07-105648deral Way
unit De elopmentS Electrical Permit #: 07 -105648 -00 -FL
CommurNty`Development Services
10.0: Box 9718
Federal Way,`YVA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 inspection Request Line: (253) 8355-3060
Project Name: FEDERAL WAY MARKETPLACE (KFC)
Project Address: 34506 16TH AVE S
Project Description: Adding (1) circuit for 1 new pole light
FParcel Number: 212104 9036
a i.
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
Additlonal Permit In€d`mMatiort
Service greater than 1000 Amps?...........................No
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
r ,
PERMIT #: 07 -105648 -00 -EL
Owner: FEDERAL WAY MARKETPLACE INVESTORS LLC
Address: 34506 16TH AVE S
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 Q % , 67 By Date
❑ Temporary Power (4275)
Approved
By Date
❑
Service (4235)
Approved
By
Date
❑ Feeders/Sub-panels (4045)
Approved
By Date
❑
Rough Electrical (4225)
❑
Ceiling Cover (4020)
❑
Final - Electrical (4055)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑ UFER Ground (4295)
Approved
By Date
For inspector
❑ Rough Electrical
Approved
By Date
reference
❑ FINAL - Electrical
Approved
By Date
...: Federal sway RECEIVE®l.5
-. COMMUMTY DEVELOPMENT SERVICES PER MIT SF MF COM DLL DE EN F
33325.8rH AVENUE SOUTH • PO BOX 9718
FEDERAL WAY, WA 98063.
.253 -835 -2607 -,FAX 253-835-260-260 0 C T 12 20A p p L I C A T I O N
9 rO /
liwm. cihn((ademhunu.cum
The following is fQ�i �CT
� p(Pj��R}AWAY
�yL r .
IVl71B[ - an incomplete application will not be accepted.Please print legibly. (in ink) or type.
SITE ADDRESS _33_ `f5 U Ce lj 5.
SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # _
— — — LOT. -SIZE (sj
LEGAL DESCRIPTION (e.g. Acme Estates, Lot IJ
1Attach separate P -9 -fm laaphy legal deaoipticn) .
TYPE OF PERMIT ❑ BUILDING p PLUMBING ❑ MECHANICAL
❑ DEMOLITION 0 ELECTRICAL ❑ ENGINEERING ❑: FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onl
yl
.PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY NAME
OWNER Q
MAIL NO ADDRESS �. T
CONTRACTOR
COPY of—d requlred
with each application
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
f AP)4-
CITY OF FEDERAL WAY E
/9 - 9F -le !
CONTRACTg�R�'S R^ECISTR
:OMPANY NAME
�G
z-
-0a -
ABE—R q. —
0
❑ Architect ❑ Tenant ❑ Agent ❑ Other
NAME
PRIMARY PHONE
- vrri-C kMUNE
ST�A`T/E' ZIP CELL PH �NE�
EXPIRATION DATE FAX NUMBER
STATE, ZIP 1/ _
CELLPHONE
FAX NUMBER
Per RCW 19,27.095:
Lender information is required if project value exceeds $5,000
CITY, STATE, ZIP PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $
• VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/1?-rQUIpr ❑YES
WATER SERVICE PROVIDER ❑ LAKEHAVEN _ ❑ ir'v
❑ HIGHLINE p TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAAF,HAUVW r, v,.,,,...._
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ Single Family Square Feet
(First 1300 ft2- $111.00; Each add'n 500 ftz- $35.50)
❑ Detached outbuilding or garage
(Inspected with service) , $47.00
❑ Detached outbuilding or garage
(Inspected separately) $74.00
NEW MULTI -FAMILY (three units or more)
Service
Feeder
❑ Up to 200 amp
$120.50
$ 35.50
❑ 201 - 400 amp
149.50
74.00
0 401 - 600 amp
205.00
102.00
❑ 601 - 800 amp
262.00
140.50
❑ Over 800 amp
375.50
280.50
ALTERED SINGLE/MULTI FAMILY
Service or Feeder
❑ .0 to 200 amp $ 92.50
❑ 201 - 600 amp 149.50
❑ over 600 amp 225..50
❑ # of circuits to be added/altered
