03-101307 City of Federal Way
Community Development Services Electrical Permit #:03 - 101307 - 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: DOLLAR TREE
Project Address: 31014 PACIFIC S Parcel Number: 785360 0200
Project Description: Installing 5 L/V devices
Owner Applicant Contractor
TACOMA GOODWILL INDUSTRIE T-N-T MECHANICAL LLC T-N-T MECHANICAL LLC
714 S 27TH ST 22833 BOTHELL-EVERETT HWY SUITE 116 22833 BOTHELL-EVERETT HWY SUITE 116
TACOMA WA BOTHELL WA 98021 BOTHELL WA 98021
98409-8130 (206)786-2293
Electrical Fixtures
* z :2ZiaLVIZERSAi gra a o„kz* t'` Quariti E .. De 1p on _ s_x.` *,Quarlttt
Thermostat 5
PERMIT EXPIRES September 30,2003.
Permit issued on April 3,2003
I hereby certify that the abov:/ o% •tion is correct and that the construction on the above described property and
the occupancy and the use / b- accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date: Y 'S/O 3
a F; t/t• r
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RECc `, CONSTRUCTION PERMIT APPLICATION
CITY OF � ' EI�,�D APPLICATION NUMBER: Q I - JO CO ---CO
Federal Way APR 03 200 APPLICATION NUMBER: - -
APPLICATION NUMBER:
CIryorr - -
""The fo etD Led ipf rmation—Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
' - . - _ . '. - ■ PROPERTY INFORMATION
SITE ADDRESS: .51 '/9 Pik. //ed. J S . ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
. ■ PRO]ECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL 0 DEMOLITION
ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
T
PROJECT DESCRIPTION(Provide detailed description): t t 4STA U G (,per VQ(„T&4g4e. PE4IC.eS
PROJECT NAME: - : fr Tree, S-v�L,
U PEOPLE INFORMATION
PROPERTY OWNER: NAME: r{� ; DAYTIME PHONE
DC>t(p . 'C G_�Zo0i2aia. 1 ( ) - '
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
I I
CONTRACTOR: NAM : r. 1 DAYTIME PHONE:
( civ,STATE ZIP).
_ - _. -.t MAILING ADDRESS(STREET Av. ) . EVENING PHONE
1 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
( ) -
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: DAYTIME PHONE:
-s_ - v Ac _ LLQ r2e(0 )-fa 2Z°3
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): fZ_wc"f..k kl,to A I EVENING PHONE:
40.* 2.2233? ' 1- Ev-r !-A r kiy 1_J�c{21tot 1 ! ( )
RELATIONSHIP TO PROJECT: i
/►,� FAX NUMBER:G q�
❑ ARCHITECT ❑TENANT OTHER ( DESCRIBE): L.A Q. (qZS 1151:1° - ! `52-
I
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT o CONTRACTOR Triers cibti V 9 icaf L 1. -c-
. ■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE ❑ TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ 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:
■ 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) ❑ 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 ha I• the City of Federal Way as to any daim(induding costs,expenses,and attorneys'fees Incurred In the
investigation and defe/ - such claim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only re such daim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the Information s •I • to the dty as a part of this application.
NAME/TITLE: 1 ` DATE: tJ L 3 1.4=.
o PROPERTY OWNER ❑APPLICANT /CONTRACTOR '`Mt
_:FOR.OFFICEUSE ONLY .;
:.r,� .._mss. ._.:;» _.
• : NEW; ADDITION [7 ALTERATION' D.REPAIR TENANT•IMPROVEMENT�l,
=CENSUS`_CODE -. fr� "a
ZONING:'DESIGNATION' '40Z my BUILD'ING SHELLKONLY?3 OYES =n NO ,"
• COMP,?LAN DESIGNATION , ' .BASIC PLAN?; k»I]YES' d NO s�
SECTION TOWNSHIP IRANGE,` ,, NEW ADDRESS REQUIRED? DYES 0 N ,
PLATTED L0T? "❑YES n a NO :'xr=c �r r.� CHANGE YES -a NO
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
•
I ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES -� ISC EQUIPMENT/TEMP SERVICES
Single Family _Service or feeder only $57.00 #of Thermostats(First-$43.00;add'n-$I3.00ca)
(First 1300 02-585.50:Each add'n 500 ft'-$27.50) _Service and feeder $93.00 _#of Low voltage fire or burglar alarms
Square Feet. First 2500 fl'-$50.00:Each add'n 2500 ft'-$13 00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(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
Il Yard Pole meter loops $57 00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units ar more) Altered Service or Feeders
Service Feeder Amps erviet:or Adel r (1 to 200 1 93.0o
_up to 200 amp.__..... _ 5 93.00 5 27.50 Feeder 201 -600 . . . 21650
201 -400 amp 115.50 57.00 -
-
0 to 100 1 93.00 1 57.00 -601 - 1000 126.50
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
_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/Commerciai/Industrial
=
0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 -U- 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
u of circuits 1 _over 600 125.00
(1-4 circuits-$57.00;Add'n circuits$6 ea)
i J
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 1
t
11
l i 1
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)
■ 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