05-100924 •
City of Federal Way Electrical Permit #: 05 - 100924 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
Project Name: HOLLYWOOD VIDEO
Project Address: 27320 PACIFIC S Parcel Number: 332204 9009
Project Description: L/V wiring for new fire alarm system
Owner Applicant Contractor
BALDRIDGE-FEDERAL WAY LLC FIRE COM NW LLC FIRE COM NW LLC
11825 MANCHESTER RD FIRE COM NW LLC FIRE COM NW LLC
SAINT LOUIS MO PO BOX 3932 PO BOX 3932
63131-4620 SEATTLE WA 98124 (206)234-5700
Electrical Fixtures
Description Quantity ;Description 1 Quantity P Description Quantity
Low Voltage Fire Alarm-Commercia 5605
PERMIT EXPIRES September 3,2005.
Permit issued on March 7,2005
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and . e use will be m accordance with the laws,rules and regulations of the State of Washington and
the City of Federal +
Owner or agent: Date: ^ S 0
CL
e THIS CARD IS TO REMAIN ON-SITE
CITY of Community Development Inspection Record
Federal Way IVR INSPECTIQN REQUEST PHONE # (253) 835-3050
PERMIT#: 05-100924-00-EL -
Owner:
Address: 27320 PACIFIC HWY S
FEDERAL WAY, WA 98003-6999
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
❑ Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
O Rough Electrical(4225) ❑ Ceiling Cover(4020) 12 Final-Electrical(4055)
Approved Approved Approved
By Date By Date B 1112k Date • b j
❑ Under-slab groundwork(4295)
Approved
By Date
eral Way PERMIT
��- a-
cOMMUNITYDEVELOPMENT SERVICES SF MF CO M EL PL DE EN FP
3353EDFIRST AWAY S,WA 98•6 3-9718X APPLICATION
FEDERAL WAY,WA 98063-9718 TD
253-661-4115•FAX 253-661-4129
www.citioffederalway.com
The ollowi • is •wired in ormation-an inco •fete • ••lication will not be acce•ted. Please •tint le,ibi in in or .
PROPERTY INFORMATION
r
SITE ADDRESS 273 e.= — Pacific Highway South SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description.)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION X ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
Install new fire alarm system.
PROJECT NAME(Name of Business or Owner Last Name' Hollywood Video Store
PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE HONE
OWNER reti l ` �,
.� GA DRE SS ATE,ZIPcs� I SI -r t
il(.0
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Fire Corn NW LLC Jeff Dunlap (206)234-5700
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
PO Box 3932 Seattle WA 98124 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
20-04-101817-00-BL 12/31/05 (206)244-1957
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Fire Com NW LLC Jeff Dunlap 206-234-5700
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
PO Box 3932 Seattle WA 98124 ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant ❑Agent X Other(Describe) Contractor (206)244-1957
CONTACT NAME (206)234-5700 jeffdunlap1@aol.com
Jeff Dunlap
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds 55,000 •
MAILING ADDRESS CITY,ST ,ZIP(
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE Retail Store
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $7,500.00
SPRINKLERED BUILDING? YES X NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST 5,605 5,605
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL MONTING TOTAL PROPOS=D TOTAL smarno AND PROPOS=D
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBLIM
BATHTUBS(or Tab/ahowercombo) SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroom soiro VACUUM BREAKERS ELECTRIC WATER HEATERS
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 authorised 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 the city as a part of
this application. Q
NAME/TITLE A� DATE—2-ZS
(Signature)
(Title)
RELATIONSHIP TO PR• 5 0 Owner ❑ Age t ❑ Contractor o Architect ❑ Other
FOR OFFICE USE ONLY
❑NEW ❑ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? o YES o NO IIP/SEPA/SII? o YES ❑NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO
i
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
ElSingle Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage ❑ 101-200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 601-800 amp 398.50 168.50
❑ 801 - 1000 amp 486.50- 203.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00
Service Feeder _
❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
❑ 401 -600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
❑ 0 to 200 amp $87.00
❑ 201 -600 amp 141.00 ❑ #of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps __ $69.50
❑ 101-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
0-Low Voltage �,�`-, ❑ Swimming pool/hot-tub $87.00
Square Feet to be served by system(s) c r/ (Includes additional circuit,if required)
o-Fire Alarm System ❑ Yard Pole meter loops $104.50
❑ Security Alarm System ❑ Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
(Per System(s) 1•t 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) •Per WAC 296-46-910(5)(6/(i&ii)
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application t
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