03-104761 City of ereWay
Community
Devellopment Services Electrical Permit #:03 - 104761 - 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: LIBERTY MUTUAL
Project Address: 930 S 336TH.SuiteC,57Parcel Number: 926501 0080
Project Description: Install 2 20-amp,dedicated circuits.
Owner Applicant Contractor
WASHINGTON TRUCKING ASSOCIATION I HOLMES ELECTRIC HOLMES ELECTRIC
WASHINGTON TRUCKING ASSOCIATION HOLMES ELECTRIC HOLMES ELECTRIC
INC. PO BOX 179 PO BOX 179
930 S.336TH ST UNIT B
EDERAL WAY,WA 98003 RENTON WA 98057 (425)235-8000
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits- Commercial 2
PERMIT EXPIRES April 17,2004.
Permit issued on October 20,2003
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 Federal Way.
Owner or agent: /�7O,71/6/:,/,‘„/ 3 Date: /0//4 0
(U - Z(-O 3 C—,Zia/ 4/ /"o ve- �S
G5 -3.c69-3RECElVED ��
CONSTRUCI ION PERMIT APPLICATION
CITY OF
APPLICATION NUMBER: C _ t_087(,1
Federal Way OCT 2 0 2003 =
APPLICATION NUMBER:
CITY OF FEDERAL WAY kPPLICATION NUMBER: -
BUILDING DEp
**The following Is required i�formation—Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
■ 'PROPERTY INFORMATION
SITE ADDRESS: 1a0 `,3(Q ` �T SD ' ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- ■ PROTECT INFORMATION; -
TYPE OF PROJECT(This application): o BUILDING o PLUMBING ❑ MECHANICAL ❑ DEMOLITION
'ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 9►�S'At_L > QoPs\i\x.9
PROJECT NAME: '\Q> ` MV'l){IL-
;.I PEOPLE INFORMATION
PROPERTY OWNER: NAME: ; DAYTIME PHONE•
:
la UNG G D �` UF1S i (519) 73q- 9aco
tiMARESS EET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: I NAME: DAYTIME PHONE*
`ING�D�RESS E ADDRESS;�ev 1 IP . I- EVENING PiONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: I FAX NUMBER:
g - clk 161L¢ t190 (qa9 & WI
CONTRACTOR'S REGISTRATION NUMBER:
I EXPIRATION DATE:
(mrd required)' 1`\ O L m c C-SL ( I-F ; ID //t /
APPLICANT: N9(«Syk i DAYTIME ONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
I
RELATIONSHIP TO PROJECT:
FAX NUMBER:
0 ARCHITECT o TENANT OTHER( DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ 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:O YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
_. • PRO3ECT 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 Value of Mechanical Work: $
AIR HANDLING UNITS) 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: o 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,including the undersigned,and filgd against-the City of
Federal Way,but only where such daim aril rOtcit-of the reliance of the dty,induding its officers and employees,upon foie accuracy
of the information supplied to the city a part of this application.
NAME/TITLE: 4
' O 7 d DATE: /0/1-p/Q�
❑ PROPERTY OWNER ❑APPLICANT 0 CONTRACTOR
..-FOR OFFICE;USEi ONLY: I
NEW,..1A i.0-ADDITION p.ALTERATION = n,REP,AIR , .; n TENANT:IM PROVEMENT ,,d, r
CENSUS CODE + v.- • "` r.s ' -xii. 'LOT SIZE: Zrte`° : =i `, t',.�_.: - a
`ZONING DESIGNATION aY:" f a `; *BUILDING SHELI ONLY?. II YES ..a NO
-COMP PU1N DESIGNATION V -* , 1{ ABASIC PLAN? ❑YESY: ,d.NO .g.:* 4-
,SECTION , _- TOWNSHIP ; #RANGE ' f-g .NEW ADDRESS REQUIRED? , ❑YES .ci NO ,
PLATTEU'LOT? . ❑YES"m o;NO rx ,' ` rm-. "CHANGE OF USE?y --.❑YES;*:' 'NO .z.":`
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www,cttvoffederalway.com
•
• ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _4 of Thermostats(First-$43.00;add'n-$13.00ca)
(First 1300 ft'-$85.50;Each add'n 500 ft -$27.50) _Service and feeder $93.00 4 of Low voltage fire or burglar alarms
iquarc Feet: _ First 2500 I12-$50.00;Each add'n 2500 ft`413.00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) 4 of service or feeders * Per WAG 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $57.00 (First service/feeder-S57.00;Add'n service/ _4 of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-537 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
If Service Feeder Amps Service or Add'n 0 to 200 5 93.:10
_Up to 200 amp $ 93.00 $ 27.50 Feeder 201 -600 216.50
-201 -400 amp 115.50 57.00 -0 to 100 $ 93.00 5 57.00 .- SOU 326.50
401 -600 amp 158.50 78.50 101 -200 115.50 72. . _o er 1011 363.00
601 -800anip 202.50 108.50 _201 -400 216.50 8 .50 1,,4ofci, uits
_Over 800 amp 289.50 216.50 _401 -600 252.50 10 .00 (1-5 cir its-$72.50;Add'n circuits,$6 eat
ALTERED SINGLE/MULTI FAMILY _601 -800 326.50 138.1
(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 5 57.00
_20 1 -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
_4 of circuits _over 600 125.00
(1-4 circuits-$57.00;Add'n circuits$6 ea)
i J
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'I plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) I FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)•
•
1 I i
TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12) .. .5C
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72.50+ ( X.35)= (13)
' • ■ DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
"..: - ■ ENGINEERING - ...
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