07-101545 t
i
City of Federal Way Electrical Permit #: 07-101545-00-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: THE WELLNESS STORE
Project Address: 1640 S 318TH PL Suite D Parcel Number: 092104 9208
Project Description: Adding new circuits and upgrading existing circuits for new tenant work
Owner Applicant Contractor
SEATAC VILLAGE LLC;KURTZM D RIDDING ELECTRIC D RIDDING ELECTRIC
104 148TH PL SW DRIDDE*061B7 1/27/08
LYNWOOD WA 98087 104 148TH PL SW
LYNWOOD WA 98087
Additional Permit Information
Electrical Fixtures
Alt. Serv./Feeder up to 200 amps- 1
PERMIT EXPIRES Wednesday, September 19, 2007
Permit Issued on Friday, March 23, 2007
I hereby certify that the a•:enformation i. correct and that the construction on the above described property and
the occupancy and - -,- will be in - ordance with the laws, rules and regulations of the State cf Washington
4. a .ity of Federal Way.
Owner or agent: Date:
pi* q * , A3
THIS CARD IS TO REMAIN ON-SITE •
•CITY OF
® Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-101545-00-EL
Owner: SEATAC VILLAGE LLC;KURTZM
Address: 1640 S 318TH PL Suite D
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 By Date
❑
2ough Electrical (4225) ❑ Ceiling Cover(4020) ❑ Final -Electrical(4055)
Approved �7 Approved Approved
By Date S-- /(�-v / By e.7 Date s� —z .p By Date '
❑ Under-slab groundwork(4295)
Approved
By Date
Federal Way PERMIT t' - -L -1
' COMMUNITY DEVELOPMENT SERVICES
SF MF CO ME� PL DE EN FP
3332;E8D AVENUE,TVA 9.PO80�(i�
EDERALWA$WA53-83-2609 ^R 2 3 20 AppLI-CATION T° �
.253-835.2607•PAX 253.835-2 y
www.afvettedr. mnY O�F FEDERAL WAY -i ���%%% (((
• The following is re 4aa{)SQiN op$R 0 -an incomplete application will not be accepted. Please print legibly(in ink)or type.
S PROPERTY INFORMATION
SITE ADDRESS /& LI C S 3 ( g PL
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# — LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
. - IAttadl separate page far lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING O PLUMBING O MECHANICAL
0 DEMOLITION XELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
7-&--A./049-A,T -/lifiteeVL 711a!/ - &;Xcci/NG' Ju/3PA-NEC ; A'e1,,0 -'6y73
PROJECT NAME(Name of Business or Owner Last Name) 'T/7'C' L i.161.-LA,'' SS r R�—Iii* • PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER ( )
'- MAILING ADDRESS - CITY,STATE,ZIP
E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Dr /? 1 P/A16 1—ECM/C (Yin 77ff - /O
MAILING ADDRESS CITY,STATE,ZIP CE PHONE
/09 /y f _P i, •S A-VIVAIW CO l l,if 7'o'ei ( 5 3 > -6 7/r
CITY OF F DERAL`WAY BUSINESS LICENSE NUMBER / EXPIRATION DA FAX NUMBER
CONTRACTOR'S-I0 REGISTRATION N�BER� 4— IZi31i)- (Vz.r-1 -y�z - b 7r1
COPY of card required '!T /Y� ' EXPIRATION DATE E-MAIL ADDRESS
with eee application '/�7 R II)D E * 06 /� -7 (,!/ '• 2 7 cc
APPLICANT COMPANY NAME APPLICANT NAME
(OFFICE PHONE
MAILING ADDRESS, v CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT ` 1
FAX NUMBER
❑ Architect 0 Tenant 0 Agent ❑ Other ( )
PROJECT NAME PRIMARY PHONE
E-MAIL ADDRESS
CONTACT ( )
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? O YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES O NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN o HIGHLINE o TACOMA o PRIVATE)WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN O HIGHLINE ❑.PRIVATE )SEPTIC)
' e
AREA DESCRIPTION EXISTING PROPOSED TOTAL
• }" SQ.FT. SQ. FT. SQ.PT.
BASEMENT Is
FIRST
SECOND
THIRD •
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT o . 1
I BRISTINO I PROPOSED I TOTAL TOTAL WOWING 81. TDTAL PROPOSED al TOTAL Br
NUMBER OF FLOORS
"NEW HOMES ONLY" NUMBER OF,BEDROOMS ESTIMATED SELLING PRICE $
IN FIXTURES
Indicate number of each type of fixture 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 FIREPLACE1NERTS HOODS(commercial)
COMPRESSORS FURNACES, RANGES
GAS LO• SETS REFRIO.SYSTEMS
PLUMBING URINALS MISC(Describe).
BATHTUBS(m Tub/Shower Combo) LAVS(eauvoom Sinks)
DISHWASHERS . RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS Crones
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 ma a by an •erson,including the undersigned,and filed against the City of Federal Way,but only where such claim•
arises out of the re • 58•the city, 'eluding its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. / �®
DATE (/ ;d vt/o 7
NAME/TITLE (Title)
(Signature)
RELATIONSHIP TO PROJECT o Owner o Agent Contractor 0 Architect ❑ Other
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT.
BUILDING SHELL ONLY? ❑YES ❑ NO
BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES ❑NO
UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
•
Bulletin 11100—January 112007 Page e 2 of 4 k\Flandouts\Permit Application
' ELECTRIC.'L PERMIT INFORMATION
•
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE `\NEW C MMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$111.00;Each add'n 500 ft2-$35.50) - \II 0 to 100 amp $120.50 $74.00
❑ Detached outbuilding or garage P 101-200 amp 149.50 94.50
{ (Inspected with service) $47.00 .,• i -400 amp 280.00 1 11.00
❑ Detached outbuilding or garage ❑ qo , 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
❑ 601 -800 amp 262.00 140.50 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 375.50 280.50
Niue
Service or Feeders
OKI to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 280.50
Service or Feeder ❑ 601 - 1000 amp 423.00
❑ 0 to 200 amp $92.50 CI
1000 amp 471.00
❑ 201 -600 amp 149.50
❑ over 600 am ❑ it of circuits to be added/altered
p 225.50 - (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
❑ q 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 PARR Residentia
❑ q of service or feeders f/Muld-Family $65.00
(First service/feeder-$74.00;each add'n-$48.00) Commercial/Industrial Service or Feeder Ampacity
❑ o- 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
❑ H of Thermostats ❑ II of Signs
(First-$55.00;add'n-$17.00/ea) ' (First sign-$55.00; add'n sign$26.00/ea)
❑ Low Voltage ❑ Swimming
Square Feet to be served by system(s) pool/hot tub $111.00
(Includes additional circuit,if required)
❑ Fire Alarm System • ❑ Yard Pole meter loops $74.00
❑ Security Alarm System
❑ Voice Cabling ❑ Additional Plan Review $111.00/hour
❑ Data Cabling (for modified submittals)
❑ ❑ Automation Fee on all Permits $5.00
1•,2500 ft2-$65.00;
Each add'n 2500 1t2 17.00) •Per WAC 296.46.910(50)(i ea ii)
Bulletin#100-January I,2007 . Page 3 of4
kWandoutslPermilAppIication