02-105474 City of Federal Way Electrical Permit #:02 - 105474 - 00 - EL
Community Development Services
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: WEYERHAEUSER COMPANY
Project Address: 33930 WEYERHAEUSER S Parcel Number: 726120 0162
Project Description: ELE-Provide electrical work ofr new conference room. 5 new light fixtures,2 new wall outlets. 2 new
fire alarm devices to existing system.
Owner Applicant Contractor
QUADRANT/KMS JOHNSON ELECTRIC,INC *NO NAMES ON FILE*et al •
925 116TH AVE NE SUITE 221 11816 NE 116TH ST
BELLEVUE WA 98004 KIRKLAND WA 98034
Electrical Fixtures
raggiar: •f p`'e -1 3escr ptlott. `crit htrk , (4446
Circuits- Commercial 3 Low Voltage Fire Alarm-Commercia 500
PERMIT EXPIRES June 4,2003,IF NO WORK IS STARTED.
Permit issued on December 6,2002
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the will be accordance with the laws,rules and regulations of the State of Washington and
the City of Federal W y.
Owner or agent: Date:
at2-550
Y ' *' RECEIVED
CiTY°F GCONSTRUCTION PERMIT APPLICATION
- J1E.FFIL_ i i' 9
6 2C�2 APPLICATION NUMBER: 62-- _10 s1g4- L
vv FN.
CITY OF FEDERALAPPLICATION NUMBER: - -
BUILDINP WAY 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.
• PROPERTY[ INFORMATION
SITE ADDRESS: 33930 ye2Nl�us. w�4( ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING ❑ PLUMBING ❑ MECHANICAL o DEMOLITION
XELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): Vft)f ozac 4. - FA_
Alta) Coaraeace, �r . `r tzaroc.. Ace csrn c( 5) ilcj &MOT-
p�ttrUilt,s (z) Le& (4)4(( c utf4 . aZocr;0 L dote' ...W tAtrr
L) i&G) RR-�kR -- (tf�. ),/e'c e�-Y TO g triA0-- Sys-re/4-`-
PROJECT NAME: fit� /`{re� tz - #14-
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
Z wfwar a� b (yzs ) ys5 -000
MNG ADDRESTREET ADDRESS;CITY,STATE,ZIP): n
' D. K 30 , �G(krAc c.c_ V g
CONTRACTOR: NAME:—
cJ DAYTIME PHONE:
o t44(1501( 1j C (5fs ) SZ( - 8224
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
/I016, ,,— /KEIT= Sr (Yrs )g,4 -e87Z,
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - - 71 gf _ _ - _ _ _ (ozs ) Szl - yea(
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
( of card required) ' oHSSE(3&( /( 13o I oy'
APPLICANT: NAME: DAYTIME PHONE:
( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ARCHITECT o TENANT ❑OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES ❑ NO
WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o 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
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
• FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING EVAPORATIVE GAS LOG(S) REFRIG.SYSTEM(S)
UNIT(S) COOLER(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 VACUUM BREAKER(S) o ELECTRIC o GAS
SYS.
DRINKING SHOWER(S) WASH MACHINE
FOUNTAIN(S) 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 supplied to city a . •rt of this application.
NAME/TITLE: � DATE:
o PROPERTY OWNS • • ICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
o NEW o ADDITION ❑ALTERATION o REPAIR o TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES o NO
COMP PLAN DESIGNATION BASIC PLAN? ❑YES o NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? o YES o NO
PLATTED LOT? o YES ❑ NO CHANGE OF USE? o YES ❑ NO
Estimated Plan Review Fee: (7)
• PLUMBING
Base Fee Number of Fixtures
$22.50+{ X$8.00/fixture}= (8)Estimated Permit Fee
Estimated Permit Fee
X .65= (9)Estimated Plan Review Fee
Miscellaneous Fixture Charge:(10)
Sub Total (Page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10)= (11)
• ELECTRICAL
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 500 112 424.00) _Service and feeder $81.00 #of Low voltage fire or burglar alarms
Square Feet: First 2500 ft-$43.50;Ea .add'n 2500 ft2-$11.50
_Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet: $GSD p
(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 5#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=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):
OTotal Columnlu/ (D) CO
•Estimated Permit Fee: (12) ( 5' 'f 13•w^ 'd,'
Estimated PeFee from line 12
Estimated Plan Review Fee: $63.50+( gX.35)=(13) #.-
• DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
• ENGINEERING
Estimated Permit Fee:(16)
Bond Amount: (17)