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04-104155 • Cit of Federal WayElectrical Permit #: i p - Coffiliminty Development Services P.O.Box 9718 FederalWay,WA 98063-9718 Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: 253 835-305C Project Name: FOREST CONCEPTS LLC Project Address: 1020 S 344THtSsite211 Parcel Number: 926480 0082 Project Description: Altering(1) circuit for wire bailer Owner Applicant Contractor FOREST CONCEPTS LLC KIRBY ELECTRIC INC KIRBY ELECTRIC INC 1020 SW 344TH ST UNIT 211 4826 B ST NW SUITE 101 4826 B ST NW SUITE 101 FEDERAL WAY WA 98023 AUBURN WA 98001 AUBURN WA 98001 (253)859-2000 Electrical Fixtures Description Quantity r Description j'Puantityl Description JIQuantityi [Circuits- Commercial 7, 1 PERMIT EXPIRES April 10,2005. Permit issued on October 12,2004 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: —� Date: /," " /2 .41.11414,Shi. . THIS CARD IS TO REMAIN ON-SITE -':, 1711 rfl 1.1 n i ty Develn ri !-. 4'. L erai Vila .- y I VR INSPECTION 12 EQ ULLik I'llONE # (253) PERMIT #: 04-104155-00-EL Owner: FOREST CONCEPTS LLC Address: 1020 S 344TH ST Suite 211 FEDERAL WAY, WA 98003 1 his card is pit oi your required inspectio.. do.L , r! !..:. : : :: . ' : ' . ' : : 0 ; ,:i ',(1 '', Inspections arc listed as close to sequential order.. ; o, :' ' ,i , ! ' 'I; ;::: .: schc,dde i;„;:pee!. .., . . . ": bc covcr2i until it is approved. Checkwith .....Hr! , J ; ::!: ,:, , L; _ . ' : : ' '-‘ are logged on the back of this card. 1 -- - 1 Approved to place concrete Approved Approved By Date By Date By Date ,r3 Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045) Approved Approved Approved •By Date By Date By Date 0 Rough Electrical (4225) 0 Ceiling Cover(4020) 0 Final-Electrical (4055) Approved Approved Approved By Date By Date By Date • 0 Under-slab groundwork(4295) Approved By Date RECEIVED • «�« OCT 1 2 2004 CONSTRUCTION PERMIT APPLICATION CITY OF FEDERAL WAY BUILDING DEPT, **The following is required information-Please print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. • PROPERTY INFORMATION u �( SITE ADDRESS: kZO 3 it�tt/C1". 5;,.1�e I ASSESSOR'S TAX/PARCEL#: g Z . V O - 0 0 f/ 2 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • PROJECT INFORMATION TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL o DEMOLITION ELECTRICAL ❑ ENGINEERING o FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): 'L tY\t- Cku kr- PROJECT NAME: t f CC,in L L C • PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: �v (Nett C©., i e o 17s L L.C ( ) MAIUNG ADDRESS(STREET ADDRESS ATE,ZIP): 1100 31/1/ f1sti 5 ':fe 1 CONTRACTOR: NAME: DAYTIME PHONE: 1 Z (( W I 'COO MAIUNG p 5( � CITY, I) EVENING PHON ) CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER: 1 g - I a L Di g 9-zoo/,C (zs- ss9 =2363 CONTRACTOR'S REGISTRATION NUMBER: y� / EXPIRATION DATE: r (copy of card required) K ...L yqfl Y E T v Z 7 J�✓ /� O! l / 3 l (5v APPLICANT: NAME: DAYTIME PHONE: ) MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ARCHITECT o TENANT ❑ OTHER(DESCRIBE): ( ) / E-MAIL ADDRESS: iCONTACT PERSON FOR THIS PROJECT: a PROPERTY OWNER a APPLICANT CONTRACTOR • DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? o YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: a YES o NO WATER SERVICE PROVIDER: ❑ LAICEHAVEN ❑HIGHLINE o TACOMA a PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC) • • **NEW RESIDENTIAL CONSTRUCTION ONLY** 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 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 BREAKERS) ❑ 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 daim(induding 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 claim arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the ci as art of • s application. NAME/TITLE: // DATE: /o -/ 3-6 • ❑ PROPERTY OWNER ❑AP- CANT • • •CTOR I.01 OFFICE:U ONLY;: �EOT±1�1��v; $�C+I+I�r' ::�::<:::::::<:>:>;><;;>;:::;::;�<><:::.:;.::<;<,:.:;:;<:,,,:.;.;:.;:.;:.8u�1.Dit��fQLt..ON�• ;;GSM.:::P1AI�;p��:6�lAk;�I�....:........................................ COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 • www.cityoffederalway.com II • ELECTRICAL TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only $50.00 _#of Thermostats(First-$37.50;add'n-$11.50ea) (First 1300 ft-$75.00;Each add'n 500 R=-$24.00) _Service and feeder $81.00 _#of Low voltage fire or burglar alarms Square Feet: First 2500 ft2-$43.50;Each add'n 2500 ft2-$11.50 _Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet: (Inspected with service) _#of service or feeders 'Per WAC 296-46-910(5)(bxi&ii) _Each outbuilding or garage $50.00 (First service/feeder-$50.00;Add'n service/ _#of Signs(First sign-$37.50;add'n sign (Inspected separately) feeder-$32 each) $17.50 each) _Swimming pool,hot tub,spa $75.00 _Yard Pole meter loops $50.00 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 $ 81.00 _Up to 200 amp $ 81.00 $ 24.00 Feeder _201-600 189.00 _201-400 amp 101.00 50.00 _0 to 100 $ 81.00 $ 50.00 _601-1000 284.50 _401-600 amp 138.00 68.50 _101-200 101.00 63.50 over 1000 317.00 _601-800 amp 176.50 94.50 _201-400 189.00 75.00 1#of circuits - Over 800 amp 252.50 189.00 _401-600 220.50 88.50 (1-5 circuits-$63.50;Add'n circuits,$5 ea) ALTERED SINGLE/MULTI FAMILY _601-800 284.50 120.50 (When inspected separately from the services.) _801-1000 348.00 145.50 TEMPORARY SERVICE Service or Feeder _Over 1000 379.00 202.50 Residential/Multi-Family/Commercial/Industrial _0 to 200 amp $ 68.50 _Over 600 volts surcharge 63.50 _0-100 $ 50.00 _201-600 amp 101.00 _Mast or meter repair 68.50 _101-200 63.50 _over 600 amp 151.50 _201-400 75.00 _Mast or meter repair 37.50 _401-600 101.00 _#of circuits -over 600 109.00 (1-4 circuits-$50.00;Add'n circuits$5 ea) If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+$63.50.Add'l plan review for other submissions is$75.00/hr. ;......P tujj•:• j.•.' n': :::-.!Ai ..; •7.."? . 614ir.w:.4.a.:.` I •,L u:1:.:a.•. -..i;. MA.A'•.. AgniMMOTALUNIMNOW Total Column(D) Estimated Permit Fee: (12) Estimated Permit Fee from line 12 Estimated Plan Review Fee: $63.50+( 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): Une(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24) • r Bulletin#100-January 18,2002