03-100940 City of Federal Way Electrical Permit #:03 - 100940 - 00 - EL
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210
o Ph.253.661.4000 Fax 253.661.4129 y Inspection request line: 253.835.305
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R -PrQ,ject Name: DOLLAR TREE -,
Prgject Address: 31014 PACIFIC S - Parcel Number: 785360 0200 ''- •=-
Pxjject Description: Wire voice and data cabling - = `
s
Owner Applicant-- - - Contractor -- -
TACOMA GOODWILL INDUSTRIE CORRIDOR ELECTRIC - CORRIDOR ELECTRIC
714 S 27TH ST 2021 108TH ST SE 2021 108TH ST SE
TACOMA WA EVERETT WA 98208 EVERETT WA 98208
98409-8130 (425)379-6421
Electrical Fixtures
5321 If:'i�.w �'o-ah.: w �. ...� � ,17 mss^a�£'-:&�s...,
Low Voltage-Other Commercial 21504
PERMIT EXPIRES September 6,2003.
Permit issued on March 10,2003
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: Date: A/ O3
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A. . ••4 CONSTRUCTION PERMIT APPLICATION
CITY OF W oesfi`r► APPLICATION NUMBER: D3 - L 002 g -
ff*Way - -
�� � � It��t�1' APPLICATION NUMBER:
APPLICATION NUMBER: -
•
MAR 1 0 2003 **The foll, .,,i� 'c�!fir'"` rmation-Please print(in ink)or type**
Please npQe:electrical,Fire 1 -w .� Systems and Engineering permits may require a separate application.
di . :AL WA
/� / • PROPERTY INFORMATION
SITE ADDRESS: 3-101 p/T�rl C/1 ittoYCc• ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING a MECHANICAL o DEMOLITION
y ELECTRICAL '' An❑ ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 03 L +2 C bnc_L.°c- ` K2-)c-C-
.. pw. L-e. - ( Sty/ .l.3 l L VD \ 1-1 r-.1 Ce_�
PROJECT NAME: D 6 LL ^ -TREE S-1-0,\E
• PROJECT INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: ANME: 35 3i PAiA[E /WC. DA ME PHONE:
MCotRkIDOEIQ C,T12lLjl1Q6• �1( IQET-r- r,01 .157-0) (4/2513n -8883
1 EVENING Fl-ONE:
3531 P/4 it ie- ,4vv £1i-V-t7'r W>i) 18zo I (4-2,9541t1-876
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - (¢253 -8825
CONTRACTOR'S REGISTRATION NUMBER: /- �j p EXPIRATION DATE:
(copy of cab CO,required) R/E/ [A [ 3/\ 7 i2 /Z7 12..‘x)3
APPLICANT: NAME: DAYTIME PHONE:
(',O ,I.1)o1e a Icie., (429 317- ess3
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
3.5 1 P�-!t is # ( - EV T-T WA- 18 I (f2.5)34-c( -1 3719
RELATIONSHI TO PROJECT: /' F NUMBER:
❑ARCHITECT o TENANT )(OTHER(DESCRIBE):ELKg L C-cav,.%_ ( )5 /7Z-5
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: a PROPERTY OWNER a APPLICANT i CONTRACTOR C,aE21E0[-110'1
• PROJECT INFORMATION
0
EXISTING USE: €'Th i L_ EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
[�
PROPOSED USE: E\ TVA--%l_ PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? a YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑YES ❑NO
WATER SERVICE PROVIDER: o LAIEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAIEHAVEN ❑ HIGHLINE o PRIVATE(SEPTIC)
R
**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 ❑ 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.( )
INTERCEPTORS) 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
ar
Federal Way,but only where claim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information su. . Aiii &jamrt of this application.
-77
NAME/TITLE: ' DATE: -s--1-'l O U
o PROPERTY OWNER ❑APPLICANT' ; •• '-'71• OR
FOR OFFICE USE ONLY:
❑NEW to ADDITION ❑ALTERATION ❑REPAIR a TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑YES 0 NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES a NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? a YES 0 NO
PLATTED LOT? ❑YES o NO CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY.WA 98063-9718•253-661-4000•FAX:253-661-4129
IN ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _#of Thermostats(First-$43.00;add'n-$I 3.00ea)
(First 1300(t2-585.50;Each add'n 500 ft'-$27.50) _Service and feeder $93.00 #of Low voltage fire or burglar alarms
Square Feet: First 2500 ft2-$50.00 Each ad ' 2 2-513.00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet: ar Coq
(Inspected with service) _#of service or feeders * Per 296-4 -910( (i&ii) J
_Each outbuilding or garage $57.00 (First service/feeder-$57.00;Add'n service/ _#of Signs(First sign-$43.00; dd'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
_Up to 200 amp $ 93.00 $ 27.50 Feeder 201 -600 216.50
_201 -400 amp 115.50 57.00 0 to 100 5 93.00 5 57.00 60i -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 #of circuits
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 (I-5 circuits-$72.50;Add'n circuits,56 eal
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 _401-600 115.50
_#of circuits _over 600 125.00
(1-4 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.'plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
1
i
I
I �
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) L
• 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