12-101013City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
0 F-- I'L L E
Project Name: KOZMOZ MASSAGE & HAIR SALON
' , f ledrical
Permit #: 12- 101013 -00 -EL
Inspection Request Line: (253) 835 -3050
Project Address: 2016 S 320TH ST Suite K Parcel Number: 092104 9297
Project Description: Add 11 circuits for lighting and outlets in tenant space.
w er
ARRlican
Contractor
KOZMOZ MASSAGE & HAIR SALON
LAKES ELECTRIC INC
LAKES ELECTRIC INC
2016 S 320TH ST SUITE K
19754 SE 128TH WAY
LAKESEIIO1MC (07/03/12)
FEDERAL WAY WA 98003
ISSAQUAH WA 98027
19754 SE 128TH WAY
ISSAQUAH WA 98027
Additional Permit Information
Is Use Educational or Institutional ? ....................... No
Electrical Fixtures
Circuits - Commercial. ................... 11
Service greater than 999 Amps? .............................No
PERMIT EXPIRES Saturday, September 1, 2012
Permit Issued on Monday, March 5, 2012
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
nd th !�51 of Federal Way.
Owner or agent: /� Date: <
F/144,gLED
4/11 /It,
F
CITY CW
Federal Way
PERMIT #:
Project:
THIS CARD IS T MAIN ON -SITE
Construction I ection Record
INSPECTION REQUE TS: (253) 835 -3050
12- 101013 -00 -EL Address: 2016 S 320TH ST Suite K
KOZMOZ MASSAGE & HAIR SALO FEDERAL WAY, WA 98003
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.
Pool Bonding (4195)
Approved
By Date
Feeders /Sub - panels (4045)
Approved
By Date
Final - Electrical (4055)
Approved
By C Date.
UFER Ground (4295)
Ditch cover (4030)
By
Slab /Concrete Floor (4255)
n
Approved
0
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Approved
By Date
Feeders /Sub - panels (4045)
Approved
By Date
Final - Electrical (4055)
Approved
By C Date.
Temporary Power (4275)
Approved
By
Date
n
Right of Way
Approved
0
Rough Electrical (4225)
Approved
By
Date rS 1 - k
Service (4235)
Approved
By
Date
n
Right of Way
Approved
By
Ceiling Cover (4020)
Approved
By
Date
Rough Electrical
Approved
Final Electrical
Approved
n
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF 4A
Federal Way
9
C - � 0 _Zj
ELEC'T'RICAL RECEIVED
PERMIT APPLICA'T'ION
MAR' 0 � 9,12
* *Most electrical permits may be obtained on -line at w
**
SITE ADDRESS: n�a
SUITE /UNIT /SPACE M
ASSESSOR'S TAX /PARCEL M
CURRENT /PROPOSED USE
_
PROJECT NAME
(Tenant or Homeowner Last Name)
C i
�
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
l) �5,IWf Z,
PRIMARY PHONE
-
MAILING ADDRESS
E -MAIL
CITY
STATE
ZIP
( FAX
NAME
PRIMARY PHONE
ELECTRICAL
MAILING ADDRESS
/� %S l�i (� / / l(/ �/
'
E -MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX _
f S
/7�
(,;,2S) -
WA STATE CONTRACTOR'S LICENSE N J EXPIRATION DATE
Z o/ z�� 3 11,-2
FEDERAL WAY BUSINESS LICENSE N
NAME
PRIMARY PHONE
4Z
APPLICANT
-
( )
MAILING ADDRESS /j
2_5-_L
E -MAIL '
CITY
STATE I
ZIP
FAX
PROJECT CONTACT
NAME
PRIMARY PH O
( ) -
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. 1 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 reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as apart of this applicatiox)
SIGNATURE:
PRINT NAME:
X
2 ___r_1
33325 8h Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com
Bulletin #160 —January 1, 2011 Page 1 of 2 k:\Handouts \Electrical Permit Application
NEW SINGLE FAMILY RESIDENCE
Total Square Feet
(including attached garage):
FEES: First 1300 ft9 $122.00 ;. ,
Each additional 500 ft2 - $39.00
NEW MULTIFAMILY (3 units or more)
1st Service /Feeder Additional Feeders
"287 .i?Q,.. X
$15 50
ALTERED SINGLE or MULTI FAMILY
111 Seruice /Feeder
0. W x1;00
Added or Altered Circuits ..
1 -4 circuits $80.50; each additional $8.00
Mast or meter repair $60.50
MANUFACTURED HOMES
Seruxce $ 80.50
NEW COMMERCIAL
4ver6Q0 sr�s12:urelarg mss. x:$103.50
ALTERED COMMERCIAL
111 Service /Feeder Additional Feeders
s. 2 x38 aft
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
$103.50 plus 35% of Permit Fee
(Permit Fee x 35% _ + $103.50 = Plan Review Fee)
Plan review for modified submittals $105.50 /hour
I MISCELLANEOUS SERVICE /EOUIPMENT
LOW VOLTAGE
❑ Fire Alarm System
❑ Security Alarm System
❑ Voice /Data Cabling
❑ Other
Area to be served by system:
1st 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
TEMPORARY SERVICE
111 Service /Feeder Additional Feeders
.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 8h 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:\Handouts\Electrical Permit Application