03-101836 City of Federal Way
Community Development Services Electrical Permit#:03 - 101836 - 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 fire 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 Fire Alarm-Commercial 19107
PERMIT EXPIRES November 30,2003.
Permit issued on June 3,2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use wil e in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent:T-1- c1) Date: O(. ( 6 3 (U-3
6 ,o3 P, p e-eS? � D
RCE1VE® CONSTRUC I ION PERMIT APPLICATION k
CITY OF APPLICATION NUMBER:
Federal Way MAY d $ �Ukja f APPLICATION NUMBER: Q3- , 01 is-z -
CITY OF FEDERAL WAY kPPLICATION NUMBER: -**The following i1UriTsrm action-Please print(in ink)or type*"
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
V'PROPERTY INFORMATION
SITE ADDRESS: '' 1 S 1?�Q'A c-I(,' A_Wy ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
e PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): ) \IIS -L L oN b f l2- MA t L4 Oa_
S s► (Low vo t-T ,-tE
PROJECT NAME: PESN\AR ' * I I oLp
/.1 PEOPLE INFORMATION
PROPERTY OWNER: NAME: ; DAYTIME PHONE
POZSEF )NVI✓STM.E1J1 pt-RV • S - bOIA.A LAS >}A -N, (`-63)2H-2_ - 1-9 O a
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
1121 SW SAI-MON ST Pb2Tt Ni 012 912D5
CONTRACTOR: NAME: DAYTIME PHONE:
I ( )
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): I EVENING PHONE'
I CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: I FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required)
I
APPLICANT: ME�VNJ'A'��E:l/i�/��' DAYTIME PHONE 2 -L
MAILING ADDRESSO (STREET ADDRESS;CITY,iT'STATE,�ZIIP): r SI LAVE 1�I Ii1 PPIN I (0 0 O ) q-s - LQLQ.-T'-t
EVENING PHONE
lP ' S A b"-1 •C : I• I s,`. PPA r E rvtN 55344( ) -
RELATIONSHIP TO PROJECT:
FAX NUMBER
0 ARCHITECT ❑ TENANT gOTHER( DESCRIBE): L , k •; ( Cv5l) (44-f(p -LI 33
-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER 0 APPLICANT ❑ CONTRACTOR [S+CV I LPPl(6 CheGk—p;
WWI
C4 DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 13►'-4%5.`-1+'
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES ❑ NO
WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
,. • PROTECT 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 o 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)
IK DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury th• 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 daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the Information suppli e city s a pa .of this application.
.NAME/TITLE: '#_. /* DATE: 5z)o3
❑ PROPERTY OWNER 0 APPLICANT ONT'RACTOR r
� M Alk s�cY,-iZ�
1 dig ,ALAS D (�
• FOR OFFICE USE ONLY:
.D_NEW ,0w:o ADDITION -`,a❑ALTERATION .s.h'o;REPAIR:.,:q..4.17,❑;TENANT IMPROVEMENT ='
77244-: 'LOT SIZE 1 :,
'CENSUSCODE � ., �.� `.� - . .. -.,�; .�, . .�.;- �.-� .,_,.. ._�. _� �.
;ZONING DESIGNATION r '.4i, ,,, ,� BUILDING SHELL ONLY? 0 YES ..=❑ NO
=COMP.PLAN DESIGNATION, r .. :BASIC PLAN?_ o YES .-"❑ANO -
SECTION .TOWNSHIP ':';'•--`RANGE--=i NEIN ADDRESS REQUIRED? ,. ❑YES'.,
„ o NO
PLATTED LOT?. ''o YES o`NO . .. " CHANGE OF USE? ❑YES 13 NO •
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.cttyofederaIway.com
TABLE B
‘,.� v
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
Single Family Service or feeder only $57.00 ft of Thermostats(First-$43.00;add'n-S 13.00ca)
(First 1300 ft'-585.50;Each add'n 500 ft'-527.50) Service and feeder $93.00 ft of Low voltage fire or burglar alarms 1
square Feet: First 2500 ft2-S5Q 00:Each add'n 2500 ft'-$13(10
Each outbuilding or garage $35.5(1 MOBILE HOME/RV PARK Square Feet: O)10-}-
I -(Inspected with service) ft of service or feeders * Per WAC-296-46-910(5)(b)(i& ii)
Each outbuilding or garage $57.00 (First service/feeder-557.00;Add'n service/ ft of Signs(First sign-543.00;add'n sign
(Inspected separately) feeder-537 each) $20.00 each)
Swimming pool,hot tub,spa $85.50
Yard Pole meter loops _ 557(1(:
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL I
(Includes three unm,or more) Altered Service or 1 eeders
p - .... ...- __ _ 9s:1u
Service Feeder Am Ser�icc or Add ❑ 0 to 200_.-
_
O20ra to 60' -
amp_._ _ __ S 93.00 S 27.50 Feeder _-201 -600 216.50
I _ (
1 -400 amp _. ._ 115.50 57.00 oto 100 1 93.00 S 57.00 601 - 1000 126.50
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 _b of circuits
_Over 800 amp. 289.50 216.50 _401 -600 252.50 101.00 (I-5 circuits-$72.50;Add'n circuits,S6 ear
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-Fami)y/Commercial/Industrial
_0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 0-100 5 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-$5 7.00;Add'n circuits$6 ea) jl
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) I
i I j i
•
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t i
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I i
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1
i t f I I
TOTAL COLUMN(D): I !
Total Column(0)
Estimated Permit Fee: (12) t I 241 ' D O
Estimated Permit Fee from line 12 ?5 G
Estimated Plan Review Fee: $72.50+ ( It H I. 0 0 X.35) _ (13) 1 i Z I r C�J
. . ■ DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
■ EN.GINEERING
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 rt 100-December 23, 2002