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02-103621 City of Federal Way Community Development Services Electrical Permit #:02 - 103621 - 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: WASHINGTON STATE DEPARTMENT OF REVENUE Project Address: 3455 S 344TH Suite140 Parcel Number: 222104 9006 Project Description: ELE-Relocate(1)smoke detector and install(2)horn strobes. Owner Applicant Contractor ' BEDFORD PROPERTY INVESTORS SIMPLEXGRINNELL LP SIMPLEXGRINNELL LP 701 N 34TH ST SUITE 308 9520 10TH AVE S SUITE 100 9520 10TH AVE S SUITE 100 SEATTLE WA 98103 SEATTLE WA 98108 SEATTLE WA 98108 (206)291-1400 Electrical Fixtures .,1Descripti©n" '- Quantity .I escrijitiorr -, ` jQuanti ' 'y'''' :Description . IQuantity Low Voltage-Other Commercial I 2500 PERMIT EXPIRES February 22,2003,IF NO WORK IS STARTED. Permit issued on August 26,2002 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. Owner or agent: 0Date: ?/2‘702 1),(44, g.—ZL—oZ fit) L - k�� t W ...--;-c-„ - 3—oZ tom,' femu.,D �—� k,(-----6 Cl\Nt:/r-lz">.. . ric" 417 g.' aTTa G RECEIVED CONSTRUCTION PERMIT APPLICATION -** APPLICATION NUMBER: az- - AUG Z- -AUG 2 6 2002 APPLICATION NUMBER: - = APPLICATION NUMBER: CITY OF FED **The fol 'CO,takmation—Please print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. Lj • PROPERTY INFORMATION SITE ADDRESS: 2 t . J S►. 701 �^ L,(47 S k 19 ASSESSOR'S TAX/PARCEL it: L L jot g Q.Q Cj LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • PROJECT INFORMATION TYPE OF PROJECT(This application): 0 BUILDING`` ❑PLUMBING ❑MECHANICAL 0 DEMOLITION ELECTRICAL o ENGINEERING ❑FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): /2. tj/0(A le 1 Sk d k ' #h 1 Ty .(•t.(/ W C' PROJECT NAME: WA . �� ✓ �/`lT �'� v /"uE� • PEOPLE INFORMATION Ill PROPERTY OWNER: NAIE: t, DAYTIME PHONE: , , - .� C. 'r T1/1X91 /PS Or )s-71 -1 t( STREET ST -, CONTRACTOR: DAYTIME PHONE: NMIFS;--102plel, Cv;ryj II (70 6 ) 245 - 11i+ov MAILING ADDRESS(STREET ADDRESS;QTY,STATE,ZIP): EVENING PHONE: Gl f Za 10 lb /4v,,, j; Suite /at, ( ) - CITY Of FEDERAL WAY BUSINESS UCMSE NUMBER: FAX NUMBER: - 1QtfCA-_ - ci9 ( 106) Z11/ - �Sa� CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: (copy or card gid) Al tL Lt It 1 10q /07 APPLICANT: NAME: DAYTIME PHONE: v,s iiv I ,rleJ (14.6 )a'l 1 - Igor MAILING ADDRESSISTREET ADDRESS;CITY,STATE,ZIP): EVENING P+« 5-4144.- �J <o,,7-R,•c7'R (20‘) fit' - 3037 RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ARCHITECT ❑TENANT ❑OTHER(DESCRIBE): !Gn (2o ) LA, - t(00 // E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: El PROPERTY OWNER IW PPLICANT o CONTRACTOR • DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ • SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑YES ❑NO WATER SERVICE PROVIDER: ❑LAKEHAVEN ❑HIGHLINE o TACOMA ❑PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑HIGHLINE ❑PRIVATE(SEPTIC) I **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: II FIXTURES Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) B$Q(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 ❑GAS PLUMBING BATHTUBS) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ELECTRIC 0 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 claim arises out of the reliance of the dty,including its officers and employees,upon the accuracy of the information supplied to the dty as a part of this application. �7 NAME/TITLE: / yLIA DATE: K ❑PROPERTY 0 ER 0 APPLICANT 0 CONTRACTOR FOR OFFICE USE ONLY: L 0 NEW 0 ADDITION ❑ALTERATION 0 REPAIR ❑TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? 0 YES 0 NO COMP PLAN DESIGNATION BASIC PLAN? 0 YES 0 NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑YES 0 NO • PLATTED LOT? ❑YES 0 NO CHANGE OF USE? 0 YES ❑NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718.253-661-4000•FAX:253-661-4129 0 p • ELECTRICAL TABLE B 41#1EW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES Single Family Service or feeder only $50.00 „#of s(First-$37.50;add'n-$11.50ea) (First 1300 ft-$75.00;Each add'n 500 ft2-$24.00) _Service and feeder $81.00 _#o ow volta ire or burglar alarms Square Feet: First 4433.5.00;EEacch add'n 2500 ftZ- 11.50 _Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet:� i L.-Z- (Inspected with service) #of service or feeders *Per WAC 296-46-910(5)(b)(i&ii) _Each outbuilding or garage $50.00 (First service/feeder-$50.00;Add'n service/ _#of Signs(First sign-$37.50;add'n sign (Inspected separately) feeder-$32 each) $17.50 each) _Swimming pool,hot tub,spa $75.00 _Yard Pole meter loops $50.00 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 $ 81.00 Up to 200 amp $ 81.00 $ 24.00 Feeder _201-600 189.00 _201-400 amp 101.00 50.00 _0 to 100 $ 81.00........$ 50.00 601-1000 284.50 401-600 amp 138.00 68.50 _101-200 101.00 63.50 _over 1000 317.00 _601-800 amp 176.50 94.50 _201-400 189.00 75.00 _#of circuits _Over 800 amp 252.50 189.00 _401-600 220.50 88.50 (1-5 circuits-S63.50;Add=n circuits,$5 ea) ALTERED SINGLE/MULTI FAMILY _601-800 284.50 120.50 (When inspected separately from the services.) _801-1000 348.00 145.50 TEMPORARY SERVICE Service or Feeder Over 1000 379.00 202.50 ResidentiaUMulti-Family/Commercial/Industrial _0 to 200 amp $ 68.50 _Over 600 volts surcharge 63.50 _0-100 $ 50.00 _201-600 amp 101.00 _Mast or meter repair 68.50 _101-200 63.50 _over 600 amp 151.50 _201-400 75.00 _Mast or meter repair 37.50 _401-600 101.00 --(1-4 #of circuits _over 600 109.00 (1-4 circuits-$50.00;Add'n circuits$5 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+$63.50.Add=1 plan review for other submissions is$75.00/hr. FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D) TOTAL COLUMN(D): Total Column(D) Estimated Permit Fee: (12) Estimated Permit Fee from line 12 Estimated Plan Review Fee: $63.50+( 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&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24) • Bulletin#100-February 19,2002