03-104491 City of Federal Way
Community Development Services Electrical Permit #:03 - 104491 - 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: FEDERAL WAY ACADEMY
Project Address: 34620 9TH a Av&i 5 Parcel Number: 926480 0050
Project Description: Install low-voltage television and sound systems.
Owner Applicant Contractor
BALLI ROAD LLC EXCEL ELECTRIC OF TACOMA EXCEL ELECTRIC OF TACOMA
31620 23RD AVE S#218 5832 S ADAMS SUITE A 5832 S ADAMS SUITE A
FEDERAL WAY WA TACOMA WA 98409 TACOMA WA 98409
98003-5049 (253)475-6950
Electrical Fixtures
Description Quantity Description 'Quantity Description 1Quantty
Low Voltage=Other Commercial. 73600
PERMIT EXPIRES March 29,2004.
Permit issued on October 1,2003
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 • cordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date: —/ e_
t U— --o crlet ef / A
L19 !141
C\O N
Cid
CONSTRUC I ION PERMTT D TCATION
CITY OF � 1
APPLICATION NUMBER:
Federal VVayOCT o 1 2003 APPLICATION NUMBER: _ _ - _ _ _ _ _ - _ _!
A -.[.>
APPLICATION NUMBER: C - L a -t 1 -00
"The follo(viiigiStra. �r.� t iOirn-Please print(in ink)or type**
BUILD ,�
Please note: Electrical, Fire Prevention System and Engineering permits may require a separate application.
F -_ ` .U::PROPERTY INFORMATION t s s
SITE ADDRESS: 3 62 O 9t& /Q V, S ASSESSOR'S TAX/PARCEL #: 9'Z C.f:_g-, _ aa_s O—
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
,' 3 x -` >..PRO]ECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING 0 PLUMBING o MECHANICAL o DEMOLITION
ELECTRICAL o ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 'r/ Q MI of we
• r- kow Vd/4c 5J
PROJECT NAME: FDG A <- t I6( Y
` B PEOPLE INFORMATION" _ ;� '="
PROPERTY OWNER: NAME: DAYTIME PHONE
F0)11..<-1C A-1- IA) PU&uC- SCt+OC.S ( 2c3) 5 -593 LI
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): I i
!o LG s 32.0-atsr F��r;-T4 u1L wA-Y wR 9 ao
CONTRACTOR: ( NAME: DAYTIME PHONE:
ts.XCG ' (20 ) 4'?5 - - 61C0
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): I EVENING PHONE:
I S& 3Z S /4-)'AMS s-r Sui -r - /3 lftcar'tA `I O0, (Z0 ) 31(o - 10 it
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
IF-XC L es-Ta 77 Y°l� - _ ( - - " '-
CONTRACTOR'S REGISTRATIONYNUMBER: / EXPIRATION DATE:
(copy of card required) r W Li c /.-g Z?ZC 2 1 o c 3 J
APPLICANT: I NAME: DAYTIME PHONE
-- •• Y z3 ) NE:C
f/ -
MAILINGADDRESSEET ADDSTATE:ZIP). ING PHONE:
31 (.Zo 2- 3.,LS S..<:L 207 Fi/ 1. (206 ) Salr -0-6
RELA NSHIP TO PROJECT:
j FAX NUMBER:
ARCHITECT o TENANT o OTHER( DESCRIBE): (2S3 ) ç ( ( 1-1
E-MAIL ADDRESS: Z! 1J
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER p APPLICANT 0 CONTRACTOR
_` `r `.�DETAILED'BUILDINGlNFORMATION - ''<
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN o IIIGHLINE o TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
- • - • - .:: ■ ELECTRICAL • -, • -. • - .
TABLE B
[NEW RESIDENTIAL SERVICES MOBILE HOMES y*'UIPMENT/TEMP SERVICES
_Single Family __Service or feeder only $57.0.: -2,"- ofT ermostats(First-543.00;add'n-S1 3 OOca)
(First 1300 '-585.50:Eachadd'n 500 ft`
ft -52750) _Seivi e;and feeder $93. 'r a,of w voltage fire or burglar alarms
Square Feet: _ 1 t 00 ft'-$50..O0:E ch 'n 2500 ft`-513 00
Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet: sc.
(Inspected with service) _N of service or feeders * Per WAC 29G-46 -910(5)(b)(i K ii)
__Each outbuilding or garage 557.00 (First service/feeder-557.00;Add'n service/ _#of Signs(First sign-543.00;add'n sign
(Inspected separately) feeder-537 each) $20.00 each)
Swimming pool,hot tub,spa $85.50
I _Yard Pole meter loops 557 0e0
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three unrrs or mord
Altered Service or Feeders
Service Feeder Amps Service or Add'n ____0 to 200 i 93:1U
_Up to 200 amp 5 93.00 5 27.50 Feeder 201 -600 .... .-216.50
_201 -400 amp . - -.... 1 15.50 57.00 0 ro 100 5 93.00 5 57.00 _601 - 1000 126 50
401 -60(1 amp 158.50 78.50 101 -200 115.50 72.50 _over 1000 363.00 k
601 -800 amp 202.50 108.50 _201 -400 216.50 85.50 of circuits
-
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 (1-5_ circuits-572.50:Add'n circuits,56 eat
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 $ 71.50 _Over 600 volts surcharge 72.50 0-100 $ 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 1 _over 600
125.00
(1-4 circuits-$57.00:Add'n circuits S6 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
penttit fee 4-572.50.Add'I plan review for other submissions is 585.50/hr.
FIXTURE DESCRIPTION(A) l FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
I
1
I{
I
TOTAL,COLUMN(D): I l
Total Column ID)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72.50 +( X.35)_ (13)
-< :_ .--.--,:-:•-•-:•-"::::‘;:,--.--:-::;"2,-•::..1. DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
f . - , - _ :,. . 0=ENGINEERING: .� ,-a- .: a _ _W....
Estimated Permit Fee: (16)
Bond Amount: (17)
f '1 OTHER FEES-. } _s_ , ,.. ��t:
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