04-101014 • Y Y
City of Federal Way
Community Development Services Electrical Permit #:04 - 10101`-0 - EL
33530 1st Way S
Feenal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: MARY'S NAILS �.
Project Address: 1634 S 312TH Suite102 Parcel Number: 785360 0180
Project Description: Addition of(3)circuits for receptacles and water tank
Owner Applicant Contractor
FEDERAL WAY INTERNATIONAL INVESTh WILCO WILCO
3511 SW 328TH PL WILCO WILCO
FEDERAL WAY WA 98023-2646 42813 SE 170TH PL 42813 SE 170TH PL
NORTH BEND WA 98045 (425)445-7000
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits- Commercial 3
PERMIT EXPIRES September 18,2004.
Permit issued on March 22,2004
I hereby certify that the above information is co�rr an. at the construction on the above described property and
the •occupancy and the use wi b � • +t•*". I rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date: -?'
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COMMUNITY DCVsWPME S S
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DECEIVED 33530 FIRST WAY SOUTIT•PO BOX 9718
FEDA 98063-9718
FederFederalWay PERMIT APPLICATION 253-661-4115.FAX:X:53661-4129
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MAR 2 22004
For O5«U: 0 Only T j'TFI<H�6eVY-� - I TD
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The ollowin. is re'%I'aciNiin oDrniation-an incom•lete a.•lication will not be acce•ted. Please •rint le•ibl (in ink)or .
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• PROPERTY INFORMATION
SITE ADDRESS: CQ � Z. S`t- - i(.4.1SUITE/APT# /O 7--
ASSESSOR'S TAX/PARCEL#: - SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (e.g.:Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT(This application): 0 BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION
.ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu): /A)571-4-(1-- Z, - Za 4-0-7,
/10 (loot' &(2wt,.t5 X012- ?u o5&" (z- Ce.17- A,vn 1 _ 1IQ 40y,
< 42L4 61P-4? 74 Fort- f - k-IA-•t-Ei2 74"
PROJECT NAME(Name of Business/Owner Last Name): AIL 'V e Aliktij 9i' eA)
• PEOPLE INFORMATION
PROPERTY NAME: PRIMARY PHONE:
OWNER ( ) -
MAILING ADDRESS(STREET ADDRESS;( CITY,STATE,ZIP
CONTRACTOR NAME CO ANY OFFICE PHONE:
W1LGD 1Leo (VzCl y41— -7coo
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP CELL PHONE:
4-1M 3 Sc--- iz4— Pc.A Ab ' B'o, UJk 95Oc ( ) r 1 -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER:
- / / (7g, ) 3S-6 - ?`{9a
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required with each application) / /
LENDER NAME: DAYTIME PHONE:
(if proposed Value>$5,000) ( ) -
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
APPLICANT: NAME:SA/0 COMPANY OFFICE PHONE*
C 6•5 eCul fii( ( 1 -
MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE.
( )
RELATIONSHIP TO PROJECT: FAX NUMBER •
0 Architect ❑ Tenant ❑ Other (Describe): ( ) -
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner contractor 0 Applicant
E-MAIL ADDRESS: «
^,, ■ DETAILED BUILDING INFORMATION
EXISTING USE: NAV- , PROPOSED USE: C
EXISTING ASSESSED/APPRAISED VALUE $ i VALUE OF PROPOSED WORK: $ (]C.[)c"—°-
SPRINKLERED BUILDING? ❑ YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES ❑ NO
WATER SERVICE PROVIDER o LAKEHAVEN a HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
I y
■ PROJECT FLOOR AREAS
AREA DESCRIPTION I EXISTING SQ. FT. I PROPOSED SQ. FT. I TOTAL
BASEMEN"I
FIRST --- - —
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AM)PROPOSED
**NEW HOMES ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE- $
■ FIXTURES
Indicate number of each type of fixture that is 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(comm«c,.I) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Descnbe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(o Tul,/Snow r cno lv SHOWERS WATER CLOSETS rrod«) MISC(Describe)
DISHWASHERS _ _ SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SU".IPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(f3ait,Ioomsmk 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 investigatio• and defense of such claim), which may be made by any person, including the
undersigned, and filed against the •1 Way, but only where such claim arises out of the reliance of the city,
including its officers and - f . e ac racy of the information supplied to the city as a part of this'application.
' ze. (
NAME/TITLE: C/(Nj DATE: J
ISlgn,l II ,Title)
RELATIONSHIP TO PROJECT: ❑ Property Owner ❑ Applicant r Contractor n Architect n
FOR OFFICE USE ONLY:
n NEW a ADDITION ALTERATION REPAIR t TENANT IMPROVEMENT
BUILDING SHELL ONLY? ; YES a NO BASIC PLAN? t, YES r_, NO
ZONING DESIGNATION: CHANGE OF USE? n YES a NO
NEW ADDRESS REQUIRED? YES NO UP/SEPA/SU? YES r NO
PLATTED LOT? YES NO DEMO PERMIT REQUIRED? t YES r NO
a ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
U Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 fN- $57 00, Each Odd n 500 ft-- $28 00) ❑ 0 to 100 amp S 94 50 S 58 00
U Detached outbuilding or garage ❑ 101 -200 amp 117 50 74 00
(Inspected with service) $36 50 U 201 -400 amp 220 50 87.00
❑ Detached outbuilding of garage U 401 -600 amp 256 50 103 00
(Inspected separately) 5 58 00 ❑ 601 -800 amp 332 00 140 50
NEW MULTI-FAMILY(three units or more) Li 801 - 1000 amp 405.50 169.50
Service Feeder ❑ Oyer 1000 amp 442 00 236 00
❑ Up to 200 amp $ 94 50 $ 28 00
0 201 - 400 amp 117.50 58.00
U Over 600 volts surcharge $74.00
U 401 600 amp 161.00 80 00
U Mast or meter repair $80.00
U 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
(Inspected separately from service) ❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72 50 U over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 3 tt of circuits to be added/altered
(1-5 circuits-$74 00,Add'n circuits,$6 00/ea)
❑ N of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58 00;Add'n circuits$6 00/ea)
❑ Service over 200 amps
U Mast or meter repair $43 50 ❑ Medical/Educational/Institutional Facility
S 74.00 plus 35%of Permit Fee
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
S 74 00 plus 35`/o of Permit Fee
MOBILE HOMES TEMPORARY SERVICE
❑ Service or feeder only $58.00
U Service and feeder $94.50 Commercial Residential
O o- 100 $58 00 5 51 00
MOBILE HOME/RV PARK ❑ 101 -200 74.00 51.00
❑ it of service or feeders ❑ 201 - 400 87.00 n/a
(First service/feeder-$58 00,each add'n-$37 50)
❑ 401 -600 117 50 n/a
U over 600 127 00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
U # of Thermostats ❑ -__# of Signs
(First -S43 50, add'n-Sl3 50/ea) (First sign-S-13 50, adci'n sign $20 50/ea)
❑ Low Voltage ❑ Swimming pool/hot tub S87 Or) .
i Square Feet 16 he s,i,.,it In �v',triti(s) Do Itiri,•s,e,Flitirinal r in tut if t,,;nu,rii
❑ Fur Alarm St stun U Yard Pole meter loops .. . . S58 00
❑ $,-cuntt Al.inn St sass ❑ Additional Plan Review 587 00/hour A
❑ Vrnre Cablin;' (for modified t,iihmitta(s)
F-'
1::i,11 add'n 5U() ft- 13 50) '!',r , ,, Si li,p Lri.,. iq