03-102473 •
City of Federal Way
Community Development Services Electrical Permit#:03 - 102473 - 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: PAVILION CENTER II(BUILDING D)
Project Address: 31653 PACIFIC S Parcel Number: 082104 9196
Project Description: Install low-voltage fire alarm system
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES LLC SELKIRK ELECTRIC SELKI'., ECTRIC
HARSCH INVESTMENT PROPERTIES LLC PO BOX 2990 PO BOX`'. I
1121 SW SALMON ST NORTH BEND W 45 NORTH ' D WA 98045
PORTLAND OR 97205 -3330
Allie JP
E Fixtures 141111 ii,
Description Quanti
ascription ti Description Quantity
Low Voltage Fire Alarm-Commercia 13
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d\il
PE' camber 22,2003.
P: t7, s -d o ne 25,2003
ereby certify tha a ove info •..tion is . e nd that th• onstruction on the above described property and
occupancy and e use will • ' ordancs i laws,rules and regulations of the State of Washington and
th •' of Feder ay.
Owner or agent: ��0� �_ Date: Cc:/)2,1- 263
RECEIVED' CONSTRUCTION PERMIT APPLICATION
CITY OF APPLICATION NUMBER: Q3- L C)
Federal Way JUN 1 7 Z003 APPLICATION NUMBER: -
1APPLICATION NUMBER: -CITY OF FEDERAL WAY
**The followin§ lCaitce9ER3timation—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
U PROPERTY INFORMATION :,
SITE ADDRESS: 3/c 65- AC. /�W Y ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL o DEMOLITION
i! ELECTRICAL 0 ENGINEERINGJINo FIRE PREVENTION SYSTEM
^r
PROJECT DESCRIPTION(Provide detailed description): /A/$ ,(` /-/2 /g1A21�1 S i c`FYY\
A/ 2c-7--01 1 '64 , /01A- Chian=L c a An I-1
i
PROJECT NAME: / {/L6AYP (Vt.-4 /0//�CL
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE
/7A,esCh/ /,v' 1S -,7 -- / %0p6,e9--/s ; wale)
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
G.) #46/T7 r ae.2 1♦ - ' C.)
CONTRACTOR: NAME: DAYTIME PHONE:
j L5 -/e/W,- G/6 ie/c. (445)8 -333
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): i. EVENING PHONE:
CTT�a N . /SCA A erhi 1,�1A_ 1 6--
OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
ZO— 457, - 16 4 4 c - o o4z5--).888-3377
CONTRACTOR'S REGISTRATION NUMBER: { EXPIRATION DATE:
(copy of card req„1red) S K 16913 - R8 1 a ' z e / 3
APPLICANT: NAME: DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: j FAX NUMBER:
0 ARCHITECT o TENANT o OTHER( DESCRIBE): ( ) I
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER ❑ APPLICANT 'CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ 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: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o 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(induding costs,expenses,and attorneys'fees Incurred In the
investigation and defense of such claim),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 supplied to the city as a part of this application.
NAME/TITLE: DATE:
❑ PROPERTY OWNER o APPLICANT ❑CONTRACTOR
FOR OFFICE USE ONLY:':
10 NEW: 4:0'ADDITION Q ALTERATIONy+.;❑;REPAIR =,0 TENANT IMPROVEMENT •
'
LOT SIZE: .k r. . �.:•.
;ZONINGDESIGNATION 3
�; �� ._._-._� BUILDING SHELL ONLY? YES '.=❑ NO -"
=COMP PLAN DESIGNATION -: .. :BASIC PLAN? ❑YES ❑ NO =
SECTION ,
NEW ADDRESS REQUIRED? ❑YES -o NO
PLATTED LOT?, `'❑YES 13140 5 '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.cttvoffederalway.com
•
• El ECTRI AL
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-$13.O0ca)
(First 1300 ft2-$85.50;Each add'n 500 ft1-$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: /3 6"QI`j
(Inspected with service) _#of service or feeders *Per WAC296-46-910(5)(b)(i&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 _0 to 200 5 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 1 93.00 $ 57.00 -601 -1000 326.50
101 -200 115.50 72.50
401 -600 amp 158.50 78.50 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 (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/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
a of circuits _over 600 125.00
(1-4 circuits-157.00;Add'n circuits$6 ea)
i )
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
nenrrit fee+$72.50.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)
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TOTAL COLUMN(D):
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)
. ■ ENGINEERING • ..
Estimated Permit Fee:(16)
Bond Amount: (17)
■ OTHER FEES -. ,...
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Total (Pagesone&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-December 23, 2002