04-102283 City of Federal Way
Community Development Services Electrical Permit #:04 - 102283 - 00 - EL
33530 1s Nay S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: CHAMPS
Project Address: 1920B S SEAT-IX-MALL C J M.1vM O-VS Parcel Number: 762240 0010
Project Description: Installing 1 new circuits and j-box for new signs in new storefront and hooking up to that new j-box.
Owner Applicant Contractor
STEADFAST SEATAC MALL DWINELL'S VISUAL SYSTEMS INC DWINELL'S VISUAL SYSTEMS INC
20411 SW BIRCH ST SUITE 200 814 6TH AVE S 814 6TH AVE S
NEWPORT BEACH CA 92660 SEATTLE WA 98134-1304 SEATTLE WA 98134-1304
(206)292-8865
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits- Commercial 2J Sign — J 2
PERMIT EXPIRES December 5,2004.
Permit issued on June 8,2004
1 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: / Ag• AV Date: 1p 041
1
2Ao4 adsr.
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• ' THIS CARD IS TO REMAIN ON-SITE ` • 4 •
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-102283-00-EL
Owner: DWINELL'S VISUAL SYSTEMS INC
Address: 1920B S SEATAC MALL BLVD
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.
O Slab/Concrete Floor(4255) ❑ Ditch cover(4030) 1 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date j By Date
❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
0 Rough Electrical(4225) 0 Ceiling Cover(4020) .
❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date
❑ Under-slab groundwork(4295)
Approved
By Date
0 4 - t D g 73
. are-4"..----
Federal w PERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF CO ME •L DE EN FP
33530PIR AWAYSOUTT9•POPy710 2004 APPLICATION
FEDERAL 15Y,FAX
53- 8 / /253-66]-1]15•PAX 253fi61-1129 ITD
toww d(tpn"ede rB m
`coOF FEDERAL WAY
The ollowin. ii3 R 14lriaila .tion-an inco •fete a••lication will not be acce•ted. Please •rint le•ibl (in ink)or
PROPERTY INFORMATION
SITE ADDRESS _Q` /! ii g / ' •—�arilVrj I I Ai I SUITE/UNIT#
ASS c'S TAX/PARCEL)M LOT SIZE(4)LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desccpt,on)
•
PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING o PLUMBING� 0 MECHANICAL
0 DEMOLITION t�ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
�.4"... • 4- t i 4bLAha -_.:: ., ak rP/ a 1 • • ( Sj/ , , G/ _i L.' l,, e'
Our
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PROJECT NAME(Name of Business or Owner Last Name) C h L1 I ps
PEOPLE INFORMATION
PROPERTY NAM
PRIMARY PHONE / I� `-Q
OWNER S _ ^^ (e25j) 91/6-/0 `lJ
MAILING ADDRESS ✓'� ' `�1l �' TY,STATE.ZIP
�b� S. vnrirv� �- f E u
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
D t C 1 ( SloptitiLl� S ( No) Q x'453
` MAILING ADD' SS .1 r i ITTYY,STATE,ZIP /,44 1 Ad A I CELL PHONE
(
CITY OF FEDERAL WAY BUSINESS LICENSE N •ERE (RATION DATE FAX NUMBER
1 0-� 6-_ 5 g1i06 L /a 3/ lob ( 14, ) 182- 41 78)
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT CO P NAME APPLI NAME OFFICE PHONE
CdN2 ( )
MAILING ADDRESS ITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant 0 Agent ❑ Other(Describe) ( )
CONTACT Nrc1/20 PRIMARY PHONE E-MAIL ADDRESS
S n5 ( ao6, ,29,- s
LENDER Per RCW 127.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
•
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC) •
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
"NEW HOMES ONLY NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
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(commro.al) W OODSTOV ES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or-rub/Shower Combo) SHOWERS WATER CLOSETS(Toile) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS _ RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Smks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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 C L. t `JIDATE (0 /94)1
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner o Agent Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? ❑YES a NO UP/SEPA/SU? a YES o NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? a YES o NO
Bulletin 11100—March 30,2004 Page 2 of 4 k\I-Iandouts—Revised\Permit Application
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ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
CI Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$87.00,Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00
LI Detached outbuilding or garage LI 101 -200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201 -400 amp 220.50 87.00
LI Detached outbuilding or garage ❑ 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) ❑ 801 - 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
LI 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
U 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
U Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50
LI 201 -600 amp 220.50
Service or Feeder LI 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 ❑ oyer 1000 amp 369.50
LI 201 -600 amp 117.50
U over 600 amp 177.00 V , #of cir .. • se added/altered
(1-5 circuits $74 00, dd'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 LI Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
LI 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
LI #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 Q/ 1 #of :igns
(First-$43.50;add'n-$13.50/ea) (First sign 143.50;1 dd'n sign$20.50/ea)
❑ Low Voltage ❑ Swimmin: ::. /hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System LI Yard Pole meter loops $58.00
O Security Alarm System LI Additional Plan Review $87.00/hour
O Voice Cabling (for modified submittals)
O Data Cabling
Ei
(Per System(s) 1st 2500 ft2-$51 00,
Each add'n 2500 ft2-13 50) •Per WAC 296-46-970(5)(L)(1&u)
Bulletin#100-March 30,2004 Page 3 of 4 k\l landvuts-Revised\Permit Application