04-101753 ir
City of Federal Way Electrical Permit #:04 - 101753 - 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: VETS FOR LESS J' b-
Project Address: i,I5 ,S 34041 St Parcel Number: 202104 9042
Project Description: Adding and altering existing 10 circuits on existing panel for new tenant
Owner Applicant Contractor
NWCH INVESTMENT PROPERTIES CLOVER CREEK ELECTRIC *GUY ERI CLOVER CREEK ELECTRIC *GUY ERI
5312 PACIFIC HWY E 1413 CENTER ST 1413 CENTER ST
TACOMA WA 98424-2602 TACOMA WA 98409 TACOMA WA 98409
(253)627-6648
Electrical Fixtures
Description Quantity Description Quantity Description 1Quantity
Circuits- Commercial 10
PERMIT EXPIRES November 3,2004.
Permit issued on May 7,2004
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.
G4Owner or agent: �� Date: v7A
S
NOTE: FINAL INSPECTION REQUIRED UPON
COMPLETION OF WORK \--/
Clior71, (lJ�
04
(a,
Rough-in inspection: rte`. 30 D 4
D e
Service inspection:
Date
FINAL inspection: c `�'4 1Q( \b4
Date
COMMUNITY DEVELOPMENT SERVICES
.11
iRYt`f 33530 FIRST WAY SOUTH•PO BOX 9718
OF FEDERAL WAY,WA 98063-9718
Federal WaSkf 0 ' 2(1°" PERMIT APPLICATION 253-limey 4115atuoffederalumu6comI29
For Offic,,GiU O1- (-LD1-'iAl_\IVAY V 4101 -T- 53- n8/v 1 -�/�j 3- V v 8
U Li l: Wnber: — — — — — — — — / /
The£•.1 is , , • - -an --- -lots y-Meatiest will not ht . . .. • - Pleas* , , 'I., or - -
nn`/
• PROPERTY INFORMATION
SITE ADDRESS: ,I B •(/ c a SUITE/APT#
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): ?BUILDING ?PLUMBING ?MECHANICAL ?DEMOLITION
?ELECTRICAL ?ENGINEERING?FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION/Provide detailed description of work included on this permit onlu,
i.0 ::$ c � �
PROJECT NAME(Name ofBusiness/Owner Last Name): Vt ''6'W lA6 S
• PEOPLE INFORMATION
PROPERTY NAME: PRIMARY PHONE'
OWNER: U� A-At &C)-- ( ) -
MAILING ADDRESS ST ADDRE96;): .CITY,STATE,ZIP rk
CONTRACTOR: NAME COMPANY
COMPANY OFFICE PHONE:
CL c 3 ESS��y�(STREET . CI'T'Y,STATE,ZIP
CELL PHONE:
A
6�� - A
CITY FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: NUMBER: �O
i q Qg - \Q(.... 0 S -.(3(Cf5k_ z2/3\ /04 ( ) -
CONTRACTORS REGISTRATION NUMBER: `1 EXPIRATION DATE:
(msa
s et required with each 4l —4—) _c_1„,,,( CZ-7.)C,kti�..,+ f`A��Lt.,. 4 / /sO.C.,
• • NAME: DAYTIME PHONE:
(It Vase>416,000) ( ) -
MAILING ADDRESS(STREET ADDRESS)): CITY,STATE,ZIP
NAME: COMPANY OFFICE PHONE:
( )
MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
?Architect ? Tenant ? Other(Describe).. ( ) -
CONTACT PERSON FOR THIS PROJECT: ?Property Owner ?Contractor ?Applicant E-MAIL ADDRESS:
• DETAILED BUILDING INFORMATION
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLER=BUILDING'? ?YES ?NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ?YES ?NO
WATER SERVICE PROVIDER: ?LAKEHAVEN ?HIGHLINE ?TACOMA ?PRIVATE(WELL)
SEWER SERVICE PROVIDER: ?LAIISHAVEN ?HIGHLINE ?PRIVATE(SEPTIC)
A
• 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) U 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
❑ 201 -400 amp 117.50 58.00 U Over 600 volts surcharge $74.00
U 401 -600 amp 161.00 80.00 U Mast or meter repair $80.00
U 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/IEDUSTRIAL
U Over 800 amp 294.50 220.50
Service or Feeders
ALTERED OGLE/MULTI FAMILY ) 0 to 200 amp $ 94.50
(Inspected separately from service) ❑ 201 -600 amp 220.50
Service or Feeder U 601 - 1000 amp 332.00
U 0 to 200 amp $ 72.50 U over 1000 amp 369.50
❑ 201-600 amp 117.50
❑ over 600 amp 177.00 U 10 #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) COMMERCIALI NDIISTRIAL PLAN REVIEW
U Service over 200 amps
U Mast or meter repair $43.50 U Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW $74.00 plan 35%of Permit Fee
U Service Over 400 amps
$74.00 35%of Permit Fee
MOBUZ HOMES TEMPORARY SERVICE
❑ Service or feeder only $58.00
U Service and feeder $94.50 Commercial Residential
U 0-100 $58.00 $51.00
MONTLE 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)
U Low Voltage U Swimming pool/hot tab $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 U Additional Plan Review $87.00/hour
❑ voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s): 1•t 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) *Per WAC 296--a6-910/5//bpi t ii/
Bulletin#100-January 13.2004 Page 3 of 4 k:\Handouts-Revised\Permit Application
r
4. I
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.PT. PROPOSED SQ.PT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? Tdr",EXIE7tN0 TOTAL PROPOSED TOTAL EXTET1NG 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.
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commerciol( WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Todd MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom smk VACUUM BREAKERS SLZCTBIC WATER HEATERS
• I !. 11 i_ !J
I eat&underpenalhi ofpedum that the Lfbrmation fereished bg err is true and correct to the best ofsyr knowledge,
and further,that lam authorised by the owner of the abase premises to perform the wont for which the permit application is
made. !further agree to hold harmless the Ciltg of l Wag as to meg claim/Yneluding costs;agrense4 and attorneys-Veto
inemrnl in the investigation and defense of such claim,/,which may be mads leg anyperson,including the undersigned,and
jileid against the Citg ofliedernal Wag,but only where such claim arises out of the reliance of the city,including its officers
icers
and employees,upon the accuracy of the information supplied to the city as a part of this application.
NAME/TITLE: s _) DATE:
_ tun (Title)
RELATIONS�TO ' -'s Prop- •wner ? Applicant ? Contractor ? Architect ?
FOR OFFICE USE OILY:
?NEW ?ADDHION ?ALTERATION ?IMPAIR P TENANT nultOVIIIIMIT
NUI LDDIG SHELL ONLY? ?YES P NO BASIC PLAN? P YES P NO
ZONING DESIOJIATION: CHANGE OF USE? P YES P NO
NEA ADDIUMS REQUIEM)? ?YES P NO UP/SEPA/SU? ?Zai ?x0
PLATTED LOT? ?YES ?NO DEMO PERMIT REQUIRED? ?TES P NO
Bulletin#100-January 13,2004 Page 2 of 4 k:\Handouts-Revised\Permit Application