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03-102802 City of Federal Way Commununityity Development Services Electrical Permit #:03 - 102802 - 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: LAKOTA JR HIGH SCHOOL Project Address: 1415 SW 314TH 5-f Parcel Number: 072104 9143 Project Description: Install circuits for outlets and lighting,install voice data lines/outlets, install fire alarm lines/devices, install intercom lines/devices;Work in connection with conversion of shop areas to classrooms. Owner Applicant Contractor FEDERAL WAY PUBLIC SCHOOL SHEPPARD&NELSON ELECTRIC SHEPPARD&NELSON ELECTRIC 31405 18TH AVE S PO BOX 3630 PO BOX 3630 FEDERAL WAY WA KENT WA 98032-0210 KENT WA 98032-0210 98003-5433 (206)878-7333 Electrical Fixtures Description Quantity Description Quantity Description Quantity Circuits- Commercial j 20 Low Voltage-Other Commercial 4800 Low Voltage Fire Alarm-Commercia 4800 PERMIT EXPIRES January 14,2004. Permit issued on July 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 Federal Way. C� Owner or agent: --� � Date: 4 1 ) d-0 2- sir d (t'Ll -&-/2 il--0(4 ifea 4 (j2' 9 -- z s--o -s cocr`.e d.-4-‘,'0, (O— z AZA/ /'d/•c \)‘. �D A RECEIVED kit /i0) av,+-/'off CL , ef;OfG _ CONSTRUCTION PERMIT APPLICATION uV FLY .1 \ APPLICATION NUMBER:Ca- 4Q2 (j ) CITY OF FEDERAL WAY `_ APPLICATION NUMBER: - ILDING DEPT. — = APPLICATION NUMBER: - _ __5). **The following is required 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: )' / /-S sad, z piti Sr ASSESSOR'S TAX/PARCEL#: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ■ PROTECT INFORMATION' TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION of ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed descrr/iption): / se,v.0,r."--A-Ps,1 S n(A�4. A/9 4t d�p o GI/i-SSi&0,eyA45, ,1Y,diet/'GAA L. oweiz I 1.1,..-LTSA/' i/ajcY" „D41>) PROJECT NAME: e/4 S S h©an^ 4 ia/f J'Pft./..c.. ■ PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: r.Z=e C4//..z-/ le.) 34_L 0, ,I ,,. %i ,°�7- (2,5-,3 ) 9 - .5-9.4o UNG ADDRESS(STREET ADDRESS; STATE,ZIP): /PGG So. 3Za7/ 5% ) J SCI L lo,f, ) l v4 CONTRACTOR: NAME: i DAYTIME PHONE: ' h,e pjp4rC1) 9f /Vp i €1w ,E'lcc/A'/`c (ZvG B'78 - 33-3 MAIUNG ADO (STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: /b./ 3G.3a /{,e.�,T W4 . 9 �a6'9 ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: // 9 ,-G 0 _ j o)s� _ 66 `(�/, FAX NUMBER:© {� Iyer /� _ —7 _7 I`7 ( 2 )R - /Go/ CONTRACTOR'S REGISTRATION NUMBER: — — — — — — — — EXPIRATION DATE: (copy ofcard required) 1 P of �`Sa 7 / ? / o APPLICANT: NAME: DAYTIME PHONE: ( 4- 4- A- Ahe,vla ( ) MAIUNG ADDRESS(STREET CITY, - EVENING PHONE: ( ) - RELATIONSHIP TO PROJECT: FAX NUMBER: 0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT ]CONTRACTOR ■ DETAILED BUILDING INFORMATION EXISTING USE: /C_(i a co LEXISTING BUILDING ASSESSED/APPRAISED VALUATION $ ' PROPOSED USE: C(/r S S ro D An 1 PROPOSED VALUATION FOR IMPROVEMENTS: $ , SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:I YES 0 NO WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) A **NEW RESIDENTIAL CONSTRUCTION ONLY** ' NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROSECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT _ FIRST SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: 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) µ 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.( ) 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 claim arises out of the reliance of the dty,Including its officers and employees,upon the accuracy of the information syipplied to the 'ty as a part of this application. � �NAME/ ITL _ . .. l �_ i' �.„.., DATE: 2- 0 7 0 3 ❑ PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR r 4..•R e.F. ICE:USE oNLy:- C l"e_ I f r t p' (jN ,ALT,ERATI ;... .. P R 01NANT PROV,EMENT. y�� ['°d 1...F.1:62° i .'r 4 'a,J .4 ;.?: �' —7.-',' 4 ...aa ..s. .. :::c. r —'- f. '1 r '�"k. +a M' ° ° 45I f 1•j E • U U NO � - [','"S_•"—u—'l4^'�,� 01,,:'"�c .1`.N�a{�:i� '1� .a<.,:b4a„� °s ,14-0/.. :51.� .. kY�® .° r .. `4 .AV'' s y F E Oil ;ti; OWNSIIIP i ' NGE(”a v4;` "y„' D S • °tift ' ti ,1,,&}F x., , ©iNO , { CD 16Y7y.,t-2�e'.41 i43:131O!i-,4 C !triji' l6;-ora . .!..'4.�7. 1OVA_ � L` O 1la- '5 x: COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:753661-4129 www.dtvorfederalway.00m tf i • . ■ ELECTRICAL ` TABLE B • NEW RESIDENTIAL SERVICES MOBILE HOMES MIS :• I PMENT/TEMP '' ES _Single Family _Service or feeder only $57.00 • of Thermostats(First-$43.00;a..' -$I 3.00ca) (First 1300 02-$85.50;Each add'n 500(t'-$27.50) _Service and feeder $93.00 ,2,#of Low voltage fire or burglar alarms Square Feet: First 2500 fl'-$50.00;Each add'n 2500(i`-$ 3.00 _Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet: H h9,00 (Inspected with service) _#of service or feeders i • Per WAC1296-46-91i&" _Each outbuilding or garage $57.00 (First service/feeder-$57.00;Add'n service/ r o : s(First si•. • .:I;a ' sign (Inspected separately) feeder-S37 each) - $20.11 eac Swimming pool,hot tub,spa $85.50 Yard Pole meter loops $57.01) 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 1 93.00 = Up to 200 amp 5 93.00 $ 27.50 Feeder _201 -600 216.50 201 -400 amn 115.50 57.00 _0 to 100 5 93.00 $ 57.00 .1 :::.. 326.50 !I _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 gp of circuits _Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 (I-5 circuits-$72.50: 1d'n circuits,56 ear ALTERED SINGLE/MULTI FAMILY _601 -800 326.50 138.00 (When inspected separately from the services.) _801 -1000 399.00 166.50 TE' '•' • 'Y 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 _ #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,or a new or altered residential service is greater than 400 amps,a plan review is required.Fee is 35%of permit fee+572.50.Add'I plan review for other submissions is$85.50/hr. 11.a15EI1:l1i14Y•l9 JI(sl►[Qlli ' I ' •O' A: : Oil - ,NUMBER OF UNITS C TOTAL D ' O IMINEWEregragleirli 1 . i �.1�_�u �II S Z 1 _ '0 I TOTAL COLUMN D - Total Column(D) Estimated Permit Fee: (12) Estimated Permit Fee from tine 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