02-101605 City rnity De Way Electrical Permit #:02 - 101605 - 00 - EL
Community Development Services
33530 1st Way S
iliFederal Way,WA 98003-6210
Ph:253.661 4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: ROMIO'S PIZZA
Project Address: 1400 S 312TH Suitel Parcel Number: 082104 9090
Project Description: ELE-Addition of 60 amp sub-panel
Owner Applicant Contractor
MAX D.COOK SOUTHGATE ELECTRIC INC SOUTHGATE ELECTRIC INC
PO BOX 4805 18940 DES MOINES WAY S#5 18940 DES MOINES WAY 5#5
FEDERAL WAY WA 98063 18940 DES MOINES WAY S#5 18940 DES MOINES WAY S#5
SEATTLE WA 98148 (206)244-1570
Electrical Fixtures
Description , 7',Quanitit C ~ Description ,,- ,- Quantity '_ .Description :`;.= Quantity_
Alt.Serv./Feeder up to 200 amps-Co 1
PERMIT EXPIRES October 13,2002,IF NO WORK IS STARTED.
Permit issued on April 16,2002
•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 ay.
Owner or agent: , _V��' ,_s i-,A.,- Date: .1 / U 01--
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i — 2- 2— 0 2- 532zi Ce(2_-/_ems '67 d of — z--0 '
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C7. G CONSTRUC I ION PERMIT APPLICATION��
��� � _ RECEIVED
uV f APPLICATION NUMBER: ln 2 g_ L D 4 6o a -
APR 1 6 2002 APPLICATION NUMBER: - -
����// APPLICATION NUMBER: - -
**The fo11'e j ;. Rtel atiori-Please print(ih ink)or type**
Please note: Electrical,Fire PreventionttSSstems and Engineering permits may require a separate application.
_ .-. __ _ _-� )12 ,:PROPERTY INFORMATION -- ' -.'" . . -
SITE ADDRESS: I CO �/ ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
''--.7--'''''':!'; . - . .'; :.‘i;:',:'::-*-':"%---.--- .,.: :L''. M. PROTECT INFORMATION • • : = . ' .- . , . •
TYPE OF PROJECT(This application): ❑ BU WING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 441 d - cc/4, //A e/
PROJECT NAME:
� C)5 A ?A .
__ .
"!I'PEOPLE INFORMATION
PROPERTY OWNER: NAME: (p�\ _ ) DAYTIME PHONE
MAILING AD'BR'e (STRE D ESS; ITT,STATE,ZIP)
CONTRACTOR: NAME DAYTIME PHONE'
REL
)
/A-717
MAILING ADDRESS(STREET ADORESS,CITY,STAE,ZIP: - EVENT G PHONE:
/ tf �(/ � /w/4�l (
CITY OFFEWAY BUSINESSLICENSE BER:
FAX NUMBER-
CONTKAL'fF'$'R ON fK7FdBER: EXPIRATION DATE:
(copy of card required) 5-0. U r/ 3 u / o
APPLICANT: NAME DAYTIME PHONE:
( ) - II
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP)- EVENING PHONE:
-
RELATIONSHIP TO PROJECT FAX NUMBER
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
. : - - -." . - _.-1 DETAILED BUILDING INFORMATION :-- ' - r•.'. ::.' .._, •
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
• -- ■ PROSECT FLOOR AREAS •
FLOOREXISTING SQ.FT. • PROPOSED SQ.FT. TOTAL
•
•
• BASEMENT' -
•
FIRST
- SECOND
THIRD
FOURTH
-OTHER FLOORS(DESCRIBE)
DECK
-GARAGE
HOW MANY FLOORS?
TOTAL:
• • •
■ FIXTURES • -
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
' •'0 DISCLAIMER/SIGNATURE BLOCK .
•
I certify under penalty of perjury th•t the information furnished by me is true and correct to the best of my knowledge,and
further,that I am authorized by the owner • 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 daim(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the information supplied to the dty as a part of this application.
