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01-104083 City of Federal Way " Electrical Permit #:01 - 104083 - 00 - 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: PAVILION CENTER IIA Project Address: 31811 PACIFIC S Parcel Number: 082104 9126 Project Description: ELE-Electrical work for(1)new monument sign Owner Applicant Contractor L L C Acrocapital FULLER ELECTRIC FULLER ELECTRIC 13010 NE 20TH ST#C FULLER ELECTRIC FULLER ELECTRIC BELLEVUE WA 37107 12TH AVE S 37107 12TH AVE S 98005-2034 FEDERAL WAY WA 98003 (253)661-7181 Electrical Fixtures Degcriptial ti a 4,W' ' Quantity Description `Quantity Description Quantity Sign 1 PERMIT EXPIRES April 21,2002,IF NO WORK IS STARTED. Permit issued on October 23,2001 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: e 4'1Z' '1 '�r'�✓" ` Date: 1 0 —2-3-0' �a - Plir ;Of .- CONSTRUCTION PERMIT APPLICATION VV ED'. '". APPLICATION NUMBER: ©Z ,46J/ - tip — ' APPLICATION NUMBER: _ 77,_1,1-'2:7J.:::.,,,... .-.--,3_7----::_.-. _ _ 01 J 2 3 ?Uri ; APPLICATION NUMBER: {1 -VSz C:11 following is required information-Please print(in ink)or type** $UFi v Please note: Electncai�IN &?i Systems and Engineering permits may require a separate application. •/J PROPERTY INFORMATION SITE ADDRESS: 3 / G C, / 11.)<,c, /- c u / ASSESSOR'S TAX/PARCEL#: OZ f 1 ((- 2/2_ LEGALDESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): // / ' ,V j / A A L.t/'1 /.ty- ) , A 0 .3 /J..•., ` `f/ : • PROTECT INFORMATION TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION XELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): S:r /"I C, I-c L,Lfr , - `6_ PA L:,I. � Le ...Ai ; PROJECT NAME: Pc, Li i I, o A- _ ■ PEOPLE INFORMATION' _ PROPERTY OWNER: NAME: DAYTIME PHONE: a v:/, cn C,e,/e,-4ss ( ) - MAILING ADDRESS(STREET ADDRESS;CITY STATE,ZIP): 3 (, L so /3/ S /4ve SG 4/200 lie_ii_ (,J /9 9,-r:,( ,.3. y CONTRACTOR: NAME: DAYTIME PHONE: _ . ' FI.c /A- Ele- cite..'c ('z)3 ) ( / - 7J / MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): , EVENING PHONE: 3 )/c ? / 2j� /a-vt sr F d,.J (day tc/49,f1/'3 (2s3) C6/- 7/F/ CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: — ( ) — CONTRACTORS REGISTRATION NUMBER: K EXPIRATION DATE: (copy of mrd required) C (A / / E C 1 _C1 -.- 7 13 , / / Z / :,C}} . c.,c2 APPLICANT: NAME: f-/ DAYTIME PHONE: 4 f ( 1-:--- Mc. ff, 1c _( ) - MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: I/U ) / ) AVe- 3 e ( ) - RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT ❑ CONTRACTOR :.DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) • **k ESIDENTIAL CONSTRUCTION ONLY** . . NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROSECT FLOOR AREAS FLOOR EXISTING S• PROPOSED SQ.FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL.: . ..--:111 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: 0 ELECTRIC 0 GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 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 daim(induding costs,expenses,and attorneys'fees incurred in the investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. —7` ,t NAME/TITLE: PCdt7 77--1(-^ Y/ 1 s;-��lYu'-,-,7/ DATE: /0 -23 "C-:' ❑ PROPERTY OWNER 0 APPLICANT ,P4 CONTRACTOR i FOR OFFICEUSE ONLY : ❑_NEWS❑ADDITIQN . '� _ ❑ ALTERATION = �TENANT IMPROVEMENT: - ���REPAIR � CENSUS CODE Mite LOTSIZE 4. 1A_ = .; __, ZONNG ESGNATON _„ .:;: _ .... BUILDING SH ELL ONLY? ❑YES � ❑ NO..,,,,i.....-i.74-,..A.,%. , COMPPLAN_DESIGNATION' BASIC PLAN? WErriiliCI NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED?= ❑ YES,` 0 NO r= ,, CHANGE OFtUSE? . . ,...0 YES..- .❑NO = *`Y�. . COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718.253-661-4000•FAX:253-661.4129 s::-;',::!;= -:,-',- ,` TABLE B a NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only $48.00 _#of Thermostats(First-$36.00;add'n-$1 1.00ea) (First 1300 ft-$72.00;Each add'n 500 ft2-$23.00) _Service and feeder $78.00 _#of Low voltage fire or burglar alarms Square Feet First 2500 ft2-$42.00;Each add'n 2500 ft2-$11.00 Each outbuilding or garage $30.00 MOBILE HOME/RV PARK Square Feet: (Inspected with service) _ _Each outbuilding or garage $48.00 (First service/feeder-$48.00;Add'n service/ #of Signs(First sign-$36.00;add'n sign (Inspected separately) feeder-531 each) $17.00 each) _Swimming pool,hot tub,spa 72.00 _Yard Pole meter loops 48.00 1 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 $ 78.00 _Up to 200 amp $ 78.00 $ 23.00 Feeder _201-600 182.00 _201-400 amp 97.00 48.00 _0 to 100 $ 78.00 $ 48.00 _601-1000 274.00 _401-600 amp 133.00 66.00 _101-200 97.00 61.00 _over 1000 305.00 _601-800 amp 170.00 91.00 _201-400 182.00 72.00 _#of circuits _Over 800 amp 243.00 182.00 _401-600 212.00 85.00 (1-5 circuits-$61.00;Add'n circuits,$5 ea) ALTERED SINGLE/MULTI FAMILY _601-800 274.00 116.00 (When inspected separately from the services.) _801-1000 335.00 140.00 TEMPORARY SERVICE Service or Feeder _Over 1000 365.00 195.00 Residential/Multi-Family/Commercial/Industiral _0 to 200 amp $66.00 _Over 600 volts surcharge 61.00 _0-100 48.00 _201-600 amp 97.00 Mast or meter repair 66.00 _101-200 61.00 _over 600 amp 146.00 _201-400 72.00 _Mast or meter repair 36.00 _401-600 97.00 _#of circuits _over 600 105.00 (1-4 circuits-548.00;Add'n circuits$5 ea) If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+$61.00.Add'I plan review for other submissions is$72.00/hr. FDCrURE DESCRIPTION(A) tilFIXTURETEE`FROM TABLE B(BP' " NUMBER OFUNITS'(C)-i - iTOTAL(D): Il 4,371 ,' :e kTOTAI:COLUMN',(D): Total Column(0) Estimated Permit Fee: (12) Estimated Permit Fee from One 12 Estimated Plan Review Fee: $56.25+ 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-August 20,2001