04-101100 City of Federal Way
Community Development Services Electrical Permit #:04 - 101100 - 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: EVERGREEN SALES&LEASING(PACIFIC AUTOPLEX)
Project Address: 33216 PACIFIC S Parcel Number: 797820 0010
Project Description: Altering(5)circuits for parking lot lighting/signage and under ground conduit runs
Owner Applicant Contractor
Stephen L Dowell FOX ELECTRIC FOX ELECTRIC
430 GLENWOOD LN PO BOX 630 PO BOX 630
KENT WA KENT WA 98032 KENT WA 98032
98031-6062 \ (253)852-0540
Electrical Fixtures
.= grActii?iiofl,
Circuits- Commercial I 5
PERMIT EXPIRES September 21,2004.
Permit issued on March 25,2004
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
Owner or agent: \-)r-aircrcA Date: 3 " as - 0
o3 0t-1 tDrLit OIL—F0 Coe€
b AN r) -04 •
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2
‘. 4 ___ P[n R- V E D CONSTRUCTION PERMIT APPLICATION
CITY OF APPLICATION NUMBER: ryq c"*
Federal Way - � �� �
MAR 2 5 2�C.1 APPLICATION NUMBER:
kPPLICATION NUMBER: — —
.;;TY f LDERAL WAY
*"The fol Ailrrel;hrhIe IiPdd information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
• - -- ■ PROPERTY INFORMATION ' - __
SITE ADDRESS: 3 3 I L P t,C \C 1 t.- (''' 1 A SESSOR'S TAX/PARCEL #: -
N v,.. U so, ` C d tr� hr P\
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION/IF LENGTHY):
. •• ■ PROJECT INFORMATION " - -
TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL o DEMOLITION
ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): o.t^ 0'C 1 a\A 1 v.-..10\r�()
\f.N.A ke- 9 v---c) v.1.1 c C h v. e v,,r,_ 11
PROJECT NAME: &V WI✓4?-e-1 54&5 (east„ i Oc c.c.;C OcAA—O t(�s_
- ■ PEOPLE INFORMATION JJ
PROPERTY OWNER: NAME: : DAYTIME PHONE'
vIL.rgrILAv\ � (k\93 G., 1 te.s v.” I (as3).v3.6 -55 3'-( i
MAILING ADDRESS(S1REET ADDRESS;CITY,SAATE,ZIP):
3 3 ll Qv,�, IL \\ c
j T t ['cCItro1 l W`pA,j 9 a 03
CONTRACTOR: NAME: ' DAYTIME PHONE:
MAILING ADDRESS t)S (STREET ADDRESS;CITY. II):G (2 5EVENIN3)0 o S 2.- 05 O
P 0 Q ox (030 Ick ,-it t.) J c. , 9 <6035 ( ) - I{
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: � FAX NUMBER:
_19 - 9c/ A QCe436- Ca61..{ (2s3) st{ - ( (3?
CONTRACTOR'S REGISTRATION NUMBER: 4 I EXPIRATION DATE:
(ropy of card feguired) F O K E- L G * ? ? O b }; 8 / 3 0 /aObLf
APPLICANT: I NAME: DAYTIME PHONE -
S �` ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE'
( )
RELATIONSHIP TO PROJECT: ; FAX NUMBER.
I I
o ARCHITECT o TENANT o OTHER( DESCRIBE): ( ) -
E-MAIL ADDRESS'
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑ APPLICANT KCONTFtACTOR
- •■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES
Indicate number of each type of fixture
MECHANICAL Value of Mechanical Work: $
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) -REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC o GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
■ 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 daim 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: ego.., DATE: 3 - Q -5 -
❑ PROPERTY OWNER ❑APPLICANT ❑CONTRACTOR
-FOR OFFICE USE ONLY: --
•fl'NEW;,.-;,Pfl ADDITION';:;'::' o ALTERATION Y "o REPAIR -:w' 0 TENANTIMPROVEMENT'`•"
CENSUS'CODE: - • -'; -_ - :" , " -LOT SIZE: - _ - .. _ - .
;ZONING DESIGNATION: ;::;-,,.:; s ; 3";' BUILDING SHELL ONLY? O YES a NO
-COMP PLAN'DESIGNATION :BASIC PLAN? ' o YES -`❑ NO " - •
SECTION-=•.:;-- TOWNSHIP : -'RANGE NEIN ADDRESS REQUIRED?'•• o YES • o NO
-PLATTED LOT?. '❑YES o`NO " "= .` ' CHANGE OF USE? `= ❑YES°`-fl NO-•
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www,cityoffederalway,com
,, -U ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only . $57.00 _It of Thermostats(First-$43 00;add'n-$13 00ca)
(First 1300 ft'-$85 50.Each add'n 500 112-S27.50) _Service and feeder..... ........... . $93.00 _#of Low voltage fire or burglar alarms
Square Feet _ First 2500 11.1450.00;Each add'n 2500 ft'-$13 00 !
_Each outbuilding or garage .... .. ...$35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders *Per WAC 296-46-910(5)(b)(i R.ii)
_Each outbuilding or garage $57.00 (First service/feeder-S57.00;Add'n service/ ijt#of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-S37 each) $20.00 each)
-Swimming pool,hot tub,spa..........$85.50
_Yard Pole meter loops..... . .. $57 00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more> Altered Service or Feeders
Service feeder Amps Service or Add'n _0 to 200 3 93 2)0
_
Up to 200 amp .. $ 93 00... . . .. $ 27 50 Feeder _201 -600. ... .. .. . . . 216.50
t _201 -400 amn 115.50_ . .._.. 57.00 0 to 100.... $ 93 00.....$ 57.00 601 -1000 ....... . . . .... . 326.50
401 -600 amp .. ..158.50 78.50 101 -200 115.50 72.50 over 1000 363.00
I
_601 -800 amp .. 202.50.... . 108 50 _201-400 216.50......... 85.50 ...,:c ft of circuits r '
_Over 800 amp. . 289.50... ........ 216.50 -401-600..._... ......... 252.50........ 101.00 (1-5 circuits-$72.50.Add'n circuits,$6 ear
ALTERED SINGLE/MULTI FAMILY _601-800 326.50 138.00 i
(When inspected separately from the services.) -801 -1000 399.00 166.50 TEMPORARY SERVICE )
Service or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/Industrial
-0 to 200 amp $ 71.50 -Over 600 volts surcharge 72.50 -0-100 5 57.00
-201 -600 amp 115.50 -Mast or meter repair 78.50 -I O l-200 72.50 i
_over 600 amp... 174.00 _20I-400.......................... . ...........85.50
-Mast or meter repair ......... . .... .........43.00 _401 -600...... . ....1 15.50 1
a of circuits 1 _over 600 . 125.00-
(1-4 circuits-$57.00;Add'n circuits$6 ea)
If a new or altered commercial service is 200 amps or greater,or a new or altered residential service is greater than 400 amps.a plan review is required.Fee is 35%of
permit fee+$72.50 Add'I plan review for other submissions is$85.50/hr
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
!
f f I
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l
1
TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72.50+( X.35) = (13)
' . • ■ DEMOLITION . -
Il
Estimated Permit Fee: (14)
Bond Amount:(15)
■ ENGINEERING !
Estimated Permit Fee:(16)
1
Bond Amount: (17) J+
- ■ OTHER FEES
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Total (Pages one&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin#100-December 23, 2002 a