07-104669City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Electrical Permit #: 07 -104669 -00 -EL
Project Name: KENTUCKY FRIED CHICKENALON11jaWELMSIL
Project Address: 34506 16TH AVE S as ,
Project Description: Install (3) t -stats and wiring
Inspection Request Line: (253) 835-3050
Parcel Number: 212104 9036
Owner
Applicant
Contractor
FEDERAL WAY MARKETPLACE
METRO AIR INC
METRO AIR INC
INVESTORS LLC
11021 128TH PL NE
ME-IROAI9959C (12/3/07)
3700 BEAZER RD
KIRKLAND WA 98033
11021 128TH PL NE
BELLINGHAM WA 98226
KIRKLAND WA 98033
Additip"U0,0mlit infctrMation
Service greater than 1000 Amps?...........................No
Electrical Fixtures
Thermostat ..................................... 3
Owner or
THIS CARD IS TO REMAIN ON-SITE `
Cl" OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -104669 -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)
Approved to place concrete
By Date
❑ Ditch cover (4030)
Approved
By Date
❑ Pool Bonding (4195)
Approved
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
It'By
Approved
By
%
Date
ByA.
Date _ e -t
Date I l.�e-1--w
❑ UFER Ground (4295)
Approved
By Date
For rector
❑ Rough Electrical
Approved
By Date
reference only
❑ FINAL - Electrical
Approved
By Date
Off OF
Federal Way PERMIT
O0JdWM9YDEV=,PN NTSERV,CEs SF MF CO Mo PL DE EN FP
333ZSdTpAVBNUY, WiN•P3-9718 18 APPLICATION
FEDERAL WAY, FAX
98063- 60
Z53-d3SZ607• FAX Z53-0357609
The following is required information -an incomplete application will not be accepted. Please print. legibly (in ink) or type.
PROPERTY INFOMIATION
SITE ADDRESS SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # �L- �'� O �" LOT SIZE (s,)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Aft -h eePatepWejbr kVft ierd dewodon/
PROJECT•• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING. ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul
PROJECT NAME (Name of Business or Owner Last Nam el /
PEOPLE•• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME PRIMARY PHONE
N C�r e)0�-S
MAILING ADDRESSCITY, STATE, ZIP E MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
`
a�), }
,S ATE, ZIP
-1
CELL PHONE
1"1
RELATIONSHIP TO PROJECT
FAX NUMBER
MAILING ADDRESS
ITT, STATE, ZIP
CELL PHONE
CITY OFFEDERAL-WAYH NE
SISS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
07
Vis) %aa
-2Q
CONTRACTOR'S RE
'S REGISTRATION NUMDZR
EXPIRATION DATE
E-MAIL ADDRESS
`C��T'6Zv AS cp�S RL
1 '.I,- (%,-)
\
COMPANY NAME
lfl) jz� r Q �c�
APPLICANT NAME
�;.14,S
OFFICE PHONE
(,A= Fizz -q)a
MAILING ADDRESS
`
a�), }
,S ATE, ZIP
-1
CELL PHONE
1"1
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent Other
NAME
Per RCW 19.9.7.095:
Lender information is required i f project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE s VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
•rob
PROJECT •••
AREA DESCRIPTION
AREAS
o REPAIR o TENANT IMPROVEMENT
EXISTING
SQ; FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
a NO
NEW ADDRESS REQUIRED?
SECOND
UP/SEPA/SU?
o YES
a NO
THIRD .
o YES o NO
DEMO PERMIT REQUIRED?
a YES
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
moo
7OTiv
rorecsasnsou
rorecrsaro•sosr
rorsr.0
"NEW HOMES 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 fixtures to remain.
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICA7701 J
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (or7Lb/ShoworCombo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
IAVS moo- aw.4
RAINWATER SYST
SHOWERS
SINKS
SUMPS
OAS PIPE OUTLETS
GAS WATER HEATERS
HOODS pommo cb,4
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS (resoq
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certify under penalty ofperjury that I am the property owner or authorised 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 cert(* that'I win comply with all applicable
City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with iota►, 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 ctainQ, which may be made by any person, including the undersigned, and flied against the city, but only
where such claim arises out of the reliance of the city, including its ojjtcers and employees, upon the accuracy of the information supplied to
the city as apart of this applicattom
SIGNATURE:
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
a YES. o NO
BASIC PLAN?
a YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
a NO
NEW ADDRESS REQUIRED?
o YES o NO
UP/SEPA/SU?
o YES
a NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
a YES
o NO
Bulletin # 100 _ August 16, 2007 Page 2 of 4 . Mandouts\Permit Application .
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SLWWCE
NEW COMMERCIAL/INDUST UAL 8131MCE
❑ Single Family Square Feet
Service or Feeder EachAdd"n
(First 1300 ft2- $111.00; Each addh 500 W-$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 516.50 216.06
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
13 401 - 600 amp 205.00 102.00
❑ 601 - 800 amp 262.00 140.50
ALTERED COMMERCIAL/INDUSTRIAL
❑ 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
Service or Feeder
13601 - 1000 amp 423.00
❑ 0 to 200 amp $ 92.50
❑
over 1000 amp 471.00
❑ 201 - 600 amp 149.50
❑ over 600 amp 225.50
❑ # of circuits to be Added/altered
(1-5 circuits - $94.50; Addh circuits, $7.00/ea)
❑ # of circuits to be added/altered
COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits -$74.00; Add'n circuits $7.00/ea)
$94.50 plus 350/6 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
❑
ResidentiaWhIti lamiV $65.00
# of service or feeders
(First service/feeder-$74.00; each addh -$48.00)
CommerciaWndustriai Service or Feeder Ampacity
❑ 0 - 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
❑ r�L# of Thermostats
❑
(First -$55.00; addn-$17.00/ea)
# of Signs
(First sign -$55.00; add n sign $26.00/ea)
❑ Low Voltage
❑.Swimming pool/hot tub................. $111.00
Square Feet to be served by system(s)
(lacludes additional circuit, if required)
❑ Fire Alarm system
❑ Yard Pole meter loops ....... :............. $74.00
❑ security Alarm system
13 Voice Cabling
❑ Additional Plan Review $111.00 hour
/
❑ Data Cabling13
(for modified submittals)
❑ Automation Fee on all Permits $5.00
10 2500 "5.00;
Each add 2500 ftp -17.00) *Per wnc2.4646910(5)(h)1 a N)
Bulletin #100 -August 16, 2007 Page 3 of 4 Wiandouts\Permit Application