04-101549 4
City of Federal way
Community Development Services Electrical Permit #:04 - 101549 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph.253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: ENCHANTED PARKS-PIZZA SHACK
Project Address: 36201 ENCHANTED S Parcel Number: 282104 9026
Project Description: Installnig 2 duplex receptables under counter for cash machine @ Pizza Pier Snack Shack.
Owner Applicant Contractor
ENCHANTED PARKS INC PRIME ELECTRIC INC PRIME ELECTRIC INC
36201 KIT CORNER RDS 13301 SE 26TH ST 13301 SE 26TH ST
FEDERAL WAY WA BELLEVUE WA 98005 BELLEVUE WA 98005
98003 (425)747-5200
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits- Commercial 2
PERMIT EXPIRES October 23,2004.
Permit issued on April 26,2004
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. a �7
Owner or agent: - y(;) Date: t L 6 C)q
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604)
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RECEIVED cbM'�RST SOUTH•T SERVICES
971
--•"4--- 33530 FIRST WAY SOUTH•PO BOX 971 d
FEDERAL WAY,WA 98063-9718
Federal Way PERMIT APPLICATION 253-661-4115-FAX.253-661-1129
WWII,aRpf dernirum,corn
For Office Use Only- I ' �1
FW File Nu / - `�
CITY O FEDERAL
- -
— — / /
The ollowin. �Y�e [5 Xnation-an incom•tete a.•lication will not be acce•ted. Please .rint le•ibl (in ink)or
r � ■ PROPERTY INFORMATION
SITE ADDRESS: 3(Dog GhGt,0,7 k4 l F(N(,,� - PILI( 5( J t,ASUITE/APT#
ASSESSOR'S TAX/PARCEL#: - v 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 0 PLUMBING ❑ MECHANICAL 0 DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only):
Tet5-VaA C2) d keg recap k-ac•lt5 ..),,rlet Wk..1...A-et. .4r cast., w►acl,;r,�.
(@ P, e,cr S.-%(.4. SLAde_
PROJECT NAME(Name of Business/Owner Last Name):
•
i PEOPLE INFORMATION
PROPERTY NAME:
L 1�__`` PRIMARY PHONE:
OWNER ewG11^O.AirCu t•t'Q.V` Vi(k1 e .1�'t• ( ) -
l MAILING ADDRESS(STREET ADDRESS;): l CITY,STATE,ZIP
CONTRACTOR NAME MPANY OFFICE PHONE:
Fr,Mt. `�ILckhL rriv ,e Gk..c.,4v;c_. (425 ) 74(7 -tZoo
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP CELL PHONE:
I3'3C%t 56 2-6"'-' S4- E0Gel(e�.4, t.,* 18'c ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER:
L d -0 0 -I o L 7 6 7- i2 30 oLI (t25 ) 7L(2 -5552
CONTRACTOR'S REGISTRATION NUMBER: C EXPIRATION DATE:
(copy of card required with each application) f Fn 1 M 5 (. ( L3 (4 $ -r /
LENDER NAME: DAYTIME PHONE:
prrrepo.ea V.Iue>$5, ) ( )
I _
MAILING ADDRESS(STREET ADDRESS;) CITY,STATE,ZIP
APPLICANT: NAME: COMPANY OFFICE PHONE:
( )
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: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ_FT. 1 TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTI-I
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED7)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND 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 Mechantml Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG SYSTEMS
BBQS FANS HOODS(commerrua) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
__COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orTub/Show,-Combo) SHOWERS WATER CLOSETS Croke) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sulk 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 n. employees, pon the accuracy of the information supplied to the city as a part of this application.
NAME/TITLE: / t'V _ ' DATE: 9 2`'_C
(Signature) _/ (Title)
RELATIONSHIP TO /OJECT: ■ Property Owner 0 Applicant Contractor ❑ Architect ❑
FOR OFFICE USE ONLY:
o NEW c ADDITION ❑ALTERATION n REPAIR ❑TENANT IMPROVEMENT
BI)ILDING SHELL ONLY? o YES ❑NO BASIC PLAN? ❑YES a NO
ZONING DESIGNATION: CHANGE OF USE? n YES n NO
NEW ADDRESS REQUIRED? ❑YES u NO UP/SEPA/SU? YES o NO
PLATTED LOT? n YES rl NO DEMO PERMIT REQUIRED? it YES ❑NO
is ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet: Service or Feeder Each Add'n
(First 1300 ft,-S87 00, Each add'n 500 h2 $2S 00) ❑ 0 to 100 amp $ 94 50 $ 58 00
❑ Detached outbuilding or garage ❑ 101 -200 amp 117.50 74 00
(Inspected with service) $36 50 ❑ 201 -400 amp 220.50 87.00
❑ Detached outbuilding or garage ❑ 401 -600 amp 256.50 103 00
1 (Inspected separately) $58 00 LI601 -800 amp 332 00 140.50
NEW MULTI-FAMILY(three units or more) ii 801 1000 amp 405 50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94 50 $ 28.00
LI 201 -400 amp 117.50 58.00 LIOver 600 volts surcharge $74 00
0 401 - 600 amp 161.00 80.00
Li Mast or meter repair $80 00
l LI 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) LI 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332 00
` ❑ 0 to 200 amp $ 72.50 LI over 1000 amp 369 50
❑ 201 -600 amp 117.50
f LI over 600 amp 177.00 Yr 2- # of circuits to be added/altered
1 (1-5 circuits-$74.00,Add'n circuits,$6.00/ea)
❑ #of circuits to be added/altered
(1-4 circuits-$58 00;Add'n circuits$6 00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW
❑ Service over 200 amps
LI Mast or meter repair $43.50 ❑ Medical/Educational/Institutional Facility
$74 00 plus 35%of Permit Fee
SINGLE/MULTI FAMILY PLAN REVIEW
U Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES TEMPORARY SERVICE
❑ Service or feeder only $58.00
O Service and feeder $94 50 Commercial Residential
❑ 0- 100 $58 00 $51 00
MOBILE HOME/RV PARK LI 101 -200 74.00 51 00
❑ # 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
LI over 600 127 00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats U # of Signs
(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 systeni(s) (Includes additional circuit, if required)
❑ Fire Alarm System ❑ Yard Pole meter loops..... .. $58.00
❑ Secuntv Alarm System ❑ Additional Plan Review 587-00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
Ill
(Per S}stem(s) 1"i 2500 ft,-S51 00, `
Each add'n 2500 ft'-13 50) •ter t+.-tr 4,,'i1(I y/)( &ii)