03-103291 City of Federal Way
Community Development Services Electrical Permit #:03 - 103291 - 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: FEDERAL WAY CHAMBER OF COMMERCE
Project Address: 1230 S 336THtSuiteF Parcel Number: 926503 0050
Project Description: Sr
J P Low voltage data cable installation.
Owner Applicant Contractor
HASSEN PROPERTIES SPRAGUE TELECOM SPRAGUE TELECOM
HASSEN PROPERTIES SPRAGUE TELECOM SPRAGUE TELECOM
3727 S 194TH ST PO BOX 4144 PO BOX 4144
WA 98188 FEDERAL WAY WA 98063 (253)209-3008
Electrical Fixtures
Description Quantity.., Description Quantity Description Quantity
Low Voltage-Other Commercial 2080
PERMIT.EXPIRES February 8,2004.
Permit issued on August 12,2003
I hereby certify that the above information is co and that the construction on the above described property and
the occupancy and the use will be in accordance with th ws,rules and regulations of the State of Washington and
the City of Federal Way.
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Owner or agent: Date: !
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RECEIVED CONSTRUCT I ION PERMIT APPLICATION
CITY OF �►,...•i APPLICATION NUMBER: O 3- / 0 3 aff-1 L
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Federal Way AUG 12 zoo3 - -
APPLICATION NUMBER:
CITY OF FEDERAL WAY !APPLICATION NUMBER: - -
BUILDING DEPT.
**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.
., •-,M PROPERTY INFORMATION
SITE ADDRESS: 12 30 S 336m-1►-'1 5 r- F ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): O FFLC.L 6PA-CE
■ PROJECT INFORMATION -
TYPE OF PROJECT(This application): o BUILDING o PLUMBING ❑ MECHANICAL o DEMOLITION
ELECTRICAL 0 ENGINNEERRING 0 FIRE c..JI Iia� �
PREVENN�TTIION SYSTEM��T /�
PROJECT DESCRIPTION(Provide detailed description): _20
� rj C- Nc 1 60e1.
Gas I QC el)LiS .� CALM, i--
OF ,4$A-,I.),O cIN.) 0 (A)) >2&
PROJECT NAME: r`i N1Y✓1 B L)e O eOI v`M GVCE
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: ; DAYTIME PHONE:
H p Ss P�20f>E'en ; 03) 573 -1C)9g
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): I
3`1 277 5 I ciq vl 'l A&A1 WA 1'g/8$
CONTRACTOR: NAME: DAYTIME PHONE:
'? AGue,-- `T .--1_L CdN) ; (2-c3) .2d`J- 3cos
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): ( EVENING PHONE:
I CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: I
— — (-253) .1)60- 59y gl
CONTRACTORS REGISTRATION NUMBER:
�+ 0 EXPIRATION DATE:
(copy of card required) Se e A CTI q i i La U 67 / 09 / Q 5-
APPLICANT: NAME: DAYTIME PHONE: i
SP26C U0 "iL-�C:�0nA (.253) D-09 - 3008
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING PHONE: 1
i �a aox L{ILiL (.53) .207 - 3008 '
RELATIONSHIP TO PROJECT:
I i FAX NUMBER: 9Z(o
❑ ARCHITECT ❑ TENANT /OTHER(DESCRIBE): CoNT)2k 0Ta2. , (9) - 9�'
r v I
E-MAIL ADDRESS: 5 p rc]•-�4 4r.
ll
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR /5prrLr . @ , v..� (
- •■ DETAILED BUILDING INFORMATION V
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE 0 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: Z
■ 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: o 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.( )
INTERCEPTOR(S) SUMP(S)
■ DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by mte 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 • ••- o •pplication. `�
NAME/TITLE: C DATE: L —•�
d PROPERTY 0 NER ❑APPLICANT • RACTOR
FOR OFFICE.USE ONLY;
>.u
D NEWT p ADDITION q ALTERATION .REPAIRS aTENANT-IMPROVEMENT ;. ;_.:
=CENSUS CODE: 44- ms 's` P 7 .":
ZONING DESIGNATION - - . ,-MBUILDING:SHEL'L'ONLY? YES ❑ NO '
COMP PLAN DESIGNA ION '� IBASICPLAN? ,[i YES; . a NO �` • = r
SECTION •. - TOWNSHIP #RANGE NEVI ADDRESS REQUIRED? ,: ❑Y.ES..•ci NO
PLATTED LOT? ; YES g a NO k � .CHANGEOF USE? ffi.,-,-_T]YESt -❑IVO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www,cttvoffeleralway.com
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family Service or feeder only $57.00 _ m
#of Thermostats(First-$43.00;add'n-$13.00ca)
(First 1300 ft2-$85.50;Each add'n 500 ft?-$27.50) _Service and feeder $93.00 #of Low v fire or burglar alarms
Square Feet: _ First 2500 $50.00: :ach add'n 2500 ft2-$13.00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet: ZCpc)
(Inspected with service) _#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/ _#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.J0
Up to 200 amp 5 93.00 $ 27.50 Feeder 201 -600 216.50
_201 -400 amp 115.50 57.00 _0 to 100 $ 93.00 $ 57.00 _601 -1000 326.50
-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 _ of circuits
_Ovcr 800 amp 289.50 216.50 _401-600 252.50 101.00 (1-5 circuits-$72.50;Add'n circuits,S6 eat
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 1 74.00 _201 -400 85.50
-Mast or meter repair 43.00 401 -600 115.50
-a of circuits _over 600 125.00
(1-4 circuits-$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 I .`TOTAL-.COLUMN(D):
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