12-101278 S r Electrical
Communi
Cityty of&EFederalcon.Dev.SWayervices
Permit #: 12-101278-00-EL
33325 8th Ave S
Federal Way,WA 98003Ins ection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 `ate p q
.411
Project Name: ARBY'S
Project Address: 31675 PACIFIC HWY S Parcel Number: 082104 9077
Project Description: Adding/altering(1)circuit for new appliance install
Owner Applicant Contractor
HARSCH INVESTMNET PROPERTIE NORTHWEST CASCADE INC NORTHWEST CASCADE INC
PO BOX 2708 PO BOX 73399 NORTHCI148BG(10/1/13)
PORTLAND OR PUYALLUP WA 98373 PO BOX 73399
97208 PUYALLUP WA 98373
Additional Permit Information
Is Use Educational or Institutional9 No Service greater than 999 Amps? No
Electrical Fixtures
Circuits-Commercial 1
PERMIT EXPIRES Monday, September 17, 2012
Permit Issued on Wednesday, March 21, 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 be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: T2-DA✓S Date: , r 744 12.
THIS CARD IS TO MAIN ON-SITE
GTY6F 4..
Construction In ection Record .
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 12-101278-00-EL Address: 31675 PACIFIC HWY S
Project: HARSCH INVESTMNET PROPERTI FEDERAL WAY, WA 98003-5407
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.
o UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) ❑ Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved
By om, Date Z _a ,.‘L.
0 Rough Electrical Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date
4
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41111111111111
Federal WayRECEIVE®
ELECTRICAL
PERMIT APPLICATION MAR 21 2012
**Most electrical permits may be obtained on-line at www.cityofferalway.com**
PROPERTY INFORMATION LOS
SITE ADDRESS: :0w 7r RA41F1L n�1 S I—��crt-A L Lv,a
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
PROD -�
PROJECT NAME f� )
(Tenant or Homeowner Last Name) /Qkg-1 13
ADD c t a_ T.2 De-6,6,47L-_--1) /i PPL-! 1 c c
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PEOPLE
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
�.�. '- ("ASc4) ( ) -
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CIAP STATE ZIP FAX
Mi-i.4 LLu P 14.44 ( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
AIC,.271-1 c.,i--9q 9 --i i3 / / i ci-ci -i 0 tcc>`i 0-ocv- f
NAME PRIMARY PHONE
viiAAs(4 A ( ) -
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
NAME 2s-3 PRIMARY PHONE
PROJECT CONTACT
. 4.4 5-.2'C-1-,1/4-_ 6.14 ,3 (; -)b - /0-ici
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 of this application.
0� fY c,ii'- DATE 2 0
SIGNATURE: e/ --
PRINT NAME: /1,14 ,/t/4e-,./ s- /:/�/. . f,
33325 8th Avenue South•Federal Way•WA•98003-6325 1 253-835-2607•fax:253-835-2609•www.cityoffederalway.com
Bulletin#160-January 1,2011 Page 1 of 2 k:AHandouts\Electrical Permit Application
RESIDENTII C*MMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet 1 s,Service/Feeder Additional Feeders
(including attached garage): 0- 100 amp x$132.50 x$ 80.50
FEES: First 1300 ft2-$122.00; 101 - 200 amp x$164.00 x$103.50
Each additional 500 ft2- $39.00 201 - 400 amp x$307.00 x$121.00
NEW MULTIFAMILY (3 units or more) 401 600 amp x$358.00 x$143.50
1st Service/Feeder Additional Feeders 601 - 800 amp x$463.00 x$196.00
0- 200 amp x $132.50 x $ 39.00 801 - 1000 amp x$565.00 x$236.50
201 -400 amp x $164.00 x $ 80.50 Over 1000 amp x$616.00 x$328.50
401 - 600 amp x $224.00 x $111.50
601 - 800 amp x $287.00 x $153.50 Over 600 volts surcharge x$103.50
Over 800 amp x $410.50 x $307.00
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1 s,Service/Feeder 1 s,Service/Feeder Additional Feeders
0- 200 amp x $101.00 0- 200 amp x$132.50 x$103.50
201 -600 amp x $164.00 201 - 600 amp x$307.00 x$121.00
Over 600 amp x $246.50 601 - 1000 amp x$463.00 x$196.00
Over 1000 amp x$515.50 x$328.50
Added or Altered Circuits /
1-4 circuits$80.50; each additional$8.00 Added or Altered Circuits
1-5 circuits$103.50; each additional$8.00
Mast c eter repair $60.50
!r Mast or meter repair $111.50
i
s
,¢ MANUFACTURED"HOMES PLAN REVIEW FEES
Service or feeder only _fix $ 80.50 Plan Review required only for:
Service and feederx $132.50 • New, or alteration to, service of 1,000 amps or greater
w �" .. • Medical/Educational/Institutional Facility
~ I,:, . + fir► $103.50 plus 35%of Permit Fee
rr st (Permit Fee x 35% = +$103.50=Plan Review Fee)
V'° Plan review for modified submittals $105.50/hour
MCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTA E TEMPORARY SERVICE
❑ Fire Alarm System110
1 s,Service/Feeder Additional Feeders
❑ Security Alarm System Lir
1:1Voice/Data Cabling ;, 0- 60 amp x $ 71.00 x $ 32.00
❑ Other 61 - 100 amp x $ 80.50 x $ 39.00
Area to be served by system:
lye 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50 101 200 amp x $103.50 x $ 51.00
201 -400 ampx $121.00 x $ 60.50
# of Thermostats401 -600 amp x $164.00 x $ 80.50
First$60.50; each additional$18.50
Over 600 amp x $184.50 x $ 92.00
FEE CALCULATIONS
Yard Pole/meter loops/pedestal x$ 80.50 • Fees are determined by the scope of work as indicated.
Portable Generator(transfer equipment) x$101.00 • A$6.00 Automation Fee will be added to all permits.
Ditch cover/inspection only x$121.00 • For assistance in calculating fees or completing the
application form, contact the Permit Center at
253-835-2607
33325 8th 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:AIIandouts\Electrical Permit Application