03-100959 City of Federal Way
Community Development Services Electrical Permit #:03 - 100959 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253 661 4000 Fax 253 661.412-9:+ . Inspeotie4uest line: 253.835.3050
Project Name: 11:=':: '_ FIRE DISTRICT,STATION 63
Project Address: 3341 SW Ave SW Part er: 132103 9062
f s42
Project Description: Aap to(5)circuits for light fixtures and outlets in sleefilngms
Owner Applicant T Contractor
KING COUNTY FIRE DISTRICT 39 KING COUNTY FIRE DISTRICT 39 KING COUNTY FIRE DISTRICT 39
316171ST AVE S 316171ST AVE S 316171STAVES
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
(253)529-7207
Electrical Fixtures
Circuits- Commercial 5
PERMIT EXPIRES September 7,2003.
Permit issued on March 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 1 be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date: '' 1l zee
Z&I //vi e /11/PPIO u,ees
- 1 vj
i/q) —(
ari
°" RECEIVED CONSTRUCT I ION PERMIT APPLICATIOI.:
APPLICATION NUMBER:
\>\> F lY
MAR I APPLICATION NUMBER: ��- ,Ll� , --.0._ _
CITY OF FEDERAL WA'i APPLICATION NUMBER: - -
w �PTd /Rigs required information-Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
- • . • ■ PROPERTY INFORMATION
LIZ -(- Z1to • ,.•
SITE ADDRESS:v �/'/ , jit/ Std ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): . dC?Q/T,
of-T �ryCFTaF ii/ E. 9wCTCie - i/.. �C?/�T. FT��S� �%Jas'i5" - , /7
: _
.::_ :_.,- .• PROSECT INFORMATION. :*-.. ...
TYPE OF PROJECT(This application): -..W'DQILULNG ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
10 ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
C
PROJECT DESCRIPTION(Provide detailed description)(CX/.S7//t/a ,...52 -/->xis 4,E.
7,7
72 I/ .--?Ct/ /A..J b1[/11� 0 it, 5:e '"2/A)67 zoc5i S ,zeter- -x_iet--).4))
or Ur) 7a 4` 7,2zie�s , ,,t. e.,<4.,77- / iXr.z./..,G r//ob Z PROJECT NAME: 5717;40 A.J ( 3 ) /C"
ODµk
. , . ■ PEOPLE INFORMATION _
PROPERTY OWNER: NAM : � P
[e\6/(,^/ AM/{"/� 1/`c' L_`,T �(i-5ME PHONE-:�yy;, y/
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): G+/ S� )�`� -� �/ I
3ie,/7 / .4p5c,. A;---be-elle �z.) y r.4)f4. ?,�'c9eL?
CONTRACTOR: NAME:
S--->-/nDAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: ( ) '
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: — —
res �)�s�� - 7._ie
EXPIRATION DATE:
(copy of card required) c C E_/ K i A7 d C F ) C3 ,1 I✓ Z' 8 / /I /.
APPLICANT: NAME:
��7N��� C� DAYTIME PHONE: —�
!J 4 d Fitc"6-��e``,7 (745:3 ).S `/ -72c7
MAIUNG ADDRESS(STREET ADD •C STATE,ZIP):
227.4464776
G `A4 776_ / EVENING PHONE: _
RELATIONSHIP TO PROJECT: /•V/ ( )
FAX NUMBER
❑ ARCHITECT TENANT ❑ OTHER(DESCRIBE): (5 ' ) 9S/6 - 7,16 7
E-MAIL ADDRESS: /
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER (APPLICANT ❑ CONTRACTOR 7-ti S 6 FeDeeh e..a#4/
,me., v - ..
■ DETAILED BUILDING INFORMATION •
EXISTING USE: e�J/,..) f4/�4EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ Zoo, QOG• 'a
PROPOSED USE: /4/1,k L // O 0
PROPOSED VALUATION FOR IMPROVEMENTS: $ / 9Q°
SPRINKLERED BUILDING? ❑ YES ( (NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES k NO
WATER SERVICE PROVIDER: IXI LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: O LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
.
