03-101862 City on Federal Way
Community Development Services Electrical Permit #:03 - 101862 - 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: DEVRY
Project Address: 3600 S 344TH 5i' Parcel Number: 726120 0221
Project Description: Alteration of up to(7)circuits to provide power wiring for kitchen located on 1st floor.
Owner Applicant Contractor
DEVRY INC JOHNSON ELECTRIC,INC JOHNSON ELECTRIC,INC
1 TOWER LN 11816 NE 116TH ST 11816 NE 116TH ST
OAKBROOK TERRACE IL KIRKLAND WA 98034 KIRKLAND WA 98034
60181-4671 (425)821-8226
Electrical Fixtures
t1 -
Circuits- Commercial 7
PERMIT EXPIRES November 5,2003.
Permit issued on May 9,2003
I hereby certify that the above information' ,rrect and that the construction on the above described property and
the occupancy and the use will be in acc•rdan.a with the laws,rules and regulations of the State of Washington and
the City of Federal Wm
Owner ora agent:
1 Date: �3
g G
S / G v 3y4,t-1 D/ �5S i? i�av h11�
7 r-t� 70 7r .
6-- —off Cr �•1, o� tl 40"
a
CV-3
�� G
RECEIVED CONSTRUCTION PERMIT APPLICATION
�� TAY APPLICATION NUMBER: ,e3,1L zpL Bz.,_ - 00 a-
MAY 9 2003APPLICATION NUMBER: _ _ _ -.
APPLICATION NUMBER: _ _ _ _ _ _
CITY OF FEDERAL WAY
BUilataleinittis 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: 37Co S .11-1-1" WAY ASSESSOR'S TAX/PARCEL#: ` 2 �O - D 2-21
LEGAL DESCRIPTION OF SUBJECT PROPERTY ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL ❑ DEMOLITION
yi ELECTRICAL 0 ENGINEERING❑ FIRE WO
SYSTEM'/ �/ / Q
PROJECT DESCRIPTION(Provide detailed description): ?!?VIDE— �G()(L WAR(0(.k" l�z- k(i (j acI .— /
PROJECT NAME:
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME. •12),l 1C/i� DAYTIME PHONE:
(Z53 ) i'`t3 - Z$ j
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
MCC) SCA-tre 3YWf110 [JA-Y, Fc'hE . (,J74Y 98aj1
CONTRACTOR: NAME: DAYRME PHONE:
6L c Vic- (Yzs ) 8 z( - v zzC
MAILING ADDRESS(STREET ADDRESS;CITY,STATE(ZIP): EVENING PHONE:
/IMOAcc wat - 577 !erg(k(kg) W A . 2803r (YZs ) gzl - S zz�
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of cacti required) ,-70 144 SE( 384-12?-c( ( l / 30 / °Y
APPLICANT: NAME \ DAYTIME PHONE: -
`v, a
1.--/---LS a )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 ARCHITECT ❑ TENANT 0 OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER ❑ APPLICANT CONTRACTOR j eFF.TQ Solids aEr-r c°"'•
I DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
i
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
$
■ PRO3ECT FLOOR AREAS
FLOOR EXISTING SQ.FT, PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
SCRIBE)
OTHER FLOORS(DE
DECK
GARAGE
HOW MANY FLOORS? -
TOTAL:
■ FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS) _ EVAPORATIVE COOLERS) GAS LOG(S) REFRIG.SYSTEMS)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERTS) RANGE(S) MISC.( )
COMPRESSORS) FURNACES)
DUCT(S) GAS PIPE OUTLET(5) HEAT SOURCE: ❑ ELECTRIC 0GAS
PLUMBING
BATHTUBS) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKERS) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAINS) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLETS) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTORS) 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(including 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 uch claim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information supplied o ■ e city • art of this application.
DAME/TITLE: • DATE: �� 1 / U 3
0 PROPERTY OW'E•
IS ❑ CONTRACTOR
I
1
FOR OFFICE-USE:ONLY ,,
IEW ,O ADUIiION ❑ALTERATION ❑;REPAIR ,, ,-.+ �ENANTIMPROVEMENT
CENSUS CODE.; '. =., LOT SIZE a „:- -
ONING ESIGNATION , , .BUILDING SHELL ONLY? ❑YES ❑ NO
COMP�PL'A DESIGNATION BASIC PLAN? x ❑ YES . -❑.NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? 'YES, ❑ NO
„PLATTED LOT?." 0YES D NO CHANGE OF USE? , . ,x. ❑YES. . ❑ NO ,..,
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718••FEDERAL WAY,WA 98063-9718•253661 000•FAX:253-661-4129
.I1.
■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $48.00 _#of Thermostats(First-$36.00;add'n-$11.00ea)
(First 1300 ft-$72.00;Each add'n 500 ft2-$23.00) _Service and feeder $78.00 _#of Low voltage fire or burglar alarms
Square Feet: First 2500 ft2-$42.00;Each add'n 2500 ft2-$11.00
_Each outbuilding or garage $30.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders *Per WAC 296-46-910(5)(6)(i&ii)
_Each outbuilding or garage $48.00 (First service/feeder-$48.00;Add'n service/ _#of Signs(First sign-$36.00;add'n sign
(Inspected separately) feeder-$31 each) $17.00 each)
_Swimming pool,hot tub,spa 72.00
_Yard Pole meter loops 48.00
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 $ 78.00
_Up to 200 amp $ 78.00 $ 23.00 Feeder _201-600 182.00
_201-400 amp 97.00 48.00 _0 to 100 $ 78.00 $ 48.00 _601-1000 274.00
401-600 amp 133.00 66.00 _101-200 97.00 61.00 _over 1000 305.00
_601-800 amp 170.00 91.00 _201-400 182.00 72.00 1#of circuits ii6 i.
_Over 800 amp 243.00 182.00 _401-600 212.00 85.00 (1-5 circuits-$6 L00;Add'n circuits,$5 ea)f I �'
ALTERED SINGLE/MULTI FAMILY _601-800 274.00 116.00 it 11.°°- -
(When inspected separately from the services.) _801-1000 335.00 140.00 TEMPORARY SERVICE
Service or Feeder _Over 1000 365.00 195.00 Residential/Multi-Family/Commercial/Industiral
0 to 200 amp $66.00 _Over 600 volts surcharge 61.00 _0-100 48.00
_201-600 amp 97.00 _Mast or meter repair 66.00 _101-200 61.00
_over 600 amp 146.00 _201-400 72.00
_Mast or meter repair 36.00 _401-600 97.00
#of circuits -over 600 105.00
(1-4 circuits-$48.00;Add'n circuits$5 ea)
If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+$61.00.Add'I plan review for other submissions is$72.00/hr.
REDESCRIPTION"(A) FIXTURE FEE-F,ROM TABLES"(B)I J- UMBER OFIUNITS(C) -- '404'44.4 ,°A ',7“-TOTAL(D) ' .?-
>.,-t.'& T.OTALCOLUMN=(D)1
-, Total Column(0)
Estimated Permit Fee: (12) (i -
Estimated Permit Fee from roe 12
Estimated Plan Review Fee: $56.25+ X.35=(13)
. • DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
• ENGINEERING
I
s Estimated Permit Fee:(16)
Bond Amount: (17)
■ OTHER FEES
Mitigation Fee:(18) (20) (22)
SBCC Surcharge:(19) (21) (23)
Total(Pages One&Two): tine(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24)
Bulletin#100-August 20,2001