02-105176 City of Federal Way
Community Development Services Electrical Permit #:02 - 105176 - 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: NORLAND CORP
Project Address: 32020 1ST S SUITE115 Parcel Number: 172104 9058
Project Description: ELE-Install(4)circuits for roof mounted HVAC unit; pipe wire&disconnect.
Owner Applicant Contractor
NORLAND CORP ENCOMPASS MECHINCAL SERVICES ENCOMPASS MECHINCAL SERVICES
NORLAND CORP ENCOMPASS MECHINCAL SERVICES ENCOMPASS MECHINCAL SERVICES
1515 S 350TH ST 7707 DETROIT AVE SW 7707 DETROIT AVE SW
FEDERAL WAY WA 98003 SEATTLE WA 98106 (206)766-7140
Electrical Fixtures
Circuits- Commercial 4
PERMIT EXPIRES May 18,2003,IF NO WORK IS STARTED.
Permit issued on November 19,2002
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: f c-�—'-� Date: i, ,1/6-2_
0‘Y
4
art OF RECEIVED CONSTRUCTION PERMIT APPLICATION
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NOVV 1 9 2002 i : : a. t{i: yMfyE; i >� : '
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CITY OF FEDERAL WAY
Buill:thhibBeifitpg is required information-.Please print(in ink)or type**
Please no : Electrical re Prevention Systems and Engineering permits may require a separate application.
• PROPERTY INFORMATION
SITE ADDRESS: -32_0 ZD l?-174v€ S"• • ASSESSOR'S TAX/PARCEL#: - .
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
et> E IZC L Pe f21-4-
• PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL o DEMOLITION
)ELECTRICAL o ENGINEERING 0 FFIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): JN$T'/�I I r ` F /ii 1 iZ ) FJ/5 CD SPO ECT-
/
Ft.a... tJ E tJ nn.c...)A.IT 4c - LW rr
PROJECT NAME: 11 OV-A41.)9 12..1 •
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
A-13 PA
�.• .c n c Co (i.e. (244 ) Z-641-Z990
MA�iN (STREET an ADDRESS; STATE,ZIP):
O• � 19``,'�F//335E44-4-1( (.J A 9 8/o9
CONTRACTOR: NAME: DAYTIME PHONE:
1•1 C&..' a.3./� En1co A-M) (ac )*Co "41.3e z
MAILING ADDRESS( ET ADDRESS;CITY,STA ZIP): EVENING PHONE:
770,?
9Slo(2 (L2f)%(0 -07 34
CITY OF FEDERAL WAY BUSINESS UCENSE NUM • / FAX NUMBER:
2. Q - oo Ioz, t - '7 ( ) -
CONTRACTORS REGISTRATION NUMBER: C / EXPIRATION DATE:
(copy of card required) J e& U C t Z Q 8 1! I 2.a 1 02.
APPLICANT: NAME: DAYTIME PHONE:
EP A0 -m5 (21%, )7lo -7382
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
D€112b,T- 4v s.) . S 145 (A4- 98 Iota (Its-) WDC._ - c9 3,e
RELATIONSHIP TO PROJECT: FAX NUMBER:
o ARCHITECT o TENANT 94OTHER(DESCRIBE): CsVAIT.��4.7 L (Zp(e )x(o - OT 3&3
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT KCONTRACTOR EY.�.-Cadging P44S
■ DETAILED BUILDING INFORMATION
EXISTING USE:C CAM./i2 r*sJ EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: COMM•/ 4 i v l/ PROPOSED VALUATION FOR IMPROVEMENTS: $ / z)OO
SPRINKLERED BUILDING?// o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑YES o NO
WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN O HIGHLINE 0 PRIVATE(SEPTIC)
• ELECTRICAL
TABLE B . •
"'NEW RESIDENTIAL SERVICES MOBILE HOMES . MISC EQUIPMENT/TEMP SERVICES .
Single Family _Service or feeder only $50;00 _#of Therrncetats(First 437.50;add'n$11.50ea)•
(Fust 4300112-$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 ft2443.50;Each 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 WAC 296-06-910(5)(b &ii)
_Each outbuilding or garage - $50.00 (rust service/feeder-$50.00;Add'n service/ -#of Signs(Fust sign-$37.50;add'ri 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) airAltered Service or Feeders
Service Feeder Amps Service or Add'n l6to 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 y#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
_#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'!plan review for other submissions is$75.00/1r.
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•
pp sib Total Column(D)
• Estimated Permit Fee: (12) (. .
Esfimated Permit Fee from line 12
Estimated Plan Review Fee: $63.50+( . 4. X.35)=(13) 91
■ DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15) 5
■ ENGINEERING
Estimated Permit Fee:(16)
Bond Amount: (17) cr5. .
■ OTHER FEES
•
Mitigation Fee:(18) • (20) • (22) • .
SBCC Surcharge:(19) • (21) (23) •
Total (Pages One&Two); Line(s)(11)+(12)+(13)+(1:4)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24)
•
•
Bulletin#100-February 19,2002 • . ' -
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRQ]ECT 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
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
BATHTUBS) LAVATORY(S) URINALS) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o 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 claim-arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information supp to the ci as a of this a '''tion.
�.. DATE: // / 3 1) Z
NAME/TITLE: /
o PROPERTY OWNER o APPLICANT o CONTRACTOR
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•
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.cityoffederalway.corn