04-105168 City of Federal Way Electrical Permit#: 04 - 105168 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
11:4W)835-7000 Fax:(253)835-2609 Inspection request line: (253)835-305U
Project Name: ARCO
Project Address: 27202 PACIFIC S Parcel Number: 332204 9076
Project Description: Altering up to 5 circuits for new receptacles for replacement soda machine
Owner Applicant Contractor
BP WEST COAST PRODUCTS LL ALASKA MARINE REFRIG INC ALASKA MARINE REFRIG INC
6 CENTERPOINTE DR 9991 SE COTTONWOOD DR 9991 SE COTTONWOOD DR
LA PALMA CA PORT ORCHARD WA 98366 PORT ORCHARD WA 98366
90623-2503 (360)871-4414
Electrical Fixtures
Description Quantity Description Quantity Description —1Quantity
Circuits- Commercial 5
PERMIT EXPIRES June 20,2005.
Permit issued on December 22,2004
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: -fig ,,,, ( Z - Date: Q/d22 Q6/
FINALED
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THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-105168-00-EL
Owner:
Address: 27202 PACIFIC HWY S
FEDERAL WAY, WA 98003-6998
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.
O Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
O Temporary Power(4275) ❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved, Approved
By Date By Date By Date
❑ Rough Electrical(4225) a❑ Ceiling Cover(4020) 12' Final-Electrical(4055)
Approved Approved Approved
By Date By Date By ,s Date/— /9.47 iS*-----
❑ Under-slab groundwork(4295)
Approved
By Date
'-.4A . Oa - ( 0 g ( 0
Federal Wactvpa PERMIT
COMMUNITY DEVELOPMENT ElWeb+- SF MF CO M:4''L DE EN FP
33325 AVENUE SOUTHwaBOX 9 718
FEDERAL WAY,WA 98063-9718 2004
o APPLICATION
/
/The followin: ;,, ,-4,,,A.1,44‘1;:,24. -an incomplete ap.lication will not be acce•ted. Please •rint legibly(in ink)or type.
N PROPERTY INFORMATION
SITE ADDRESS ang(.)/ PAC l�l� CO SUITE/UNIT
ASSESSOR'S TAX/PARCEL# 3 Z Z d `'1 - _) v Co LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
)Attach separate pager lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION2'ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
II
_i .!../ M.S.'iMINEN/LIIIIWA4IIMPAIIIPItrAitir..ck=ro
Mr
PROJECT NAME(Name of Business or Owner Last Na,e) / (t)
- - - . . • PEOPLE INFORMATION
PROPERTY NAME n ^ PRIMARY PHONE
OWNER 1S r /V`
eCO ( )
MAILING ADDR SS CITY,STATE,ZIP
4 (C iPo i nlCe PA [.tl- v,4•t-(4A- CA
CONTRACTOR COMPANY NAME APPLICANT NAMF,, OFFICE PHONE
NIA s6 )4 Pitt A,c14et&,o - AC 1,464,- (sem ) e-)) - 5-yrti
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
CP1 I GO/I -)fr0b j i% r oLVA•nit 2 0 ) a-/1 - t)-7L1
CITY OF FEDERAL WAY BUSINESS LICE SE NUMBER EXPIRATION DATE FAX NUMBER
,— B� f ( / / ( )
- --- A ►-
CONTRACTOR'S • • TION NUMB R(copy of card require with each application! EXPIRATION DATE
A/06601ig 7,21M/A- / /
APPLICANT co ANY NAME APPLICANT NAME OFFICE PHONE -
`// ca,, o--C ') ( )
ILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT • FAX NUMBER
❑ Architect ❑Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACTNAME i - PRIMARY PHONE E-MAIL ADDRESS
L �ti
l DG - (2 c ) i - NC441
LENDER PerRCW 1'0.2'7;695: Lender information Is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
in DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑,YES 0 NO
, WATER SERVICE PROVIDER ❑ LAKEHAVEN O HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
- PROJECT FLOOR AREAS
• AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMEN"i'
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE) •,
. .
DEC
DECK(COVERED?)
GARAGE/CARPORT
TOTAL=STING TOTAL mROrose° TOTAL=STING AND PROWSCD
HOW MANY FLOORS?
"NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
- : - _ .---_ 1-- - FIXTURES • - :- -- - -- i -
Indicate number of each type of fixture 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(Commrnial) WOODSTOVES
' BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS • WATER CLOSETS rroa<q MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
• _.--:---:--•_'-'...---:.:_-.:',-_ < - -: : == DISCLAID'!ER/SIGNATUREBLOCK . : - - - . __ --_ - -
I certify under penalty 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/TITLE 2,./."
4 2,y,
,L, DATE (2—/.12—/C11 1
(Signatures (Tale) i
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent o Contractor o Architect ❑ Other
I
s
;
E •
1 FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR a TENANT IMPROVEMENT 1
1 BUILDING SHELL ONLY? o YES 0 NO BASIC PLAN? ❑YES o NO
f ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
t NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? ❑YES o NO
F
1
Bulletin#100—March 30,2004 — Page 2 of 4 k\Handouts—Revised\Permit Application
r Y
• ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$87.00,Each add'n 500 ft2-$28 00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101 -200 amp 117.50 74.00
(Inspected with service) $36.50 0 201 -400 amp 220.50 87.00
❑ Detached outbuilding or garage 0 401-600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601 -800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) 0 801 1000 amp 405.50 169.50
Service Feeder 0 Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY 0 to 200 amp $ 94.50
❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 Er #of circuits to be added/altered
(1-5 circuits-$74.00,Add'n circuits,$6.00/ea)
❑ # of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) $ 74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 ❑ Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
❑ #of service or feeders ❑ 101 -200 74.00 51.00
(First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00 n/a
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s) 1.,2500 ft2-$51.00,
Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5)(L/(i&6i
Bulletin#100-March 30,2004 Page 3 of 4 k\Handouts-Raviscd\Pennit Application
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