01-103629 City of Federal Way
Community Development Services Electrical Permit #:01 - 103629 - 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 II
Project Address: 31601 PACIFIC S Parcel Number: 082104 9196
Project Description: ELE-Install site lighting for parking lot.
Owner Applicant Contractor
PAVILION CENTER ASSOCIATES*PAVILIC FULLER ELECTRIC FULLER ELECTRIC
3650 131ST AVE SE#205 FULLER ELECTRIC FULLER ELECTRIC
BELLEVUE WA 37107 12TH AVE S 37107 12TH AVE S
98006-1334 FEDERAL WAY WA 98003 (253)661-7181
Electrical Fixtures
.Description r, IQuantity Description 'Quantity! ._;._Description !Quantity
Service/Feeder: 0-100 amps-Comm. 1
PERMIT EXPIRES March 16,2002,IF NO WORK IS STARTED.
Permit issued on September 17,2001
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.f',..,t
Owner or agent: 71.6, . \ Date: 9-( 2- 0/
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' ..'°` G RECEIVED , CONSTRUCTION PERMIT APPLICATION
• �nL APPLICATION NUMBER: 1- f D
uv rav C� _G21- 61.,...
' - S APPLICATION NUMBER: -
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APPLICATION NUMBER: -
**TheoTY1•41FtqY
d information-Please print(in ink)or type**
x; Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. ,
■ PROPERTY INFORMATION
SITE ADDRESS: 3160 1 PaC,'},Gth4.1S �, .
ASSESSOR'S TAX/PARCEL#: -
LE9.I�ID,ESCRIP�6N Otre�QROPEQTY(ATT/CH SEPARATE DESCRIPTION IILENGTHY):
�CC,,JJ ��� .4,` ,{.. ec .TL 13(.4.‘"
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
rrLECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION�Pronvide detailed description : .�'i^L 4a C044.14114/-* a114 61"e• 4 poll-
bask,
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b ask,s f. .T& s-�.�1 CIS J .e+ke,,.s,4._ 04, p0 L looms -
PROJECT NAME: Pew.L a k Tr S 1-i-e- 1-, `✓'!.t'
■ PEOPLE INFORMATION
PROPERTY OWNER: N�a u` I. O N 11-ss DAYTIME PHONE:
( ) -
MAILING ADDRESS(STREET ADDRESS;C STATE,ZIP):305o - 13L s-I st
• ' 2os - 8td1@vkQ , w4.
CONTRACTOR: NAME:��1y,. �� � � p DAYTIME PHONE:
�t�'✓.L (2.S3 ) 66/ - 7417
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
33-10 -3 - 12- 11. . s0 ( ) -
rz
'fE'DEE WAY BUSSINNESS U'C.EN,SE NUMBER: /�� FAX NUMBER:
CONTRACTOR'S REGTION NUM 9 w� ( 3 ) 4r+- 6 r56
EXPIRATION DATE:
(copy of card required) F(,l l 1 e e I-C)2 3 B V- / / /2.. /2 00 2-
APPLICANT: NAME: DAYTIME PHONE:"`/
(
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
-
RELATIONSHIP TO PROJECT: ( )
fAX NUMBER:
0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ( ) - -
�� E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT LrYCONTRACTOR
■ 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 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
>c;
'' 4-7"---`N EIN RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• - . ■ PRO3ECT 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) 0 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 claim),which may be made by any person,including the undersigned,and filed against the City of
Federal Way,but only / ere such claim arises ou •f the reliance of the city,including its officers and employees, upon the accuracy
of the information su.F. -d to the city as a part • is application.
1 • - ' r71�°�/
NAME/TITLE: i DATE:
0 PROPERTY OWNER i A 1 CANT L_`1'CONTRACTOR
FO FFICE USE ONLY: I
NEW ❑ ADDITION 0 ALTERATION 0 REPAIR 0 TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? 0 YES 0 NO
COMP PLAN DESIGNATION BASIC PLAN? 0 YES 0 NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? 0 YES 0 NO
PLAITED LOT? 0 YES 0 NO CHANGE OF USE? 0 YES 0 NO
V.
•
ia ELECTRICAL •
. . _ TABLE B I •:-w • . ..
NEW RESIDENTIAL SERVICES . . , MOBILE HOMESr . . - MISC EQUIPMENT/TEMP SERVICES
_Single Family _ Service or feeder only ' 544.25 _#of Thermostats(First-533.50;add'n-S 10.50ca)
(First 1300 ft--567.00;Each add'n 500 ft -$2 1.50) _Service and feeder S72.25 #of Low voltage fire or burglar alarms
; Square Feet: First 2500 ft2-538.75;Each add'n 2500 ft2-$10.50
_Each outbuilding or garage 528.00 MOBILE HOME/RV PARK Square Feet:
• (Inspected with service) _#of service or feeders 'Per WAC 296-46-910(SXbxi&ii)
Each outbuilding or garage $44.25 (First service/feeder-$4425;Add'n service/ _#of Signs(First sign-$33.50;add'n sign
i -(Inspected separately) 516.00 each)
feeder-$28 cath) _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 _0 to 200 $72.25
-Up to 200 amp S 72.25 S 21.50 Feeder _201-600 169.00
_201-400 amp 89.75 44.25 _0 to 100 S 72.25 S 44.25 _601-1000 254.50
_401-600 amp 123.25 61.50 _101-200 89.75 56.25 _over 1000 282.75
_ (I-
601-800 amp 158.00 84.25 _201-400 169.00 67.00 _#of circuits
_Ovcr 800 amp 225.25 169.00 _401-600 197.00 78.75 5 circuits-$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 l _Over 1000 339.00 181.00 _0 to 60 $38.75
_0 to 200 amp 'S 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.Fee is 35%of permit fee+556.25.Add'I plan review for other submissions is$67.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
6ik.2.S -l-Sc..
E0. oa 14- Cr 0444/
QTOTAL COLUMN(D): t 3$.Co
( ) ' 7 t]'.notal Column(D)
Estimated Permit Fee: 12
Estimated Permit Fee from fine 12
Estimated Plan Review Fee: $56.25+ ,:!,---- X.35=(13)
• DEMOLITION
r!
Estimated Permit Fee: (14) l •
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