03-102087 City of Federal Way
Community Development Services Electrical Permit #:03 - 102087 - 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: AAA WASHINGTON
Project Address: 2122 S 314TH 5t Parcel Number: 092104 9053
Project Description: Installing new LN voice&data cabling
Owner Applicant Contractor
ROSEN PROPERTIES D&D COMMUNICATIONS*KURT EVANS D&D COMMUNICATIONS*KURT EVANS
PO BOX 5003 4107 175TH PL NE 4107 175TH PL NE
BELLEVUE WA 98009 ARLINGTON WA 98223 ARLINGTON WA 98223
(360)653-8792
Electrical Fixtures
awe :. � 8a 8e W :`-,..titiAMITTrolofta aIL
Low Voltage-Other Commercial 4457
PERMIT EXPIRES November 18,2003.
Permit issued on May 22,2003
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.
Owner or agent: Date: Ste/Z
Y
v -
69�
Rough-in inspectio:, • 4 _ 2
ate
FINAL inspection: L _—L (� 76-c1'�
LAT
r Date
RECEIVE CONSTRUCTION PERMIT A'PLICATION
CITY OF �� Q 'APPLICATION NUMBER: - 25a
Federal Way / APPLICATION NUMBER: - -
MAY 2 2 2003 (APPLICATION NUMBER: - -
"'The fCol OIL'1. irornation-Please print(in ink)or type"
"�G DEPT.
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: 1i�i7-2 ' '3 I4�v i ER4LW4) ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(fiA ACH SEPARATE DESCRIPTION IF LENGTHY):
/1/n 7 71' 7 4/ Gam, 1;'7 .✓J
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detaileddescription): _j/✓STA�L-✓%J� ` 4 D,'r/- A./i '�
adolG s 0 or Id- f1:rni.✓.'1 /7i .i.�- 4 +( •
PROJECT NAME: if/In 44s— 4
I PEOPLE INFORMATION
PROPERTY OWNER: NAME: i DAYTIME PHONE'
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAME: �' pp i DAYTIME PHONE:
d� tv„ �J �� r�or�, �/r,�Ca �oh'J ������ (UZs"),7 2_ -3078
MAILIN ADDRESS(STREET ADDRESS; ,STATE.ZIP): I. EVENING PHONE:
•o . 60 L30106'0 ) 6'53 - g7�iz
OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
SWA 65-1 - 2-tr sem.
CONTRACTOR'S REGISTRATION NUMBER: hh C d� I EXPIRATION DATE:G
(copy of card required) iJ 0 / *4" .9 1 Q ea t /0 /"d /d'S
APPLICANT: I NAME: i DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
� ( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT o 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: $ gfr lIZPV
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES o NO
WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE O TACOMA O PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
L FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. •TAL
BASEM ENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DE -'•BE)
DECK
: •RAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) •S LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSE• - RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE
DUCT(S) G• ` •E OUTLET(S) HEAT SOURCE: 0 ELECTRIC ❑ GAS
PLUMBING
BATHTU: - LAVATORY(S) URINAL(S) WATER HEATER(S)
D ASHER(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 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(induding 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 where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information 7/plied to e city as a part of this application.
NAME/TITLE: kid n441/0/ DATE: Z'
o PROPERTY OWNER o APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
•0,NEW• M_c ADDITION ,.,. a ALTERATION ; _'- ciREPAIR .,_, -;€❑;TENANT •
IMPROVEMENT
'CENSUS'CODE._, s, ... I *_ :LOT SIZE:' . _, ..- . •
;ZONING'DESIGNATION; y _.. ;x ,. ;, BUILDING SHELL ONLY? -DYES ".=❑ NO
COMP PLAN DESIGNATION =^
PLAN? "•:5 ❑YES ': -'❑"NO.,.w .,.... .
SECTION TOWNSHIP 'RANGE NEW ADDRESS REQUIRED? . :' ❑YES.., o NO
PLATTED LOT?r' -'❑YES . !'NO CHANGE OF USE? ❑YESr`=n NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www,driofederalwav,com
•
• ELECTRICAL
,TABLE B
t .
NEW RESIDENTIAL SERVICES MOBILE HOMES 'ISC EQUIPMENT/TEMP SERVI
_Single Family _Service or feeder only $57.0' _ft of Thermostats(First-$43.00;add'n-'• .00ca)
(First 1300 ft2-$85.50;Each add'n 500 ft1-$27.50) _Service and feeder $93.10 #of Low voltage fire or bur_lar alarms
Square Feet: First 2500 ftr-$50.0:Eac•...ri'n 25(00 `-513.0 `
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet: I rI
(Inspected with service) _#of service or feeders • 'Cr 2'6-46-910(5)(b)(i&iii
_Each outbuilding or garage $57.00 (First service/feeder-$57.00;Add'n service/ _#o , •n-$43.00;add'n si•• 0
(Inspected separately) feeder-$37 each) - $20.00 eac-
Swimming pool,hot tub,spa $85.50
_Yard Pole meter loops $57.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three wiltS Of more) Altered Service or Feeders
Service Feeder Amps Service or Add'n _0 to 200 5 93.000
_Up to 200 amp S 93.00 $ 27.50 Feeder _201 -600 216.50
_201 -400 amp 115.50 57.00 _0 to 100 $ 93.00 S 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 II of circuits
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 (1-5 circuits-$72.50;Add'n circuits,$6 eat
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/Commerciai/Industrial
=
0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 _0-100 S 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 I _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.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS C TOTAL(D)
1
• I I
TOTAL COLUMN(Co):
Total Column(D)
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)
_
_ -- ,--... . • ■ ENGENGINEERING .. ...
Estimated Permit Fee:(16)
Bond Amount: (17)
■ OTHER FEES
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Total (Pages() ' . Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-December 23, 2002