03-103267 City ueveWay
Community Development Services Electrical Permit#:03 - 103267 - 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: SIMPLEX GRINNELL
Project Address: 32001 32NDIS Suite301 Parcel Number: 162104 9001
Project Description: Install voice/data cable for 3rd floor office space,2,500 sf..
Owner Applicant Contractor
SIMPLEX GRINNELL LP ELMECCO INC ELMECCO INC
9520 10TH AVE S UNIT 100 9632 ROOSEVELT WAY NE 9632 ROOSEVELT WAY NE
SEATTLE WA 98108 SEATTLE WA 98115 SEATTLE WA 98115
(206)526-2808
Electrical Fixtures
Description Quantity-; Description Quantity Description Quantity
Low Voltage-Other Commercial 2500
PERMIT EXPIRES February 7,2004,
Permit issued on August 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 in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way
r
Owner or agent: .424Date: e -If -U3
8 - 14.-G CC �� c r Ape
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g - 63' F-/1-* 1 4f).
C1- \61)
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RECEIVED qv`(-)
CONSTRUCTION PERMIT APPLICATION
CITY OF ..../ AUG I 1 2003 APPLICATION NUMBER: 03 - CZ 3d1,2 -
Federal
dto2 -Federal Way APPLICATION NUMBER: -CITY OF FEDERAL WAY
BUILDING DEPT, APPLICATION NUMBER: -
**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: 34R001 39,,J° bra 5. ASSESSOR'S TAX/PARCEL #:3/Z D
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION -
TYPE OF PROJECT(This application): ❑ BUILDING o PLUMBING o MECHANICAL ❑ DEMOLITION
/ELECTRICAL ❑ ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): (JO(CO IV4 J/} Cf}•51_1 N�r
PROJECT NAME:
I PEOPLE INFORMATION
PROPERTY OWNER: NAME: I DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: I NAME:
1iDAYTIME PHONE'
EL'" `c`ojis (t)0 :
6 -a sem$
MAILING ADDRESS; .ZIP): EVENING
(763a Roo5aLit-r
fisfic (ate) 756-- SP3%
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: - j EXPIRATION DATE:
(copy of card required)
APPLICANT: NAME: 1 DAYTIME PHONE:
1�1C1-J- N( L it/tQ (o' ) 5016 -? ° i
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
!�63a 1Z-0c6 -r- ''4`1 NE ,54-- 9Eatt ! (acc )?sh - egiC
I RELATIONSHIP TO PROJECT: i FAX NUMBER:
! ❑ ARCHITECT ❑TENANT ❑ OTHER( DESCRIBE): I ( ) Sa L -5-031
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER pPPLICANT `¢CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: OFri-r4,<I EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE o TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ 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) a ELECTRIC a GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) 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 claim(including costs,expenses,and attorneys'fees incurred in the
Investigation and defense of such daim),which may be made by any person,inducting the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the dty,inducting its officers and employees,upon the accuracy
of the Information sup ied to the city as a part of this application.
NAME/TITLE: /V ' DATE: a- f`
/-c
❑ PROPERTY OWNER EIAPPLICANTi CONTRACTOR
.iFOR.OFEICE.USE.ONLY:
�.:'rte: l �: �..N ..,„:: ,�.:.- �
ADDITION &ri ALTERATION _;.n.REP,AIR Z ;I TENANTIMPROVEMENT. -f m,5 .,.; ;.
TCENSUSCODEi ,,��%wwwwweoAfa w: SLOT SIZE�` " �, " -a..;' •:�,
ZONING DESIGNATION•" * uBUILDING_SH�ELL ONLY? O YES :❑ NO
COMP�PLAN DESIGNATION ; + .rBASIC;PLAN? ❑YES;." ❑.NO,r"` `� 4 .,*
SECTION .. 1
RANGE' �'m NEW ADDRESSREQUIRED? -f ..❑YES ��:o NO
PLATTED LOT? # o YES o NO S ,CHANGE`OF USE?, 5 .a YES '.n(VO' , " .
•
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www,dtvofederalway.00m
■ ELECTRICAL
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-$13.00ca)
(First 1300 ft2-$85.50;Each add'n 500 ft2-$27.50) _Service and feeder $93.00 .3#of Low voltage fire or burglar alarms
Square Feet: _ First 2500 ft'-$50.0 ;Fac t add'n 25(10 ft`-$13.0(;
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders *Per WA 296-46-910(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 $57.01)
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 amn 115.50 57.00 _0 to 100 $ 93.00 $ 57.00 _601 -1000 126.50
-401 -600 amp 158.50 78.50 =101 -200 115.50 72.50 =over 1000 363.00
601- 00 amp 202.50 108.50 201 -400 216.50 85.50 #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 SERVICEII
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 I
_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(D)
I ;
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)
-. 1 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