04-103886 c '
•
of
City Development Services eveWay
CommunityElectrical Permit #:04 - 103886 - 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: STOP IN GROCERY
Project Address: 33320 PACIFICIS„1Suite102-B Parcel Number: 797820 0025
Project Description: Installing a new 200 aMp service for newly-created tenant space.
Owner Applicant Contractor
Ick Jin&Suk Hui Kim CORE ELECTRIC INC.*CHAN PAK* CORE ELECTRIC INC.*CHAN PAK*
28317 15TH AVE S 1710 S 341ST PL SUITE B14 1710 S 341ST PL SUITE B14
FEDERAL WAY WA 98003-6100 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
(253)835-1900
Electrical Fixtures
Description Quantity Description IQuantiq _ Description Quantity
Service/Feeder: 101-200 amps-Com, 1
PERMIT EXPIRES March 22,2005.
Permit issued on September 23,2004
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 ' accordance with e la ,rules and regulations of the State of Washington and
the City of Federal Way.
i
9/2,7/611`f
Owner or agent: Date:
_
'' ` �\
'�► THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103886-00-EL
Owner: ICK JIN & SUK HUI KIM
Address: 33320 PACIFIC HWY S Suite 102-B
FEDERAL WAY, WA 98003-6881
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
O Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 1 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date B Date 0 -4 By Date
Q— Rough Electrical(4225) 0 Ceiling Cover(4020) Final-Electrical(4055)
Approved Approved App!oved
By Date ...Zc1, By Date By IOW Date '
❑ Under-slab groundwork(4295)
Approved
By Date
XN4.
[rJ
v �
O
i y
Federal WaYRECEIVE®
PERMIT SF MF CO M opt. DE EN FP
•' COMMUNITY DEVELOPMENT SERVICES
,j• 33325 8T"AVENUE SOUTH•PO BOX 9718
��.; FEDERAL WAY,WA 98063-9QlG P 2 3 2 0 0 4 A P P L I C A T I O N TO / /
253-835-2607•FAX 253-835-
`1
unuw.atuofederahuau.com
X The following TsrrY•.. r,•, i:'j�.1 ` .an incomplete aP•lication will not be accepted. Please •rint legibly
(in ink)or type.
h' • PROPERTY INFORMATION
' SITE ADDRESS 333 2-0c r/'�`�� /�
� H r, Ivr S SUITE/UNIT# /02^
ASSESSOR'S TAX/PARCEL# _ _- _ _ LOT SIZE(sf)
7 g- - D U 0
LEGAL DESCRIPTION (e.g.Acme Estates,Lott2
) .STOP I N0ceX
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION •
TYPE OF PERMIT 0 BUILDING 0
PLUMBING 0 MECHANICAL
0 DEMOLITION LWELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
6A-1 ,2aG Ark1 P SW146-6- .
PROJECT NAME(Name of Business or Owner Last Name) 1 .i J) l Th 6 1(0(e r(.:)
, MI PEOPLE INFORMATION
PROPERTY NAMEPRIMARY PHONE
OWNER 1 7/N /41/41. (4'2r )#ys -25-2:70
MAILING ADDRESS CITY,STATE,ZIP
2- -ri ' /PI ,1/C— s - 7 /'4 c ).-411, w ',i°zi
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
'o C 6:i-tee-rill( //v4_ ZRAN PAL (y5-3)6-Es' -19vv
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
Ilio S. s tir PL 1314/ 1-09 /.✓"IP/,I N D�E .2r (2-e6 ) F72. -2019.
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBERFAX NUMBER
- - - / ('-'5-1 )511- 78.y
B L
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
G ug66_ c .1 .:6. 1v � st0/ /v‘.
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS - CITY,STATE,ZIP CELL PHONE
( ) -
I RELATIONSHIP TO PROJECT • FAX NUMBER
0 Architect ❑Tenant 0 Agent 0 Other(Describe) ( ) -
I CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
C/1AN �CAt.v/� PAI (246 WTI -2_01qXAW// Alkelarn4i(..6 ,.
LENDER PerRCW 19.27.095: Lender information is
require f pr ojeci value exceeds$5 000 -
MAILING ADDRESS CITY,STATE,ZIP
.■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
i . WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑HIGBLINE 0 PRIVATE(SEPTIC)
-' PROJECT T FLOOR AREAS .
— "-- PROPOSED S•.FT. TOTAL
•
AREA DESCRIPTION EXISTING S•.FT.
• __
SECOND
THIRD 1111.1111111
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
IIIIIIIIIIIIIIIIIIIIIIIIIIII
DECK(COVERED?) illIllIllIllIllIlIllIll
GARAGE/CARPORT IIIIIIIIIIII
TOTAL EXISTING AND PROPOSED
HOW MANY FLOORS?
