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03-104140 City of Federal Way Community Development Services Electrical Permit #:03 - 104140 - 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: SIMPLEX GRINNELL Project Address: 32001 32NDS Suite301 pe, Parcel Number: 162104 9001 Project Description: Adding 5 circuits for furniture system interconnects Owner Applicant Contractor FOSS REDEVELOPMENT H&M ELECTRIC INC H&M ELECTRIC INC PO BOX 94449 8227 44TH AVE W 8227 44TH AVE W SEATTLE WA 98124 MUKILTEO WA 98275 MUKILTEO WA 98275 (425)423-9250 Electrical Fixtures m v 4 ,7LU ix IL rAe:li..E VITI liV10111 Circuits- Commercial 5 PERMIT EXPIRES March 7,2004. Permit issued on September 9,2003 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 FederalW Owner or agent: .;1a Date: /p/c ' —l — \ (' I 0) \:,;---Jc... k i e REGENED. r r '' CONSTRUCTION N PERMIT APP-LI TION G / 9frnJF ) p 5 2003 APPLICATION NUMBER: z16 - L 01/ - Cr EL uV W A� APPLICATION NUMBER: - - G��Y O�p NG DEPT' APPLICATION N dtIIqq,��R phi`t 1\ a — - — — gU ��U�1,� s�� **The following is required information-Please print(in ink)or type** r Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separ ela• { ition. . ■ PROPERTY INFORMATION SITE ADDRESS: -z'oo k 32.x- `-� ASSESSOR'S TAX/PARCEL#: 1 Z 1 Q - o D LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPA• .TE DESCRIPTION IF LENG Y): ' ` .■ PROJECT INFORMATION , TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): . • -IN 'C-el\Cro(Q-C X - PROJECT NAME: ■ PEOPLE INFORMATION r� NAME: �� . D--0 Q__ (AYTIME PHONE: PROPERTY OWNER: CL� MAILING ADDRESS(STREETdN�P): DAYTIME PHONE: CONTRACTOR: N'�E�\ . M �[� ('1 LS) �'I Z 3 " !G '25O tA c. ` ' ) S, T AC. , 1 r\� MAILING ADDRESS 4 (STREET ADDRESS;CITY,STATE,ZIP): M,V lc%(�y EVENING PHONE: ) E� � +' P>2 -1 444 PNG COS-' G. 98z,7S ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: I C, 3 - l'..3-49 - o© - 13 L-_ _ (4 zss) iqo -S7)1 CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: / / (copy of card required) DAYTIME PHONE: APPLICANT: NAME: ( ) (..) ' MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:( ) - RELATIONSHIP TO PROJECT: FAX NUMBER: 0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ( ) _ E-MAIL ADDRESS: yiCONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT CONTRACTOR ■ DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES __Single Family . • _Service or feeder only $50.00 ft of Thermostats(First-$37.50;add'n-$11.50ea) (First 1300 ft'-$75.00;Each add'n 500 ft2-$24.00) _Service and feeder $81.00. It First 2500 f Low ftz ovo4ltage fire orch burglar alarms fts-511.50 Square Feet: Square Feet: _Each outbuilding or garage $31.00 MOBILE HOME/RV PARK •per WAC 296 46 910(5)(b)(i&ii) (Inspected with service) _P of service or feeders - (First sign-$37.50;add'n sign It of Signs _Each outbuilding or garage $50.00 (First service/feeder-$50.00;Add'n service/ 517.50 (Inspected separately) feeder-$32 each) _Swimming7.50each)pool,hot tub,spa $75.00 Yard Pole meter loops $50.00 NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL Altered Service or Feeders (Includes three units or more) _0 to 200 $ 81.00 Service Feeder Amps Service or Add'n _ Feeder 201 600 189.00 Up to 200 amp $ 81.00 $ 24.00 - _201-400 amp 101.00 50.00 _0 to 100 $ 81.00 $ 50.00 _601-1000 284.50214. 0 _401-600 amp 138.00 68.50 _101-200 101.00 63.50 over 1000 _601-800 amp 176.50 94.50 _201-400 189.00 75.00 5#of circuits _Over 800 amp 252.50 189.00 _401-600 220.50 88.50 (1-5 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 _ $ 50.00 Over 600 volts surcharge 63.50 _0-100 63.50 _201-600 amp 101.00 _Mast or meter repair 68.50 _101-200 201-400 75.00 _over 600 amp 151.50 401-600 101.00 _Mast or meter repair 37.50 - 109.00 _over 600 _#of circuits (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+563.50.Add'l 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(D) 6: °. --2� Total Column(D) 4 Estimated Permit Fee: (12) l7 ✓' t Estimated Permit Fee from line 12 Estimated Plan Review Fee: $63.50+( X.35)=(13) • ■ DEMOLITION Estimated Permit Fee: (14) Bond Amount:(15) i Estimated Permit Fee:(16) Bond Amount: (17) 4 ■ OTHER FEES Mitigation Fee:(18) (20) (22) S130C Surcharge:(19) (21) (23) i. Total(Pages One&Two): Une(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24) R.dlnfin 41 nn_C,..1-............1 n 9nnn