02-101300 e
1
City of Federal Way
Community.development Services Electrical Permit #:02 - 101300 - 00 - EL
33530 l s Nay S
4 Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253 661 4129 Inspection request line: 253.835.3050
Project Name: NORTHSHORE VILLAGE ESPRESSO
Project Address: 2140 SW 356TH Parcel Number: 252103 9002
Project Description: ELE-install(1) 125-amp service and low voltage work for telephone for new drive-thru espresso
building.
Owner Applicant Contractor
ROYAL PLAZA ENTERPRISES *ROYAL PL. NONE CHIN'S ELECTRIC
509 S 63RD ST 33530 13TH PL SW
TACOMA WA FEDERAL WAY WA 98023
98408-6325 NONE (253)405-3348
Electrical Fixtures
s
„ ;.Description Quant` , Descri tion ` QuantityDescription Quantity
LowVoltage-Other Commercial L 180 Service/Feeder:101-200 amps-Comr 1
PERMIT EXPIRES September 24,2002,IF NO WORK IS STARTED.
Permit issued on March 28,2002
•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 Way.
Owner or agent: L-
Date: 3/20
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eR.o. G RECEIVED CONSTRUCT I ION PERMIT APPLICATION
EI3ErzFEL_
'N.'\> Fn.,. APPLICATION NUMBER: O Z - LQ 1130 O- L
i MAR 2 8 2002 APPLICATION NUMBER: - -
APPLICATION NUMBER: - -
A . CITY OF FEDERAL WAY
**The fdataiD4lierektfter.d information—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
- .. - - -`7-/ --7'-'''' � . 2_-,-C/-es'PROPERTY INFORMATION - :.. . _. - _
SITE ADDRESS: 2) 0 6 ) J J 7 ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
;'h':`° --..'-'•:•;;" . -. .. -:"--.7 :::'..i ■. PROJECT INFORMATION - - , .. - . .-.. - . -
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
Vf-ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROECT DESCRIPTION(Provide detailed description):
ill,
I 1V-Ow
PROJECT NAME: P ijz& 1' 4/ - GYfi2 6?i a
.. _ :' ■'.PEOPLE INFORMATION : :. ..
PROPERTY OWNER: NAME ro , I DAYTIME PHONE:
v U . E.-q° (2.5-.5) s6 6 iy. 3
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP).
2, 40 Se-3 356
CONTRACTOR: NAM[.- , / / 15 //� / DAYTIME PHONE-
CNit) c' /K/.�� t/ (2- 3) yOS" 3.3cfg
MAILING ADDRESS(STREET ADDRESS-CITY,STATE,ZIP) EVENING PHONE:
35-3_S-0 ( 3-`` pt., s . ciA) an 5\e023 ( ) 54---z--
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER. (FAX NUMBER
-
-
OTRAj CTOR'S REGISTRATION NUMBER. �J / PIRATION DATE:
(copy of card required) ' F< L.f I /
APPLICANT: NAME
e/17.
'1 j Al DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS,CITY,ST E,ZIP: EVENING PHONE
( )
RELATIONSHIP TO PROJECT- FAX NUMBER:
❑ ‘9Z.1'111(74071277,--
�U ARCHITECT ❑ TENANT HER( DESCRIBE): `9 ( ) -
E-MAIL ADDRESS
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
.. ..R "DETAILED BUILDING INFORMATION • =., _•. -
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: ❑ LAKEHAVEN ❑ HIGHLINE El PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTI ATED SELLING PRICE: $
•
• . • -- ■ PROSE:.?FLOOR AREAS
•
--• FLOOR EXISTING Si 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)
DISHWASHER(S) 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)
' ••■ 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 daim(induding 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 city,induding its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application. `1
NAME/TITLE: — DATE: 3/2 -2
❑ PROPERTY OWNER ❑ APPLICANT g-CONTRACTOR
-FOR OFFICE USE ONLY:
-IVEWx _ -ADOTTION ❑ ALTERATION _ ❑-REPAIR ❑TENANTIMPROVEMENT - -
'CENSUS_CODE: _ - LOT SIZE: _ - -
;ZONING�DESIGNATION: BUILDING SHELLONLY? ❑YES ❑ NO
-COMP_PLAN DESIGNATION _ BASIC PLAN? = ❑ YES ❑ NO .
SECTION= _ TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
-PLATTED-LOT? 0 YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES-33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253661-4000•FAX:253-661-4129
www.cityoffederalway.com
■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_
Single Family _Service or feeder only - S50.00 #of Thermostats(First-$37.50;add'n-S l I.SOea)
(First 1300 ft2-575.00;Each add'n 500 112 424.00) _Service.and feeder 581.00 f#of Low voltage fire or burglar alarms
16
•
• Square Feet: . ust 2500 ft'-$43.50-Each dd'n 2500 ft'-S 11.50
• _Each outbuildingor garage....... . .... ...$31 00 MOBILE HOME/RV PARK Square Feet:
• (Inspected with service) _#of service or feeders ' I'cr 1\' C 296 10(5)(h)(i&ii)
_Lach outbuildingor garage.. $50.00 (I rrst service/feeder-550 00,Add'n service/ - _i of Signs(First sign-537.50,add-n sign
(Inspected separately) fccdcr-$32 each) $17 50 each)
Swimming pool,hot tub,spa .. 575 00
Yard('ole meter loops...... . ..$50 00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service Fccder Amps Service or Add'n _0 to 200 .. .. .... ........... $ 81 00
_Up to 200 amp. . S 81.00- S 24 00 Feeder _201 -600. . ..... ...... . ... 189 00
_201-400 amp 101.00_. . . 50 00 _0 to 100 -- .5 81 00 ... S 50 00 _601 - 1000 . . .... . . . . 284 50
_401-600 amp 138.00.... 68.50 4_101-200...(.7S.--A1/01.00 63.50 _over 1000.....................................317.00
_601-800 amp 176 50...... 94.50 _201 -400 . 189.00........ 75.00 _/l of circuits
_Over 800 amp 252.50 ........ 189 00 401-600. 220.50.........88.50 (t-5 circuits-563.50,Add'n circuits,$5 ea)
ALTERED SINGLE/MULTI FAMILY _601 -800 .................284.50 120.50
(When inspected separately from the services) _801- 1000 . ..... ...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 .. ..... .. . .......... S 50.00
_201-600 amp........ .--.- 101.00 _Mast or meter repair....-_ .... .. ....68 50 101 -200.. ........ .. . ..............63 50
_over 600 amp . - .... 151 50 201 -400 . . - . . .. .75 00
Mast or meter repair....... . . . 37 50 401 -600._ . .... . . .. 101 00
_#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 Addl plan review for other submissions is$75 00/hr
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
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)
•■ ENGINEERING . . . • - _ - . . . . - .
Estimated Permit Fee:(16)
Bond Amount: (17)
- • . - - , • - - ■ OTHER FEES-- . - . . -- . . .. : -
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Total (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)4(22)+(23) = (24)
Bulletin #100—January 18, 2002