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03-104319 City Federalof Way Community Develvelopment Services Electrical Permit #:03 - 104319 - 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: BIG LOTS Project Address: 1211 S 320TH 51 Parcel Number: 150050 0030 Project Description: Install low voltage fire alarm system and low voltage security alarm system. Owner Applicant Contractor 1560 INVESTORS LLC ELEC SYS ELEC SYS 200 S BROAD ST#6 ELEC SYS ELEC SYS PO BOX 219 PO BOX 219 DUVALL WA 98019 (425)788-2678 Electrical Fixtures Description Quantity Description Quantity Description Quantity Low Voltage Burglar Alarm -Comm( 27000 Low Voltage Fire Alarm-Commercia 27000 PERMIT EXPIRES March 17,2004. Permit issued on September 19,2003 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 wit the laws,rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: _ Date: "/'� Mi 0 ©3 IV 's t.-C ) Iso( dyp/ veva 0 Cl 7 0 RECEIVED CONSTRUC I ION PERMIT APPLICATION CITY OF �� APPLICATION NUMBER: 03- L Q 4 01 Federal Way -.P 1 9 20u3 APPLICATION NUMBER: - - (APPLICATION NUMBER: - - CITY OF FDERAL WAY **The following $W rj1 &EdMtation—Please print(in ink)or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. . ■ PROPERTY INFORMATION - SITE ADDRESS: 12 I I S. 3 7- 0 5+, ASSESSOR'S TAX/PARCEL #: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ■ PROJECT INFORMATION TYPE OF PROJECT(This application): 0 BUILDING o PLUMBING o MECHANICAL 0 DEMOLITION KELECTRICAL a ENGINEERING o FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description):/, `c ;,(t aVIoDS 'CU,r S'4e � (�( In ( �l Vl N . .1'P ► �] �.�O�cS and (`Uv1 e qr (�IV's -� i� PROJECT NAME: I:25) LCI.-1'S • N PEOPLE INFORMATION PROPERTY OWNER: NAME: ; DAYTIME PHONE: 8 Lo-Vs ; ( ) - 1 MAILINGJ S(STREET 3 ADDRESC) ZIP):�"r Ltop O Fed a]t w �0l 1 ' CONTRACTOR: NAME: I DAYTIME PHONE: Stec 545 ("Z06) 7`18--353- MAILING ADDRESS( ET ADDRESS;CITY.STATE.ZIP): 9 EVENING PHONE 6a PO. Box 2l 9 peva. t �a.. '' '6 01 ( ) ? � CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: 1 FAX NUMBER: ` CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: I (copy of card required) / / , APPLICANT: DAYTIME PHONE N : BU.('re il ( ) MAILING ADDRESS(STREET ADDRESS;CITY,STATE, IP): EVENING PHONE: 3023 S. 2 .7 . �{, AU rN11 �'(��A ; ( �) 7/ 8 - 3553 R LATIONSHIP TO PROJECT: j FAX NUMBER: a ARCHITECT a TENANT o OTHER(DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT CONTRACTOR -■ DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES o NO WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE o TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • PROTECT 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: ❑ 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 supplied to the dty as a part of this application. ^ ( NAME/TITLE: Mar ar k BO.y- . It DATE: q f [ 103 o PROPERTY OWNER APPLICANT ❑CONTRACTOR .i FOR.OFFICE.USE;.ONLY AI s" la. _6''_.3�� 'wv A T+e'ivC 1L. ^-�.. y�y✓ 3 T35i:: �.. {v ::v iiE?' .j »a"i. " .L. . GYM*J � .. T'3F&` ,p NEW .ifWliDDITION , `p ALTERATION S{gn.REPAIR' ,-O TENANTIMPROVEMENT - .V .'- ?.cENSUS:`CODE ' 4`,? a7 ...._,, w v:' `ZONING'DESIGNATIONMf „ , i .gl1ILDING SHELLONLY7;xo.YES` •p NO �' COMP PLAN DESIGNATION = � ABASIC PLAN? YES ❑ NOr� .., SECTION _ TOWNSHIP._ RANGE is ANEW ADDRESS REQUIRED? f"o'YES ❑'NO . PLATTED LOT? _I ❑YES*= ro'NO. 31-tY Y?4 ` 0. 'CHANGEUSE? ,, == n YES fl'NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.citvoffeieralway.com ■ L.tCT.CAL TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only $57.00 _a of Thermostats(First-$43.00;add'n-$13.O0ea) (First 1300 ft2-$85.50.Each add'n 500 ft -$27.50) _Service and feeder $93.00 _k of Low voltage fire or burglar alarms Square Feet: _ First 2500 111-$50.00: d'n 2500 ft`-$13.00 _Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet: 24,1 (Inspected with service) _ft of service or feeders * Per WAC 296-46-910(5)(b)(i&ii) _Each outbuilding or garage $57.00 (First service/feeder-$57.00;Add'n service/ _d of Signs(First sign-$43.00;add'n sign (Inspected separately) feeder-137 each) - $20.00 each) Swimming pool,hot tub,spa $85.50 Yard Pole meter loops $57.00 1I i NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL iii (Includes three units or morel Altered Service or Feeders - Service Feeder Amps Service or Add'n 0 to 200 5 93.0u Up to 200 amp 1 93.00 $ 27.50 Feeder 201 -600 216.50 _201 -400 amp 115.50 57.00 0 to 100 $ 93.00 $ 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 ft of circuits _Over 800 amp . 289.50 216.50 _401 -600 252.50 101.00 (I-S circuits-$72.50:Add'n circuits,$6 ear 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 (1-4 circuits-157.00;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+$72.50.Add'I plan review for other submissions is$85.50/hr. FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B)== + NUMBER OF UNITS(C) TOTAL(D)• ii I . I 1 , 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) ■ EN.GINEERING , .,. 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