NAME/TITLE: \ •. •_�!_0 , DATE:
❑ PROPERTY OWNER ,APPLICANT ❑ CONTRACTOR
-FOR OFFICE USE ONLY:
'❑-NEW= =Y==[] ADDITION ❑ ALTERATION 0 REPAIR 0 TENANT IMPROVEMENT
`CENSUS CODE: LOT SIZE:
,;ZONING,DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO
-COMP-PUIN DESIGNATION BASIC PLAN? ❑ YES ❑ NO -
- TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
-PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES-33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718-253-661-4000•FAX:253-661-4129
www.cityoffederalway.com
TABLE B
•
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Singlc Family _Service or feeder only • $50.00 ____N of Thermostats(First-$37.50;add'n-S I I.Soea)
(First 1300 ft2-$75.00;Each add'n 500 ft2-$24.00) _Scrvice,and feeder $81.00 N of Low voltage fire or burglar alarms
• Square Feet: first 2500 ft2-543.50;Each add'n 2500 ft2-511.50
_Each outbuilding or garage ..$31 00 MOBILE HOME/RV PARK Square Feet-
• (Inspected with service) _K of service or feeders 'Per\\'AC 296-46-910(5)(b)(i&ii)
_Each outbuildingor garage . . ..$50.00 (lint service/feeder-$50 00,Add.n service/ • _I of Signs(1 ust sign-$37.50,add'n sign
(Inspected separately) feeder-532 each) $17 50 each)
Swimming pool,hot tub,spa -575 00 I
Yard Pole meter loops..... . . .$50 00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Service or Add'n JO to 200. ... - . ....$ 81.00
_Up to 200 amp .........$ 81.00. ... S 24 00 Feeder _201 -600. .. . .... . .. ....... 189 00
_201-400 amp 101.00... ..........50.00 _0 to 100........ $ 81 00 5 50 00 _601 - 1000 . ... . ... .. . ...284.50
_401-600 amp 138.00 68.50 _101 -200 101.00 63.50 _over 1000 317.00
_601-800 amp 176.50 94.50 _201 -400..................... 189.00 75.00 _N of circuits
_Over 800 amp 252.50 189.00 _401-600 220.50 88.50 (1-5 circuits-563.50,Add'n circuits,S5 ea)
ALTERED SINGLE/MULTI FAMILY _601 -800....................284 50 120.50
(When inspected separately from the services.) _801 -I000...... . ........348 00.. . .145 50 TEMPORARY SERVICE
Service or Feeder _Over 1000.-- -- 379 00 . . .202.50 Residential/Multi-Family/Commercial/Industrial
_0 to 200 amp ................ . . .....$ 68.50 _Over 600 volts surcharge.... ... . 63.50 0- 100 . .....-....$ 50.00
_201-600 amp.......................... 101.00 _Mast or meter repair .............-......6850 _101-200. 63 50
_over 600 am ......... 151 50 _201-400 ...-:.. ........... . .75 00
_Mast or meter repair.. ... ... .. . . .....37 50 _401 -600 .. 101.00
N of circuits over 600 .. .. . . . .109 00
(1-4 circuits-$50 00,Add'n circuits$5 ca)
If service is greater than 200 amp.a plan review is req'd Fee is 35%of permit fee+$63.50.Add'l plan review for other submissions is 575 00/11r
I
1 FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
. 1
TOTAL COLUMN(D):
Total Column(D) '
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $63.50 +( X.35) = (13)
. . . - •■ DEMOLITION ' . . •.
Estimated Permit Fee: (14)
Bond Amount:(15) JJ
. . •■ ENGINEERING --- - . - - - -
Estimated Permit Fee:(16)
Bond Amount: (17)
. . . .- .- - ■ OTHER FEES -- . - .
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Total (pars one&rwo): Line(s)(11)+(12)+(13)+(14)+(15)+(16)4(17)+(18)+(19)+(20)+(21)+(22-)+(23) = (24)
Bulletin #100-January 18, 2007