04-101643 ral
City munitedevel Way Electrical Permit #:04 - 101643 - 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: ARCO AM/PM
Project Address: 31855 PACIFIC S Parcel Number: 082104 9194
Project Description: Low voltage modification for monitoring system;coaxial upgrade
Owner Applicant Contractor
BP WEST COAST PRODUCTS BARGHAUSEN CONSULTING ENGINEERS' JOE HALL CONSTRUCTION INC.
BP WEST COAST PRODUCTS BARGHAUSEN CONSULTING ENGINEERS JOE HALL CONSTRUCTION INC.
4 CENTERPOINTE DR 18215 72ND AVE S 1317 54TH AVE E
LA PALMA CA 90623 KENT WA 98032 (253)922-6815
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Low Voltage-Other Commercial I
PERMIT EXPIRES October 30,2004.
Permit issued on May 3,2004
I hereby certify that the ab s ve information is correct and that the construction on the above described property and
the occupancy and the u•- ill be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Wa
Owner or agent Date: J
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Federal�v PERMIT
COMMUNITY DEVELOPMENT
0 2004 SF MF CO ME EL PL DE EN FP
33530FEDERFIRSTAL
WAY,AY A 9 63 18APPLICATION
FEDERAL WAY,FAX
53-61- ld / /
253661-4115•FAX 253661- 729
t edemlwa of FEDERAL
ANG DEPT'
The ollowi • is Qd in ormation-an inco •fete a.•lication will not be acce•ted. Please •tint le•ibl (in ink)or .
PROPERTY INFORMATION
SITE ADDRESS I S 55 ?QGi fi G Abh S • SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(sl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate pagefor lengthy legal desc+ipfion)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 0 MECHANICAL
0 DEMOLITION "ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on s permit only)
\DLO vv I-k-unc, TV►,o &. -Far kkotti Mti 4eiii I nS 1IL
PROJECT NAME(Name of Business or Owner Last Name) 14?e0 Prim I PM (JAL(AL UP6100E
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER $P WEST CO1ic-S j ablxcTS (5)3)2&3 - 1lb1
MAILING ADDRESS CITY,STATE,ZIP
4 czn*rpolvi4e. ►7r. Ui Pa)wick-( CA (17)0 23
3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
3Ce 14AtLL CONSfkU, 11DN P U J ef\aS, (Z53) 337-029-
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
1317 *Ave. E. 'F .i tivA . cP gy'4 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE , FAX NUMBER
Z Q- OZ- % D D 8 2 (o -B L IZ / 31 /O (253)12z -6,828'
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME , OFFICE PHONE
SA1Jii.Act,SeN �C_ANE u,[tt6 45ri€XiCk I n(r�ues (y25►2�, I - 371(2
ADDRESSMAIUNG5CITY,
CELL PHONE -
/fes /1, e. S kG�/I 1/1/4. 814°,0 (
11MI
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑Tenant gent ❑ Other(Describe) ( ) -
CONTACT NAME P RY PHONE E-MAIL ADDRESS
Neil a �1• UPS ( t5 ) 21 (0 222 o►►rc3ue har ►aUSefl
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
+ !1 A MAIUNG ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES 0 NO
WATER SERVICE PROVIDER O LAKEHAVEN O HIGHLINE O TACOMA O PRIVATE(WELL)
1 SEWER SERVICE PROVIDER a LAKEHAVEN ❑ HIGHLINE 0 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 TOTAL EXISTING AND PROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture 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(commoro at) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(o,Tub/Shower Combo) SHOWERS WATER CLOSETS(roilot) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroom Sinks) 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
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
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense o
such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such clai
arises out of the reliance of the ci ,eluding its officers and employees,upon the accuracy of the information supplied to the city as a part o,
this application.
Jr. /3/ ,i
NAME/TITLE �_� _ _ �j� ,�s ICC /' lG ,/�'� DATE / O
.Ignature (Title)
RELATIONSHIP TO PRO 0 Owner gent 0 Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
a NEW ❑ADDITION o ALTERATION a REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES 0 NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES ❑NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100–March 30,2004 Page 2 of 4 k\Handouts–Revised\Permit Application
,.: 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) ❑ 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
❑ 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
❑ 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
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW
$74.00 plus 35%of Permit Fee
J Mast or meter repair $43.50 ❑ Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
I Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
I Service or feeder only $58.00 TEMPORARY SERVICE
I 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)
❑ 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)
O Data Cabli gr)
Ye'?System(s) 1•i 25 0 ft2-$51.00,
Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5/(b)(i&ii)
Bulletin#100-March 30,2004 Page 3 of 4 k\Handouts-Revised\Permit Application