02-104190 1
City of Federal Way
Community Development Services Electrical Permit #:02 - 104190 - 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: DAIRY QUEEN
Project Address: 2305 SW 336TH Parcel Number: : 7 0060
Project Description: ELE-Install 2 U/L weather proof fixtures under awning. Total of 4 fixtures
Owner Applicant Con 111,
A 0 Gossan SIGN-TECH ELECTRIC . • EL,
7301 NE 175TH ST#124 33018 26TH AVE SW II : 26 E SW
KENMORE WA FEDERAL WAY WA 98023 •E' A A $
98028-3534 (2 •52-65 `
\till
Electricals r-
DescriptiCNl,'�{ !"r't"""7« . ladilr%1"416,: :,7;,' , , iptit n' rc ;:u. Q'llantity
Circuits- Commercial 1 ' N►
CONDITIONS:
ILLUMINATIQ R r'i:- - `t 'i' : : 1101ISAIIIIITYPIIRPOEIRS-Q ,Y ► 'f'1ML '1"P+f i"I` AWARD
THE Qt ,v, i 'I I, ' TM AWNING.
4�-.^e
PERMIT EXPIRES March 26,2003,IF NO WORK IS STARTED.
Permit issued on September 27,2002
I y ify that the a ove information is correct and that the construction on the above described property and
the cy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the f Federal W y.
Owner or agent: --.trA i Imed Date: 9/77/02
n
C t7 ? V 2- Mo PEA/44 i7— ON S./fil - -OP
r0 .— f5-.- 111..- ri,v4 L ,-p(/-0 v by), , d-
RECEIVED `
Ca"' G_ CONSTRUCTION PERMIT APPLICATION
uV f�Y F .:P 2 7 2002 APPLICATION NUMBER: 0 L- 104_ L'L t- l-t.-
CITY OF FEDERAL WAY APPLICATION NUMBER: - -
BUILDING DEPT. APPLICATION NUMBER: - -
**The following is required information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.-
t • ■ PROPERTY INFORMATION
SITE ADDRESS:C:10.5.1-
S. , 3-3014- 16Ti ASSESSOR'S TAX/PARCEL #: -
-EGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
'PE OF PROJECT(This application): 0 BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
OJECT DESCRIPTION(Provide detailed description): 't-E i' LJ— Z u1(.-- LL(_)EIA--111
-70-0Az- f`x e2,2,5 u.14 , ,xis fJ f o y Mq-.6cre,s
JECT NAME: Da I.,-kr' 4cteeAJ
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
(Z53)St3% -
MA ING ADDRESS( EET A° DRE S;CITY,STATE,ZIP):
3 t9-1 3(o-E ` R-oz ,lL) . o r re., W rte, w er 9,2)23
CONTRACTOR: NAME- DAYTIME PHONE:
(-1-- -
`
MAID ADDRESS 1 (STREET ADCITY,DRESS; ZIP): EVENING PHONE:
TIZt1ci w .- (z5,3)'s--741/J746
33ot$ (o- W--ui S . tea.. 14 kAA-9,1 a,,( ci?)40?-.3 (0153 ) 443/ -347c '
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: — — — _ FAX NUMBER:
9
L 9 - = /4Z.e)s-10-oo-gL(zs3 )838 - S -?_
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
5 L G NT EL a seS 8 6 0/ c)7 0�
(copy of card required) / /
APPLICANT: DAYTIME PHONE:
Dr�(S?T �TYSTS 2�3
3v74.
MAILING ADDRESS(STREET ADDSCI , ATE ZIP): EVENING PHONE:
330 t$ a.ithE, S. Fro. W Ay, w/9- t?CZ3 (a53)43/ -3406
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT p-OTHER(DESCRIBE): 4- , (ab )(e - 4�
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑APPLICANT '4 CONTRACTOR
- ■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
.
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
_ • - " • PROTECT FLOOR AREAS -
FLOOR EXISTING 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.SY
BBQ(S)
FAN(S) HOOD(S) WOODSTOVE BOILERS) 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)
URINALS) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC Cl GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) 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 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.
•
NAME/TITLE: I/ ! . l '` , . DATE: q/z-z,-)z_.
❑ PROPERTY OWNERAPPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
0 NEW ❑ ADDITION Cl ALTERATION 0 REPAIR 0 TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? 0 YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES 0 NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? 0 YES 0 NO
PLATTED LOT? ❑ YES 0 NO CHANGE OF USE? 0 YES 0 NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
' • t-ELECTRICAL • - - • . . .
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $50.00 _N of Thermostats(First-$37.50;add'n-S 1 I.50ca)
(First 1300 ft2-$75.00;Each add'n 500 ft2-$24.00) _Service and feeder $81.00 _it 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:
1. (Inspected with service) _#of service or feeders •Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $50.00 (First service/feeder-$50.00,Add'n service/ _N of Signs(First sign-537.50;add'n sign
(Inspected separately) feeder-$32 each) $17.50 each)
_Swimming pool,hot tub,spa $75.00
Yard Pole meter loops $50.00
r
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
•,,rt Service Feeder Amps Service or Add'n _0 to 200 $ 81.00
Up to 200 amp $ 81.00. $ 24 00 Feeder _201-600 189.00
_201-400 amp 101.00 50.00 _0 to 100 $ 81.00 $ 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 t I of circuits
_Over 800 amp 2.52.50 189.00 _401-600 220.50 88.50 (1-5 circuits-$63.50;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 $ 50.00
_20l-600 amp 101.00 _Mast or meter repair 68.5063.50
_over 600 amp 151.50 _201-400 75.00
' _Mast or meter repair 37.50 _401-600 101.00
_A of circuits _over 600 109.00
(1-4 circuits-$50.00;Add'n circuits$5 ca)
If a new or altered commercial service is 200 amps or greater,or a new or altered residential service is greater than 400 amps,a plan review is required.Fee is 35%of
permit fee+563.50.Add'I 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)+(22)+(23)= (24)
Bulletin#100-February 19,2002