11-1045694.3.
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
i ''Electrical
Permit #: 11- 104569 -00 -EL
Inspection Request Line: (253) 835 -3050
Project Name: BIGFOOT JAVA
Project Address: 4627 SW 320TH ST
Project Description: 200 -amp service and wiring for new espresso building.
Parcel Number: 142103 9095
Own r
Applicant
Contractor
BIG FOOT JAVA
CROSS CREEK ELECTRICAL
CROSS CREEK ELECTRICAL
402 ELINGSON SUITE 200
22732 61 ST AVE CT E
CROSSCE907KK (5/12112)
PACIFIC WA 98047
SPANAWAY WA 98047
22732 61 ST AVE CT E
SPANAWAY WA 98047
Is Use Educational or Institutional ? ....................... No
New Service: 101- 200 amps (Con 1
Service greater than 999 Amps? .............................No
PERMIT EXPIRES Tuesday, November 13, 2012
Permit Issued on Monday, November 14, 2011
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
d the City of Federal Way.
Owner or agent: Date: 7o
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction I1 ection Record
Q ( )
INSPECTION RE UESTS: 253 835 -3050
PERMIT #: 11- 104569 -00 -EL Address: 4627 SW 320TH ST
Project: BIG FOOT JAVA FEDERAL WAY, WA 98023
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.
UFER Ground (4295)
0 Ditch cover (4030)
Slab /Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By Date
B Datq 'Z _z t
By Date
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Rough Electrical (4225)
Feeders /Sub - panels (4045)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By
Date - �R�'��• -1
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
� w
..CITY OF • IPL - L �L 5 _�d
Fed &y ,., ELECTRICAL
NQ FE4VIT APPLICATION
CIV O�
MQ,0e45ectrical permits maybe obtained on -line at www. cityoffe deralway.com"
SITE ADDRESS: -J-16Z-7
SUITE /UNIT /SPACE M
ASSESSOR'S TAX /PARCEL N
3
CURRENT /PROPOSED USE
j q D - 5
PROJECT NAME
(Tenant or Homeowner Last Name)
v
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only1
C'
PROPERTY OWNERS
PRIMARY PHONE
(� )�I Z�- r- 3Z 5`
NAME
_I /
MAILING ADDRES ` /
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E-NAIL
CI
STATE
ZIP
FAX
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NAME /
PRIMARY PHONE
ELECTRICAL
MAILING ADDRESS ry
Z Z- % 3 Z
&MAIL
CONTRACTOR
CITY
STATE
ZIP,X/
Lg
FAX
WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE
I <K,
PEDERAL WAY BUSINESS LICENSE B
NAME
( r Z V r- % r
PRIMARY PHONE
( ) -
APPLICANT
G -- c`
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
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PROJECT CONTACT
NAME r
PRIMARY oNE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
but only where such claim arises out of the r#iance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a pgwt of th application.
SIGNATURE:
PRINT NAME. 2- ( "t. ( ' I ••
)/-- ) )) -7,^ 1�
33325 8h Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 1 www.eityoffederalway.com
Bulletin #160 — January 1, 2011 Page 1 of 2 k: \Handouts \Electrical Permit Application
.G0 -t-
.. -s
RESID
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet
151 Service /Feeder
Additional Feeders
(including attached garage):
0 10, kamp ..., ..... x ,L32 50.:?.
FEES: First 1300 ft2 - $122.00;
101 200" amp:
x $ 64.00
x $103.50
Each additional 500 ft2 - $39.00
,}l `.amp
NEW MULTIFAMILY (3 units or more)
4a1 =;:600 amp ' , ".,
1K $359-.00';-':'
x $1,43.50
ALTERED SINGLE or MULTI FAMILY
151 Service /Feeder
a0 i ¢- 600 amp x $164.00
$246 .5€1
Added or Altered Circuits .
1 -4 circuits $80.50; each additional $8.00
Mast or meter repair $60.50
MANUFACTURED HOMES
Service or feeder only x " $ 80.50
tcvandfeei%r,.. 5. 0
8p1 - 1660; amp . , x 1565.00" x $236,50
CJver- 6QEl volts surcharge x $103.50
ALTERED COMMERCIAL
151 Service /Feeder Additional Feeders
- 11.. >xE yx$103.50
Added or Altered Circuits
1 -5 circuits $103.50; each additional $8.00
Mast or meter repair $111.50
PLAN REVIEW FEES
Plan Review required only for:
• New, or alteration to, service of 1,000 amps or greater
• Medical /Educational /Institutional Facility
MISCELLANEOUS
LOW VOLTAGE
❑ Fire Alarm System
❑ Security Alarm System
❑ Voice /Data Cabling
❑ Other
Area to be served by system:
151 2,500 ft2- $71.00; each additional 2,500 ft2 - $18.50
# of Thermostats
First $60.50; each additional $18.50
Yard Pole /meter loops /pedestal x $ 80.50
Portable Generator (transfer equipment) x $101.00
Ditch cover/ inspection only x $121.00
$103.50 plus 35% of Permit Fee
(Permit Fee x 35% _ + $103.50 = Plan Review Fee)
Plan review for modified submittals $105.50 /hour
TEMPORARY SERVICE
1s1 Service /Feeder Additional Feeders
32.00
61= -1iJ0 "amp" � ": `fix. $ .80.50 $ 39.00
lf?1.. 200inp x „$;100,50 ., `g. �r x $ IoO
201= 400', amp w. x $121.6,G;-- $ 60.50
Over, 600;:;ainp :.:rt:. $1,84 50 "'`' -- $ 92.00
FEE CALCULATIONS
• Fees are determined by the scope of work as indicated.
• A $6.00 Automation Fee will be added to all permits.
• For assistance in calculating fees or completing the
application form, contact the Permit Center at
253- 835 -2607
33325 8" Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com
Bulletin #160 — January 1, 2011 Page 2 of 2 k:\HandoutslElectrical Permit Application