03-103972 City oeveWay
Community
Development Services Electrical Permit #:03 - 103972 - 00 - EL
n
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: PACIFIC COAST FORD
Project Address: 33207 PACIFIC S Parcel Number: 172104 9020
Project Description: Moving/altering circuit for sign move
Owner Applicant Contractor
PACIFIC COAST FORD INC MILLER ELECTRIC,INC MILLER ELECTRIC,INC
33207 PACIFIC HWY S PO BOX 66457 PO BOX 66457
FEDERAL WAY,WA SEATTLE WA 98166 SEATTLE WA 98166
98003 (206)248-1102
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits- Commercial 1
PERMIT EXPIRES February 22,2004.
Permit issued on August 26,2003
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. O
Owner or agent: Date:
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BEGEIVED CONSTRUCTION PERMIT APPLICATIO
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— APPLICATION NUMBER:: p3 Z ] - -
6 2003 APPLICATION NUMBER: _ _ - _ _ _ _ _ -pm
APPLICATION NUMBER:FED
WP
**Thigkiiil4i�j .- iii.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: 3 3' ° 7 PG e.1.-46, "I' s. ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL ❑DEMOLITION
j2tELECTRICAL 0 ENGINEERING ❑FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): M DV& 7/TG i r<..Mit /
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PROJECT NAME:
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
i4 6 1 ' c. Cod;5� -F-vA,
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MAILING ADDRESS(STREET ADDRESS;CRY,STATE,ZIP):
CONTRACTOR: NAME: i DAYTIME PHONE:
M i I Ie V gf�4-1-)6- I h G ()IN ) ?la - //t)�
MAILING ADDRESS(STREET ADDRESS;CRY,STATE,ZIP): EVENING PHONE:
49 O x 6 V Y 1 cef2.-/--�-�.� WA W) 7( (
CITY FEDERAL WAY BUSINESS LICENSE NUMBER: ) FAX NUMBER:
3g te
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: I
(coPY of card required) M Y < < EraNB' LC I l t
APPLICANT: NAME: DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER: 1
❑ARCHITECT 0 TENANT Iit OTHER(DESCRIBE): ( n /Ya c:-/-1V ( ) - j
E-MAIL ADDRESS: '
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT ptCONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: . EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? OYES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: OYES 0 NO
WATER SERVICE PROVIDER: ❑LAKEHAVEN 0 HIGHLINE ❑TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑LAKEHAVEN 0 HIGHUNE 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: CI ELECTRIC ❑GAS
PLUMBING
_ BATHTUB(S) LAVATORY(S) URINALS) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 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 claim(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of
Federal Way,but only ere such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information su,f lied • the city as a part of this application.
NAME/TITLE: DATE: //,./.(e/0 3
❑PROPERTY OW ' ❑APPLICANT C (CONTRACTOR
FOR OFFICE USE:ONLY:
=DNEW DADDICION .-':0ALTERATION"i ❑REPAIR TENANT IMPROVEMENT
CENSUS CODE. - _ - LOT
ZONING".DESIGNATION BUILDING SHELL ONLY? -DYES `-D
•
COMP PLAN DESIGNATION . .:" ! BASIC PLAN? DYES a'D NO `=<z
:SECTION .. ,-TOWNSHIP__c ".,."RANGE NEW ADDRESS REQUIRED? ;-'"❑YES D NO
PLATTED LOT? . DYES .D"NO CHANGE OF USE?"' "''DYES ❑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
■ ELECTRICAL
A
• TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $50.00 _#of Thermostats(First-$37.50;add'n-$11.50ea)
(First 1300 ft-$75.00;Each add'n 500 ft-$24.00) _Service and feeder $81.00 _#of Low voltage fire or burglar alarms
Square Feet: First 2500 fl-$43.50;Each add'n 2500 ft2-$11.50
_Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders 'Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $50.00 (First service/feeder-$50.00;Add'n service/ _#of Signs(First sign-$37.50;add'n sign
(Inspected separately) feeder-$32 each) $17.50 each)
_Swimming pool,hot tub,spa $75.00
_Yard Pole meter loops $50.00
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 $ 81.00
_Up to 200 amp $ 81.00 $ 24.00 Feeder _201-600 189.00
_201-400 amp 101.00 50.00 _0 to 100 $ 81.00 $ 50.00 _601-1000 284.50
_401-600 amp 138.00 68.50 _
601-800 amp 176.50 94.50 101.200 - 101.00 63.50 over 1000 317.00
_201-400 189.00 75.00 #of circuits
-Over 800 amp 252.50 189.00 _401-600 220.50 88.50 (15 circuits-$63.50;Add=n circuits,$5 ea)
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 $ 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
_#of circuits over 600 109.00
(1-4 circuits-$50.00;Add'n circuits$5 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+$63.50.Add=l 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 Column(D)
Estimated Permit Fee: (12)
Estimated Pernik 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)+(23p (24)
Bulletin#100-February 19,2002