04-101442 City of Federal Way
Community Development Services Electrical Permit #:04 - 101442 - 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: SHOES'N FEET
Project Address: 31653 PACIFIC S SuiteE Parcel Number: 082104 9196
Project Description: Low voltage wiring for relocation of 2 existing horn/strobes
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES FIRE PROTECTION INC FIRE PROTECTION INC
HARSCH INVESTMENT PROPERTIES MILL CREEK WA 98082 MILL CREEK WA 98082
1121 SW SALMON ST
PORTLAND OR 97205 (206)440-5763
Electrical Fixtures
Description Quantity Description [quantity Description Quantity
Low Voltage Fire Alarm-Commercia 1800
PERMIT EXPIRES October 16,2004.
Permit issued on April 19,2004
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u•:will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal
Owner or agent: Date: L /A/O Uj
4\a(4 \®cow A, 031
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1.\\10
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•
CCE
r' - RECEIVED CONSTRUCTION PERMIT APPLICATION
CITY OF 02111114\ ./ APPLICATION NUMBER: t.-1- 10_I 4(4 2--C70
Federal Way APP 1 9 20U4 APPLICATION NUMBER: - -
CITY OF FEDERAL WAY APPLICATION NUMBER: - -
*'The foil it is Y2c kWinformation—Please print(in ink)or type*'
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
_ ' , - ■ ,PROPERTY INFORMATION ' - • • -
1 L!C
SITE ADDRESS: 31652 (e. II ,v {. ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- ■ PROJECT INFORMATION -
TYPE OF PROJECT(This application): o BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
JXELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
•
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f, 1IBoo 1. e;3`
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PROJECT NAME: Slat I+V
• ' ■"PEOPLE INFORMATION -
PROPERTY OWNER: NAME: ; DAYTIME PHONE•
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAME: DAYTIME PHONE:
BIKE P24r CT(ok} f�J( , ( Z°G ) 11(q) - S763
MAILING ADDRESS(STREETf��RESS;CITY,STATE.ZIP): �� �� �. i EVENING PHONE' - �`��
ff! L�d//145 3 19ix t S , 9g( 5- ( 20G ) NO - C
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: I FAX NUMBER:
no _r o2 104I _ 004 ( 206 ) ?r7 - 051
CONTRACTOR'S REGISTRATION NUMBER:
(copy of card required) f e Gr
f I lit Z 1 L EXP< ON/DATE:
_ Q/ / P/
APPLICANT: NAME: DAYTIME PHONE:
( i hJJr In1c . ! (2O6 ) 'S'o - 5'163
I MAILING ADDRESS(SIREETDDRESS TE,ZI ( g''Z IEVENING PHONE:
I ZoLS ?►cFVE Q, (206 ) NO - c'3
RELATIONSHIP TO PROJECT: FAX NUMBER:
j
❑ ARCHITECT o TENANT POTHER( DESCRIBE): caul- "at (we ) W7 - PPS(
MAILADDRESS y,A i
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER ❑ APPLICANT CONTRACTOR I{'tleptale��I M1+1'S�I1"(✓1q.(Q/1t
- - V ■ DETAILED BUILDING INFORMATION . " -7 1" I V-
EXISTING USE: It EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ -300
SPRINKLERED BUILDING? DYES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ 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 //S.-00-Pr
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: o ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINALS) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC ❑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 daim(induding costs,expenses,and attorneys'fees incurred in the
Investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the dty,induding i gfficers and employees,upon the accuracy
of the information supplied to the city as a part of
ffththis application.
NAME/TITLE: V'�M D7ia, y/ `�'l Q��� DATE:
o PROPERTY OWNER ❑APPLICANT /CONTRACTOR
-FOROFFICE USE ONLY:,41
t7" NEW p*ADDITION Sp ALTERATION7'o REPAIR'y - Ii TENANTrIMPitOVEMENT ;=;:v
'CENSUS'COD ,�-'Y�,-';f4,Vx�FAci':�-'Y=% :��r-�`�'= `LOT SIZE:=;`�?;ti�.;r -':=:f.-,rz�:i-� ar.=.;�- :: .y,•��'._- .
:ZONING DESIGNATION _ = F 04~ ' „BUILDING SHELLONLY-6±o'YES ❑ NO -
:COMP.PLAN DESIGNATION =..- t :. =BASIC PLAN? o YES'`sD"NOs '=''°='_
"SECTION. vTOWNSHIP:x-;{RANGE ?__ `NEW ADDRESS REQUIRED? ;rte` o YES r.`❑'NO-
"PLATTEUIOT?t CHANGE OF USE?.`:=;"`=' ❑YES =o NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvoffederalway.com
• ELECTRICAL
as
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _ _
Service or feeder only _...... .......557.00 _ft of Thermostats(First-$43.00;add'n-$13 00ea)
(First 1300 ft2-585.50,Each add'n 500 112-$27 50) _Service and(ceder........................ $93.00 #of Low voltage fire or burglar alarms
Square Feet. First 2500 112-550.00:Each add'n 2500 ft2-513 00
_Each outbuilding or garage... ...... .......535 50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders •Per WAC 296-46-910(5)(b)(i&ii)
Each outbuilding or garage......................$57 00 (First service/feeder-557.00;Add'n service/ _#of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-537 each) $20.00 each)
_Swimming pool,hot tub,spa....... .. $85.50
_Yard Pole meter loops. .. .. . S5 7 00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Serr,ce or Add'n 0 to 200 - . 3 93 OU
_Up to 20(1 amp . .-- 5 93 00. . . $ 27 50 Feeder _201 -600. .... . . . . .. . .216 50
_201 -400 amp 115.50.. . ... _. 57.00 _0 to 100. . ....... .f 93 00.... 5 57.00 601 -1000 . .. .. .. .. .. 326 50
_401 -600 amp.............158.50. 78.50 _101 -200 115.50..........72.50 over 1000. 363 00
_601 -800 amp 202.50 108.50 _201 -400 216.50 85.50 _#of circuits
_Over 800 289.50. _401-600... .- -...._-. 252.50.....-.. 101.00 (I-5 circuits-572.50.Add'n circuits,56 ear
ALTERED SINGLE/MULTI FAMILY _601-800 326.50 138.00
(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/Commerciai/Industrial
_0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 0-100 S 57.00
201-600 amp 115.50 _Mast or meter repair 78.50 _101 -200 72.50
_over 60U amp 174.00 _201-400.......................................85.50
_Mast or meter repair 43 00 _401 -600.................... ........ 115.50
rt of circuits _over 600...-.. ... . 1 25 00
(1-4 circuits-$57.00;Add'n circuits S6 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+572.50.Add'l plan review for other submissions is 585.50/hr
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D) '
i I
l I
1
t
f
1
TOTAL COLUMN(D):
Total Column CD)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72.50+( X.35)=(13)
• • • DEMOLITION - . .
Estimated Permit Fee: (14)
Bond Amount:(15)
- " -" -- ■ ENGINEERING - - -
Estimated Permit Fee: (16)
Bond Amount: (17)
' ' " • OTHER FEES - '
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Total (Pages One 6Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
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Bulletin #100-December 23, 2002