01-103453 City mmwnityDevelopment Services of FederalWay
Community Electrical Permit #:01 - 103453 - 00 - EL
ty
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: ANDERSON PEYTON
Project Address: 31620 23RD1S Suite321 Parcel Number: 092104 9051
Project Description: ELE-Alterattiion of up to(8)circuits for T.I.on 3rd floor.
Owner Applicant Contractor
LAKE UNION BUILDING LLC R-C TRUE LINE CORP R-C TRUE LINE CORP
4727 DENVER AVE S 10322 150TH ST CT 10322 150TH ST CT
SEATTLE WA PUYALLUP WA 98374 PUYALLUP WA 98374
98134-2316 (253)845-8875
Electrical Fixtures
..Description Quantity kDescription Quantity ° Description Quantity
Circuits- Commercial 8
4 PERMIT EXPIRES March 3,2002,IF NO WORK IS STARTED.
Permit issued on September 4,2001
I hereby certify that the above information is correct and the construction on the above described property and
the occupancy and the be in cc. dance wit e laws rules and regulations of the State of Washington and
the City of Federal W
Owner or agent: / �` Date:
-
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«tt� G_ CONSTRUCTION PERMIT APP CATION
APPLICATION NUMBER: _ vo-(�—
v.> RYVkeA G -1� APPLICATION NUMBER: o ( - �� - -
70 APPLICATION NUMBER: -
**T St—RAI—owing ivecujit(ed information-Please print(in ink)or type**
pp
I Please note: Electricta fi t Ohlgystems and Engineering permits may require a separate application.
• ■ PROPERTY INFORMATION
SITE ADDRESS: 3/6-.7,0 _2 3 �c1Q4 - - ASSESSOR'S TAX/PARCEL#: 0? Z/01 -rO�7_
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROTECT INFORMATION
TYPE OF PROJECT(This application): 0 BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION
PCELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): f 0 ...(./.c /.3 7 • p , cJ C..0 v
- GC> / /h T - 'O h , r !-, ✓ �-
iL / 4 0..-P-- ei ,, S .4, Oe' t -A-p.c. / S "t L c...eS
PROJECT NAME: A ---/ . •— ,2c >/ea ,.�
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
A .......c//:e.--56.„.._ p, 4,,..,___ (53) `'y/- 47 -2-9
MAIUNG ET ADDRESS ZIP):
/D /+DTT �C . 5..,�e_ 5.2-/ --:c-1- / -'
CONTRACTOR: NAME: DAYTIME PHONE: �/
MAILING/�ADDRESS— 7v�-�-,STATE, 3 •,--e (2,.53) '73- 303!
/ q? ( �l a 5' /'rP�� C t E.� . /9-7 �,J, J?'( NING PHONE: -
CITY OF FEDERAL WAY BUSINESS.LICE NUMBER: - _, hNUMBER:
y fa 5.2...
7
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) CIS UL. C 0 3 4 c (( 10 7 / O/
APPLICANT: NAME: DAYTIME PHONE:
.�0 lu ( ) -
h i MAILING ADDRESS(STRE ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
t RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
■ DETAILED BUILDING 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 ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• PROTECT 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: ❑ 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.( )
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 claim(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which m• •.made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such da" • ' :- ‘3,1 of . - reliance of the city,induding its officers and employees,upon the accuracy
of the information sup,to • - a a 'a f . •, application.
ik
NAME/TITLE: iL d DATE:
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
`FFR OFFICE USE ONLY:'.
'❑ NEWT ,._ 0 ADDITION ❑'ALTERATION ❑;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
:PLATTED LOT?'! ❑ YES ❑: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
■ ELEC ir'RICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $48.00 _#of Thermostats(First-$36.00;add'n-$11.00ea)
(First 1300 ft2-$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) _#of service or feeders *Per WAC 296-46-910(5)(b)(i&ii)
_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-$31 each) $17.00 each)
_Swimming pool,hot tub,spa 72.00
_Yard Pole meter loops 48.00
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 $ 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 p#of circuits
_Over 800 amp 243.00 182.00 _401-600 212.00 85.00 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-$48.00;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.
lINF.DRUREeDESCRIP7ION"(A) FIXTURE FEE FROM TABLE-B'(B)t '" NUMBER`OF4UNITS(C) :'• ;'TOTAL(D)";`IWAs-
=„?NOTA L""COLUMN;((D):0-
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from fine 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