03-104524 City ofFederalWay
Community
Development Services Electrical Permit #:03 - 104524 - 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: HARBOUR pie,
Project Address: 33400 9TH4 Suitell4 Parcel Number: 926501 0060
Project Description: Move(2)T-Stats
Owner Applicant Contractor
GOLDEN STONE OFFICE BLDG GOLDEN STONE OFFICE BLDG &UNIV] UNIVERSAL REFRIGERATION INC.
33400 9TH AVE S 33400 9TH AVE S PO BOX 614
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 AUBURN WA 98071-0614
(253)939-5501
Electrical Fixtures
Description: Quantity Description Quantity Description IQuantity
Thermostat 2
PERMIT EXPIRES March 30,2004.
Permit issued on October 2,2003
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 FederalWai
Owner or agent: i i r/ Date: /0 y63
V t -' , C-11
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P 10
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CONSTRUCT t ION PERMIT APPLICATION
CITY OF �.,' APPLICATION NUMBER: b3 - 4 0 S (- cc
Federal Way APPLICATION NUMBER: —
kPPLICATION NUMBER: — —
''The following is required information-Please print(in ink)or type*'
Please note: Electrical,Fire Prevention Sy tems and Engineering permits may require a separate application.
- - E PROPERTY INFORMATION
•
LAI
SITE ADDRESS: '-- LitS0 9 t ASSESSOR'S TAX/PARCEL #: —(3Z( - 6,0C:,
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
Id! PROTECT INFORMATION
TYPE OF PROJECT(This application): `i BUILDING o PLUMBING 0 MECHANICAL 0 DEMOLITION
�p ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): i",‘..0 v.rZ ('-2) 7--^ S',[
s PROJECT NAME: 4(19LAr /�jC251/Vir ÷, j g
A PEOPLE INFORMATION - ,_ -
PROPERTYOWNER: NAME: a DAYTIME PHONE:
6.6
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
33 yr3c, °7 #11,-, s.
CONTRACTOR: NAME: e DAYTIME PHONE:
w ( rez'7/ (253 ) 737 -553?
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): � EVENING PHONE:
{i ( ) -
1 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: .TH
- - (753 ) 7$5- -3`l3 Z
CONTRACTOR'S REGISTRATION NUMBER: / / r !�j'� EXPIRATION DATE:
(copy-4-card required). ✓i /`l < V L-(\+L 6 5 ( / ZC / 0 y
APPLICANT: NAME: ��-^ DAYTIME PHONE:
' `^r-1-e—
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 ARCHITECT ❑ TENANT o OTHER( DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT o CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED • ••RAISED VALUATION $
PROPOS D USE: PROPOSED VA , •TION FOR IMPR• EMENTS: $
SPRINK RED B DING? ❑YES ❑ NO F •E SUPPRESSION SYSTEM PR•••SED/REQ •ED:o YES 0 NO
WATER.ERV E PROVIDER: o LAKEHAV 0 : LINE 0 TACOMA 0 PRIVATE(WELL)
SEWER : RVICE PROVIDER: ❑ LAKEHAVEN ❑ 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
n• —
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS? _
TOTAL:
■ FIXTURES
Indicate number of each ••.• fixture
MEC- •NICAL Va - of Mechanical Work: $
AIR HANDLING UNIT(S) EVAPORATIV OOLER(S) GAS Li ) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIRE• 4 CE INSERT(S) RANGE(S) MISC.(_ )
COMPRESSOR(S) ACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELE C ❑GAS
PLUMBING
BATHTUB(S LAVATORY(S) URINAL(S) WATER HEATE••S)
DISH • ER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC ❑GAS
-4 NKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) UMP(S)
y �:1 DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury tha • e 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,induding the undersigned,and filed againsthe City of
Federal Way,but only where such daim arisut of the reliance of the city,induding its officers and employees,upon tfiie accuracy
of the Information supplied to the city as a part of this application.
NAME/TITLE: J��`•j A e-S'e-4 VI.,t A,1 u DATE: tG/2- O
o PROPERTY OWNER o APPLICANT (CONTRACTOR 4.1
•FOR,OFFICE..USEONLY ':I
;`C7 NEW p;ADDITION' D ALTERATION- o REPAIR :. t.TENANT IMPROVEMENT .r
iCENSUS..`CODE 441;WA *-"a -41.1
ZONING DESIGNATION; _ BUILDING SHELL'ONLY?, n YES ,(] NO..
COMP PLAN:DESIGNATION ` .' � - rBASIC PLAN? ❑AYES;' o NO
TOWNSHIP__ _ RANGE `N "D" '
,`SECTION. ��� �- t � � � �° .NEW ADDRESS REQUIRED?'� -��'� -❑YES s.❑ NO - 4'
'PLATTED LOT? x"❑YES; o NO * -os -CHANGE OF USE?, '-.a 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.dtvofTederalway.com
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family Service or feeder only 557.00 2, ft of Thermostats(First-543.00;add'n-513 00ea)
(First 1300 ft'-$85.50.Each add'n 500 ft'-527.50) _Service and feeder 593.00 ft of Low voltage fire or burglar alarms
Square Feet. _ First 2500 fl2-$50.00;Each add'n 2500 ft`-$13.00
_Each outbuilding or garage 535.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _ft of service or feeders * Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $57.00 (First service/feeder-557.00;Add'n service/ _ft 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 5 93.00
Up to 200 amp 5 93.00 $ 27.50 Feeder 201 -600 216.50
-201 -400 amp 115.50 57.00 -0 to 100 5: 93 00 5 57.00 -601 -1000 326.50
401 -600 amp 158.50 78.50 101 -200 115.50 72.50 over 1000 363.00
601 -800 amp 202.50 108.50 _201 -400 216.50 85.50 _rf of circuits
Over 800 amp 289.50 216.50 401 -600 252.50 101.00 (1-5 circuits-$72.50:Add'n circuits,S6 ear
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/Commerciai/Industrial
_0 to 200 amp $ 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-4 circuits-$57.00;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+572.50.Add'I plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTA D) I
• i
i I i
•
•
{ i
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TOTAL COLUMN(D •
•
Total Column(0)
Estimated Permit Fee: (12)
•
Esti . -.Permit Fee from line 12
Estimated Plan Review Fee: $72.50+( X.35) =
.. ..- - ■ DEMOLUTSON . . - -. : _
Estimated Permit Fee: (14)
Bond Amount:(15)
-- /C ENGINEERING - . - ..-
Estimated Permit Fee:(16)
Bond Amount: (17)
OTHER FEES . _-
Mitigation Fee:(18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Total (Pages one& o): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-December 23, 2002