02-105810 /
i
City ofFunity Dty Developal ment Services Way
CommunityConElectrical Permit #:02 - 105810 - 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: FIRST AMERICAN TITLE
Project Address: 33600 6TH S Suite105 Parcel Number: 926480 0205
Project Description: Install(1)light switch in office space.
Owner Applicant Contractor
API/PINCHON VIII LC SUPERIOR BUILDERS INC LAZER ELECTRIC
PO BOX 3110 PO BOX 1849 9523 19TH AVE E
HONOLULU HI 96802 MILTON WA 98354 TACOMA WA 98445
(253)535-1900
Electrical Fixtures
[OW 4sctIptior £ .. j .nz-,0Descriptiot ! l escri•tion .Quantity
Circuits- Commercial 1
PERMIT EXPIRES June 29,2003,IF NO WORK IS STARTED.
Permit issued on December 31,2002
I hereby certify th, - •.••ove formation i4 . t and that the construction on the above described property and
the occupancy and, •- - wi be in acc-,o the laws,rules and regulations of the State of Was 'ngton and
the City of Federal
Owner or age.: .At mhZ 141 —� eik - �� Date: ' t
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CONSTRUCTION PERMIT APPLICATION
CITY OF �� APPLICATION NUMBER: 02- -
Federal Way APPLICATION NUMBER: - -
TDEC:31122 2 `APPLICATION NUMBER: - -
**The font. ' t 's•; •Lirgmation—Please print(in ink)or type**
Please note: Electrical,Fire IPr' I 47.Fi.>0',-4? ...and Engineering permits may require a separate application.
• PROPERTY INFORMATION
I
SITE ADDRESS: Z5 r H � ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): 4 t,9-c_L-e
• PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING ❑ MECHANICAL 0 DEMOLITION
ELECTRICAL o ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): C') L Le'N-‘k sc-.4-1 ( _-C /N 5. 44 ( 'e C
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PROJECT NAME: l A /e-` ( C.'<l-i• 14l
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME:
e //��� i - / L i DAYTIME PHONE:
/�� lam l (� `) I
MAILING ADDRESS(STREET AD SS;CITY,STATE,ZIP):
I
NAME: DAYTIME PHONE:
CONTRACTOR: I ,p .� j y"
oo
�/4--z- -s- E(C�-�/ �c i (-?&-•-.3 s3c- I�/ 1
1 MAIAG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
_l S 1 "} Jc F (zS-)Q4,-6 Y y-c(1
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAx NUMBER:
- - ) - - /C((/ I
I
CONTRACTOR'S REGISTRATION NUMBER: ,�I EXPIRATION DATE:
(copy required) L q r fUE-i- CO 3 .S ,)y' I / (c, / S
of card
APPLICANT: I NAME: ^,' \ _ DAYTIME PHONE: / Q
• V\ (� L I V Sc,�V�<i a ( -SV - 4.cl 8
MAILING ADDRESS(STREET( DRES,; Y,STATE,ZIP): EVENING PHONE: T
CIT
I Z7 Z 4 S1- 1*--/9-c, 5850 I62c) fsI -y 'rot
I RELATIONSHIP TO PROJECT: 4-....y%_ i FAX NUMBER:
I o ARCHITECT o TENANT ,OTHER(DESCRIBE): v d?S-)S')3 - 17, 7"':,-
E-MAIL
'
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNERPPLICANT o CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: oil rC e EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ Z/ Cr-47)
PROPOSED USE: 0 ;te PROPOSED VALUATION FOR IMPROVEMENTS: $ Z
SPRINKLERED BUILDING? o YES o1Qo• FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 44A0
WATER SERVICE PROVIDER: KEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: KEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
v
**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 UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) l
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
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHERS) 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 th- .'*' ;r of the above premises to perform the work for which the permit application is made. I
further ag = • to hold harmless th= City of ederal Way as to any daim(induding costs,expenses,and attorneys'fees Incurred in the
investigatio • . d, - e of su• daim), I•ich may be made by any person,induding the undersigned,and filed against the City of
Federal Way, . .1 e • • dal ,•1 of the reliance of the dty,induding its officers and employees,upon the accuracy
of the info • • to • • a. Alapplication.
1111
NAME/TITLE:
���� 4„‘ ..,.41___ Int.;. DATE: I v
a PROPERTY •'" ER �1 •PLICANT ❑CONTRACTOR
• ..FOR OFFICE.USE ONLY:-
:NNW_' . qy�;ADDczToN - tafiLTEn TIO-N.s w' REP: R ,y, -- - TENNa vMPROVEM; ENT''',:`, ...,:::..r,'41::
tCENSUS"CODE ;, _ :. , :- .. -: ._. LOTSIZE:, ',O .
ZONING DESIGNATION UILDII G SHEI ONLY? 3 YES 0 NO ' a ga
C wits L'AN DESIGNATIONw : "t� =- '':BASIC,PIAN?:_, ,AYES: n NO •-', 4QA; ,
SECTION1:10TOWNSHIPK ' RAN D _NEW ADDRESS REQUIRED?`,' . ❑YES , o,'NO ,
PLATTED LOT? o YES:tf
-oNO. .� ... : CHANGE OF�USE? � �'v o 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.dtvoffederalway.com
• ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _#of Thermostats(First-$43.00;add'n-$13.00ea)
(First 1300 ft2-585.50;Each add'n 500 ft2-$27.50) _Service and feeder $93.00 #of Low voltage fire or burglar alarms
Square Feet: First 2500 ft2-$50.00;Each add'n 2500 ft2-$13.00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders 'Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $57.00 (First service/feeder-$57.00;Add'n service/ ____#of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-$37 each) - $20.00 each)
Swimming pool,hot tub,spa $85.50
Yard Pole meter loops $57.00
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 $ 93.00
_Up to 200 amp 5 93.00 S 27.50 Feeder _201 -600 216.50
201 -400 amp 115.50 57.00 _0 to 100 1 93.00 1 57.00 _601 -1000 326.50
_401 -600 amp 158.50 78.50 _101 -200 115.50 72.50 over 1000 363.00 i
_601-800 amp 202.50 108.50 _201 -400 216.50 85.50 i#of circuits
_Over 800 amp 289.50 216.50 _401-600 252.50 101.00 (1-5 circuits-$72.50;Add'n circuits,S6 ea)
ALTERED SINGLE/MULTI FAMILY _601 -800 326.50 138.00
(When inspected separately from the services.) _801 -1000 399.00 166.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/Industrial
_0 to 200 amp S 71.50 _Over 600 volts surcharge 72.50 _0-100 S 57.00
_201 -600 amp 115.50 _Mast or meter repair 78.50 _101 -200 72.50
over 600 amp 174.00 _201-400 85.50
_Mast or meter repair 43.00 401-600 115.50
_#of circuits -over 600 125.00
I
(1-4 circuits-557.00;Add'n circuits$6 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+$72.50.Add.'plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
l I i
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TOTAL COLUMN(D):
Total Column(0)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72.50+( X.35)= (13)
■ DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
• ENGLNEERING
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-December 23, 2002