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03-102724 City of Federal Way Community Development Services Electrical Permit #:03 - 102724 - 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 32NDIS Suite301 Parcel Number: 162104 9001 Project Description: Install lights,�receptacles and switches. Work involves the installation of a 150-amp subpanel and(12) circuits. 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 n °. „,.Elot a .> .«';"i t T..........`. ,. _,i,uanti li4r4WDes. k[�1t ♦11 ry;x y Circuits- Commercial 12 Service/Feeder:101-200 amps-Comm 1 PERMIT EXPIRES December 29,2003. Permit issued on July 2,2003 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 ` Owner or agent: L'l.XJ1/> \)`Q.JZ/�,1 Date: 1 7, 4 - ©3 HSE WAG" CP V ito(p- '(/ (o— o3 T © (,) 1� ✓��— ep-01/ , -- virtd l C-le —e $ - — a 3 R\A.ctl _4_4..., "aa CONSTRUCTION PERMIT APPLICATION CITY OF APPLICATION NUMBER: 493 - /d 2 7 z y- 0. ..ez. Federal Way JUL 0 `, ,' '' ` APPLICATION NUMBER: - APPLICATION NUMBER: - - **The li d 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: 32po \ O O . 3 2`'1-� ' 4A 11.01aStOR'S TAX/PARCEL#: L( ( v, ' ZOO L LEGAL DESCRIPTION OF SUB./ECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • PROJECT INFORMATION TYPE OF PROTECT(This application): ❑BUILDING 0 PLUMBING ❑MECHANICAL 0 DEMOLITION CAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): - Z• NIL _-- & 4. r- -(-A . ‘.....L.%404ir'' i -'Cl - - S .r.. 5......q._-erG-44rs,-5... _ y`P NO C3 tPrwr-QiLy --. ,. -. Y 2.. CAv7..c•Av..-CS.1CiIul PROTECT NAME: 57,it e-' GI".,-,uoveL 4. • PROJECT INFORMATION PROPERTY OWNER: NAME: �_ S.S "�� _V® �V i ./ (Y IME PHONE: - MAILING ADDRESS(S7tEET ADDRESS;CITY,STATE,ZIP): CONTRACTOR: NAME:` ` DAYTIME PHONE: t '` �»t. u `.-1 ►�G.. ' (4ZS)deUS 1 20S0 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: %2L - '44J0.** vJL t.'(1., IuVr i u ito 982.45 ( c;. CITY OF FEDERAL WAY ESS LICENSE NUMBER: FAX NUMBER: _ _ _ X34 - _ _ • (42 2.\o-54t 4' CONTRACTORS TION NUMBER\ EXPIRATION DATE: (copy of card required) I L\_ : 1I. Le-.` .o - / '. i oS APPLICANT: NAME: DAYTIME PHONE: f -t Vi.,-. y Joe C ( MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( RELATIONSHIP TO PROJECT: FAX NUMBER: t 0 ARCHITECT ❑TENANT 0 OTHER(DESCRIBE): ( )E-MAIL - ADDRESS: CONTACT PERSON FOR THIS PROTECT: 0 PROPERTY OWNER ❑APPLICANT ❑CONTRACTOR • PROJECT 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: 0 YES o NO WATER SERVICE PROVIDER: 0 LAKEHAVEN ❑HIGHLINE ❑TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 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 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: q ELECTRIC ❑GAS PLUMBING BATHTUBS) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑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 coned 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 a • - - . such daim),which may be made by any person,including the undersigned,and filed against the City of Federal Wa . only with:. - daim arises out of anoe of the dty,including its officers and employees,upon the accuracy of the I , . . supplied ,,the dty as a part ication. NAME/ - t• DATE: I 0 Z ❑PROPERTY OWNER ❑ ' ' CANT ) ONTRACTOR FOR OFFICE USE ONLY: to NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? ❑YES o NO COMP PLAN DESIGNATION BASIC PLAN? ❑YES ❑NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑YES ❑NO PLATTED LOT? O YES ❑ 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 LICENSED AS PROVIDED BY LAW AS ELEC CONTR i.GENERAL LICENSE # EXP. . DATE ECO1 HMELEI*077KR 05/19/2005 EFFECTIVE DATE 05/19/1993 H & M. ELECTRIC INC 8227 4.4 H AVE W STE G MUKI EO WA • 98 7 Signature -.•� ` "_�� _ issued by DEPART ENT OF LABOR AND INDUSTRIES • 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-S13.00ea) (First 1300 il2-$85.50;Each add'n 500 t-$27.50) _Service and feeder $93.00 _#of Low voltage fire or burglar alarms Square Feet: First 2500 ft-$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(5XbXi&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 NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (Includes three units or more) Altered Service or Feeders Service Feeder Amps Service or Add'n J 0 to 200 /Sd fit° $ 93.00 _Up to 200 amp $ 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 326.50 _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 aZ #of circuits _-Over 800 amp 289.50 216.50 _401-600 252.50 101.00 (1-5 circuits-$72.50;Add=n circuits,$6 ea) 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/lndustrial _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 #of circuits _over 600 125.00 (1-4 circuits-$57.00;Add'n circuits$6 ea) If a new or altered commercial service is 200 amps or greater,ora new or altered residential service is greater than 400 amps,a plan review is required.Fee is 35%of permit fee+$72.50.Add=1 plan review for other submissions is$85.50/hr. FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTALSD) TOTAL COLUMN(D): _ Total Column(0) Estimated Permit Fee: (12) Estimated aermt Fee from line 12 Estimated Pian 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) S0CC Surcharge:(19) (21) (23) Total(Pages One&Iwo): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)=(24)