07-100265 City of Federal Way Electrical Permit #: 07-100265-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: ROUND TABLE PIZZA @ FEDERAL WAY MARKETPLACE
Project Address: 34410 16TH AVE S S j�� Parcel Number: 212104 9036
Project Description: Install (1) 600-amp service and (3) 200-amp sub-panels for site lighting.
Owner Applicant Contractor
FEDERAL WAY MARKETPLACE FOX ELECTRIC FOX ELECTRIC
INVESTOR'S LLC PO BOX 630 FOXELC*278DA 8/30/08
3700 BEAZER RD KENT WA 98032 PO BOX 630
BELLINGHAM WA 98226 KENT WA 98032
Additional Permit Information
Electrical Fixtures
Service/Feeder: 101-200 amps-Cc 3 Service/Feeder: 401-600 amps-Cc 1
PERMIT EXPIRES Monday, July 16, 2007
Permit Issued on Wednesday, January 17, 2007
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.
-tom /?mod
Owner or agent: Date:
Fitt; o
1 TE . INSPECTOR AREA AND TYPE OF INSPECTION
THIS CARD IS TO REMAIN ON-SITE
CITY OF <�:,� - Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-100265-00-EL
Owner: FEDERAL WAY MARKETPLACE INVESTOR'S LLC
Address: 34410 16TH AVE S
FEDERAL WAY, WA 98003
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.
❑ Slab/Concrete Floor(4255) ❑ Ditch cover(4030) ❑ Pool Bonding (4195)
.Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power (4275) ❑ Service(4235) ❑ Feeders/Sub-panels (4045)
Approved Approved Approved
By Date By; Date s�IU_0r-7 By Date
❑ Rough Electrical (4225) ❑ Ceiling Cover(4020) ❑ Final -Electrical(4055)
Approved Approved Approved
By ..._ Date Z By Date <----- 4-117 B -' Date \'\
❑ Under-slab groundwork(4295)
Approved
By Date
Federal ENTS J CEIVED PERMIT ' L L
cOMMUN/TY DEVELOPMENT SERVICES $F MF CO M L ,PL DE EN FP
33325 FP A SOUTH•PO BOX 9778 A P P L I CAT I O N r
- � FEDERAL WAY,WA 98063-971I77� j _ // '
253-8354607•FAX 253-835-2 N 1 7 200 7 i _ i 4 I
www.al W ffederulwa u.coin
- The following a (- irCi qt l�._an incomplete application Will not be accepted. Please print legibly(in ink)or, type.
tltlV L c 2 Ea
/ IN - . . . . :r NFORMATION
SITE ADDRESS I 7 �(/0 ///JCL' }'� V
ASSESSOR'S TAX/PARCEL# �- / C'/ V y %i/, ' _ — SUITE/UNIT SE � 1f
LOT SIZE s -(/ 7P Sj"
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) U�`�e TA BLG /J/Z Z 4 S ire L( 64'774/
(Afton sepo.od PaPOforienethP legal desplpIUn4
■ PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING 0 MECHANICAL
❑ DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESSCRIPTION(Provide detailed description of work included on this permit only)
4- GUu 4 %Z/vio v fE,ev,ci. j 3 . S4"/''E.PAre ..ham r4-„es ; 3- 2 CJc A
SUe P.41.VrZS
PROJECT NAME(Name of Business or Owner Last Name) /eU ig NP TAez 6 /°/7 2-47,- Si rE C/Gr47iivG
' i • PEOPLE INFORMATION
PROPERTY NAME -- PHONE
OWNER /z- ,e,; <aa/s-T.P ( Cr/a.0 ( 'tz S)Kv, - S2u1-)
MAILING ADDRESS - CITY,STATE,ZIP E-MAIL ADDRESS
/ 1 yvv /11 o f1Lig- NI:::. 1!,/otoviUU/cLE1 1..,A. �c ' 2
1..,A. 4
CONTRACTOR COMPANY NAME APPLICANT NAME J OFFICE PHONE
FO k 6 GE6777if ERtc yeR.rA (z53) -fz -o5-10
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
,0 oK t(3o . // itir t✓/s aj�d35 ( 2ui) X1(3 - 22`1,CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER i EXPIRATION DATE FAX NUMBER
AO. )/Zr el/7 /V/3/a7 (753 ) "- -,(/34i
rogoarod CONTRACTORS REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
watt 1111 oppaaeouon > rO K eZ . T Z/$ DA D/3(J/Q 6
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Ff3K EC e c r72.c /ere >. 4a-A (753)8-92 - OS‘76
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
/ 1 /i3x C(20 4"-- -/ii/ I.-•A �fcLc ( 2Gw) o - ,Z(fl
RELATIONSHIP TO PROJECT FAX NUMBER
o Architect 0 Tenant o Agent KOther CGre7-'rc.4L .6.- 4- t' e (2's-j)sc' -6/35
PROJECT NAME t� _ PRIMARY PHONE E-MAIL ADDRESS
CONTACT 4ei L Ey yzeyA (2a6) 163 - 7 Z9//
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS - CITY,STATE,ZIP PHONE
( ) -
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE K ES/:412A Lr/V r 4EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
"���""
SPRINKLERED BUILDING? ❑ YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? YES ❑ NO
WATER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE a TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER O LAKEHAVEN o HIGHLINE O PRIVATE(SEPTIC)
4=: " pg•J • • y .
