04-101212 •
Cmof ederal Way
Community Development Services Electrical Permit #:04 - 101212 - 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: HORAN REAL ESTATE
Project Address: 33903 PACIFIC S Parcel Number: 202104 9086
Project Description: Electrical service conversion from overhead to underground in conjunction with Pacific Highway ROW
expansion project.
Owner Applicant Contractor
CITY OF FEDERAL WAY*MARWAN SALL( POTELCO INC POTELCO INC
33530 1ST WAY SOUTH POTELCO INC POTELCO INC
141058TH STE 141058TH STE
\FEDERAL WAY WA 98003 SUMNER WA 98390 (253)863-0484
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Alt.Serv./Feed 201 amps-600 amps- 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. v
Owner or agent: See Application Date: 1
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FEDERAL WAY,WA 98063-9718 APPLICATION
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253-661-4115•FAX 253-661-4129 / /
wuto.dtyofederalway mm APR 0 1 ?IV4 rCITY OF F1 DEI- -
BUILDThe ollowin• is re. _ in ormation-an inco •lete a..lication will not be accee!ted. Please ,
rint le,ibl (in in or
PROPERTY INFORMATION '
•
t SITE ADDRESS 3 16 3 �6G/ c ALW. GI
S
^ SUITE/UNIT
I' ASSESSOR'S TAX/PARCEL# 0 O` / Q 1 0
LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desc.ipaoaj
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
0 DEMOLITION XNELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed des�iption of work included on this permit only)
Serui
C-e an n c. -(1 on (dam'(y+ k e od -it)
u lee < C-C,r-r .
PROJECT NAME(Name of Business or Owner Last Name) I l u r _ r".. --€6.....-( Es -1-a..
PEOPLE INFORMATION
PROPERTY NAME (Cr.--t
OWNER "' ciec )C.t1/1 SQk.IOc..�rr {-moi PRIMARY PHONE
MAILING ADDRESS CITY,STATE,ZIP CCC(((J//����"'---«<l I (251 ) `��
'--'2>S'- C) Vrf C cO I \C. 1 tai IN Gcl'OG3
CONTRACTOR COMPANY NAME` T\� APPLICANT NAME
`�\CO C1Y 1 C / OFFICE PHONE
/ •
MAILING ADDRESS
���c3cv- v blr-t'c..�s (2 ) Ks -044s-4,
CITY,STATE,ZIP omCELL
SU kr,CAA ci C`O FZ6C - srCITY OF FEDERAL WAY
BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
20-0 k - k o t S-.1 -BL l2 / 31 / Cf-4 (23 ) - 3-A
CONTRACTOR'S REGISTRATION NUMBER /(copy of card required with each application)
9 OT L .L 3 44 6 L4 RATION D/TE
S- �t 05—
APPLICANT C PANY NAME
APPLICANT NAME
—� OFFICE
PHONE
�M C O�11 O `CreC- J �'�k �f )? )iyV
-akePH
MAILING ADDRESS
CITY,STATE,ZIP CELL PHONE
Ii4c53 'ICk' - �= Sanfrier_c . cir ..ScC) (y2r)7CC -G\'3G
RELATIONSHIP TO PROJECT
SC��^ FAX NUMBER
0 Architect 0 Tenant ❑Agent (D Other escribe) '\C\T (2M) Jj'-? -l'?--/
CONTACT N
PRIMARY PHON E-MAIL ADDRESS
AceCA/J (23)g6 -04Py c r(lJ Q e\-eIcQ e.rle'V
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES ❑ NO
WATER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE O TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
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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 offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work S
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 lorTub/Shover Combo) SHOWERS WATER CLOSETS rroeeq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sulks) 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 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 mase by any person, including the undersigned, and filed against the City of Federal Way,but only where such claim
arises out of the reliance o e c' incl •ing its fficers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
/'
NAME/TITLE DATE 44/0C(
( tgnaturc) (Talc) S.`
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent 0 Contractor ❑ Architect t�Other \Jtr1\'j t•-G
FOR OFFICE USE ONLY
a NEW a ADDITION ❑ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES ❑ NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? a YES ❑ NO
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Bulletin 4100—March 30,2004 Page 2 of 4 k\I landouts—Revised\Permit Application
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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 ft'- $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 LI Over 600 volts surcharge $74.00
❑ 401 - 600 amp 161.00 80.00 Li 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 to 200 amp $ 94.50
201 - 600 amp 220 50
Service or Feeder /❑ 601 - 1000 amp 332 00
Li 0 to 200 amp $ 72.50 Li 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
(1-4 circuits-$58 00,Add'n circuits$6 00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW
$74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 ❑ Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94 50
Commercial Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
❑ # of service or feeders ❑ 101 - 200 74 00 51.00
(First service/feeder-$58 00,each add'n-$37 50) ❑ 201 -400 87 00 n/a
❑ 401 - 600 117 50 n/a
❑ over 600 127 00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats ❑ # of Signs
(First-$43.50,add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
Cl 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
(Per System(s) 1s,2500 ft'-$5I 00,
Each add'n 2500 ft'-13 50) •Per WAC 296-46-910(5)(b(i&
Bulletin#100-March 30,2004 Page 3 of 4 k\I laitdouts-Revised\Permit Application