06-100446 . - THIS CARD IS TO•MAIN ON-SITE •-
' 444444.
CITY OF litommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-100446-00-EL
Owner:
Address: 2535 S 320TH ST
FEDERAL WAY, WA 98003-5443
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) 0 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
vi Rough Electrical(4225) Q Ceiling Cover(4020) (11, Final-Electrical(4055)
Approved Approved Approved
`By Date [.� (Clo B !'�,�,� Date al lir By�`'�<e ' Date'j 3
,
❑ Under-slab groundwork(4295)
Approved
By Date
RECEIVED BY O - 0 0 �4
• •
""°" TY OEVELQPMENT®EPARTMENTG 6
Federal Way P11
"�VI Irc
C(iMML'Nm oevFl oPMFlvr SERVICES 0 2006 SF' MF CO ME EL PL DE EN FP
,33'15X ERALWB5WR 8063971 9718 APPLICA 'ION
53 935 2 WAY,WA 9808.1-9718 / /
253 835.2607•FAX 253 835 2ti09
r_urp+llc•r4'ndu•uv.ann
The vii•• is -• trod ' ormation-an ' to • �,iieatiort twill not be ••- ted. Please t (in tn1c1 or •-1• .
• eP�ROPERTY INFORMATION
SITE ADDRESS D.S 3 S 3 d r x GJc SUITE/UNIT
�►
ASSESSOR'S TAX/PARCEL N - _ _ _ LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estrih's,Lot 1) co iJ U C c) Pint L L.,%l t 5 yrs S k-a► (d
rAtlodl vafor 1 n.9
all PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING ❑ PLUMBING 0 MECHANICAL
0 DEMOLITION yELEcTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onto)
S-4-c)(Le at nN\ a c3.9.g
PROJECT NAME(Name of Business or Owner Last Name) Cd?JO c u P \ U L p s A.ittiCW K-
• PEOPLE INFORMATION
PROPERTY
NAME PRIMARY PHONE
OWNER NAILING COAl J ADDRESSS C UP11%- 'LL./ S CrIY.STATE.ZIP ( )
SOS
CONTRACTOR COMPANY NAME APPLICAYr NAME OFFI PHONE
GDGI:li la SRESSC.
, �a�•� �y ) y y
Po 1aa� ` 2,15 d(b �'2ooy (so)289- estL(
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
-B L / .5�3 )b6� -2
CONTRAC'POR'S REGISTRATION NUMBER(copy of eud required with each application) EXPIRATION DATE
sayL.ce `i qY �� / /
APPLICANT COMPANY NAME APPLICANT NAME
(/OFFICE PHONE
) -
MAILING ADDRESS CITY.STATE.ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
5MhPi 6 �y�rs �3) 7g1 �s) y
LENDER Per RCW 19.27.095: Lender information is NAME
required(f project value exceeds$5.000
MAILING ADDRESS CITY.STATE.ZIP PHONE
( ) -
• DETAILED BUILDING INFOR\LATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES c NO
WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE 0 TACOMA C PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
111110-
• •
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. sq.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS �*nr6 nOOTO® 'OT"` TOTAL�°16v roret.r+m0®O TOTALs
"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 $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Comme.lao WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or 1Lb/Sho.erCombo) SHOWERS WATER CLOSLIS rrmku MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAV-(Bathroom Sue) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the informettionfurnished 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. /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 U VI -A,p DATE I' r )-0 6(
Signature) tntle) LLD RELATIONSHIP PROJECT 0 Owner ❑Agent Contractor 0 Architect ❑ Other LLD C4'(Lt/j 1Q
FOR OFFICE USE ONLY
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? a YES c NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SIJ? a YES c NO
PLATTED LOT? a YES a NO 1 DEMO PERMIT REQUIRED? a YES a NO
Bulletin 4100-January I,2006 Page 2 of 4 k\Handouts\Permit Application
/111 . III II
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ftz-$107.50:Each add'n 500 ftz-$34.50) ❑ 0 to 100 amp $117.00 $71.50
U Detached outbuilding or garage ❑ 101 -200 amp 145.00 91.50
(Inspected with service) $45.50 ❑ 201 -400 amp 272.00 107.50
❑ Detached outbuilding or garage ❑ 401 -600 amp 317.00 127.00
(Inspected separately) $71.50 ❑ 601 -800 amp 410.00 173.50
❑ 801 - 1000 amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $34.50 ❑ Over 600 volts surcharge $91.50
U 201 -400 amp 145.00 71.50 ❑ Mast or meter repair $99.00
0 401 -600 amp 198.50 99.00
❑ 601 -800 amp 254.00 136.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 364.00 272.00 Service or Feeders
❑ 0to200amp $117.00
ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 272.00
❑ 601 - 1000 amp 410.00
Service or Feeder ❑ over 1000 amp 456.50
U 0 to 200 amp $89.50
U 201 -600 amp 145.00 ❑ /....c#of circuits to be added/altered
❑ over 600 amp 218.50 (1-5 circuits-$91.50:Add'n circuits.$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50:Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee
❑ Service- 1.000 amps or greater
❑ Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $71.50
❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Afuiti-Family $63.00
❑ #of service or feeders
(First service/feeder-$71.50:each add'n-$46.50) Commercial/Industrial Service or Feeder Ampacity
❑ o-100 amps $71.50
❑ 101-200 amps 91.50
❑ 201-400 amps 107.50
❑ 401 -600 amps 145.00
❑ over 600 amps 157.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ it of Thermostats U #of Signs
(First-$53.50:add'n-$16.50/ea) (First sign-$53.50:add'n sign$25.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub
$107.50
Square Feet to be served by system(s) (Includes additional circuit.if required)
❑ Fire Alarm system U Yard Pole meter loops $71.50
❑ security Alarm System
U Additional Plan Review $107.50/hour
❑ voice Cabling
❑ Data Cabling (for modified submittals)
❑ U Automation Fee on all Permits .. $5.00
(Per System(s) 1.2500 ft2-$63.00:
Each add'n 2500 112-16.501•Per WAC 296-46-91015)(b1(1&dl
Bulletin#100-January I,2006 Page 3 of 4 k\1-landouts\Permit Application
F t
City of Federal Way M •
Community Development Services Ele r ;� ., it #: 06-100446-00-EL
PO.Box 9719808
W ,WA
Ph:(253)
Federal 835-26ay07 Fax:(253)63-9718 835-2609 nspection Request Line: (253)835-3050
Project Name: CIRCLE K CONVENIENCE STORE
Project Address: 2535 S 320TH ST Parcel Number: 599970 0010
Project Description: Store remodel to alter/add 15 circuits
`
Owner Applicant Contractor
KAYO OIL CO BOYLES ELECTRIC INC BOYLES ELECTRIC INC
315 S JOHNSTONE PO BOX 1227 BOYLEEI994BW 1/16/07
BARTLESVILLE OK BORING OR 97009 PO BOX 1227
74004-0001 BORING OR 97009
Additional Permit Information
Electrical Fixtures
CircuitsCommercial 15
PETIT EXPIRES Monday, October 23, 2006
Permit Issued on Wednesday, April 26, 2-006
I hereby certify that the information is correct and that the construction on the above described property and
the occupancy�and the use wilt be in accordance with the laws, rules anti regulations of the State ofWashington
7nd the City of Federal Way.
Owner or agent: f' it7r-''� „? .� Date: 4/,..Ve/f1.6