07-101701 l
City of Federal Way Electrical Permit #: 07-101701 -00-EL
Csnmunity Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2507 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: ROUND TABLE PIZZA
Project Address: 34410 16TH AVE S Suite 101 Parcel Number: 250090 0040
Project Description: Installation of 1/v wiring for fire alarm system
Owner Applicant Contractor
FEDERAL WAY MARKETPLACE FOX ELECTRIC FOX ELECTRIC
INVESTORS 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
Low Voltage Fire Alarm-Commel 3,937
PERMIT EXPIRES Sunday, November 4, 2007
Permit Issued on Tuesday, May 8, 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.
Owner or agent: � � Date: -
FLNALLD
r ` THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-101701-00-EL
Owner: FEDERAL WAY MARKETPLACE INVESTORS LLC
Address: 34410 16TH AVE S Suite 101
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
❑ Rough Electrical (4225) ❑ Ceiling Cover(4020) ❑ Final -Electrical(4055)
Approved Approved Approved
Byer-(-5 Date s—( C+—o7 By Date ; Date ZLj-f
❑ Under-slab groundwork(4295)
Approved
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
OF 1Plit.I .
Federal Way ' .---C) 0�,ti0�l �P o 1 [ / 7 - 01
HERMIT
- 3�FEU AVENUE WA Hg�g9718 ��� �4QF.Q`P~�• SF MF CO ME 'L DE EN F
of N 'PLICATION TD /
T53-93S29v7•FAX 253935-2609 6\���\�Q� '
104141.n11tajredeMIUa4.mm N
1 The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
t
4'.14//e). S PROPERTY INFORMATION
SITE ADDRESS 3 "°' .
SUITE/UNIT# AV
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates, Lot 1)
(Attach separate page fa lengthy legal description.)
a PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING O PLUMBING 0 MECHANICAL
❑ DEMOLITION ta ELECTRICAL ❑ ENGINEERING O.FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION/P�rrovide detailed description of work included on t ' permit onl
L-®w - Jo/fr,7e aa■-N 1,3 iv)¢11N S;.t -i01
PROJECT NAME(Name of Business or Owner Last Name) g sJ J '�A (cq. d �r y s y
• PEOPLE INFORMATION
PROPERTY NAME ,/�
OWNER Fp /w,1. ifik2/f. �T /4L` TA141 4 4.`� PRIMARY PHONE
MAILING ADDRESS 7.�' �F- )
CITY,ST TE,ZIP E-MAIL ADDRESS
'a37o0 SffiZ 2,k RI.° . _0► iRi I WA. 7/2-26
CONTRACTOR COMPANY NAME A CANT NA
1 1�� �/� � OFFICE PHONE
M (N) AL`pD �E7G�e_(11L- CO / 64 yh.) F.,�l,�',+. (25 l .5" 0�
M 1JOK GJ� ay,Sp:E 1,4, 7 0;5j CELL PHONE -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER l i/EXFI1ATION DATE FAX NUMBER
/7-1 (06 '156 -no - 1f /2. 31 '0 7 (253 )gs 6/34
COPY at eve requited
CONTRACTQR'S REGISTRATION NUMBER EXPI TIO DA E-MAIL ADDRESS
with e..eh application � '
�* �'LC �" 278 PP" 9 '° c'' 8
APPLICANT COMPANY NAME MPLICANT NAME OFFICE PHONE
t r. 14_£`'72 (C -- f,l `CrC.e /4 f fe ( )
MAILING ADDRESS ,STATE,ZIP CELL PHONE
ro o,- 63o. frU r� WA � 0`3.x-- ( )
RELATIONSHIP TO PROJECT nn) ' FAX NUMBER
❑ Architect ❑ Tenant 0 Agent Other Fri_fl'A/1At (b i tA4-cTr ri 1 ) e5 -C/34
PROJECT N' E PRIMARY PHONE I E-MAIL ADDRESS
CONTACT I ((OPP 64tsrrvrs^, I (2 06 ) ?4_3 .72c/ ra.role-coAe(ecrirlc ,Ctrl
LENDER NAME Per RCS!!19,27.095:
Lender information is required if protect value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
PHONE
( ) -
''% `: at ■ .DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
'PRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIP.ED? ❑YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑PRIVATE (SEPTIC)
AREA DESCRIPTION EXISTING PROPOSED TOTAL ..
BASEMENT SQ.FT: SQ. FT. SQ.FT.
FIRST
SECOND
THIRD _
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT ❑
EXISTING PROPOSED TOTAL TOTAL EXISTING ST TOTAL PROPOSED ST TOTAL ST
NUMBER OF FLOORS
•
"NEW HOMES ONLY'• NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
■ 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 "FIREPLACE INSERTS HOODS Icummerdel)
COMPRESSORS , FURNACES RANGES
DUCTS;. .. - GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS for Tub/Shower Combo) LAYS)Bathroom sinks) URINALS MISC(Describe)
DISHWASHERS . RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(rose)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBS 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 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 L DATE V-2-0 7
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent A Contractor 0 Architect ❑ Other
a n ma4 ,i kiri
�'�L ., � 3 ' SST'
❑NEW o ADDITION a ALTERATION o REPAIR o TENANT IMPROVEMENT.
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES C NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
•
Bulletin 11100—January 1;2007 Page 2 of4 k\Handouts\Permit Application
i
ELECTRICAL PERMIT INFORMATION':
1._.
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 addfi 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 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
❑ 0 to 200 amp $92,50 ❑ over 1000 amp 471.00
❑ 201 -600 amp 149.50 ❑ #of circuits to be added/altered
❑ 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-$7'4.00;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 Residential/Muiti•Family $65.00
❑ # of service or feeders
(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 .
❑ # of Thermostats ❑ # of Signs
(First-$55.00; add'n-$17.00/ea) ' (First sign-$55.00;add'n sign$26.00/ea)
❑ Low Voltage j Y t ❑ Swimming pool/hot tub $111.00
Square Feet to be served by system(s) 313 7 7m (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)
❑
El
Data Cabling ❑ Automation Fee on all Permits $5.00
1.12500 ft2-$65.00;
Each add'n 2500112±17.00) •Per WAC296•46-910(5)ry)(f&ii)
•
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Bulletin#100-January 1,2007 . �� Page 3 of4 k\Handouts\Permit Application