03-104256 ral
City munitedevel Way Electrical Permit #:03 - 104256 - 00 - EL
Community Development Services
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: BON MARCHE
Project Address: 1901 S SEATAC MALL Parcel Number: 762240 0010
Project Description: Add or alter(12)circuits in conjunction with tenant improvement for dressing room modification.
Owner Applicant Contractor
FEDERATED DEPARTMENT STORES PCL CONSTRUCTION SERVICES INC PCL CONSTRUCTION SERVICES INC
7 WEST SEVENTH 15405 37TH ST SUITE 200 15405 37TH ST SUITE 200
CINCINATTI OH 45202 BELLEVUE WA 98006 BELLEVUE WA 98006
(425)454-8020
Electrical Fixtures
Description;,,; Quantity Description Quantity ° Description'' Quem
Circuits- Commercial 12
PERMIT EXPIRES March 14,2004.
Permit issued on September 16,2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the a will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Wa
Owner or agent: Date: 9_/ -
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�� CONSTRUCT ION PERMIT APPLICATION
CITY OF �/ APPLICATION NUMBER: Q3 - Lo v_L_z-ze - EA--
Federal Way APPLICATION NUMBER: -
kPPLICATION NUMBER: -"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
SITE ADDRESS: /?0 j Sr eF � C LLASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PRO3ECT INFORMATION - ,
TYPE OF PROJECT(This application): o BUILDING 0 PLUMBING ❑ MECHANICAL o DEMOLITION
GIELECTRICAL ❑ ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): C it)R >4 L j GR
PROJECT NAME: .R0 14-,ttkc✓ (off, ��E✓P l4 /V`��-�--
• -PEOPLE INFORMATION
PROPERTY OWNER: NAME: ; DAYTIME PHONE:
r E2AC€- .ems 5% 2r_s- l )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
7 cEv AJ-7-2-1 N/ 1 01+
CONTRACTOR: NAME: DAYTIME PHONE:
PC,L Co/.1 s c F R J I ccs kzs?
i MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): � EVENING PHONE:
S 6 1 7774S'i STf" �=�C)c
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE:
(copy of card required)
APPLICANT: NAME: DAYTIME PHONE:
S -E //JC ()� SE s%v
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 ARCHITECT ❑TENANT O OTHER(DESCRIBE): ,1-7-7/e1": -/- GOA/7--- C2,96 )7,26k/.-o
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNERI I
.4 'lf0LICANT 0 CONTRACTOR
• ■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:O YES 0 NO
WATER SERVICE PROVIDER: o LAKEHAVEN O HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: O LAKEHAVEN O HIGHLINE O PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROTECT FLOOR AREAS
- FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
_FIS
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 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: o ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o 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 claim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only ere such aim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the information su lied to the ty as a part of this application.
NAME/TITLE: ( - ° ' F P I1 DATE:
❑ PROPERTY OWNER CANT 0 CONTRACTOR
FOR.OFFICE.USE ONLY I
z[ NEVV..._ . ADDITION , .i i.'ALTERATION ❑.REPAIR n TENANT IMPROVEMENT t' . . ,:
tcENSUS'CODEi"ss �,� c � ,44 • rs`,`. ,, 'x ;r IIA:kr r,
.:� .LOT:SIZE; . . +� + . .
ZONING DESIGNATION;' z. j4 :BUILDING SHELL'ONLY? O YES .o NO ` r
COMP PLAN DESIGNATION - m,x- is ;. ,'BASIC PLANV' `o YES k o,NO,r.'1 �; ��
SECTION *A L -,e TTOWNSHIP , `RANGE, _ 'NEW ADDRESS REQUIRED? Q YES.:'"-.c.,-'0 NO
PLATTED LOT? '-o YESV a NO ex `..ti' #2; GRANGE"OE USE? 1 , ,-.n YES '-n NO .;
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvoffederalway.com
•
■ ELEC:__.CAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 It of Thermostats(First-$43.00;add'n-5 I 3.00ca)
(First 1300 02-$85.50;Each add'n 500 ft -$27.50) _Service and feeder $93.00 _IJ of Low voltage fire or burglar alarms
Square Feet: _ First 2500 ft1-$50.00:Each add'n 2500 ft`-$13 00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders * Per WAC 296-46-910(5)(b)(i K ii)
_Each outbuilding or garage $57.00 (First service/feeder-557.00;Add'n service/ _II 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 557 00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) - Altered Service or Feeders
11 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 $ 93.00 5 57.00 601 -1000 126.50
-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 la.it of circuits i
_Over 800 amp 289.50 216.50 401 -600 252.50 101.00 (1-5 circuits-$72.50;Add'n circuits,$6 ear
ALTERED SINGLE/MULTI FAMILY _601 -800 326.50 138.00
(When inspected separately front the services.) _801 -1000 399.00 166.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/Industrial I
_0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 _0- 100 5 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
PI of circuits _over 600 125.00
(i-4 circuits-557.00;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 fC) TOTAL(D)
I
I
TOTAL COLUMN(D):
Total Column(0)
Estimated Permit Fee: (12)
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