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03-105438 City of Federal Way Electrical Permit #:03 - 105438 EL Community Development Services ' 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: BOYS AND GIRLS CLUB Project Address: 30815 8TH'$.Ave S Parcel Number: 082104 9 Project Description: Miscellansous remodeling to replace lights and add recepticals.Also adding voice&data c change to existing service. Owner Applicant .r BOYS CLUBS OF SEATTLE A-1 ELECTRIC&PLUMBING INC(ELECTRI / 1 ELECTRIC& • BING INC(ELECTRI 107 CHERRY ST PO BOX 66965 "OX OX 66965 SEATTLE WA SEATTLE WA 98166 SE. WA 98 98104-2223 (206)4 '1 Electrical Fixtu s Description „Quantity Descr•• 'in ‘gliWur'AdElIMFDescription ` 'k1A Circuits- Commercial 7 Low Voltage-' Commercial i. 00 PERMIT EXPIRES _ust 16,2004. 't iss s ruary 18,2004 I hereby certify that the above info on is correct an• •t the construction on the above described property and the occupancy and the use will be in ordance with the s,rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: / Date:_ a.��•a_-cy ._ —o C �, City Federal Way Community Development Services Electrical Permit #:03 - 105438 - 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: BOYS AND GIRLS CLUB Project Address: 30815 8TH S Parcel Number: 082104 9058 Project Description: Miscellansous remodeling to replace lights and add recepticals.No change to existing service. Owner Applicant Contractor BOYS CLUBS OF SEATTLE A-1 ELECTRIC&PLUMBING INC(ELECTRI A-1 ELECTRIC&PLUMBING INC(ELECTRI 107 CHERRY ST PO BOX 66965 PO BOX 66965 SEATTLE WA SEATTLE WA 98166 SEATTLE WA 98166 98104-2223 (206)431-1991 Electrical Fixtures lallgige4065400i0#37- ti T, ) escr[l l C0 , nt ib#W1P ji Q-tacit Circuits- Commercial 7 PERMIT EXPIRES June 14,2004. Permit issued on December 17,2003 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 Way. Owner or agent: S t( Q.AP) , Date: A /7-0,3 FROM :A-1 ELECTRIC & PLUMBING INC FAX NO. :206-246-0007 Dec. 15 2003 03:57PM P2 C w _ RECEIVED CONSTRUCTION PERMIT APPLICATION :: :.:. - APPLICATION NUMBER: 0 3- 052 (3E--Q'0 . .. .. . DEC 1 7 2003 APPLICATION NUMBER: - CITY OF FEDERAL WAY ?APPLICATION NUMBER: - - * The fFFgipriIgN..GDPiTed information- Please Print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. /� III PROPERTY INFORMATION SITE ADDRESS: 3 G O O 15 - 5 t�\)&2 . ASSESSOR'S TAX/PAROL#: O a ca L Q 'L - 2 O S 2 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): PROJECT INFORMATION TYPE OF PROJECT(This application): 0 BUILDING ❑PLUMBING ❑MECHANICAL ❑DEMOLITION XELECTRICAL n ENGINEERING a FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provi a detailed description): k C V 411.- . _ . . -0 R`Q (fc) \CAV* rk (P CO 0 pl ' n e Pv_tS in ��r �► iso_ . PROJECT NAME: PROJECT INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: M S 5(STREET� `'�RATE, J cPc .col uj q.g (DC)? CONTRACTOR: NAME: DAYTIME PHONE: tot _ (�� 431 - iqs , C � MAILING ADDRESS STREET ADDRESS;CITY,STATE,ZIP); EVENING PHONE: P.C3 . ko x (009 Ion s � c1%\ bb (201e) 4-31 - ( I V A tA.D QTY OF FEDERAL WAY BUSINESS UCBNSE NUMBER: -7� I FAX NUMBER; QC - 2 - Q €206) ZA{(- 0007 CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: KAP/of card required) _ 8 4 E L E c. e q ,113 / / o