"-qP
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ. FT. SQ.FT.
BASEMENT
•
FIRST
SECOND
THIRD
ADDITIONAL FLOORS (DESCRIBE)
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL LUSTING ST TOTAL PROPOSED SF TOTAL SF
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
•
{
■ FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQ5 FANS GAS WATER HEATERS MISC(Describe)
BOILERS - FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
Dl)CS, GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
•
DRINKING FOUNTAINS SHOWERS WATER CLOSETS)Toael
ELECTRIC WATER HEATERS SINKS - WASHING MACHINES
HOSE BIBBS _ SUMPS
SIGNATURE
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 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 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 city as a part of
this application.
NAME/TITLE 'S DATE /
iSignature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent Er.,Contractor O Architect ❑ Other
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT.
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? a YES ❑ NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin 0100—January I,2007 Page 2 of k\Handouts\Permit Application
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Detach And Display Certificate , ---~
_
DEPARTMENT OF LAtxO AND INDUSTRIESM1
REC64i1/
D II ` '
LICENSED AS PROVIDED BY LAW AS 4U62
ELEC CONTR GENERAL /CQ� r ��Ob,
LICENSE # EXP. DATE
F(
ECO1 FOXELC*278DA 08/30/2008 �r/l/C ;
EFFECTIVE DATE 03/01/1973 ' II
FOX ELECTRIC CO .
PO BOX 630
KENT WA 98035-0207
_ __i
''625-0'''' 3/97j .r.....„,„„_ �� --
• Detach And Display Certificate
r
!. , . . . , . . . . . .
1
N
•
•
ELECTRICAL PERMIT INFORMATION - '
. -
•
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$111.00;Each add'n 500 it2-$35.50) 0 to 100 p $120.50 $74.00
❑ Detached outbuilding or garage 01 000 mp 149.50 94.50
(Inspected with service) . $47.00 ❑ 201 -400 amp 280.00 111.00
❑ Detached outbuilding or garage 401 -600 amp 327.00 131.00
(Inspected separately) $74.00 ❑ 601 -800 amp 423.00 179.00
❑ 801 - 1000 amp 516.50 216.00
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $35.50 ❑ Over 600 volts surcharge $94.50
❑ 201 -400 amp 149.50 74.00 ❑ Mast or meter repair $102.00
❑ 401 - 600 amp 205.00 102.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 -800 amp 262.00 140.50
❑ Over 800 amp 375.50 280.50 Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 280.50
• ❑ 601 - 1000 amp 423.00
Service or Feeder ❑ over 1000 amp 471.00
❑ O to 200 amp $92.50
❑ 201 - 600 amp 149.50 ❑ it of circuits to be added/altered
LI over 600 amp 225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$74.00;Add'n circuits$7.00/ea) $94.50 plus.35%of Permit Fee
❑ Service- 1;000 amps or greater
❑ Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residentiaf/Muiti-Family $65.00
❑ # of service or feeders
(First aer4ice/feeder-$74.00;each add'n-$48.00) - Commercial/Industrial Service or Feeder Ampacity
❑ 0- 100 amps $74.00
❑ 101 -200 amps 94.50
❑ 201 -400 amps 111.00
❑ 401 -600 amps 149.50
- ❑ over 600 amps ' 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats ❑ # of Signs
(First-$55.00;add'n-$17.00/ea) (First sign-$55.00; add'n sign$26.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $111.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $74.00
❑ Security Alarm System ❑ Additional Plan Review $111.00/hour
. ❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
O
1.12500 fta-$65.00;
Each add'n 2500 ft2:17.00) •Per WAC 296-46.970(5)(b)(i&ii) '
Bulletin#100-January 1,2007 . Page 3 of4 k\Handouts\Permit Application