03-101895 r
SO
City of Federal Way
Community Development Services Electrical Permit #:03 - 101895 - 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 5-1- Parcel Number: 092104 9053
Project Description: Install 10 new branch circuits to serve lighting and receptacles.
Owner Applicant Contractor
ROSEN PROPERTIES BAINBRIDGE ISLAND ELECTRIC BAINBRIDGE ISLAND ELECTRIC
PO BOX 5003 BAINBRIDGE ISLAND ELECTRIC BAINBRIDGE ISLAND ELECTRIC
BELLEVUE WA 98009 PO BOX 10066 PO BOX 10066
BAINBRIDGE ISLAND WA 98110 (206)842-4200
Electrical Fixtures
MICIMMAIr° 16, .,s„a. 4 F:, _aa E 0. f q 111••` 410
Circuits- Commercial 10
PERMIT EXPIRES November 9}2003.
Permit issued on May 13,2003
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: 74-- — ( Date: 5^ 13-o 3
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RECEIVED CONSTRUCTION PERMIT APPLICATION F4,
FCITY OF �� APPLICATION NUMBER: - LO 1 D•9 c- 00
ederal Way MAY 1 3 2003 APPLICATION NUMBER: -
!APPLICATION NUMBER: - -
**The folloCInY OF FEDERAL WAY
t�enTJta
, euWrmation—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: r.�g.I S . 3 )y I S T_ ASSESSOR'S TAX/PARCEL #:C2 Ci 2. L Q J - 0 j3
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
. ■ PROJECT INFORMATION - -
TYPE OF PROJECT(This application): o BUILDING o PLUMBING a MECHANICAL 0 DEMOLITION
Y4LECTRICAL LL❑ ENGINEERING a FIRE PREVENTION SYSTEM L
PROJECT DESCRIPTION(Provide detailed description): \ Y1/4-)A.*.T( `?R Q -'vAt---k,T-
t\ L-a.L c3 lvC l-k c is `S p G t2 cici k-} 11cl A cz ql-T;' S
PROJECT NAME: A A ti-NAS -E rr.. j1t 3 Ctc1 AL.- 1.0A SftLV1C+_ C6--,Q
is PEOPLE INFORMATION
PROPERTY OWNER: NAME: ; DAYTIME PHONE
eoscry R cpE24tis (ZO( ) 451-1 - (06t I
MAILING ADDRESS(SIRE ADDRES ;CITY,STATE,ZIP):
1`715 111-1Av6. Sc SoCrt : Z Z
CONTRACTOR: NAME: DAYTIME PHONE:
1%1/4)W3fIr►lt. .1SLA>v4 cL CT EC_ ('a0C)) Ss 4Z - 4Zbc:)
MAILING ADDRESS(STREETADDRESS;CITY,
,STATE.ZIP):1 �7- i. EVENING PHONE:
l(aly OF FEDERAL j-JIA WAY BUSINESSDLICENSE NUMBER:I�ni 26:1 A�t 1sL,r.r...b.) ta;>A cis j 1 U i ( ) -
FAX NUMBER:
o - o ?- - l o ` 6g4,- ao-5r.,. (20C,) S44-2_ - ILi(�4,
CONTRACTOR'S REGISTRATION NUMBER: Q /� EXPIRATION DATE:
(copy of card required) p A t►.S '] TA 1 Q 2 /o Z / 0 Li-
APPLICANT:
i
APPLICANT: NAME: c� r
B. 11 q r I DAYTIME PHONE:
LA.D a"t- L ( ) _i
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( d g'U,vrc• 'Dee) acL, (A3-A - C1 $ i t o ; ( )
RELATIONSHIPI1O PROJECT:
FAX NUMBER •
O ARCHITECT O TENANT $.OTHER( DESCRIBE): (/' lClA1d ( ) - i
E-MAIL ADDRESS: 1
CONTACT PERSON FOR THIS PROJECT: O PROPERTY OWNER ❑ APPLICANT [CONTRACTOR
I. DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES 0 NO
WATER SERVICE PROVIDER: a LAKEHAVEN a HIGHLINE 0 TACOMA O PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
**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
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 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 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 supplied to the city as a part of this application.
NAME/TITLE: DATE: rJ [3
o PROPERTY OWNER PUCANT CONTRACTOR
FOR OFFICE USE ONLY 11
e �.��-4 V:..:' - a f :,� � D5W,,...:.: uy ,.r-_'•k's:, ., .cx.� x-_,a y^...�,:_ .. �, ..
-arc e. ---.
NEW_, r5 TTION ❑ALTERATION`��' n REPAIRS I TENANT IMPROVEMENT -
CENSUS`CODE W,4 4 �°
ZONING DESIGNATION, aa, `V.V , BUILDING SHELLO 1LY?.�n YES�,❑NO S x$ '
yy
COMP PLAN DESIGNATION�_-
,T :; �,��--�� �`;_�, ABASIC PLAN?, ,-�❑YES ..�❑.NO �
SECTION#•• _ TOWNSHIP RANGE , NEW ADDRESS REQUIRED?' ❑YES ❑,'NO
PLATTED LOT? ❑YES n v NO CfiANGE'.OF USE? W;. ' n YES TM❑ NO r
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 _Il of Thermostats(First-$43.00;add'n-$I3.00ea)
(First 1300 ft2-$85.50;Each add'n 500 ft'-$27.50) _Service and feeder $93.00 _ fl
4 of Low voltage fire or burglar alarms
First 2500 '-$50.00:Each add'n 2500 ft'-$13.00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _4 of service or feeders * Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $57.00 (First service/feeder-$57.00;Add'n service/ _II of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-$37 each) $20.00 each)
_Swimming pool,hot tub,spa $85.50
II _Yard Pole meter loops 557 00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units(n 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 1 57.00 601 -1000 226.50
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 IQ 4 of circuits
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 (1-5 circuits-$72.50;Add'n circuits,$6 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-Family/Commercial/lndusvial
_0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 _0-100 1 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
4 of circuits _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+$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(0)
' ! I
•
i f i
I i !
TOTAL COLUMN(D): j !
Total Column(0)
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 (Pages one&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-December 23, 2002
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