02-105190 CommunityDevelopment Services
City of Federal Way Electrical Permit #:02 - 105190 - 00 - EL
33530 1st Way S
Federal
3.W6a1y.,40W0A 9F8:3:6061 4129 Inspection request line: 253.835.3050
Project Name: LENSCRAFTERS
Project Address: 31625 PACIFIC S SuiteE Parcel Number: 082104 9237
Project Description: ELE-Install 400-amp service and wiring througout tenant space,per plans.
Owner Applicant Contractor
L L C Acrocapital EXPRESS PERMITS ELECTRIC CONNECTION
13010 NE 20TH ST#C 1327 POST AVE STE H ELECTRIC CONNECTION
BELLEVUE WA TORRANCE CA 90501 5520 112TH STE SUITE B-2
98005-2034 (253)445-9184
1_ _2L 01 - 145-4
Electrical Fixtures
Descrl tic n _ : �= Descr tion <A s w
�. .. �a��t��«.-Vis. �, a. � .,.r� P iQUafl�� _���.t.' � .�l�,�ra�'Quanti
Service/Feeder:201-400 amps-Comi 1
PERMIT EXPIRES July 5,2003,IF NO WORK IS STARTED.
Permit issued on January 6,2003
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 Fede. ay.
1
Owner or agent: Ak., - Date:ca -y..
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RECEIVE
7\r-% � 'IFIL NOV 1 9 2002
CONSTRUCTION PERMIT APPLICATION
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!/I�1'1�,17141 11�O��f��i1G1�'I III II'�•• IG'� !l �'� `�
FEDE — `Ir; Ir.fl IINI
CCN OF RAL WAY A'PP ,I '; ,10i '' �� Ih:I�' �li I I i I -�
N NI I. I MIIEI A 1�111.1i:.�1 I ,� N I:I II II
ILDING DEPT. ,IPIN IININIIII PNI'tl INN N all,l , ; ,II l
BU PPLO'll..I,irIIrQNi��NUNliEoi i !�,�.•!I;I , I r. .
**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.
■ PROPERTY INFORMATION
SITE ADDRESS: I!I: P ' M ,� -'�AgigSSOR'S TAX/PARCEL#: "
(29!_ -2 _
PTN
LEGAL DESCRI O OF5�
EJECT PROPERTNTACHiS&ARATE DESCRIPTION IF LENGTHY): 56-Ef�fif}GH ED
■ PROJECT INFORMATION
TYPE OF PROJECT(This application); • '�',,iltii a MECHANICAL o DEMOLITION
o ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed descnp on : L 0WI1'n-L{ w I n,n- t , .
div 5 OtC c47,o -/ -rp Si/e/2/6C----74
4///1/ir4 77/ ,,A.4,-//7-- To.,i.er f-- Si,P.1cc---
PROJECT NAME: . 5Craj461,-S '
• PEOPLE INFORMATION
PROPERTY OWNER: NAME I I '�L� DAYTIME PHONE:
t�l��S ` Inv ch7" 7,
DAYTIME
I)-61''J 1'G,Szo6 �a
c ) 6Z3t(61
MAILING ADDRESS(STREET-ADDRESS;QTY,STATE,ZIP);•
Sb 01 0 'C V w ki *1,4,2.- 4€e G i1/ot / I ( 0 I
CONTRACTOR: NAME:
DAYTIME PHONE:
0 Litfi MAAJNG ADDRESS(MUM-ADDRESS;QTY,STATE,ZIP): EVENING PHONE:
' CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
— —_ FAX NUMBER: i
�IIN -� — — -� — ( )
C\
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy or card required) /
��APPLICANT: NAME: {
�M.•/C f c e67 r� pr - 5 DAYTIME PHONE:
MAILING ADDRESS(STREET AD S:CITY,STATE,ZIP): EVENING PHONE:
27/ Po +il 'orrah c-c, C4 GO b) i,S c-_ I. I o
RELATIONSHIP TO PROJECT; FAX NUMBER
p-ARCHITECT O TENANT a OTHER(DESCRIBE): (3it) ) TL(('—°/il i3
EMAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: a PROPERTY OWNER APPLICANT a CONTRACTOR [ ie lc$ Yt b Or(1�'MI})
04/11
• DETAILED BUILDING INFORMATION L
EXISTING USE; `• EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ 1 if a4 d 0
PROPOSED USE: _ , '( ( PROPOSED VALUATION FOR IMPROVEMENTS: $ 1i) 166
SPRINKLERED BUILDING? /YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES /NO
WATER SERVICE PROVIDER: .AKEHAVEN : O HIGHLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER: f KEHAVEN O HIGHLINE o PRIVATE(SEPTIC)
lIfIti/LUUL 16:17 FAX 2536614129 CITY FEDERALWAY 1J002
••NEW RESIj)ENTIAL CONSTRUCTION ONLY""
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SO,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 COOLERS) GAS LOG(S) -• .SYSTEM(S)
BBQ(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLA .SERT(S) • . MISC.( _)
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLETS HEAT SOURCE: 0 ELECTRIC O GAS
PLUMBING
BATHTUB(S) 2 LAVATORY(S) URINAL(S) WATER H TER(S)
DIS ' S) RAIN WATER SYS. VACUUM BREAKER(S) o ELE . r G•
DRINKING FOUNTAIN(S) 3 Fes*-V►rgW) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) 5" SINK(5) 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,Including the undersigned,and flied 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 Intormedo pplied the ty as a part of this application.