(1-4 circuits -,$74.00; Add'n circuits $7.00/ea)
Mast or meter repair $55.00
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
COMMERCIAL
NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ 0 to 100 amp $120.50 $ 74.00
❑ 101 - 200 amp 149.50 94.50
❑ 201 - 400 amp 280.00 111.00
❑
401-60 0 amp 327.00 131.00
❑ 601 - 800 amp 423.00 179.00
❑ 801 - 1000 amp 516.50 216.00
❑ Over 1000 amp. 563.00 300.00
❑ Over 600 volts surcharge $94.50
❑ Mast or meter repair $102.00
ALTERED COMMERCIAL/INDUSTRIAL
Service or Feeders
❑ 0 to 200 amp $120.50
❑ 201 -600 amp 280.50
❑ 601 - 1000 amp 423.00
❑ over 1000 amp 471.00
/_#i of circuits to be added/altered
(1-5 circuits - $94.50; Add'n circuits, $7.00/,ea)
COMMERCIAL/INDUSTRIAL PLAN REVIEW
$94.50 plus 35% of Permit Fee
❑ Service - 1;000 amps or greater
❑ Medical/Educational/Institutional Facility
TEMPORARY SERVICE
MOBILE HOME/RV PARK
❑ 4 of service or feeders
Residentia 1/Muiti•Famiiy
$65.00
(First service/feeder-$74.00; each add'n -$48.00)
Commercial/Industrial Service
or Feeder.Ampacity
❑ 0 - 100 amps
$ 74.00
Cl 101 - 200 amps
94.50
❑ 201 - 400 amps
111.00
❑ 401 - 600 amps
149.50
❑ over 600 amps
162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ 4 of Thermostats
(First -$55.00; adds-$17.00/ea)
❑ Low Voltage
Square Feet to be served by system(s)
❑ Fire Alarm System
❑ Security Alarm System
❑ Voice Cabling
❑ Data Cabling
❑ "
1.1 2500 ft2-$65.00;
Each add'n 2500 ft2{17.00) 'Per WAC296.46-91o(5)tb)(i 4 ii)
❑ #1 of Signs
(First sign -$55.00; add'n sign $26.0.0/ea)
❑ Swimming pool/hot tub ................
(Includes additional circuit, if required)
❑ Yard Pole meter loops .....................
❑ Additional Plan Review
(for modified submittals)
❑ Automation Fee on all Permits ..
$111.00
$74.00
$111.00/hour
$5.00
Bulletin #1100 -January 1, 2007. Page 3 of4
k\Handouts\Permit Application
AREA DESCRIPTION
EXISTING
S : FT:
PROPOSED TOTAL
SQ. FT. SQ.- FT.
BASEMENT
BBQS
FANS
GAS WATER HEATERS
FIRST '
BOILERS
FIREPLACE INSERTS
HOODS (commerc al)
SECOND
COMPRESSORS
FURNACES
-
THIRD
DU.
GAS LOG SETS
REFRIG. SYSTEMS
ADDITIONAL FLOORS (DESCRIBE)
PLUMBING
DEMO PERMIT REQUIRED?
o YES
DECK (0 COVERED OR 0 UNCOVERED?)
BAT14TUBS (or Tub/Sho rcombo)
LAVS (Bathroom Sinks)
URINALS
GARAGE 0 CARPORT 0'.
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
NUMBER OF FLOORS
=-T1 NO
PROPOSED
TOTAL
TOTAL=TING SP
TDTAI, PROPOSED SP
rorAt sr
**NEWHOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as. part of this project. Do. not include existing factures to, remain.
Value of Mechanical Work $ (ACOP 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 (commerc al)
CHANGE OF USE?
COMPRESSORS
FURNACES
RANGES '
o YES o NO
DU.
GAS LOG SETS
REFRIG. SYSTEMS
PLATTED LOT?
PLUMBING
DEMO PERMIT REQUIRED?
o YES
o NO
BAT14TUBS (or Tub/Sho rcombo)
LAVS (Bathroom Sinks)
URINALS
MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (Cotler)
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
I certify un der.p en a fly 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 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/TITLEDATE
(Signa r (Title)
RELATIONSHIPO PROJEC ❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT.
BUILDING SHELL ONLY?
o YES o NO
BASIC PLAN?
o YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
❑ 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
- . t
Bulletin #100—January I 2007 Page 2 of klHanclouts\Permit Application