04-102501 City of Federal Way Electrical Permit #:04 - 102501 - 00 - EL
Community Development Services
33530 Ist Way S
Federal Way,WA 98003-6210
Ph:253.661 4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: COCKATOO'S RESTAURANT kip
Project Address: - 3 PACIFIC\SSuite5 Parcel Number: 7978808W-
Project Description: Altering(10)circuits 1"or lights,outlets,fans,refrigeration,and equipment
Owner Applicant Contractor
CHRISTIE LEE SELECT ELECTRICAL SELECT ELECTRICAL
33130 PACIFIC HWY S SUITE 5 SELECT ELECTRICAL SELECT ELECTRICAL
FEDERAL WAY WA 859 S 36TH 859 S 36TH
TACOMA WA 98418 (253)861-1094
Electrical Fixtures
Description Quantity Description Quantity Description _=Quantity
Circuits- Commercial 10
PERMIT EXPIRES December 20,2004.
Permit issued on June 23,2004
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: I��� ��� �� Date: 24:42 c
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THIS CARD IS TO REMAIN ON-SITE4
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CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-102501-00-EL
Owner: SELECT ELECTRICAL
Address: 33110 PACIFIC HWY S Suite 5
FEDERAL WAY, WA 98003-6444
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.
0 Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels (4045)
Approved Approved Approved
By Date By Date By Date
Vj Rough Electrical(4225) % ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By _7:5 Date? Z O=eve
❑ Under-slab groundwork(4295)
Approved
By Date
INSPECTION LOG
DATE INSPECTOR OK CORR/REJ AREA AND TYPE OF INSPECTION
aryoF` .. QC( -
( 25C7J
PERMIT SF MF COM 4110'LDEENFP
COMMUNITYTDEVELOPMENT SERVICES
33530 FIRST WAYSOUTH98• 6 -BOX971 9713 APPLICATION
FEDERAL WAY,FAX
93-6 1-4 18 �iD / /
253-667-1115•FAX 253-661-/129
www dtuoffederolwau.corrt
The ollowin• is re.uired in ornuation-an into •lete a•.lication will not be acce.ted. Please .rint le•ibl (in ink)or .
`j�it. PROPERTY SIN�FO�RMATION
SITE ADDRESS 3 313 O r (i; rigy.[7 y, .5 - —
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - / LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate paxfor lengthy legal desopaon/
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed des - tion of work 'ncluded on this permit onlu)
� � C4 c ��Jf�// - . / -�
'fte4$, d SictAv ' 1' or-f ��is/Yzti �/ E--U`p. S/ t/ /
No ScCvri r
PROJECT NAME(Name of Business or Owner Last Name) Cjil j(,rem_ Ceze/ 1 e- ` 'oe�f-�yd�n"`,K
PEOPLE INFORMATION / ""
PROPERTY NAME
C n `_ / fe / e e PRIMARY PHONE
OWNER /KDRESSy�1/ Lee ���)` ��� (�' !
MAILING ADDRESS CITY,STATE,ZIP (/L(j
CONTRACTOR COMPANY NAME APPLICANT NAME
✓��/E/�J�/.-..///� /`�/ (IOC�F�F-�I�tC''"Er��PHONE
MAILING ADDRESS Elect, ��t/ �V CELL 3) cit ( y
CITY,STATE IP
-56-f S 3 r,i-c i4 !V4 ; '3 ) .23Z -732e)
CITY 0EDERAL WAY BUSINESS LICENSE NUMBER I�PIRATION DATE FAX NUMBER D-5
/ /
- -
- B L
CONTRACT'OR'S REGISTRATION NUMBER(coPy of card required with each application) EXPIRATION DATE
5 L C- cE / 24- Rc_ /2 /CS, , /2p
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
)
LENDER Per RCW 19.27.095: 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 ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?. ❑ YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ 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 ExxsruG 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(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS IorTub/Shower Combo) SHOWERS WATER CLOSETS(rokt) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroom sunk) 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 DATE
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent 0 Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
❑NEW ❑ADDITION a ALTERATION a REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? a YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES a NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES a NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—March 30,20.04 Page 2 of 4 k\Handouts—Revised\Permit Application
ELECTRICAL I=ERMIT INFORMATION
I
RESIDENTIAL COMMERCIAL
EW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Si :le Family Square Feet Service or Feeder Each Add'n
(Firs 1300 ft2-$87.00,Each add'n 500 ft2-$28 40) ❑ 0 to 100 amp $ 94.50 $ 58.00
U Deta,hed outbuilding or garage ❑ 101 -200 amp 117.50 74.00
(In.pected with service) $36 0 U 201 -400 amp 220.50 87.00
U Detach-d outbuilding or garage ❑ 401 -600 amp 256.50 103.00
(Insp-cted separately) $ .8.00 ❑ 601-800 amp 332.00 140.50
NEW MUL' I-FAMILY(three unit or more) U 801 1000 amp 405.50 169.50
Servic Feeder U Over 1000 amp 442.00 236.00
U Up to 200 - . $ 94. 1 $ 28 00
❑ 201 -400 am. 117.:0 58.00 U Over 600 volts surcharge $74.00
U 401 -600 amp 16 .00 80.00 ❑ Mast or meter repair $80.00
U 601 -800 amp 21..00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
U Over 800 amp 94.50 220.50
Service or Feeders
ALTERED SINGLE/ .6 TI FAMILY '0 to 200 amp $ 94.50
❑ 201 -600 amp 220.50
Se ice or Feeder U 601 - 1000 amp 332.00
U 0 to 200 amp $ 72.50 U over 1000 amp 369.50
❑ 201 -600 amp 1 .7.50
❑ over 600 amp 17 00 74. fa.#of circuits to be added/altered
(1-5 circuits-$74.00,Add'n circuits,$6.00/ea)
❑ # of circ its to be added : tered
(1-4 circuit $58 00;Add'n circus $6.00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW
$74.00 plus 35%of Permit Fee
U Mast or m: er repair $43.50 U Service over 200 amps
U Medical/Educational/Institutional Facility
SINGLE/ ULTI FAMILY PLAN • W
U Service I er 400 amps
$ X4.00 plus 35%of Permit Fee
MOB 1 HOMES
U Servi.- or feeder only $58.00 TEMPORARY SERVICE
❑ Se . e and feeder $94.50
Commercial Residential
M• :ILE HOME RV PARK U 0- 100 $58.00 $51.00
U #of service or feeders ❑ 101 -200 74.00 51.00
(First service/feeder-$58-00;each add'n-$37.50) U 201 -400 87.00 n/a
U 401 -600 117.50 n/a
U over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats �T#of Signs O Icc44-1
(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 U Yard Pole meter loops $58.00
❑ Security Alarm System U Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s) V 2500 ft2-$51.00,
Each add'n 2500 ft2-13.50) ^Per WAC 290-40-910(5)(6)(&u)
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Bulletin#100-March 30,2004 Page 3 of 4 k\Handouts-Revised\Permit Application