05-105183 A!►
City of Federal Way Electrical Permit#: 05 - 105183 - 00 - EL
Community Development Services
• P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
i
Project Name: FOREVER SPRING RESTAURANT
Project Address: 31218 PACIFIC S SuiteH Parcel Number: 092104 9112
Project Description: Installation of(9)2 x 4 lighting fixtures and(1)EXIT light.
Owner Applicant Contractor
BO BOX 169
&B ENTERPRISES GOLD ELECTRIC GOLD ELECTRIC
P 1308 V ST NW 1308 V ST NW
AUBURN WA 98001 AUBURN WA 98001
(253)250-1462
PO BOX 169 !SNOQUALMIE PASS,WA
8068-0169
Electrical Fixtures
Description Quantity 1 Description Quantity Description Quantity
Circuits- Commercial ` 5 1
PERMIT EXPIRES April 5,2006.
Permit issued on October 7,2005
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 law;rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: ia �� Date: D/r/d r`_
THIS CARD IS TO REMAIN ON-SITE _ k
� . Q 7
CITY or • , x Coi,�in nity Deve&or e.�. m it F spectir`" T1 — -r".(.1
'", 1tcr # Way I ) tS 'E .-r s , •♦ (-53) ,t' -
ti.., , n.. i . Way f� 1. (^r,�( CTIQ1 _, Ut_J.� t E tfi : {t� ## —. _'tr
PERMIT#: 05-105183-00-EL
Owner:
Address: 31218 PACIFIC HWY S Suite H
FEDERAL WAY, WA 98003-5617
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) ❑ 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
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) P Final-Electrical (4055)
Approved Approved Approved
By Date By DateBy r'4 Date 1D(o 10*5"
❑ Under-slab groundwork(4295)
Approved
By Date
of) 4 5 —!v 3 08 /
_ RECEIVED
Federal Way PERMI - �` � `- - � �
COMMUNIYDEVELOPMBff SIMS PERMIT 20U`} SF MF COM L DE EN FP
33325 l'*AVOW 50!1111.70 BOX 9711
/
2d36W0,��zssa 9709 A P P LI CA '� TERAL WAY
. BUILDING DEPT,
The ollowi is ired in ormation-an ication will not be ecce ted. Please rint le i or
7'//C /Y'OY S SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# _I) q i _ay - q/ / -� LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) /
(Mach eepamYpage for lengthy legal description)
• i ' 4 _
0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
,..w • •vale detailed description of work includdedddoon this •- it onl
je-jeig/t/c S +�Ii� iir,"i ills.,
ame of Business or Owner Last Name) /%__ �`�� '�T��,
Ai
III PEOPLE INFORMATION
NA,.,
PRIMARY PHONE
,Airt
NAME t.e ' /� ( ) _
ILINO ADDRE'SSS / CITY,STATE,ZIP r
I
COMPANY NAM •
APPLICANT NAME / OFFICE PHONE
.t ..._ 6-e)/004 �� ' c '���'vy ( ) -
1 MAILING RESSV
�3 `, /r CITY,STAT ZIP CELL PHONE
V .ti‘, (,(1
• C1TY OF FED WAY BUSINESS LICENSE NUMBER _ EXPIRATION DATE -- FAX NUMBER
-B L ( )
COVRACTORS REGISTRATION NUMBER(copy of card required yid!'each application) EXPIRATION DATE
2_3 ,
COMP NAME J APPLICANT NAME OFFICE PHONE
k_ •. . �°/Q ��/�/�' �.a y ( ) -
MAILING ADDRESS
CITPA STAT ,ZIP - CELL PHONE
/3D St' ,6- 41 ie}ccA C/77 lii/9-f/ (2 ) 246-a- /z6Z
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) _
` NAME C ' \PRIMARY PHONE EMAIL ADDRESS
;?I','�,•. .Ar `INEIN, •J,- ;d•!. i ,.:.1 +;5•r.,.i,,:;;.7. x; NAME
MAILING ADDRESS CITY,STATE,ZIP
• •
■ DETAILED BUILDING INFORMATION
1'- ;_
EXIST I ` ' PROPOSED USE �'
i EXISTING ASSESSED/APPRAISED ' v • • .;‘ µms`' . .
WORK
I SPRINKLER=B I Is�I� 4;, <. ,4 , .. -_�` , • '/y. . • M r
---•-_,_: yr T,.,r;ir,:14•:;•:4'n F ' - ,,,,x •
:, UIRED?• OYES ❑ NO
a LAKEHAVEN O BEGRIME a TACOMA 0 PRIVATE ",i..4,,!.. ir * . •
SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE Ci PRIVATE SEPTIC) r
•
- PROJECT FLOOR AREAS
, AREA DESCRIPTION EXISTING PROPOSED TOT - '
SQ.FT. SQ.FT. SQ.
BASEME
FIRST r - Pr J` r '
SECOND • ,•
THIRD ��w;•i. _
FOURTH
:00
ADDITIONAL FLOORS(DESCRIBE) `? ,, `, rrs'.
