04-101211 1
a
City of Federal Way
Community Development Services Electrical Permit #:04 - 101211 - 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: FEDERAL WAY HEAD START DAYCARE
Project Address: 31455 28TH$ Atha<j Parcel Number: 092104 9054
Project Description: Terminate and program FACP
Owner Applicant Contractor
FEDERAL WAY PUBLIC SCHOOL SIMPLEXGRINNELL LP(ELECTRICAL) SIMPLEXGRINNELL LP(ELECTRICAL)
31405 18TH AVE S 9520 10TH AVE S SUITE 100 9520 10TH AVE S SUITE 100
FEDERAL WAY WA FEDERAL WAY WA 98108 FEDERAL WAY WA 98108
98003-5433 (253)291-1468
Electrical Fixtures
Description 'Quantity Description Quantity Description Quantity
Low Voltage Fire Alarm-Commercia, 1
PERMIT EXPIRES September 29,2004.
Permit issued on April 2,2004
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. /, f
Owner or agent: r ' 0 Date: 1/744
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RECEIVED 6(Ei
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r 7 COMMUNITY DEVELOPMEN SERIN S
APR 0 1 U U't 33530 FIRST WAY SOUTH•PO BOX 9718
a Of AO '. FEDERAL WAY,WA 98063-9718
, ,P__ PLICATION 253-661-4115•FAX:253-661-4129
�E'v'�u( DEPT.
ill
Federal�
Per Office U.*only; f — ... L V` 1— _ --� Td:
FW File Number: / /
The oilowin• is r • ired in ormation-an incom•fete • ••lication will not be acce• ed. Please •rint le•ibl in in or ,• .
h
G / J( /■ PROPERTY INFORMATION
SITE ADDRESS: ?i CUT 20 .# 4v'. u✓�N 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).
Ter hi h61er PPO4)n,w► r.,q.c. P
PROJECT NAME(Name of Business/Owner Last Name): FeJP,„l Vu( /7 or AQ 4'/-/1v 1-
■ PEOPLE INFORMATION
PROPERTY NAME:nr /� PRIMAARYPHONE:
� �(/�
OWNER: /'(/!nt, I- JUvi LCD (Z4(5 )4/3/ V-17Z.
MAILING DRESS(STREET ADD S;): CITY,STATE,ZIP
• 110 Sw 620c/ Sf• 8w , 1v/4 cik166
CONTRACTOR: NAME C MPANY OFFICE PHONE:
i Al//be.GC1nn e j 1 (20( ) 24/ - /t/oo
MAILING ADDRESS(STREEWDRESS;): CITY,STATE,ZIP CELL PHONE:
.52 a /O/I /lye f. L1.1(1oti JPs Ai IC 1,1/./ 'WAY ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER:
- - - / / ( ) -
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required with each application)S Z iie 4. L 4 I 4- 6- 0/ /0 7 /00
LENDER: NAME: ! DAYTIME PHONE:
(If!repo..(Valu.>115,000)
/^v/ ( ) -
MAILINGIAD (STREET ADDRESS;): CITY,STATE,ZIP
APPLICANT: NAME: �// / COMPANY OFFICE PHONE:
(/S4;4 H f ej (Zc' )2i/ - l/6k
MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
?Architect ? Tenant ? Other(Describe) 4-/I//14.- ( ) -
CONTACT PERSON FOR THIS PROJECT: ?Property Owner ?Contractor f. Applicj E-MAIL ADDRESS:
■ DETAILED BUILDING INFORMATION
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
0 SPRINKLERED BUILDING? ?YES ?NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ?YES ?NO
WATER SERVICE PROVIDER: ?LAKEHAVEN ?HIGHLINE ?TACOMA ?PRIVATE(WELL)
SEWER SERVICE PROVIDER: ?LAKEHAVEN ?HIGHLINE ?PRIVATE(SEPTIC)
•
w 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 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(comm<m,aq WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
1110 BATHTUBS(orTuh/shower Combo) SHOWERS WATER CLOSETS(rode) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Smk VACUUM BREAKERS ELECTRIC WATER HEATERS
I)ISCI,AIUI?hjSlGN\TLJRE HLCC1.
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 authorised 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
and employees,upon the accuracy of the information supplied to the city as a part of this application.
NAME/TITLE: �a ' 4 DATE: y/ ?fU"I
(Sagnature) (Pale) `
RELATIONSHIP TO ROJECT: ? perty Owner ? Applicant ? Contractor ? Architect ?
FCOR,-OrmE pap ONLY:
?NEW ?ADDITION ?ALTERATION ?REPAIR ?TENANT IMPROVEMENT
BUILDING SHELL ONLY? ?YES ?NO BASIC PLAN? ?YES ?NO
ZONING DESIGNATION: CHANGE OF USE? ?YES ?NO
NEW ADDRESS REQUIRED? ?YES ?NO UP/SEPA/SU? ?YES ?NO
• PLAT'T'ED LOT? ?YES ?NO DEMO PERMIT REQUIRED? ?YES ?NO
Bulletin#100—January 13,2004 Page 2 of 4 k:\Handouts—Revised\Permit Application
• • , i► . .. i
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• ELECTIOCAL 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) ❑ 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) ❑ 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
LI 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
❑ Service 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
U over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
ti
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
Low Voltage ❑ Swimming pool/hot tub $87.00
ware 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 29646-910(5)(b)(i do i)
•
Bulletin#100-January 13,2004 Page 3 of 4 k:\Handouts-Revised\Permit Application