01-100340 City of Federal Way
Community Development Services Electrical Permit #:01 - 100340 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210 Inspection request uest line: 253.661.4140
Ph:253.661.4000 Fax:253.661.4129
(3:30pm cut-off for next day inspections)
Project Name: PC CLUB
Project Address: 31840 PACIFIC S (,1,111 't' A Parcel Number: 092104 9221
Project Description: ELE-Alter circuit for restroom remodel
Owner Applicant Contractor
SEA-TAC CENTER ASSOCIATES NONE SHEPPARD&NELSON ELECTRIC
2101 4TH AVE#250 SHEPPARD&NELSON ELECTRIC
SEATTLE WA PO BOX 3630
98121-2317 NONE (206)878-7333
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits- Commercial 1
PERMIT EXPIRES July 25,2001,IF NO WORK IS STARTED.
Permit issued on January 26,2001
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: 61 ...¢ , C'�G'c�ctj L Date: / O��J ` O L/
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- «n« G CONSTRUCTION PERMIT APPLICATION
•
FD L_ APPLICATION NUMBER: 0 L - 1 400, q Q - EL
APPLICATION NUMBER: _ _ - _ _ _ — _ - _ _
APPLICATION NUMBER: _ _ _ _ _ _ —(4,1! __ - -
JAN26 '
**The following is required information—Please print(in ink)or type**
Please note: Electrical,FirePrreleitS ttAd Engineering permits may require a separate application.
• PROPERTY INFORMATION
SITE ADDRESS: a I e L 0 PAe_ Wy S- 5 Jt A ASSESSOR'S TAX/PARCEL#: Cr)-- I6 _ 111).._ _ _
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
4
ipviwk
VIM VAI' AIL
• PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING 0 PLU : 0 M .NICAL 0 .O lir
• 0.ELECTRICAL 0 E • \❑ FIR EVENTION ' EM
PROJE DESCRIPTION Provide detailed description): 11, l - S/VYX�(,ril
.Q Cc-4a -
PROJECT NAME: ,
■ F ')PLE ii,. ...t MATION
i i a
PROPERTY OWNER: NAME:
f
MAIUNG ADD (STREET ADDRESS;CITY, TE,ZIP):
CONTRACTOR: NAME: rr- DA E PHONE:
�'I1-e,ppa I-)-e(Sohr • G 0,6 )878 -733 3
MAILIN DORESS(ARE.../ ET ADDRESS;CITY,STATE,ZIP): NING PHONE:
. '!fit Of l (3) 3 - ..- ply ick ` r ( ) -
'` CITY OF FEDERAL WAY BUSINESS LICENSE , BER:
- 00_ 8 L FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: ^ ' '#N````A . — 6 r — �PIRATI��N/DATE:
3/ / 6 I
t
APPLICANT: NAME: V DAYTIME PHONE:
( )
MAIUNG 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: ❑ PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: (,-1 ` 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)
•
**NEW RESIDENTIAL CONSTRUCTION ONLY** J , ,
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 K++,
GARAGE
HOW MANY FLOORS? -o. .
TOTAL:
Indicate number of each type of fixture
lif
MECHANICAL
Ali
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S). FUfM'ACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHERS) 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 isrue 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(inducting 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 where such daim arises out of the reliance of the city,Including its officers and employees,upon the accuracy
of the information supplied to the city as a part of thi• application.
NAME/TITLE: = / " DATE: C I 0 — 490" O
-
Or
❑ PROPERTY OWNER 0 APPLIC "�CONTRACTOR
V.fOROFFICEIMSgIONLY011
NEW: • k90 ADDITION ❑ALTERATION r REPAIR:
tENANT4INIPROVEMENT
CENSUS CODE "::. _so: LOT SIZE:
ZONING DESIGNi1`IYON' 1 �BUILDING SHELL ONLY?; 1 YES 0 NO
COMP PLAN DESIGNATION .. l{/IBASI4)PLAlV7, ❑ YEs i0_T.
SECTION TOWNSHIP RANGE
� NEVI�,�bt�itESs f��QUIRED? � D NO .
PLAITED'LOT? ❑ YES- ❑NO Y',!!!;'''':.! ..:!:.:.:'1!IbillIP �C' HANGE QF USE7 ❑YES D.110.
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718.253-661-4000•FAX:253-661-4129
• ELECTRICAL
'et- -TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $44.25 _#of Thermostats(First-$33.50;add'n-$I0.50ea)
(First 1300 ft2-$67.00;Each add'n 500 ft2-$21.50) _Service and feeder $72.25 _#of Low voltage fire or burglar alarms
Square Feet: First 2500 ft2-$38.75;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 outbuilding or garage $44.25 (First service/feeder-$44.25;Add'n service/ _#of Signs(First sign-S33.50;add'n sign
(Inspected separately) feeder-$28 each) $16.00 each)
_Progress inspection per Y2 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 $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
.4_601-800 amp 158.00 84.25 _201-400 169.00 67.00 J #of circuits
_Over 800 amp 225.25 169.00 _401-600 197.00 78.75 (1-5 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 _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 req'd.Fee is 35%of permit fee+$56.25.Add'I plan review for other submissions is$67.00/hr.
fIXTUREDESCRIRTIONE(A) fIXTURE'FEE FROM TABLE 13(B) NUMBER'OF UNITSXC)� TOTAL(D) ..
TOTAL COLUMN(D):
Total Column(D)
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-August 29,2000