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02-103861 City of Federal Way Community Development Services Electrical Permit #:02 - 103861 - 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: ALASKA USA MORTGAGE Project Address: 33305 1ST S SUITEA100 Parcel Number: 926500 0230 Project Description: ELE-Low voltage work for the installation of voice/data cabling in existing office space. Owner Applicant Contractor Ted N Price Sr. NETVERSANT-WASHINGTON NETVERSANT-WASHINGTON 2225 SPERRY AVE#2000 728 134TH ST SW SUITE 111 728 134TH ST SW SUITE 111 VENTURA CA EVERETT WA 98204-5322 EVERETT WA 98204-5322 93003-7450 - - - (425)551-4490 Electrical Fixtures :A: . ©esc`riptict � scri`tion ''' . 4Quanti ':' :�., do ttort y P � � ' ��_:. .�!� _ �� x " '. .Quandt Low Voltage-Other Commercial 1800 PERMIT EXPIRES March 9,2003,IF NO WORK IS STARTED. Permit issued on September 10,2002 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 Wa . L� Owner or agent: ' 7 Date: 1-I 0''6/2 g ( 3 ' Q Celt clvb ' 420,0,_, � 9. Io — I _ 02- f t14t /p to -0v &.), g--P RECEIVED SEP 1 0 2002 CITY F a ITY OF FEDERAL WAY CONSTRUCTION PERMIT APPLICATION Vllit -BUILDING DEPT. APPLICATION NUMBER: !�Z- 1 03 it/ ( - 64 cls APPLICATION NUMBER: - - APPLICATION NUMBER: - - **The following is required information-Please print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. Lori , �■ PROPERTY INFORMATION SITE ADDRESS: 33365 /S I Wri V ) ASSESSOR'S TAX/PARCEL#: _2-- ,S-�y(/ 2_ _a Z_3 0 Sill TC A-/Oo LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • PROJECT INFORMATION TYPE OF PROJECT(This application): o BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION y ELECTRICAL ❑ EENGINEERING ❑ FIRE PPREVENTION SYSTEM /I PROJECT DESCR TION(Provide detailed description): //(/SJ�LL,O1/ I/ cC L-. ) Pot / aJ6C`" UZ70)Lo 1ii1 C &Lz.2 PROJECT NAME: /'L-/. `S k b` 'J 1 I 6f� L '' /-12 I 6 • PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: 7-D faizlr - � ' ( ) - MAILING ADDRESS(STREET ADDRE S;CITY,STATE,ZIP): CONTRACTOR: NAME: DAYTIME PHONE: ,/ l/ rrr /Lt-)41A/(126//.2--S .O ) 3W - /5S5 MAILING AEgD955(STREET 2 s-CITYli LI?ZIP):S S if�77Le n C•/�Y/3V EVENING PHONE: - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: ) FAX NUMBER: C /1 - Z _�07 - dd ( ) - CONTRACTOR'S REGISTRATION NUM Q EXPIRATION DATE:y /) (copy of card required) N ET V e S 2---- ! d'`�,✓iw ( 1 / / / v y APPLICANT: NAME: C k_ / / DAYTIME PHONE MAILING ADDRESS(STREET ADDRESS; ��STATE,ZIP): EVENING)ONE: A5-).)a I ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ARCHITECT ❑TENANT 0 OTHER(DESCRIBE):P62 4" /11("42-- ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑APPLICANT o CONTRACTOR • DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o 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 OTHERFLOORS(DESCRIBE) - -- DECK GARAGE HOW MANY FLOORS? TOTAL: ■ FIXTURES Indicate number of each type of fixture MECHANICAL 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 ❑ GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ 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 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 Aiplied to the city as a part of this application. NAME/TITLE: 1ga i , PU /1 l! a DATE: / ❑ PROPERTY OWNER o APPLICANT CONTRACTOR FOR OFFICE USE ONLY: 1 o NEW o ADDITION o ALTERATION o REPAIR ❑TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? o YES ❑ NO COMP PLAN DESIGNATION BASIC PLAN? o YES o NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? o YES o NO PLATTED LOT? o YES o NO CHANGE OF USE? ❑YES ❑ 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 TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only.... ... ........$50.00 _#of Thermostats(First-$37.50;add'n-$11.50ea) (First 1300 ft2-$75.00;Each add'n 500 ft2-$24.00) _Service and feeder .. $81.00 #of Low voltage fire or burglar alarms Square Feet: First 2500 ft2-$43.5 - ach add'n 2500 ft2-$11.50 _Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet: (Inspected with service) _#of service or feeders *Per WA '2 6-46-910(5)(b)(i&n) _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 $50 00 NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (Includes three units or more) Altered Service or Feeders Service Feeder Amps Service or Ada n -0 to 200 ....... .. .. .... .... .... .$ 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-$63.50;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 Residential/Multi-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 4 of circuits over 600 109.00 (1-4 circuits-$50.00;Add'n circuits$5 ca) 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=l 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) SEstimated Permit Fee: (12) i l ) 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