'_ESIGNATION e - _ - == -BUILDINGSf(ELI,ONLY? ❑=YES-_-- Ci NO -C OMP_ l)ltCDESIGNATION .-_z--_ _ _ ,BAS GLAN?=!. ❑ YES ❑:NO- LL.= _,SECTION; .f..7__1 TOWNSHIP RANGE'_ NEW_ADDRESS,REQUIRED' _ " 0 YES ❑ NO _ 1•11'641-61-7-64?-- ❑ YES- ❑ NO -- - - - CHANGE OF USE? - - -.❑YES - ❑=NU - COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718-253-661-4000•FAX:253-661-4129 www.cityoffederalway.com • ELECTRICAL • TABLE B NEW RE$IDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES ' _Single Family . _Service or feeder only • $50.00 _N of Thermostats(First-$37.50;add'n-S 11.50ca) • (First 1300 ft2-$75.00;Each add'n 500 ft2-$24.00) _Scrvicc and feeder 581.00. M of Low voltage fire or burglar alarms • "_ •Square Foe(` -- • First 2500 ft2-543:50;Each add'n 2500-ti2-$I 1.50 ' ' • _Each outbuilding or garage . • $31.00 MOBILE HOME/RV PARK • . Square Feet: • • (Inspected with service) _k of service or feeders • *Per WAC 296-46-9100)(b)(i&ii) _Each outbuilding or garage.... . .... $50 00 (First service/feeder-550 00,Add'n service/ . _k of Signs(First sign-537.50,add'n sign (Inspected separately) feeder-$32 each) $17 50 each) _Swimming pool,hot tub,spa . $75 00 Yard Pole meter loops .... ..$50 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 . .. .. . ..... ... ... . ..5 81.00 _Up to 200 amp... _.. $ 81.00. . .. . 5 24.00 Feeder _201 -600. . ......... .. ...189 00 _201-400 amp............. 101.00... ..........50.00 _0 to 100. .$ 81 00 . 5 50.00 _601 - 1000 .--. 284 50 _401-600 amp 138.00. .68 50 _101-200.................... 101.00 63.50 _over 1000 ..317.00 _601-800 amp 176.50 94.50 _201 -400 189.00.........75.00 _H of circuits _Over 800 amp 252.50 189.00 _401-600 220.50 88.50 (I-S circuits-$63.50;Add'n circuits,$5 ea) 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 $ 50.00 _201-600 amp 101.00 _Mast or meter repair 68 50 7101-200 63.50 _over 600 amp . . ........... 151.50 . _201-400. 75.00 _Mast or meter repair 37 50 _401-600......... 101.00 _#of circuits over 600 . .. ........................_- 109 00 (1-4 circuits-$50.00;Add'n circuits$5 ea) 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 #100-January 18, 2002