04-101776 City of Federal Way
Community Development Services Electrical Permit #:04 - 101776 - 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: CAMPBELL LEASING FOR VETS
Project Address: 34815 PACIFIC S UNIT104 Parcel Number: 202104 9042
Project Description: Low voltage voice/data cabling
Owner Applicant Contractor
CAMPBELL LEASING FOR VETS CONNECTED TECHNOLOGIES CORP CONNECTED TECHNOLOGIES CORP
CAMPBELL LEASING FOR VETS 930 S 336TH ST STE E 930 S 336TH ST STE E
34815 PACIFIC HWY S SUITE 104 -FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
FEDERAL WAY WA (253)838-5922
Electrical Fixtures
Description 1Quantity Description Quantity Description Quantity
ILow Voltage-Other Commercial 2500
PERMIT EXPIRES November 6,2004.
Permit issued on May 10,2004
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�Wnnay.
Owner or agent: (i.ls141, 'Q e Date: 5-to-oc-1
6 ,v'•ea
or 0,41. ..— RECEIVED i - --/ U -77_ 6_ .
Federal Way
COM..fJNf1YDEVELOPMENT SERV!
Y 0 PERMIT SF MF CO ME �L pL DE EN FP
3353EDFIRST AWAY,WA9•roBOX-9718 9718 2ooaAPPLICATION
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FEDERAL WAY,WA 9d063-971d 253-6614115•PAX2536f,l,,) I9OFFEDERAL WAY / /
uww.d[rrolfederdtna.
BUILDING DEPT.
The ollowi • is re•aired in ormation-an Inco •fete a.•lication will not be acce•ted. Please •rint le•lb/ (in ink)or . .
2� c1 PROPERTY INFORMATION
SITE ADDRESS x`-61 UZ C Pats cAZ (4 1'1 C. SUITE/UNIT# l(}i
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sj) o2c-00
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) Gm a Dim a I QuS i t%. tte,! L2•-LS
(Attach separate pagefor lengthy legal desoipson)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION IWELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
TG(GOwl e '1
PROJECT NAME(Name of Business or Owner Last Name) e0.1Mp KPII Lt,i.clJ i�
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER e4I[ui(Oat 1 Ce4s UeiS ( ) -
MAILING ADDRESS CITY,STATE,ZIP
-3t1 845 PAC -c (-hayS Fe:tee.`'"eN 1.1,A- t7($Dd S
CONTRACTOR COMPANY NAME APPUCANT NAME OFFICE PHONE
M (Pit,tied tr Ao(.st i f etti-c V ( )
GADDRESS
SS eCITY,STATE,ZIP CELL PHONE
C 'M `` a
CITY OOF FEDERAL WAYDBUSINESS UCENSE NUMBER � � WA-lit
DATE qo�5 FAX NUMBER
a, Q-.0 �-L Q a z (4 L B L I)- /5 ( /,100(A ( )
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
( ¢ -I- _0 1 a 0 0 4- cj / 31 /02-604
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( )
MAIUNG ADDRESS CITY,STATE,ZIP CELL PHONE
(
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds*5,000
MAIUNG ADDRESS CITY,STATE,ZIP
I
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 0 NO
WATER SERVICE PROVIDER a LAKEHAVEN ❑ HIGRLINE a TACOMA ❑ PRIVATE(WELL)
1 SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE a 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 ENING TOTAL PROPOSED TOTAL MISTING NPD PROPOSED
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offacture 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 CLOSKIS(roue) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(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 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 and employees,upon the accuracy of the information supplied to the city as a part of
this application. ,,pp �p '�
NAME/TITLE (� iu._ '3 DATE D-to
�""� (Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent ❑ Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES o 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
Li 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 0 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
O 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
❑ Mast or meter repair $43.50 ❑ Service over 200 amps
O 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 0- 100 $58.00 $51.00
O #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)
O Fire Alarm System ❑ Yard Pole meter loops $58.00
46 ecurity Alarm System ❑ Additional Plan Review $87.00/hour
Voice Cabling (for modified submittals)
Data Cabling.
o s
(Per System(s)4k Q
1•.2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 29646-910(5)(b)(i&ii)
{
Bulletin#100-March 30,2004 Page 3 of 4 k\Handouts-Revised\Permit Application