04-100856 S r Y
City of Federal Way
Community Development Services Electrical Permit #:04 - 100856 - 00 - EL
,..
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: PROGRESSIVE INSURANCE
Project Address: 32001 32NDIS Suite430 Parcel Number: 162104 9001
Project Description: Install feeder for building-mounted sign; channel letters.
Owner Applicant Contractor
FOSS REDEVELOPMENT MEYER SIGN&ADVERTISING CO MEYER SIGN&ADVERTISING CO
PO BOX 94449 2608 HWY 99 S 2608 HWY 99 S
SEATTLE WA 98124 MOUNT VERNON WA 98273-9016 MOUNT VERNON WA 98273-9016
(360)424-1325
Electrical Fixtures
Description Puantit Description Quantity Description Quantity
Sign I 1 J
PERMIT EXPIRES October 18,2004.
Permit issued on April 21,2004
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. I
Owner or agent: �� 4 Date: e l "CDC(
I 04 M IVLE%S
q ( TIT.
\I\ja.9%. "rum.
„IN
RECEIVED COMMUNITY DEVELOPMENT SERVICES
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33530 FIRST WAY SOUTH•PO BOX 9718
[try of�.” FEDERAL WAY,WA 98063-9718
Federal Way MAR 1 0 PERMIT APPLICATION L 253-661-4115.NuwaIffe raluoy6 I29
TD.
For Office Use Only. (��. `�T�Y !F FEDERA W / /
The ollowin• is re.aired in ormation-art inco •tete • •f ication will not be acce•ted. Please •rint le•ibl (in ink)or .
7411 PROPERTY INFORMATION
SITE ADDRESS: 3 2CI ( 39 N A U E Si - _ SUITE/APT# 4 3v
ASSESSOR'S TAX/PARCEL#: - SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (e.g.:Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
- )1 PROJECT INFORMATION
TYPE OF PERMIT(This application): %'UILD 8 G 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only):
\A5f I wc-tA 5 ( L Ff�0C-e 55' 'i e - c -�
�K ri)CT 1 - 4 6 f7t,t. L ` `�
PROJECT NAME(Name of Business/Owner Last Name): \ b%Cr SS(-I`-i \."S L 1 co-,c
or, PEOPLE INFORMATION
PROPERTY NAME: P�Y P NE:
=
OWNER 0 SS C u-e I 1,".-eti, ( ) 25 a..s53
MAILING ADDRESS D
O(I J�N A ua JI Ta,,:3 T'C� IIP t `'-1 1 83663
CONTRACTOR NAME .COMPANY OFFICE PHONE:
W1et.s S( „V.�Ac�����•,,t ca,.. L-c-„,( 06c) ) (PA - 1325_
MAILING ADDRESS(STREVT_608 C/-J 9C(ADDRESS;):
$ r V r/o -'-( /'V vl U �0�73 CELL PHONE: -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER:
- - - I / (3&)) cz t( - 5-� 1 a
CONTRACTORS REGISTRATION NUMBER:
'/A�, / (may' EXPIRATI�N DATE:
(copy of card required with each application) I' `C AS5` U i 2. 1 I
� / U
LENDER NAME: ----- DAYTIME PHONE:
(Itraoposed Va,.>mow) ( ) -
MAILING ADDRESS(BYRE ;): CITY,STATE,ZIP
APPLICANT: 7`/ S COMPANYC OFFICE PHONE:
-
NeADD ESS(STREETADDR CITY, ZIP�� EVENING PHONE:
7 (c ( ) • -
�� RELATIONSHIP TO PROJECT: FAX NUMBER:
0 ❑ Architect ❑Tenant XQther(Describer C �`� ( ) -
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner ntractor 0 Applicant E-MAIL ADDRESS:
'4 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 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL) .,
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
MI 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 •rorty.PROPOSED TOTAL 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.
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(ro,kt) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
I.AVS(Bathroom Sink VACUUM BREAKERS ELECTRIC WATER HEATERS
W DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my
latowiedge,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 anct employees,upon the curacy of the information supplied to the city as a part of this application.
NAME/TITLE: '))- ( DATE: s'. - 1 (-U
(Signature) (Title)
RELATIONSHIP TO PROJECT: 0 Property Owner 0 Applicant Contractor 0 Architect 0
FOR OFFICE USE ONLY: ,;-
-a NEW__ - a ADDITION o ALTERATION a REPAIR a TENANT IMPROVEMENT
-BUILDING SHELL ONLY? a YES a NO BASIC PLAN? - a YES o NO
ZONING DESIGNATION: CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES o NO
-PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? a YES a NO
Itui:cu1I -,::(1`,; -,;,x . , - .. ,rI Page 2
-` • ELECTRICAL PERA T INFORMATION
4.
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE -
CIStngle 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) CI 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 ❑ 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
CIService and feeder $94.50 - Commercial Residential
❑ 0- 100 $58.00 $51.00
MOBILE HOME/RV PARK ❑ 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) .
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats 11 #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
U Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s): (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s): 1=,2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 296-46-970(5)(6)(&ii)
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