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03-104289 City of Federal Way Community Development Services Electrical Permit #:03 - 104289 - 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: NATIONAL CORPORATE RESEARCH LTD Project Address: 33713 9TH re Ave-5 Parcel Number: 873198 0840 Project Description: Install 1 new 15-amp circuit on existing panel. Owner Applicant Contractor Michael J Osker HOLMES ELECTRIC HOLMES ELECTRIC 31635 36TH AVE SW HOLMES ELECTRIC HOLMES ELECTRIC FEDERAL WAY WA PO BOX 179 PO BOX 179 98023-2105 RENTON WA 98057 (425)235-8000 Electrical Fixtures f£ aCt' 1 a Mxl rr'SGC I•tion . . 4 Circuits- Commercial 1 PERMIT EXPIRES March 16,2004. Permit issued on September 18,2003 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 Feder 1a . Owner or agent: Date: Q//g 72003 64.44D Appr „„---) 0 • \\„..b 0 O`-/ CONSTRUCTION PERMIT APPLICATION CITY OF 1iQ'5O APPLICATION NUMBER: Q 3 - 1 Q V ....ie 9. Eci - Federal WaycE.V i + -)t- .,APPLICATION NUMBER: - - CITY 0 I APPLICATION NUMBER: - - EL=RAL'v'EAY **The following is re NIPiWriiii$ n-Please print(in ink)or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. '. .--2 . 111 PROPERTY INFORMATION : - SITE ADDRESS: 33 7(3 9 AM _t ASSESSOR'S TAX/PARCEL #: -- - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): . N PROJECT INFORMATION TYPE OF PROJECT(This application): o BUILDING ❑ PLUMBING o MECHANICAL o DEMOLITION tELECTRICAL 0 ENGINEERING o FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): /- 1Jet>S /S. r'iwp C\fcs3<. \c.. Ex(S(--\\.kN ftwAQA PROJECT NAME: ��G\ CQ{ _: . . : • PEOPLE INFORMATION • . PROPERTY OWNER: NAME: ii6c` ��'(`�'+�`^ MAILING ADDRESS� DAYTIME PHONE:�O . RESS;CITY,ST ,ZIP): i ( ) � �� 33713 C Jque. � k.. � w A ` oc:c.3 CONTRACTOR: NAME: , f DA M£PHONE: 4k 5 EtQcfc(1.-Q.. (q )a3S -%ozcre MMAIUN(G�ADD�RRESS(STREET( ADDRESS;CITY.STATE.ZIP): (� rip C� I EVENING PHONE: ! '0. ` L )1 k4-Ci �C.JIV 1 ��) t 1 J11 q bUs7 ( --)--- CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: D D - O o 1 0t°tIL k.P- 001- L{ (\*25)QQ VAIVe CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE: (�ofcard required) )4 O L- m E. ( S u 9 a H ; 1 d / 3 r /o y APPLICANT: NAME: k DAYTIME PHONE: cwt a\d\v.QY ( ) 835- - MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: /qaa i2oNWeOCL 1 SL). kv4k UJA ) RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT o TENANT ❑ OTHER(DESCRIBE): ( ) - } E-MAIL ADDRESS: 1 CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT 0 CONTRACTOR - IN DETAILED BUILDING INFORMATION - EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES 0 NO WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE o TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER: o LAKEHAVEN o 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 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 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 o 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 dty,induding Its officers and employees,upon the accuracy of the information,suppiied to the dty a part of this application. 1 g/o 8"i 20©3 NAME/TITLE: c co—m, DATE: ❑ PROPERTY OWNER o APPLICANT ❑CONTRACTOR FOR.OFFICE USE ONLY ! O NEW, iO ADDITION ❑ALTERATION'S ,;.0 REPAiR .TENANT IMPROVEMEtYT =CENSUS'CODE : ` . ONING'DESIGNATION:� ¥� BUILDING SHELLONLY?; '❑YES ❑NO yCOMP PI AN DESIGNATION = * Ii x (BASIC PLAN? -❑YES'' ❑;NO,{r }'� SECTION _ TOWNSHIP ;' #RANGES NEW ADDRESS REQUIRED?, ,, _'❑'YES ❑NO 'PLATTED LOT? -6'`❑YES Y E o NO .Ct1ANGE'OF USE?, a, ,-.n YES '❑IVO ,, . , • COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www,cityoffederalway.com • • ELECTRICAL TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family Service or feeder only $57.00 _#of Thermostats(First-$43.00;add'n-SI3.00ca) (First 1300 fl'-$85.50;Each add'n 500 ft -$27.50) _Service and feeder $93.00 _#of Low voltage fire or burglar alarms square Feet: _ First 2500 ft2-$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 296-46-9I0(5)(b)(i&ii) _Each outbuilding or garage $57.00 (First service/feeder-$57.00;Add'n service/ #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 f i 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.U0 _up to 200 amp $ 93.00 $ 27.50 Feeder _201 -600 216.50 201 -400 amp 115.50 57.00 _0 to 100 g 93.00 $ 57.00 _601 -1000 326.50 -401 -600 amp 158.50 78.50 =101 -200 115.50 72.50 I _over 1000 363.00 601 -800 amp 202.50 108.50 201 -400 216.50 85.50 1 Ii fl #of circuits _Over 800 amp 289.50 216.50 401 -600 252.50 101.00 (1-5 circuits-$72.50;Add'n circuits,£6 eat 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/Commercial/Industrial _0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 0-100 $ 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 a 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 ncrmit 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) l l TOTAL COLUMN(D): I • Total Column(D) 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