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01-102562 City on Federal Way Community Development Services Electrical Permit #:01 - 102562 - 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: BRANTLEY JANSEN Project Address: 1615 S 325TH S+ Parcel Number: 162104 9052 Project Description: ELE-Modify circuitry for new HVAC Owner Applicant Contractor BBSG INVESTMENTS LLC MCMULLEN ELECTRIC INC MCMULLEN ELECTRIC INC 33530 1ST WAY S#200 203 STEWART W 203 STEWART W FEDERAL WAY WA PUYALLUP WA 98371 PUYALLUP WA 98371 98003-6210 (253)845-7593 Electrical Fixtures --Description r. €: (Quantity :Description ,1Quantityl Description (Quantity Circuits-1—Commercial 1 PERMIT EXPIRES December 24,2001,IF NO WORK IS STARTED. Permit issued on June 27,2001 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: �l�'� �-1?' Date: 73 (, ,,�; CIT•Of • CONSTRUCTION PERMIT APPLICATION • 0 �� ��L' �� ������ APPLICATION NUMBER: 1 n I - 15 I J APPLICATION NUMBER: - - 1 JUN 2 7 � APPLICATION NUMBER: - - **The followinUIit'tE i abligo fPV$p{Qn—Please print(in ink)or type** BUILDING DEPT. Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. fC 1 • PROPERTY INFORMATION 4 r7 SITE ADDRESS: ( 1 5 `?z- ' ASSESSOR'S TAX/PARCEL #: I Q o,Q - 4 S'' 2 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): 0-04% e+'l,s b I'f 1 ced Ch-r..9 11.)c , ■ PROJECT INFORM/4'730N TYPE OF PROJECT(This application): ❑'BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ELECTRI A ❑ ENGINEERING..❑ FIRE PREVENTION SYSTEM Mod � �� PROJECT DESCRIPTION(Provide detailed description): -;4 - CiV1.Clt7t"ft- 7 -1- Ak/ie (SP„A ) PROJECT NAME: .....79-47r07 ()Ff,GE ■ P7OPLE INFORMATION NA :.y 4 DAYTIME PHONE: PROPERTY°MIER: :, MAILING DRESS(STREET AD ESS;CITY,STATE,ZIP) i6/7 ,: 32-521", CONTRACTOR: NAME: DAYTIME PHONE: AL PA eAn, EUcti4j c, (;$3 )8 /S - 73 93 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIPIe EVENING PHONE: '.s. ?—iO3 (A), S'r-tAa t ( )_s & - CITY OF FEDERAL WAY BUSINESS UC£NSE NUMBER: (3(.i FAX NUMBER: 9 ° 1_ iv / (23- o),ez -453-29 OFI CONTRACTOR'S REGISTRATIONMBER: - ` /EXXPIRATION DATE: \ li (copy of card required) 14 0 1- 1 �. S APPLICANT' N E: DAYTIME PHONE: '�L��I���(C + l�C-kiu c� ('Z o )V-1 -! 3 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: b3 Nt' k 1" (a-5 3)&t - 7c 9 3 RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): (7.'5 >) SSL4C) - 652 E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT OCCONTRACTOR ■ 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: $ ■ PRO]ECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: 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 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 claim(including costs,expenses,and attorneys'fees incurred in the investigation and defense of such claim),which may be made by any person,induding the undersigned,and filed against the City of Federal Way,but on where such claim arises out of the reliance of the city,induding its officers and employees,upon the accuracy of the information }•plied to the city as a p of this application. r_ NAME/TITLE: � DATE: ID / ©4 ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR FOR OFFICE USE ONLY: 0 NEW' 0 ADDITION 0 ALTERATION 0 REPAIR 0 TENANT IMPROVEMENT CENSUS CODE: _ LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES 0 NO COMP PLAN DESIGNATION BASIC PLAN? 0 YES 0 NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES 0 NO PLATTED LOT? ❑ YES 0 NO CHANGE OF USE? 0 YES 0 NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 r ■ ELECTRICAL • \! TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only $44.25 _#of Thennostats(First-$33.50;add'n-$I0.50ea) (First 1300 ft--$67.00;Each add'n 500 ft2-$21.50) _Service and feeder $72.25 #of Low voltage fire or burglar alarms First 2500 112438.75;Each add'n 2500 ft2-$10.50 _Each outbuilding or garage. $28.00 MOBILE HOME/RV PARK Square Feet: (Inspected with service) _#of service or feeders ' Per WAC 296-46-910(5)(b)(i&ii) _Each outbuildingor garage $44.25 (First service/feeder-$44.25;Add'n service/ _#of Signs(First sign-$33.50;add'n sign (Inspected separately) feeder-$28 each) $16.00 each) _Progress inspection per 1/2 hr $33.50 _Swimming pool.hot tub,spa 67.00 Yard Pole meter loops 44.25 NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (Includes three units or more) Altered Service or Feeders Service Feeder Amps Service or Add'n I 0 to 200 $72.25 _Up to 200 amp $72.25 $21.50 Feeder _201-600 169.00 _201-400 amp 89.75 44.25 _0 to 100 $72.25 $44.25 _601-1000 254.50 _401-600 amp 123.25 61.50 _101-200 89.75 56.25 over 1000 282.75 _601-800 amp 158.00 84.25 _201-400 169.00 67.00 Kr of circui _Ovcr 800 amp 225.25 169.00 _401-600 197.00 78.75 (I-5 circuit 56.25 Add'n circuits.$5 ea) ALTERED SINGLE/MULTI FAMILY _601-800 254.50 107.25 (When inspected separately from the services.) _801-1000 310.75 129.75 Temporary Service Service or Feeder _Over 1000 339.00 181.00 _0 to 60 $38.75 _0 to 200 amp $61.50 _Over 600 volts surcharge 56.25 _61 -100 44.25 _201-600 amp 89.75 _Mast or meter repair 61.50 _101-200 56.25 _over 600 amp 135.25 _201-400 67.00 -Mast or meter repair 33.50 _401-600 89.75 _#of circuits _over 600 97.75 (1-4 circuits-$44.25;Add'n circuits$5 ea) If service is greater than 200 amp,a plan review is rcq'd.Fec is 35%of permit fee+$56.25.Add'l plan review for other submissions is$67.00/hr. FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D) TOTAL COLUMN(0): _ Total Column(0) Estimated Permit Fee: (12) Estimated Permit Fee from line 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-January 3,2001