03-101587 • City Federal Way
Community Development Services Electrical Permit #:03 - 101587 - 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: PAVILION III BUILDING A
Project Address: 31705 PACIFIC S Parcel Number: 082104 9196
Project Description: Provide t-stat&wiring for future location
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES LLC HARSCH INVESTMENT PROPERTIES LLC MERIT MECHANICAL INC
HARSCH INVESTMENT PROPERTIES LLC HARSCH INVESTMENT PROPERTIES LLC PO BOX 2109
1121 SW SALMON ST 1121 SW SALMON ST REDMOND WA 98073-2109
PORTLAND OR 97205 PORTLAND OR 97205 (425)883-9224
Electrical Fixtures
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Thermostat 1
PERMIT EXPIRES October 20,2003.
Permit issued on April 23,2003
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 i .ccordance with the laws,rules and regulations of the State of Washington and
the City of Federal Wa
Owner or agent: air Date: tel '
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aTYo G CONSTRUCTION PERMIT APPLICATION
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•
APPLICATION NUMBER:__ _ _ _ _
APPLICATION NUMBER: _ _ _ -. _ _ s _
**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: 31705 Pacific Hwy S ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING 0 MECHANICAL o DEMOLITION
)(1ECTFLICAL o ENGINEERING ❑FIRE PREVENTION SYSTEM •
PROJECT DESCRIPTION(Provide detailed description): •
labiliagallalkolugaNigeEQUISAMEedeehettbrFrovide T-stat for future location with wiring ,
PROJECT NAME: 1)As)it=It eV1 J1- 51.0176 II
11
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE: ,
HARSH INVT PROPERTIES (253 )839 3997
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
31705 Pacific Hwy S
CONTRACTOR: NAME: DAYTIME PHONE:
MERIT MECHANICAL (425 )883 9224
MAILING ADDRESS(STREET ADDRESS;CRY,STATE,ZIP): EVENING PHONE:
9630 153RD AVE NE B1 REDMOND WA 98073 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
( ) -
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: •
(copy required) 06 / 01 /03
of cadAPPLICANT: NAME: DAYTIME PHONE:
HARSH INVT PROPERTIES (253 )839 3997
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,IIP): EVENING PHONE:
31705 Pacific Hwy S ( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
D ARCHITECT o TENANT o OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS: ^ •
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑APPLICANT o CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: _ EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 10143.00
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: 0 YES ❑ NO
WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o PRIVATE(SEPTIC)
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**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
2 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) 2 GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKERS) o 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)
• 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 less the Ctty of Federal Way as to any daim(including costs,expenses,and attorneys'fees incurred in the
Investigation and defen • claim), ich may be made by any person,including the undersigned,and filed against the City of
Federal Way,but onl "ere sudtzialhi arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the informatio r ed r. •• part of this application.
NAME/TITLE: /'elt) DATE: 04/22/03
o PROPERTY OWNER a AP•'a CANT o CONTRACTOR
FOR OFFICE USE ONLY:
o NEW o ADDITION o ALTERATION ❑REPAIR o 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? 0 YES ❑NO
PLATTED LOT? t7 YES ❑NO CHANGE OF USE? n 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,cityoffedera Iway.com
• ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMESSC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $50.00 4#of Thermostats(First-$37.50;add'n-$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: F_irst 2500 ft'--$43.50;Each add'n 2500 ft2-$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(5XbXi&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 $ 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 _(1 #of circuits
_Over 800 amp 252.50 189.00 _401-600 220.50 88.50 -5 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 600 109.00
(1-4 circuits-$50.00;Add'n circuits$5 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+$63.50.Add=l plan review for other submissions is$75.00/hr.
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2 low volt t-stat
. 'IOTAIL C01.uMN{0);
Total Column(0)
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