"NEW HOMES ONLY" NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE $
FIXTURES
udure to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Indicate number of each typ e o ff
• MECHANICAL
Value of Mechanical Work $____________
REFRIG.SYSTEMS
GAS LOGS WOODSTOVES
_ AIR HANDLING UNITS EVAPORATIVE COOLERS HOODS(commercial'
FANS RANGES MISC(Describe)
----- BOIL FIREPLACE INSERTS
_ OPRS FURNACES GAS WATER HEATERS
_ COMPRESSORS GAS PIPE OUTLETS
_ DUCTS
PLUMBING SHOWERS WATER CLOSETS(roue)
MISC(Describe)
BATHTUBS(orruS/snow«cameot SINKS DRINKING FOUNTAINS
_ DISHWASHERS SUMPS RAINWATER SYST
GAS PIPE OUTLETS URINALS HOSE B[BBS
WASHING MACHINES VACUUM BREAKERS ELECTRIC WATER HEATERS
LAVS :a[hroom sinks •
-_;DISCLAIMER/SIGNATURE/MOCK ,. - .
I certify underbpenalty of perjury which the permit application is made. I further agree to hold
r that the information furnished by me is true and correct to the best of my knowledge,and further, that I
am authorized by the of the above premises to pernthe work for
incurred in the investigation and defense of
exp
es,
such
the City of Federalm Way as to any claim(includingngte costs, igne , and afees
such eiatm),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 o viers and employees,upon the accuracy of the information supplied to the city as a part of
this application. / 1nl ! 2-3/�
/` DATE
NAME/TITLE (Title)
(Signature)
i RELATIONSHIP TO PROJECT ❑ Owner o Agent
ontractor ❑ Architect 0 Other
f
FOR OFFICE USE ONLY o,TENANT IMPROVEMENT
a NEW ❑ADDITION
❑ALTERATION Cl REPAIR ° S °NO
CHANGE OF USE?
`( BU °YES a NO BASIC PLAN?BUILDING SHELL ONLY? °YES ❑NO
ZONING DESIGNATION UP/SEPA/SU? °YES °NO
I NEW ADDRESS REQUIRED? ❑YES °NO DEMO PERMIT REQUIRED? o YES °NO
PLATTED LOT? a YES ❑NO
f
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Bulletin#100—March 30,2004 Page 2 of 4
k\({andouts—Rcvised\['eRnit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW COMMERCIAL/INDUSTRIAL SERVICE
NEW RESIDENTIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet 00 amp $ 94.50 $ 58.00
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) 101❑ 0 0 1 1 200 amp 19 .50 74.00
❑ Detached outbuilding or garage 0 201 -400 amp 220.50 87.00
(Insppecteddwith service) S 36.50
0 401-600 amp 256.50 103.00
❑ Detachedoutbuilding
separately)ng r garage 0 601-800 amp 332.00 140.50
(Inspected $58.00
0 801 - 1000 amp 405.50 169.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 442.00 236.00
Service Feeder
❑ Up to 200 amp $ 94.50 $ 28.00 0 Over 600 volts surcharge $74.00
❑ 201 400 amp 117.50 58.00
❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
Cl 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50 Service or Feeders
❑ 0 to 200 amp $ 94.50
ALTERED SINGLE MULTI FAMILY ❑ 201 -600 amp 220.50
Service or Feeder
❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50
❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50 LI #of circuits to be added/altered
❑ over 600 amp 177.00 (1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea)
$74.00 plus 35%of Permit Fee
❑ Service over 200 amps
❑ Mast or meter repair $43.50 ❑ Medical/Educational/Institutional Facility
SINGLE MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fec
MOBILE HOMES TEMPORARY SERVICE
1 ❑ Service or feeder only $58.00
❑ Service and feeder $94.50 Commercial Residential
f
I MOBILE HOME/RV PARK ❑ 0- 100❑ 101 -200 74.00
$58.00 $51.00
51.00
❑ #of service or feeders n/
(First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Signs
❑ #of Thermostats (First sig of$43.50;add'n sign$20.50/ea)
(First $43.50;add'n $13.50/ea) ❑ Swimming pool/hot tub $87.00
❑ LowowVoltage (Includes additional circuit,if required)
❑ Fire Square Alarmato System
m served by system(s) ❑ Yard Pole meter loops $58.00
O Securcittyy Alarm
SAlarm System ❑ Additional Plan Review $87.00/hour
(for modified submittals)
❑ Voice Cabling
❑ Data Cabling
(Per❑ System(s) 1.2500 ft2-$51.00;
Each add'n 2500 ft2-13.50)•Per WAC 29646910(5/(6)('&iii -
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Page 3 oC4
k\Iiandouts-Revised\Pennit Application
Bulletin 11100-March 30,2004