DECK(COVERED?) - ,-,'*
GARAGE 0 CARPORT 0 w: ;.- .r` , `?`4`
manna PRorosso . TOTAL : : "'r, r 3:_ _-
NUMBER OF FLOORS µ� ,:''M '''.`
**NEW HOMES ONLY** NUMBER OF BEDROOMS , t D SELLING PRICE $
r La.
Indicate number of each type of fixture to be instaUe•,. - `.ted as p. • .roject. Do not include existing fixtures to remain.
MECFIANICAL
Value of Mechanical Work $
AIR HANDLING UNITS f;; P APORATIVE COOLERS GAS LOGS '1,-_ REFRIG.SYSTEMS
BBQS ." FANS HOODS WOODSTOVES
BOILERS KJ r v-' ... FIREPLACE INSERTS RANGES " MISC(Describe)
• COMPRESSORS FURNACES GAS WATER HEATERS ' `"'
DUCTS GAS PIPE OUTLETS ;;,
PLUMBING ; ,f` ,.
Bit (or Tub/Shower Combo) SHOWERS WATER CLOSETS crone) •, MIS( •• )
'' ' ASHERS SINKS DRINKING FOUNTAINS ' y;,
r •AS PIPE OUTLETS SUMPS RAINWATER SYST
j' WASHING MACHINES URINALS HOSE BIBBS
LAVS(somroomstoss 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 authorised 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.
'' 4 /!«<✓ 10 7 as
-_ S'.nntu (Title)' Owner ■ A: -' ❑ Contractor a Architect a Other
I✓1':/ , ,'�I L) t'(C) F .',V1,+q..A7,4.UQ(e) - -' i��tt.v l;•7j •'tl✓16h.'4+�'1 1,*.w;lc1J,t 1,0: it• - -_..
' ilt;1i3Ot;fc. zg:rui.r,. l'i4i.' .' •ryc •,1��; ; ,i,•)(c :-'37-!,','i t-, .:A. a3.r
;'46:111‘.(c.' :)✓:�1(t)o't•Y(rm - 1,ey-i-,'i;(c.'✓'.i1-..if;i-�, • io}:'# (c' . ._
' --6;');'€,c[)o);.,•••i;45'a)tit;'g�iekr s.;t%, i ,'(o :r- ;ii:t?4=)*S" -/ lir �P'
; 'S1c' t,n !}:, - ;°Cc' [ r�� '�4,i �f:j'¢(r :d ;r.. clt lc (((;e:''')1'
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
f I -
ELECTRICAL PERMIT INFORMATION
I�
RESIDENTIAL {
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/INDUSTRIAL SERVICE
3
11.
❑ Single Family Square Feet Service or Feeder Each Add'n ^
(First 1300 ft2-$104.50;Each add'n 500 it2-$33.50) 0 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage - ❑ 101-200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50
(Inspected separately) $69.50
❑ 601-800 amp 398.5G . 168.50
` ❑ 801 - 1000 amp 486.50 203.50
IrT
NEW MULTI-FAMILY(three units or more) ., ❑ Over 1000 amp 530.50 283.00
Service Feeder _ 4.
.'
❑ Up to 200 amp $113.50 $33.50 4 ❑ Over 600 volts surcharge $89.00 .3
❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair• $96.00 ,
0 401 -600 amp 193.00 96.00
❑ 601 -800 amp 247.00 132.00 ALTERED COMMERCIAL/INDUSTRIAL
0 Over 800 amp 353.50 264.50 f. '. Service or Feeders ::,,
7.''.. 0 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY • ❑ 201 -600 amp 264.50 3+`
,-44r,
, 601 - 1000 amp 398.50 .'
Service or Feeder = ■ •10 amp 443.50
•• ❑ 0 to 200 amp $87.00 '
❑ 201 -600 amp141.00 �
4 ,'' of circuits to be added/altered
� ❑ over 600 amp 212.50 ,".. circuits-$89.00;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered t.-- COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$69.50;Add'n circuits$7.00/ea) - •" $89.00 plus 35%of Permit Fee
5' ❑ Service- 1,000 amps or greater -,'
•
❑ Mast or meter repair $52.00 '°-y ❑ Medical/Educational/Institutional Facility
MOBILE HOMES ",
.i
❑ Service or feeder only $69.50 - s, .
El and feeder $113.50 .. .-` • `>:' z Y'
` w TEMPORARY SERVICE
MOBILE HOME/RV PARK Resident/al/Multi-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commerciai/Industrial Service or Feeder Ampacity
❑ 0-100 amps _ $69.50
❑ 101-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps - 141.00
❑ over 600 amps 152.50
•
MISCELLANEOUS SERVICE/EQUIPMENT
U #of Thermostats ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
O Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
) 0 Fire Alarm System ❑ Yard Pole meter loops $104.50
❑ Security Alarm System ❑ Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
CI
(Per System(s) 1'2500 ft2-$61.00;
Each addh 2500 ft2-16.00)•Per WAC 296-6-910(5)(b)i&ii)
Bulletin#100-January 7,2005 Page 3 of 4 k\HandoutsTermit Application b