04-100985 City of Federal Way Electrical Permit #:04 - 100985 - 00 - EL
Commlaity Development Services
33530 ist Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: SHOES 'N FEET
Project Address: 31653 PACIFIC S SuiteE Parcel Number: 082104 9196
Project Description: Addition of(10)circuits for recepticals.
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES NORTH PACIFIC ELEC NORTH PACIFIC ELEC
HARSCH INVESTMENT PROPERTIES 5746 BOSTON HARBOR RD 5746 BOSTON HARBOR RD
1121 SW SALMON ST
PORTLAND OR 97205 \OLYMPIA WA 98506 (360)943-6020
Electrical Fixtures
Description Quantity Description Quantity I Description Quantity
Circuits- Commercial 10
PERMIT EXPIRES September 18,2004.
Permit issued on March 22,2004
I hereby certify that the ab• , ormation is correc •or. . the construction on the above described property and
the occupancy and the ui,, j- in $ •-i. 1 the laws,rules and regulations of the State of Wash'.gton and
the City of Federal W. /
Owner or agent. / Date:
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COMMUNITY DEVELOPMENT'SERVICES
prr of^_� 33530 FIRST WAY SOUTH•PO BOX 9718
FEDERAL WAY,WA 98063-9718
Federal Way . PERMIT APPLICATION 253661-4115*FPAX:r2 3- 61co1129
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For Office Use o FW File Number: 0 c - 1 0 0 5T - �'o / /
The ollowin• is re•uired in ormation-an inco •tete a.•lication will not be acce•ted. Please •rint le•ibi (in ink)or .
�y
' A PROPERTY INFORMATION
.et
SITE ADDRESS: / //S, e_ lir ,.r/APT# 5
ASSESSOR'S TAX/PARCEL#: - SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (e.g.:Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION� "" /�
PROJECT DESCRON(Pry de detailed des •ption of w r included on this permit onl . /P ,LJy1�U•C pA
/%11e--' Suite //,_.'�c 0 mfg' P.z ,Ts �� S
PROJECT NAME(Name of Business/Owner Last Name): c_~2/./ . —A/".
0 C
■ PEOPLE/ INORMATION
OWNER:PROPERTY NAME: ) l f� f� '
Will 1e PRIMARY PHONE: -
MAILING A(DDRESS(STREET ADDRESS;): CITY,STATE,ZIP 1r 1
CONTRACTOR: NAME k , COMPANY OF ICE PHO
LING REET DRE / '/•Li7�, /�,ZIP ` `�/� (CELL PHONE: -
CITY OFq Atig F FEDERAL WAY BUSINESS LICENSE NUMBER: /)`( EMPIRATION DATE: FAX NUMBER:
- - - r / / ( ) -
CONTRACTOR'S REGISTRATION NUMBER: /I�e 4 f �t� EEXPIRATIONp1RAT10N DATE:
(copy of card required with each application(( Ja /) '5/ T . T / /
LENDER: NAME: DAYTIME PHONE:
(If P opened Value>$5,000) ( )
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP `
t
APPLICANT: NAME: / / „...ciovii 7.7Noi‘iiaei�bi(a OFFICE PHONE: -MAI NG ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
( ) -
RELATIONSHIPPROJECT: ��C/• FAX NUMBER:
Archi
0 Architectect ❑Tenant ROther(Describer ( ) -
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner 0 Contractor 0 Applicant E-MAIL ADDRESS:
■ DETAILED BUILDING INFORMATION
EXISTING USE: PROPOSED USE:
a
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER o 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? TOTAL EXISTING TOTAL PROPOSED TOTA1.EXISTING AND PROPOSED
"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.
=MAMMAL
Value of Mechanical Work $
--AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commaeiat) 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(Rae) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE B1BBS
LAVS(Bathroom Sink 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 ho • armless the City of Federal Way as to any claim(including costs,expenses, and
attorneys'fees incurre* the investiga•-.n and defense of such claim), which may be made by any person, including the
undersigned,and flu- .•inye'. of Federal Way,but only where such claim arises out of the reliance of the city, 1
including its office • ef
u•on the accuracy of the information supplied to the city as a p• of th • . •lication. 1 i
NAME/TITLE: DATE: + ��k ,
�j
(Signature) (Title)
AMY/
RELATIONSHIP TO PROJECT: 0 Property Owner 0 Applicant ❑ Contractor ❑ Architect X — ' L / _ f
FOR OFFICE,USE ONLY: • ,
' o NEW - a ADDITION ❑ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDING SHET.T,ONLY? o YES D NO BASIC PLAN? • ❑YES a NO
• ,ZONING DESIGNATION: CHANGE OF USE? a YES o NO
t
NEW ADDRESS REQUIRED? D YES a NO UP/SEPA/SU? o YES o NO
PLATTED LOT? D YES o NO DEMO PERMIT REQUIRED? a YES D NO
11a::cu.R -=:(R; ,,,x ,• t Page 2
■ 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) U 0 to 100 amp $ 94.50 $ 58.00
U Detached outbuilding or garage U 101-200 amp 117.50 74.00
(Inspected with service) $36.50 U 201-400 amp 220.50 87.00
❑ Detached outbuilding or garage U 401 -600 amp 256.50 103.00
(Inspected separately) $58.00 U 601-800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) Li 801 - 1000 amp 405.50 169.50
Service Feeder U Over 1000 amp 442.00 236.00
U Up to 200 amp $ 94.50 $ 28.00
U 201 -400 amp 117.50 58.00
U Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 U Mast or meter repair $80.00
U 601 -800 amp 206.00 110.00 ALTERED.COMMERCIAL/INDUSTRIAL
U 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) U 201 -600 amp 220.50
Service or Feeder U 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 U over 1000 amp 369.50
❑ 201 -600 amp 117.50
U over 600 amp 177.00 /0k of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
U #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 plus 35%of Permit Fee
SINGLE/MULTI FAMILY PLAN REVIEW
U Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES TEMPORARY SERVICE
❑ Service or feeder only $58.00
U Service and feeder $94.50 Commercial Residential
❑ 0- 100 $58.00 $51.00
MOBILE HOME/RV PARK U 101 -200 74.00 51.00
U #of service or feeders U 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)
❑ Low Voltage U Swimming pool/hot tub $87.00
Square Feet to be served by system(s): (Includes additional circuit,if required)
❑ Fire Mann System U Yard Pole meter loops $58.00
O Security Mann System U Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
O Data Cabling
(Per System(s): 1="2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 29616910(5)(b)(h n)
•
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