03-102406 City of Federal Way
Community Development Services Electrical Permit#:03 - 102406 - 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: PETSMART
Project Address: 31705 PACIFIC S Parcel Number: 082104 9196
Project Description: Install low-voltage security alarm system.
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES LLC CHECKPOINT SECURITY SYSTEMS ADVANCED INTEGRATED SYS LLC
HARSCH INVESTMENT PROPERTIES LLC 6640 SHADY OAK ROAD SUITE 300 4706 123RD ST S
1121 SW SALMON ST EDEN PRAIRIE MN 55344 EVERETT WA 98208
PORTLAND OR 97205
Electrical Fixtures
Low Voltage Burglar Alarm -Comme 19107
PERMIT EXPIRES December 8,2003.
Permit issued on June 11,2003
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 ' accordance with the laws,rules and regulations of the State of Washington and
the City of Federa .
Owner or agent: " • Date:
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RECEIVED CONSTRUCTION PERMIT APPLICATION
CITY OF �...� JUN 1 1 2003 APPLICATION NUMBER: Q3 - -L 0 2 4 D (o- oo_ tL
Federal Way APPLICATION NUMBER: -
CITY OF FEDERAL WAY kPPLICATION NUMBER: - -
BUILDING DEPT.
"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: 3 t -1 o S AC_(FlCie'• ASSESSOR'S TAX/PARCEL #: e� C Y - jic
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING ❑ MECHANICAL o DEMOLITION
ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): !.w QCs — / / /97.-
S - N(? \JIDE-CD
PROJECT NAME: "PE'TSv1A O(p
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: ; DAYTIME PHONE:
1•} -d-SL T
H- 1 N J E-Swi i I R-0 4%=,77z-r'Z es2 ( ' )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
f/a ( S w .S7,1-C144.c>-n.) .€77— o e', . 7 40 r
CONTRACTOR: I NAME: D YTIME PHONE:
I, 7N�coet-4-T /D s t s GLC (VS) - <R6(
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): I. EVENING PHONE:
(c?- -Co S /1,((c-& t.... 4--f a- ! (y��) C a I
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
(Lids) -38-63
CONTRACTOR'S REGISTRATION NUMBER:
I EXPIRATION DATE:
(copy of card required)
APPLICANT: NAME: T DAYTIME PHONE
9”1- ^ :
Az)c,
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: j FAX NUMBER:
0 ARCHITECT o TENANT ❑ OTHER (DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES o NO
WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE o TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO)ECT 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 ❑GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ 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 daim(inducting 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 daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information supplie the dty as a part of this application.
NAME/TITLE: 14"'' l— DATE: tpit /0
o PROPERTY OWNER o APPLICANT ) CONTRACTOR
FOR OFFICE USE ONLY:!%
1-17 NEW.. ,1 o ADDITION ❑ALTERATION Y':D REPAIR ❑TENANT IMPROVEMENT
'CENSUS"CODE'-V. _:: =1" : .LOT SIZE: e.,' c.
;ZONING DESIGNATION:.__ .. fix,
.�.___,.�.. BUILDING SHELL ONLY? 0 YES,.::❑,NO
COMP PLAN DESIGNATION_ „ ri z •` .BASIC PLAN? -- o YES -El'
.SECTION » ..n.TOWNSHIP ;=' --RANGE Via" NEW ADDRESS REQUIRED? =.:"❑YES°~ -o NO
'PLATTED LOT?, ❑YES ❑'NO CHANGE OF USE? ❑YES• -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.dtvoffederalway.com
•
■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _it of Thermostats(First-$43.00;add'n-$I3.00ca)
(First 1300 ft1-$85.50;Each add'n 500 ft'-$27.50) _Service and feeder $93.00 _tt of Low voltage fire or burglar alarms
Square Feet: _ First 2500 ft2-$50.00:Each add'n 2500 112-11300
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet: D�7
(Inspected with service) _tl of service or feeders •Per WA 296-46-910(5)(b)(i R ii)
_Each outbuilding or garage $57.00 (First service/feeder-$57.00;Add'n service/ _It 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
if Service Feeder Amps Service or Add'n _0 to 200 5 93.00 i
_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 II
601 -800 amp 202.50 108.50 201-400 216.50 85.50 ft of circuits
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 -CF-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 $ 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
It of circuits _over 600 125.00
(i'+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+$72.50.Add'l plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
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I i i
1
TOTAL COLUMN(D): .
Total Column ID)
Estimated Permit Fee: (12)
Estimated Permit Fee from hoe 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 Surrcharge: (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