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03-105199 City of Federal Way Community Development Services Electrical Permit #:03 - 105199 - 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: WASHINGTON PARK Project Address: 33801 1ST$W a,y$ Parcel Number: 926504 0160 Project Description: Install power line from light post to monument sign. Owner Applicant Contractor TRANSPACIFIC INVESTMENTS LLC*STAN LAZER ELECTRIC LAZER ELECTRIC 101 SW MAIN ST SUITE 350 9523 19TH AVE E 9523 19TH AVE E PORTLAND OR 97204 TACOMA WA 98445 TACOMA WA 98445 (253)535-1900 Electrical Fixtures ;4-m:ViworotWwqrtootij an Circuits- Commercial 1 PERMIT EXPIRES May 18,2004. Permit issued on November 20,2003 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 a Owner or agent: Date: `- 3 i� 3 :744 v ! ,"6( D,-% / Q CONSTRUCTION PERMIT APPLICATION E17Er�F�I-- APPLICATiONNUMBER =a 1 --0Q 1 .4:' AQPUCATIO NUMBER _ =' `..c4)►AFY. . i'. MR • APPrra-n- N.N MBERt - _ , , ,, ,,._ **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. �7 • PROPERTY INFORMATION d SITE ADDRESS: v13 b I 1ST w1/ r ASSESSOR'S TAX/PARCEL#:c7 Z -s-d L1 - 0 j (p 0 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): /4-14,1-c—k.e_cog • PROJECT INFORMATION TYPE OF PROJECT(This application): o BUILDING o PLUMBING 0 MECHANICAL ❑ DEMOLITION ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM PT;CDESCRIPTION(Provide detailed description): A'‘A--"/‘") �(/�e -- ç!E-..() k-- ` c �� / )O.S� t� M cin.) S=% - t PROJECT NAME: kV P S r 'v po w • • PEOPLE INFORMATION PROPERTY OWNER: NA • 1 DAYTIME PHONE: 1'4�•5 .4C Ci c 1n3ve-sTr-te13 S (P253)7za-/`137 MAILING ADDRESS(STIEET ADDRESS;CITY,STATE,ZIP): ) ? ( P#c, 4vc< ( SI.. T(' O'c /LOCO TA-c . 10/I- 9g tic, a_ CONTRACTOR: NAME: DAYTIME PHONE: L r°F-7 e-c- a I 4-r c- ( LS S3S'-1d+ n o MAILING ADDRESS(STREETDDRESS;CITY,STATE,ZIP): EVENING PHONE:. 9513 /97-"‘ 4ee . &, Ti -C- t&)14 q d Y`fS 1,7s3)7zz.-5t7s CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: - - (253) 535-- /Ct 1/ CONTRACTORS REGISTRATION NUMBER: ) 4 �y > EXPIRATION DATE: (WPY of card required) L Z Rel_ (7 J 1) P 3 / LI / O APPLICANT: NAME: JJ DAYTIME PHONE: L-relZG� ( ) - MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( ) RELATIONSHIP TO PROJECT: �(� FAX NUMBER: �r � o ARCHITECT ❑TENANT OTHER(DESCRIBE): L�A3T`rfi'G la r ( ) - _ / E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑APPLICANT ' ONTRACTOR ■ DETAILED BUILDING INFORMATION EXISTING USE: 0 j` •C-e EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ y,Q)O C)O PROPOSED USE: O l"C C e PROPOSED VALUATION FOR IMPROVEMENTS: $ 11 7)50 ©O j SPRINKLERED BUILDING? YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES ❑ NO Z WATER SERVICE PROVIDER: A.tAKEHAVEN o HIGHLINE o TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: I�CILAKEHAVEN 0 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: • 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 o GAS C,} PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC ❑GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( ) INTERCEPTOR(S) SUMP(S) I • DISCLAIMER/SIGNATURE BLOCK I certify u der penalty o perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I a ' -u or' e• by he owner of the above premises to perform the work for which the permit application is made. I further agree to I•ld ha mless e Ci• of - • ay as to any claim(including costs,expenses,and attorneys'fees incurred in the investigation an defeln e o cl im), hich ma be made by any person,including the undersigned and filed : • • 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-S 11.50ea) (First 1300 ft2-$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 f12-$43.50;Each add'n 2500 fl-$11.50 _Each outbuilding or garage $31.00 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 $50.00 (First service/feeder-$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 5 81.00 5 24.00 Feeder _201-600 189.00 _201-400 amp 101.00 50.00 _0 to 100 S 81.00 $ 50.00 _ • - 000 284.50 _401-600 amp 138.00 68.50 _101-200 101.00 63.50 _over I I 10 317.00 _601-800 amp 176.50 94.50 _201-400 189.00 75.0: L#of ci uits - Over 800 amp 252.50 189.00 _401-600 220.50 88.•0 (1-5 cir •its-563.50;Add=n circuits,$5 ea) ALTERED SINGLE/MULTI FAMILY _601-800 284.50 120 50 (When inspected separately from the services.) _801-1000 348.00 145.0 •PORARY SERVICE Service or Feeder _Over 1000 379.00 202.5 t Residential/Multi-Family/Commercial/Industrial _0 to 200 amp S 68.50 _Over 600 volts surcharge 63.50 _0-100 5 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 600 109.00 (1-4 circuits-$50.00;Add'n circuits 55 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+563.50.Add-1 plan review for other submissions is 575.00/hr. • FIXTURE DESCRIPTION(A) 1 FIXTURE FEEFROM 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