03-104484 s
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City of Federal Way
Community Development Services Electrical Permit #:03 - 104484 - 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: RAINIER PACIFIC BANK
Project Address: 1900 S 320TH 9' Parcel Number: 092104 9208
Project Description: Electrical service for new 3,043 square foot bank building.
Owner Applicant Contractor
SEATAC VILLAGE LLC LAZER ELECTRIC LAZER ELECTRIC
9523 19TH AVE E 9523 19TH AVE E
TACOMA WA 98445 TACOMA WA 98445
(253)535-1900
PERMIT EXPIRES April 12,2004.
Permit issued on October 15,2003
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 accorda . e with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: / & i Date: /0—/sr'0 7
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;°� CONSTRUCTION PERMIT APPLICATION
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L APPLICATION NUMBER: (s ,3 - LO v f v— C_
OCT ooh APPLICATION NUMBER: - -
CITY OF FEDERAL WAY APPLICATION NUMBER: __ _ - _ _ -
BUILDING DEPTH
**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
1d
SITE ADDRESS: ROO SCL &' Si- ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
•: - --. .-• ' : :■ PROJECT INFORMATION
TYPE OF PROJECT(This application): �0�BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
V2 tLECTRICA11L 0l ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): L`W ArrI=* u SC'f'I/I( . Sl;C. (�1rif1y
i2 c k S Ni. , c. -*CM} Qzgt,"4. C .ca,.�,k?esI
PROJECT NAME: IL\in,t et' Ij Gc . C. RC (
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■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: F \�\� SG L DAYTIME PHONE: - ,
MAILING ADDRESS(STREET ADDRESS; STATE,ZIP):
°-- .'100 E .4 ,
CONTRACTOR: NAME: DAYTIME PHONE:
Lc z ec— cc mi, . , (A63)53S -lc oti
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
el,S2-.,- � -- _ t c ,( ) qN(g ( ) -
CITY OF FEDERAL WAY BUSIN UCENSE NUMBER: - FAX NUMBER:
CONTRACTOR'S RE i • TION NUMBER:
CONTRACTOR'S DATE:
c pyoTcard required) L. E} Z L k r S_O 3 .IC- 1 / 6 / 0
APPLICANT: NAM :
DAYTIME PHONE:
C'h ? Lev
( S3) �S -45Co
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT 0 OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT \CJ CONTRACTOR
■ DETAILED BUILDING INFORMATION -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO3ECT FLOOR AREAS
FLOOR PROPOSED SQ.FT. TOTAL _
BASEMENT _
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS? 4 _
TOTAL:
Indicate number of each type of fixture
•
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(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 SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ 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 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 against the City of
Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information s ' d to the city as a part o this pplication.
NAME/TITLES nn `�1 DATE: SO C.;-
{ ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
i ORtOFFICEUSEONLY1.4
�_(_EW _ CADDITION, .D ALTERATION g, t fLEPAIR z NANTIMPROVEMENT4;
-0, NSUSr„I:obE = a ..'' 38. " ,.o `.. ILOTsiZE .@ . N - ,
•:..-. Ojfi G GNAT O V { `' $�UILDING HEL o1ILYr7 TES 0 NO
r' OLP DESIGNATION' , a -1`B SIC I A 2 '0 " NO 1t-
SECTION__--------...42,---.,-..,:- OWNSHIP RANGE: ,., , 1NEW=Al DRESS REQUIRED? , YES:; ;❑ NO .-
I row DYES, NOCIIANGE"OFtUSE? ,. ,D„YES+ fl;NQ . . ; ,.-
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvoifederalway.com
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all•"_E ECTRICAL -
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 ft2-$24.00) _Service and feeder $81.00 _#of Low voltage fire or burglar alarms
Square Feet: • First 2500 ft2-$43.50;Each add'n 2500 ft2-$11.50
Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _if 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 I 0 63.50 _over 1000 317.00
601-800 amp 176.50 94.50 E4.61-400 89.00 75.00 _#of circuits
_
(1
_Over 800 amp 252.50 189.00 _401-600 220. 88.50 -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
_ovcr 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.'plan review for other submissions is$75.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) ;NUMBER OF UNITS(C) TOTAL(D)
TOTAL COLUMN(D2:$
Total Column(D) if �‘,i1`� _ +:+ GW
Estimated Permit Fee: (12) ...•„-" -
Estimated Permit Fee from Zine 12
16 r'v
Estimated Plan Review Fee: $63.50+( X.35)=(13)
• DEMOLITION
Estimated Permit Fee: (14)
i_ Bond Amount:(15)
• ENGINEERING
r-
Estimated Permit Fee:(16)
Bond Amount: (17)
■ OTHER FEES
I . Mitigation Fee:(18) (20) (22)
SBCC Surcharge:(19) (21) (23)
r
Total(Pages One&Two): Ur- 11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24)
Bulletin#11# -I wary 19,2002 i