9)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
. ■ PROJECT FLOOR AREAS •
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST Q3�
SECOND /
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
.....es�.wd.e•✓»•:,i".w'.a>.. ..::.w...,r'..�...a�1C o2SwM1-A�r+�Ca!:srM14`Piti►�f' `�REy�JSrtCt i+..7l+bJt1e.::wr.i,+•.�yi�13•riMi�cie�iF+�Sc�nh4�u:.:.�'^1ak`law.•M-rR.•
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORA E CO LER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLAC SER (5) JRANGE(S) MISC.( )
COMPRESSOR(S) FURNACE( ) HEAT SOURCE: El ELECTRIC ❑ GAS
DUCT(S) GAS PIPE UTLET(S)
PLUMBIN
BATHTUB(S)
LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ 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 di daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where uch daim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information supplied the cr_V as a part of is application.
��� / '`NAME/TITLE: � u- DATE: _ 8 -
❑ PROPERTY OWNER APPLICANT ❑ CONTRACTOR
_ :FOR OFFICE USE ONLY:
_ ❑ ALTERATIONREPAIR ❑.TENANT IMPROVEMENT:':>r' r❑=NEWS ,. .= ❑.-ADDITION :: ._, �
CENSUS CODE _ =LOT:SIZE
�ZONING,DESIGNATION-,y
, - BUILDING SHELL ONLY? ❑YES U NO
•
t` cON1P LAN DESIGNATION . _ - BASIC PLAN?' - YES : ❑ NO '
`SECTION"--- _ TOWNSHIP, ' RANGE NEW ADDRESS REQUIRED?, `--- ❑ YES `❑ NO
,.PLATTED LOT? - ❑'YES ❑ NO ' CHANGE OF USE? : - . ❑ YES .::❑ NO'! .
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www-dtvof fed021way.com
- ■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $50.00 _#of Thermostats(First-$37.50;add'n-$II.50ea)
(First 1300 ft'-$75.00;Each add'n 500 ft'-$24.00) -Service and feeder $81.00 _#of Low voltage fire or burglar alarms
Square Feet: First 2500 ft'-$43.50;Each add'n 2500 ft'-$11.50
-Each outbuildingor garage $31.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _ft of service or feeders *Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuildingor garage $50.00 (First service/(ceder-$50.00;Add'n service/ _#of Signs(First sign-$37.50;add'n sign
(Inspected separately) feeder-$32 each)
$17.50 each)
_Swimming pool,hot tub,spa $75.00
_Yard Pole meter loops $50.00
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 $ 81.00
-Up to 200 amp $ 81.00 $ 24.00 Feeder _201-600 189.00
-201-400 amp 101.00 50.00 0 to 100 $ 81.00 $ 50.00 _601-1000 284.50
_401-600 amp 138.00 68.50 _101-200 101.00 63.50 _over 1000 317.00
-601-800 amp 176.50 94.50 _201-400 189.00 75.00 c#of circuits
_Over 800 amp 252.50 189.00 _401-600 220.50 88.50 (t-S circuits-$63.50;Add'n circuits,$5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 284.50 120.50
(When inspected separately from the services.) _801-1000 348.00 145.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 379.00 202.50 Residential/Multi-Family/Commercial/Industrial
_0 to 200 amp $ 68.50 -Over 600 volts surcharge 63.50 _0-100 $ 50.00
_201-600 amp 101.00 -Mast or meter repair 68.50 _101-200 63.50
-over 600 amp 151.50 _201 -400 75.00
-Mast or meter repair 37.50 _401-600 101.00
#of circuits over 600
(1-4 circuits-$50.00;Add'n circuits$5 ea) - 109.00
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+$63.50.Add'l plan review for other submissions is$75.00/hr.
FIXTURE DESCRIPTION (A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
• TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $63.50+( 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-February 19, 2002