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12-104314F i . City of Federal Way Community & Econ. Dev. Services THE LOTUS GRILL 33325 8th Ave S Lat' Federal Way, WA 98003 1330 N FOREST ST Ph: (253) 835 -2607 Fax: (253) 835 -2609 FEDERAL WAY.WA 98003 Project Name: LOTUS GRILL Project Address: 1928 S COMMONS Space H -7 Project Description: Connection of interior sign to existing circuit. r Electrical Permit #: 12- 104314 -00 -EL Inspection Request Line: (253) 835 -3050 Parcel Number: 762240 0010 Owner ARRlican t Contractor THE LOTUS GRILL SIGNS PLUS INC (ELECTRICAL) SIGNS PLUS INC (ELECTRICAL) 1928 S COMMONS SPACE H -7 1330 N FOREST ST SIGNSPI954LW (6116114) FEDERAL WAY.WA 98003 BELLINGHAMW WA 98225 1330 N FOREST ST BELLINGHAMW WA 98225 'Additional Permit Information Is Use Educational or Institutional? .......................No Electritat Figures Circuits - Commercial .................... 1 Service greater than 999 Amps? .............................No PERMIT EXPIRES Tuesday, March 19, 2013 Permit Issued on Thursday, September 20, 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 in acc nce with the laws, rules and regulations of the State of Washington an the City of Federal Way. Owner or agent: Date: 9 Aqd / S- `�.=� t0/15��2 CITY OF Federal Way • THIS CARD IS TO rection ON -SITE Construction In Record INS PECTION REQU 3) 835 -3050 PERMIT #: 12- 104314 -00 -EL Address: 1928 S COMMONS Space H -7 Project: THE LOTUS GRILL 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. Final - Electrical (4055) Approved By Date LIFER Ground (4295) Ditch cover (4 30) Temporary Power (4275) Slab /Concrete Floor (4255) Approved By Approved Approved to place concrete By Date By Date By Date Final - Electrical (4055) Approved By Date Pool Bonding (4195) Temporary Power (4275) Service (4235) By Approved By Approved By Approved By Date By Date By Date Ceiling Cover (4020) Rough Electrical (4225) Feeders /Sub - panels (4045) Approved Approved Approved By Date By Date By Date Final - Electrical (4055) Approved By Date Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date OF -�►a D • *�_ —1 l� � l y Feder v� 012 ELECTRICAL sEP do RMIT APPLICATION * *Arost electrical permits may be obtained on -line at www.cityVederalway.corn ** PROJECT NAME (Tenant or Homeowner Last Name) LO k14 S a . PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER o � S f t ( ( ti �,t, (�f �,S} -2,f B - t �Z MAILING ADDRESS E -MATT. .q 910 1 Y `t +1 A 0 h a,- b Q n� CITY STATE ZIP FAX )- Ll GLr- L✓o c� iz LJl} O 8 r? ( ) - NAME PRIMARY PHONE MAILING ADDRESS E -MAIL. ELECTRICAL / '3 3 U N_ r s s l �+ll<< S A r i s CONTRACTOR CITY STATE ZIP FAX 4e_ G — wn :5 2-)- S- 671 - clyY ,,,, WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 6 S lcNV L G��6 ply NAME PRIMARY PHONE APPLICANT 50-f%" 0 S �� r `� c 01 412 ( ) - MAILING ADDRESS E -MAIL CITY STATE I ZIP ( FAX 1 ) PROJECT CONTACT NAME (,t L ~L. PRIMARY PHONE (y - c o � r a S) z 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 reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part gf4A4 application. SIGNATURE: PRINT NAME: 33325 8'' Avenue South ♦ Federal Way 1 WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.ciryoffederalway.com Bulletin #160 — January 1, 2011 Page 1 of 2 kAHandouts \Electrical Permit Application cO*, RESID NEW SINGLE FAMILY RESIDENCE Total Square Feet (including attached garage): FEES: First 1300 ft2 - $122.00; Each additional 500 ft2 - $39.00 NEW MULTIFAMILY (3 units or more) Is' Service /Feeder Additional Feeders ALTERED SINGLE or MULTI FAMILY 1- Service /Feeder x'$101.00 701,'- 600 amp x $164.00 Added or Altered Circuits .. 1 -4 circuits $80.50; each additional $8.00 Mast or meter repair $60.50 MANUFACTURED HOMES Service or "feecler'an y" x $ 80.50 NEW COMMERCIAL Is, Service /Feeder Additional Feeders 0 101- 200 amp x $164.00 Z x $103.50 Q1,., ,,400Aamp ` . . x °O,Q: t ." • . H , "121;00 401 -- 600 amp.:; . x $358.06 x $143.50 801" -- 1000 amp < .. x $565,0 1 0 x :$236.50 Ove"r.600 volts surcharge x $103.50 ALTERED COMMERCIAL Is, Service /Feeder Additional Feeders °.(3;01.' . xk3� fir. x'+103.50 201" 600 atizp' x "$30 ?.do; x $121.00 %x 1 amp, ic•3196;0o Over 1000 amg' ". x $$15,54 x'$328.50 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 $103.50 plus 35% of Permit Fee (Permit Fee x 35% _ + $103.50 = Plan Review Fee) Plan review for modified submittals $105.50 /hour MISCELLANEOUS SERVICE/ EQUIPMENT 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 $121.00 TEMPORARY SERVICE 11, Service /Feeder Additional Feeders 4 * 617 tpr ` x., .71 00 =„ . _ x,'32 ".00 61 - 100 atup ac "$ 80.5(Y-11 ;, rte, $ 39.00 201 -- 400amp zi: $121.00' �� $ 60.50 Over 600 'amp "?t. $184.50 x $ 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: \Handouts \Electrical Permit Application