03-100758 City Federal Way
Community Development Services Electrical Permit #:03 - 100758 - 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: LOWE S ROMR IMPROVEMENT
Project Address: 35205 1'6TIfS &nch&.hk6k T Kv'y S Parcel Number: 292104 9096
Project Description: Move two existing receptacles in exit vestibule to new location in exit vetibule for vendor cart
Owner Applicant Contractor
LOWE'S HOME IMPROVEMENT BROADVIEW ELECTRIC CO BROADVIEW ELECTRIC CO
35205 ENCHANTED PKWY 7821 FREMONT AVE N 7821 FREMONT AVE N
FEDERAL WAY WA 98003 SEATTLE WA 98103-4736 SEATTLE WA 98103-4736
(206)789-6900
Electrical Fixtures ( 7y� ;per[
Circuits- Commercial 2
PERMIT EXPIRES August 20,2003.
Permit issued on February 21,2003
I hereby certify that the above information is correct and '• he construction on the above described property and
the occupancy and the use w' 1 be in accordance ith • s,rules and regulations of the State of Washington and
the City of Federal Wa
Owner or agent: uAIN,►i/ / Date: Z/2.. Z 476 3
2 �- 2- 1 _ 23 eff � .
RECEry GLI ECF
Mr", CONSTRUCTION PERMIT APPLICATION
EOErzFrt_ 2003
:'
OF FEDERAL WAY rmA £�,� � � - - -
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U►LDING DEPT. 4'CI1�NjNI�EI ><<<< � <�:�<' ;:.:.:.:::.:::.:::::.:.::::.:::::.<:.::;.,::.:::,,-
**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: 35205 16TH AVE. S. ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑BUILDING o PLUMBING o MECHANICAL ❑DEMOLITION
If ELECTRICAL o ENGINEERING ❑FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): MOVE TWO (2) EACH EXISTING RECEPTACLES TN EXIT
VESTIBULE TO NEW LOCATION IN EXIT VESTIBULE FOR VENDOR CART.
PROJECT NAME: LOWE S HOME IMPROVEMENT
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
LOWE'S HOME IMPROVEMENT ( 253 ) 838 - 2233
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
35205 16TH AVE. S. I• VERAL WAY, WA 98003
CONTRACTOR: NAME: DAYTIME PHONE:
RROADVIEW.ELECTRIC CO., INC. ( 206 ) 789 - 6900
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): - EVENING PHONE:
7821 FREMONT AVE. N. ( 206 ) 789 - 6900
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
20-01-101784-00-BL - - ( 206 ) 784 - 2766
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) BROADEC312K6 03 / 31 / 04
APPLICANT: NAME: DAYTIME PHONE:
BROADVIEW ELECTRIC CO., INC. ( 206 ) 789 - 6900
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
• 7821 FREMONT AVE. N. ( 206 ) 789 - 6900
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ARCHITECT ❑TENANT if OTHER(DESCRIBE):CONTRACTOR (206 ) 784 - 2766
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑APPLICANT pi CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: RE'T'AIL EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 1 ,000.00
SPRINKLERED BUILDING? ¢L YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑YES 0 NO
WATER SERVICE PROVIDER: ❑LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDEiTIAL CONSTRUCTION ONLY**
- rNUMBER 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) RANGES) 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 harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees Incurred in the
investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of
Federal Way,but only where such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information supplied to the city as • part of this application.
NAME/TITLE: 41/Mr DATE: 7/2.-//2 V
o PROPERTY OWNER ❑APPLICANT CONTRACTOR
:FOR:OFFICE>USE ONLY: d
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COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citvoffederalway.com
■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _ft of Thermostats(First-$43.00;add'n-$13.00ca)
(First 1300 ft1-$85.50;Each add'n 500 ft1-$27.50) Service and feeder $93.00 ft of Lowvoltage fire or burglar alarms
Square Feet First 2500 rp t2-$50.00;Each add'n 2500 ft`-$13.00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _ft 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/ _4 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 $ 93.00 I 11
_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 5 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 Z,4 of circuits
_Over 800 amp 289.50 216.50 401 -600 252.50 101.00 (I-5 circuits-$72.50;Add'n circuits,56 eai
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/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
_4 of circuits = 15.00
over 600 125.00
(i-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) i 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: $72.50+( X.35)= (13)
• DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
• ENGI.NEERING
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