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03-104780 4 . City of Federal Way Community Development Services Electrical Permit #:03 - 104780 - 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: FEDERAL WAY WINDERMERE Project Address: 33405 6TH 8.QVZ S Parcel Number: 926500 0330 Project Description: Install(3)circuits and low-voltage fire alarm for new tenant space. Owner Applicant Contractor Robert H Spaulding BOONE ELECTRIC CONST,INC. BOONE ELECTRIC CONST,INC. 4316 SW 307TH ST 16609 110TH AVE E 16609 110TH AVE E FEDERAL WAY WA PUYALLUP WA 98374 PUYALLUP WA 98374 98023-2127 (253)848-6998 Electrical Fixtures Description Quantity = Description Quantity Description ;Quantity`' Circuits- Commercial J 3 Low Voltage Fire Alarm-Commercia 1000 PERMIT EXPIRES April 18,2004. Permit issued on October 21,2003 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. .i Owner or agent: �!,�,�� -'� L�� Date: t© © -5 to- Zz--03 hittt rdvt'/' ff.pa/ 641( Yeo s RECEIVED a T•°' CONSTRUCT I ION PERMIT APPLICATION \)\> FLY f�fZRI_ OCT 2 1 2003 APPLICATION NUMBER: Q - 1 0 ¶ 7?o - o o APPLICATION NUMBER: - _ CITY OF FEDERAL WAY APPLICATION NUMBER: BUILDING DEPT. **The following is required information—Please print(ih ink)or type** • Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. '.7-'. - - //- :- ,:PROPERTY INFORMATION :. ..-- - SITE ADDRESS: ')-# �\�- �b1 40'61' ASSESSOR'S TAX/PARCEL#: .'1 0 0- 33 0 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): x - - • -_- ■..PROIECTINFORMATION - TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): — f- -(( / 11.‘/' �(W iS s u PROJECT NAME: (A) ` iik d e,/ viAo..v-e_ 7 ( • a--PEOPLE INFORMATION . . - - _- . PROPERTY OWNER: NAM DAYTIME PHONE: (Para, L. ///, ( ) - MAIUNG ADDRESS(STREET ADDRESS;CITY,STA ZIP): 1 CONTRACTOR: NAM-. t DAYTIME PHONE: -6t 6 rz ; q t e i0 (:_:6- ) SVS -h96/3 MAID G ADDRESS(STREET AD RESS;CITY,STATE, IP): EVENING PHONE: ague Lii, 4. CITY OF FEDERAL WAY BUSINESS UCENS NUMB R: FAX NUMBER: CONTRACTOR'S REGISTRATION NUMBER: ,gV o � 1 5_3Q0O__ 053) $45 i95y'L C () A/ E�J c, / O' _ t� EXPIRATION/ATE/I / O (Copy of Card required) APPLICANT: NAME DAYTIME PHONE: - )eM .0 /riv ( ) - MAILING ADDRESS(STREET ADDRESS;CITY•STATE,ZIP): EVENING PH /(1 t // h --6 - drat ev, XX 93?q PHONE ) - RELATIONSHIP TO PROJECT. FAX- FAX NUMBER: ❑ ARCHITECT ❑ TENANT OTHER( DESCRIBE): (0fy, c�Q- ( ) - C �rr�r� B`Y E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR - „,111 DETAILED BUILDING INFORMATION;. `` • - EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO WATER SERVICE PROVIDER: (] LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) - SEWER SERVICE PROVIDER: I 1 LAKEHAVEN lI HIGHLINE 17 PRIVATE (SEPTIC) 4 � *ANEW 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 _ 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: 0 ELECTRIC 0 GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( INTERCEPTORS) 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 claim(including 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 filed against the City of Federal Way,but only where such daim arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied t. the city as a part of this application. i NAME/TITLE: '_/ /-'4 ��./: DATE: (lit ---(7r6, ❑ PROPERTY O _ 0 APPI(•NT / ❑ CONTRACTOR FOR OFFICE USE ONLY: I _❑ NEW fl ADDITION 0 ALTERATION - ❑ TENANT IMPROVEMENT 'CENSUS CODE: -. . :_. LOT SIZE ;ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO COMP PLAN DESIGNATIONBASIC PIAN? ❑ YES 0 NO SECTION .; TOWNSHIP RANGE NEW ADDRESS REQUIRED? 0 YES 0 NO PLATTED LOT? 0 YES 0 NO CHANGE OF USE? ❑ YES ❑ NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063 9718-253-661-4000•FAX_253-661-4129 www.citvof ederalwaY.CQm v 117111111111111.1.1111.1.111111.111111111111111111=1"1-1.111.11M1. . TABLE B J-- NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family • _Service or feeder only - 550.00 _k of Thermostats(First-$37.50;add'n-S 1 I.50ca) (First 1300 ft2475.00;Each add'n 500 ft=-524.00) _Service.and feeder . S81.00 II of Low voltage fire or burglar alarms • • Square Feet: . first 2500 f(2-543.50;Each add'n 2500 ft2-511.50 • • _Each outbuilding or garage . S3I.00 MOBILE HOME/RV PARK • .'quare Feet: /COO • (Inspected with service) _k of service or feeders • • Per WAC 296-46-910(5)(b)(i&ii) _Each outbuilding or garage 550.00 (First service/feeder-S50.00;Add'n service/ - _#of Signs(First sign-537.50;add'n sign (Inspected separately) feeder-532 each) $17.50 each) _Swimming pool,hot tub,spa $75.00 _Yard Pole meter loops 550.00 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 S 81.00 _Up to 200 amp S 81.00 S 24.00 Feeder _201 -600 189.00 _201-400 amp 101.00 50.00 _0 to 100 5 81.00 S 50.00 _601 - 1000 284.50 __401-600 amp 138.00 68.50 _101-200 101.00 63.50 over 1000 317.00 _601-800 amp 176.50 94.50 _201 -400 189.00 75.00 5 k of circui Over 800 amp 252.50 189.00 _401-600 220.50 88.50 (1-5t uits-gli9 Add'n circuits,55 ca) 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 _Over 600 volts surcharge 63.50 _0-100 S 50.00 _201-600 amp 101.00 _Mast or meter repair 68.50 _101 -200 63.50 _over 600 amp 151.50 _201-400 75.00 _Mast or meter repair 37.50 _401 -600 101.00 _k of circuits over 600 109.00 (1-4 circuits-550.00;Add'n circuits S5 ea) If service is greater than 200 amp.a plan review is rcq'd.Fee is 35%of pemiit fee+$63.50.Add'I 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): Total Colpmn(0) (3c Estimated Permit Fee: (12) !- Estimated Permit Fee from line 12 Estimated Plan Review Fee: $63.50 +( 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) Btilletul #t - J.7nu.uy 18, 2002