l�[ APPLICANT: NAME: DAYTIME PHONE; C- 1(A YIP_ CSS C.ern fCR.0 )( ( ) - MAILING ADDRESS(MEET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: RELATIONSHIPTO PROJECT: e ,La FAX NUMBER. CI ARCHITECT a TENANT i-OTHER(DESCRIBE): O._nAtla C" ( ) - '� / E-MAIL ADDRESS. CONTACT PERSON FOR THIS PROTECT: 0 PROPERTY OWNER APPLICANT IIYCONTRACTOR II PROJECT INFORMATION EXISTING USE; EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑YES ❑NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE D TACOMA ❑ PRIVATE(WELL) CCWFD ceDUldO DOrWrneD. n I AI[RNA%I N n NtlBI.d INC ti sDTVATC raeervrI FROM :A-1 ELECTRIC & PLUMBING INC FAX NO. :206-246-0007 Dec. 15 2003 03:58PM P3 i **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) FANS) HOOD(S) WOODSTOVE(S) BOILERS) 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) DISHWASHERS) RAIN WATER SYS. VACUUM BREAKERS) ❑ELECTRIC o GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( ) INTERCEPTOR(S) SUMP(S) II 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 a part of this application. NAME/TITLE: 0-41-16, L.� DATE: I0--15 '0 ❑ PROPERTY OWNER LAPPLICANT o.NTRACTOR FOR OFFICE USE MAX: ❑NEW ❑ ADDITION ❑ALTERATION o REPAIR ❑TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? ❑YES ❑NO COMP PLAN DESIGNATION BASIC PLAN? ❑YES ❑ NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑YES ❑NO PLAITED LOT? o YES ❑ NO CHANGE OF USE? ❑YES ❑NO M.a......�ry n.M M.M..r.T ern\I./'..► '.nr�n♦Ye\PT Il.av nti nn .v.nflv n/1S 1YnMa. ....v .a.. none,n-..n ern en wnnn r....�r1 .r. w.�+ FROM :A-1 ELECTRIC & PLUMBING INC FAX NO. :206-246-0007 Dec. 15 2003 03:58PM P4 I • ELECTRICAL TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES Single Family -Service or feeder only $57.00 _#of Thermostats(First-$43.00;add'n•$13.00ea) (First 1300112-585.50;Each add'n 500 112-$27.50) _Service and feeder $93.00 _#of Low voltage fire or burglar alarms Square Feet: First 2500 ft2-$50.00;F.ach add-n 2500 82413.00 Each outbuilding or garage $95.50 MOBILE HOME/RV PARK Square Feet: __ _ (Inspected with service) _#of service or feeders *Per WAC 296-46-910(S)(bXi&ii) _Each outbuilding or garage $57.00 (First service/feeder-$57.00;Add'n service/ _#of Signs(First sign-543.00;add'n sign (Inspected separately) feeler-$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 Up to 200 amp $ 93.00 S 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 7 #of circuits _Over 800 amp 289.50 216.50 -401 -600 252.50 101.00 (1-5 circuits-$72.50;Add=n circuits,$6 ea) 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 ResidentinUMulti-Family/Commercialilndustrial _0 to 200 amp 5 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 _ #of Mast or meter repair 43.00 _401-600 115.50 circuits over 600 125.00 (1-4 circuits-$57.00;Add'n circuits$6 ea) - If a new or shored 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. FEKT UREDESCRIPTION(A) FEKTtt1RE ME FROM TABLE B(8) NUI IBER OP UNIT'S(C) TOTAL(D) --p7R-e 1- _vcot+'S 1-ve f 2 re 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) .. a Bond Amount: (17) • OTHER FEES Mitigation Fee:(18) (20) (22) SBCC Surcharge:(19)_ _ (21) _ (23) Total (Pages One&Two): Une(s)(11)+(12)+(13)+(14)+(1S)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24) _