07-100556 r
City of Federal Way Electrical Permit #: 07-100556-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
P0:(253)833-2607 Fax:(253)835-2609
Project Name: PJ POCKETS
Project Address: 1320 S 324TH ST Suite A109 Parcel Number: 150050 0070
Project Description: Adding(5) circuits for pool table room
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES LLC D RIDDING ELECTRIC D RIDDING ELECTRIC
HARSCH INVESTMENT PROPERTIES LLC 104 148TH PL SW DRIDDE*061B7 1/27/08
509 OLIVE WAY SUITE 1062 LYNWOOD WA 98087 104 148TH PL SW
SEATTLE WA 98101 LYNWOOD WA 98087
Additional Permit Information
Electrical Fixtures
Circuits- Commercial 5
PERMIT EXPIRES Monday, July 30, 2007
Permit Issued on Wednesday, January 31, 2007
I hereby certify that the aim.. - informatio is correct and that the construction on the above described property and
the occupancy and • - — will be i cordance with the laws, rules and regulations of the State of Washington
an. th-City of Federal Way.
} �
Owner or agent
/ /� Date: 6� /
THIS CARD IS TO REMAIN ON-SITE
F � Community Development Inspection Record
CITY OF Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 ,
PERMIT #: 07-100556-00-EL -
Owner: HARSCH INVESTMENT PROPERTIES LLC
Address: 1320 S 324TH ST Suite A109
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 . Date By Date
El Temporary Power (4275) ❑ Service(4235) ❑ Feeders/Sub-panels (4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) '❑ Ceiling Cover(4020) . ❑ Final -Electrical(4055)
Approved Approved Approved �
gy Date —1 t—flrL By Q.14�, Date a-2,`s)—, ,I l
,❑ Under-slab groundwork(4295)
Approved
By Date
EXISTING , ,.. PROPOSED TOTAL....
AREA DESCRIPTION SQ.FT: SQ.F SQ.FT.
BASEMENT
. ,
' u
gEc
�
_ - I 0O
! p Federal Way %J t ERMIT
LOMMNr1Y DEVELOPMENT SERVICES pR W SF MF CO M E P'
L DE EN FP
- 3332 UE SOU 9PO BOX 99718
FEDERAL 8 r,rY O NG p P L I C AT I O N T°
,253-835-26°7•FAX 253-835-26°9 51.A.1), / /
www dlwtleden:lwau.mm
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
IN PROPERTY INFORMATION A/6747
SITE ADDRESS /3 e20 S o u rn/ 3a Y 7 4 Sl 2 E E T SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(4)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
Month separate page for lengthy legal deevipio,
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
❑ DEMOLITION ELECTRICAL ❑ ENGINEERING 0. FIRE PREVENTION SYSTEM
•
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
EX O/g/v5/a Pop PUQ L %9J /?0bh1 ✓//E ) /2 t'«SED
C?ivJ / P o4-'V% ‘./6,y7-5 . /2-e-ce l-/le6 ES
PROJECT NAME(Name of Business or Owner Last Name) P PoC4.0 6 J -
- • PEOPLE INFORMATION-PROPERTY NAME - PRIMARY PHONE
OWNER - ( ) -
MAILING ADDRESS - CITY,STATE,ZIP E-MAIL ADDRESS
•
CONTRACTOR COMPANY NAME APPLICANT NAME 1 OFFICE PHONE
V R IOU /A/6 ELte oltffn,e RID D/N (4/2n17F -/Ob,
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
' lov /ye f L St..) L`(N,/tNo-p, WA- ( Y2,1-/DI- 67YJ"
CITY OF PEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
OS .-- /672V GO 73L ( )• _
I CONTRACTORS REGISTRATION NUMBER EXPIRATION DATE • E-MAIL ADDRESS
( COPY ithpac end»cation c DR / D D E t o 6 ) 8 7 01 7 ,2OOe •
with aeh application
APPLICANT COMPANY NAME . APPLICANT NAME OFFICE PHONE
( ) -
. MAILING ADDRESS CITY,STATE,ZIP - - CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
o Architect o Tenant 0 Agent ❑ Other ( ) -
PROJECT NA E PRIMARY PHONE `� EMAIL ADDRESS •
CONTACT 1)041/E /2( DDJ/v_l (42n 5b/ - 6,75`3-
,773
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 . '
EXISTING ASSESSED/APPRAISED VALUE $ • VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO .
ATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
ER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
AREA DESCRIPTION EXISTING PROPOSED TOTAL
BASEMENT SQ;FT. SQ. FT. SQ.FT:
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT 0
NUMBER OF FLOORS SXISTD1O PROPOSED TOTAL TOTAL SVISTSrs SF TOTAL PAOPOSSD ST TOTAL Sr
"IVEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of fbeture 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
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commerd.)
COMPRESSORS FURNACES RANGES
REFRIO.SYSTEMS ,
PLUMBING
BATHTUBS(m Tub/Shower Combo) LAVS(Bathroom Sinks) - URINALS - MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS trolley
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 Feder.1 Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim), which m•_ •C fade by any person,including the undersigned,and/lied against the City of Federal Way,but only where such claim
arises out of the re an the city,I uding its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application. , / ,
NAME/TITLE DATE v/ 3/ BOO?
(Signature) (Title( -
RELATIONSHIP TO PROJECT Ler ❑ Agent ❑ Contractor ❑ Architect ❑ Other
o NEW o ADDITION a ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? a YES o NO
ZONING DESIGNATION - CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES a NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? a YES o NO
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Bulletin#100—January 1,2007 Page 2 of 4 kU-landouts\Permit Applica
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- ELECTRICA 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 ft2-$35.50) ❑ 0 to 100 amp $120.50 $74.00
❑ Detached outbuilding or garage ❑ 101-200 amp 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
1:1 601 -800 amp 262.00 140.50 ALTERED COMMERCIAL/INDUSTRIAL
❑ 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
Service or Feeder ❑ 601 - 1000 amp 423.00
Li to 200 amp $92.50 Li over 1000 amp 471.00
❑ 201 -600 amp 149.50 `
Li❑ over 600 am ;) # of circuits to be added/altered
P 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 Restdentia
1/Multi•Family $65.00
❑ #of service or feeders
(First service/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 Alarni System
❑ Voice Cabling ❑ Additional Plan Review $111.00/hour
❑ Data Cabling (for for modified submittals)
❑ ❑ Automation Fee on all Permits .. $5.00
1•,2500 ft2-$65.00;
Each add'n 2500 ft2i 17.00) •Per WAC 296-46-910(5)(5)(&t)
R
SE.
Iletin MOO-January 1,2007 . Page 3 of 4 k\Handouts\Permit Application 1