cto
NAME/TITLE: 1416n—fr. DATE: ti
e PROPERTY OWNER APPLICANT o CONTRACTOR
• . • 'FOL'R'oFFIcECUSE,ONI:Yt�'!I` 1
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MP•�(ANiD':, i. I �•' li'li IBJ � i+R",.ItIJs�A''SI�P,L�11`V?a1.N'��c�Y,E"g'l!i��10 I� Ii�l`i.41 ;1I t.t+',;rr••I
SE Or,, M ., I `i { ".r rr,+,..L,r ' i L��r 1 i . �J Y .,N ,a"N1 M.•�s, i. t �
!I �I .,M({p'�I • A, iiip',f .,'ti,R�NG •t !MWE�AUDR RIEQ•�i IRED?} ]If �i�0laYES��i ho ,,•
4P1:'A�I i1:13L '_!a b�f,E$ 10 10 :�IAt'ia I �I�)i.0 ,r F � '► , err I �_�I(N N �• yLy t' -
�� •� •1 I � F'rX�GE IOR l�SE7!t y i1!'�!,•(,O,!)(�^,•r� �Y �r '' ,
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063.9718.253-6614000•FAX 253-661-4129
www.d yoRMeralway.cont
11/18/2002 16:17 FAX 2536614129 CITY FEDERALWAY 16004
•
• ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
Single Family _Service ort/cdcr only $50.00
_4 of Thermostats(First-$37.50;add'n-$11.S0ea)
(First 1300 f15-575.00;Each add'n 500 ft'-$24.00) _Service and feeder $81.00 _U of Low voltage fire or burglar alarms
Square Feet: First 25001V-$43.50;Each add'n 2500 ft-S11.50
_Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders 'Per WAC 296-46-910(5)(b)(i&ii) t
_Each outbuilding or garage $50.00 (First service/feeder-$50.00;Add'n service/ _4 of Signs(Fiat 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 5 81.00
_Up w 200 amp $ 81.00 $ 24.00 Feeder 1_201-600 189.00
_201 -400 amp 101.00 50.00 _0t 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 _U of circuits
Over 800 amp 252.50 189.00 _401 •600 220.50 88.50 5 circuits-$63.50;Add=n circuits,$1 ca)
ALTERED SINGLE/MULTI FAMILY 601-800 284.50 120.50
(1
(When inspected separately from the services.) u 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 s 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.Fcc is 35%of
permit fee+563.50,Add=1 plan review for other submissions is$75.00/hr.
FDC UREVESCR PITQNK(A hfi;;4FA(T EETROM TABL'•E;B(By ,: !',i;NUMBER'OF1INITST C ' ',',:.';'• :r;'6: ;TOTAL` D "
=A- �e t( ���.....,, VI'
ro ,, .. .
C�
.
:, ' :','. ,(XFALCOL:UMNi(OW 184
T Cdumn(D)
Estimated Permit Fee: (12) u 1
Estimated Permit Fee from line 52
Estimated Plan Review Fee: $63.50+( 'r X.35)_ (13) L"1 r 16' S.---
•
■ 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)
TOtel (Pages one aTwo): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23). (24)
Bulletin#100-February 19,2002