07-104620City of Federal Way
Community Development Services
P.O. Box 9718
Fede a) Way, WA 98063-9718
Ph: (253) 855-2607 Fax: (253) 835-2609
y A
Electrical Permit #: 07-104620-40=EL
Project Name: KENTUCKY FRIED CHICKEN/LONG JOHN
Project Address: 34506 16TH AVE S
Project Description: Installation of IN wiring for fire and security system.
Inspection Request Line: (253) 835-3050
Parcel Number: 212104 9036
Owner
Applicant
Contractor
FEDERAL WAY MARKETPLACE
LTD ENERGY CONCEPTS & SEC SYSTEMS
LTD ENERGY CONCEPTS & SEC SYSTEMS
INVESTORS LLC
PO BOX 1138
LTDENCS961RF (12/6/08)
3700 BEAZER RD
SELAH WA 98942
PO BOX 1138
BELLINGHAM WA 98226
SELAH WA 98942
Additional Permit Information
Electrical Fixtures-
Low Vq lge Fire Alarm - Commei 3,605
U
THIS CARD IS TO REMAIN ON-SITE
CITY OF , Community Development Inspection Record -
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -104620 -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
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
By Date _ _
By
Date
By
Date
❑ UFER Ground (4295)
Approved
By Date
For inspector reference only _
Rough Electrical 0 FINAL - Electrical
Approved Approved
By Date By Date
C", RECEIVED,
00OW TI'DEVELOPAIBNT�r 212007 PERMIT SF MF CO ME EL PL DE EN FP
333Z5D MWA,WffH•PO971 9 1 PLI CATI O N
� FEDERAL WAY, WA 98063.9718
253,"S2607•FAX253-('R1ft0F FEDERAL
BUILDING DEPT.
The following is required information — an incomplete application will not be accepted. Please print. legibly On ink) or type.
ASSESSOR'S TAR/PARCEL #
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
�1 0
LOT SIZE (sj)
(Af ach.pmuePW16rkrwftIWdawl
PROJECT•- •
TYPE OF PERMIT ❑BUILDING ❑ LUMBING ❑ MECHANICAL
❑ DEMOLITIONrECTRICAL ❑ ENGINEERING [3FIRE PREVENTION SYSTEM
IP
PROJECT DESCRTION (Provide detailed description of work /included on this Permit onlu/
--..PROJECT. NAME (Name
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
PRIMARY PHONE
-
MAILI1TG ADDRESS
CITY, STATE, ZIP
E-MAIL ADDRESS
COMPANY AME
APPLICANT NAM
OFFICE PHONE
• r
d14..
c so) 6y W -
MAILING ADDRESS
1s x i
CITY, STATE, ZIP
Se%�.
C PHONE
d 96 - / OI
CITT• OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
Q!716 LiCA L( 0
1
(5�!) 6 x,
CONTIUCTORIS REGISTRATION NOME R
1;T� cN�s �� r
EI[P TION DATE
EMAIL ADDRESS
F
o (-APb
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
NAME PRIMARYTHONE E-MAIL ADDRESS
1 sys ) es*, - vw 3
NAME
Per RCW 19.2.7.095:
Lender igjormallon is required (/project value exceeds $5,000
MAILING ADDR
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED/APPRAISB'VALUE
PROPOSED USE
OF PROPOSED WORK $$
SPRINKLERED BUILDING?' D YES ❑ NO FIRE SUPPRESSION Syibw# PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (sEPTIeL
PROJECT ••-
AREA DESC ON
AREAS
o REPAIR ❑TENANT IMPROVEMENT
ERISTIN
SQ; FT.
PROPOSED
80. FT.
TOTAL
SQ. FT.
BASEMENT
o NO
ZONING DESIGNATION
FIRST
a YES
a NO
NEW ADDRESS REQUIRED?
SECOND
UP/SEPA/$U?
a YES
o NO
THIRD
a YES a NO
DEMO PERMIT REQUIRED?
a YES
ADDITIONAL FLOORS (DESCRI
DECK (❑ COVERED OR ❑ UNCOVE D?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
s'° a
r"°ro°'
m°r
rorncsaernmosr
MAL leOP0918•sr
TOTAL Or
'•NEW HOAMS ONLY". NUMBER OF BEDROOM ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to ljdinstalled or rebktted as part of this project. Do not include existing fixtures to remain.
Value of Medumical Work $ (A COPY OF BID OR ETE MBE INCLUDED WITH APPMCA77019
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC (Deacn'be)
BOILERS FIREPLACE INSERTS OOD3 (cummad.q
COMPRESSORS FURNACES GES
DUCTS GAS LOG SETS REF .SYSTEMS
tlATri'1'Uri Jor Tib/aho Combo)
DISHW HERS
DRINVING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
LAVS Mona. alb
RAINWATER SYST
SHOWERS
SINKS
SUMPS
URINALS .
VACUUM BREAKERS
WATER CLOSETS treueq
WASHING MACHINES
MISC (Describe)
I cerdb under penalty of perjury that I am the property owner or authorised agent of the property owner. I cenft that to the best of my
knowledge, the information submitted in support of this permit application is true and correct: I cart(& that I will 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 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 gpicers and employees, upon the accuracy of the information supplied to
the city as apart of this appl(catipm
IF
SrGNATURE:
CNEW o ADDITION
o ALTERATION
o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES. o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
a NO
NEW ADDRESS REQUIRED?
a YES a NO
UP/SEPA/$U?
a YES
o NO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED?
a YES
a NO
Bulletin # 100 = August 16, 2007 Page 2 of 4 . MHandoutsTermit Application
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0
0
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add%
(First 1300 fts- $111.00; Each add% 500 itis- $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 amp327.00 131.00
(Inspected separately) $74.00
C1601- 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
❑ Over 600 volts surcharge $94.50
'$35.50
E3201 - 400 amp 149.50 74.00
❑ Mast or meter repair $102.00
❑ 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
❑ 601 - 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
❑ fl of circuits to be added/altered
(1-5 circuits - $94.50; Addh circuits, $7.00/ea)
❑ M of circuits to be added/altered
COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits -$74.00; Addh circuits $7.00/ea)
$94.50 plus 351/6 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
Residentiai,/d?uitt-Family $65.00
❑ fi of service or feeders
(First service/feeder-$74.00; each addh -$48.00)
CommereiaWndustrial Service or Feeder Ampaeity
❑ 0 - 100 amps $ 74.00
(3 101- 200 amps 94.50
❑ 201- 400 amps 111.00
❑ 401 -.660 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
g of Thermostats
❑ N of Signs
First
(First -$55.00; add'h-$17.00/ea)
(First sign -$55.00; add n sign $26.00/ea)
w Voltage DS
L3 Swimming pool/hot tub ................ $111.00
quare Feet to be served by system(s)
(Includes additional circuit, if required)
❑ Fire Alarm system
❑ Yard Pole meter loops ....... :............. $74.00
❑ security Alarm System
Voice Cabling
❑ Additional Plan Review $111.00 hour
/
r13
0 Data Cabling
or modified submittals)
Automation Fee on all Permits .. $5.00
1•t 2500 "5.00;
Each add% 2500 fi2-17.00) •Aer WAC 29646910(5)(bA1 & H)
Bulletin #100 - August 16, 2007 Page 3 of 4 WiandoutsTermit Application