03-104747 City unity Development Services eveWay
Community Electrical Permit #:03 - 104747 - 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: STUPID PRICES
Project Address: 2020 S 314TH Si" Parcel Number: 092104 9053
Project Description: Install(6)new 120-v circuits for tenant improvements.
Owner Applicant Contractor
Rosemary Chau KIRBY ELECTRIC INC KIRBY ELECTRIC INC
1191 2ND AVE#18TH 4826 B ST NW SUITE 101 4826 B ST NW SUITE 101
SEATTLE WA AUBURN WA 98001 AUBURN WA 98001
98101-3438 (253)859-2000
Electrical Fixtures
- Description Quantity Description uQuantity Description Quantity
Circuits- Commercial 6
PERMIT EXPIRES April 14,2004.
Permit issued on October 17,2003
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: C. / ✓� Date: A9/7/a3
( L- 2v-03
V ral 1 S
4/
RECEIVED E ( -
CONSTRUCI ION PERMIT APPLICATION
CITY OF � -
•.� OCT 1 7 2003 APPLICATION NUMBER:
Q3 _ I D�_7y 2 _ z.../...-
Federal Way
APPLICATION NUMBER:
CITY OF FEDERAL WAY `APPLICATION NUMBER: - -
BUILDING DEPT.
**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.
.• PROPERTY INFORMATION .
SITE ADDRESS: 2O -C) 3, Si LIN Sj ASSESSOR'S TAX/PARCEL #: O "1 2 1 o "1 - CI O S-J -0
1 'CL-P L.l u-/P- ci& s
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
C( 1- oZ co-r- 64A)G CCL U .po)usnreiv-r4teeko t taxv cuic' pssuev r v(3L e, SZ
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL 0 DEMOLITION
%ELECTRICAL a ENGINEERING''. a FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): CO /WELL) 1)-()V Cie TS
t PROJECT NAME: c,TUQ)0 W'C.tCCE-`3
U PEOPLE INFORMATION .
PROPERTY OWNER: NAME: I DAYTIME PHONE:
I 0 C •AO C,. \-r-g 4. S ; ( ) -
MAILING ADDRESS(STREET ADDRESS; STATE,ZIP): I
4 ..I
CONTRACTOR: NAME: DAYTIME PHONE:
' Ll ezi �C a"exL 1a>.)C,. (.253 )85'4 2G0
MAILING ADDRESS(SEET ADDRESS;CITY,STATE.ZIP): I EVENING PHONE: F
{ �-f5d-(p` TR
`E"St A)60 &Ar,�/U"1 A�& (,L�t� 98cx>1 ' ( )
1 CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
IG - qo 101887 -D03L{ ( )
CONTRACTORS REGISTRATION NUMBER: I EXPIRATION DATE:
(ropy of card required) ..-La\{ -7 15N / /
APPLICANT: I NAME: A _ DAYTIME PHONE:
SiEve_DuKt. (CeN,L5f\rz_e_ y- ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING PHONE:
@ i 3P T ) i ( ) -
RELATIONSHIP TO PROJECT: j FAX NUMBER:
❑ ARCHITECT O TENANT )(OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
- - -■ DETAILED BUILDING INFORMATION -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
I PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:a YES a NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN O HIGHLINE o 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 •mber of each type of fi '• e
MECHANICAL Value ' Mechanical Work: $
AIR HANDLING UNIT(S) - APORATIVE 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: 0 ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASH R(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
` GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTORS) 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 dty,induding its officers and employees,upon the accuracy
of the information supplied to the dty as p rt of this application.
j/
NAME/TITLE: /-'� DATE: /C I%,S
a PROPERTY OWNER o APPLICANT CONTRACTOR
_.FOR OFFICE,USE ONLY gr;I
„4VEW":�ADDITION x O ALTERATION� ,a REPAIR -#7 TENANT-IMPROVEMENT, " �'
*CENSUS:CODE `.. • < i, op :-, LOT SIZE:
74.; a - , *' - V3.
1ONINg4S.1.GNATION• :t4, . 0 , , BUILDING 6HELL ONLY?4.o YES :o NO "
COMP PLAN DESIGNATION _ Y riiXslofaifiWSiiS''..fl NO,,, r y
SECTIONS-s_-¢,*TOWNSHIP. RANGE, NEW ADDRESS REQUIRED? -Li O YES,3,:.'..'0'NO ,
PLATTED LOT? ❑YES .;o'NO "` 'CHANGE OF USE? fl•,.. .O YES1"-❑'NO , ''.` ',I.
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvoffederalway.com
• ■ ELECTRitCAL
•
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _#of Thermostats(First-$43.00;add'n-$l3.00ca)
(First 1 300 112-585 50,Each add'n 500 ft -$27.50) _Service and feeder $93.00 _#of Low voltage fire or burglar alarms
Square Feet. _ First 2500 ft'-$50.00;Each add'n 2500 ft`-513.00
_Each outbuilding or garage 535.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _ii of service or feeders * Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $57.00 (First service/feeder-$57.00;Add'n service/ _#of Signs(First sign-543.00;add'n sign
(Inspected separately) feeder-$37 each) - $20.00 each)
Swimming pool,hot tub,spa $85.50
l I _Yard Pole meter loops 557.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more- - Altered Service or Feeders
Service Feeder Amps Service or Add'n 0 to 200 5 93.0u
_Up to 200 amp 5 93.00 5 27.50 Feeder 201 -600 216.50
201 -400 amp 115.50 57.00 _0 to 100 5 93.00 5 57.00 " 1 -1000 326.50
-401 -600 amp 158.50 78.50 =101 -200 115.50 72.50 ove 1000 363.00
601-800 amp 202.50 108.50 201 -400 216.50 85.50 a#o-circuits
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 (1- trcuits-$72.50;Add'n circuits,$6 ear
ALTERED SINGLE/MULTI FAMILY _601 -800 326.50 138.00
(When inspected separately from the services.) _801 -1000 399.00 166.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/Industrial
_0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 _0-100 5 57.00
_201 -600 amp 115.50 _Mast or meter repair 78.50 _101 -200 72.50
_over 600 amp 174.00 _201 -400 85.50
-Mast or meter repair 43.00 _401 -600 115.50
_#of circuits _over 600 125.00
(1-4 circuits-557.00;Add'n circuits$6 ea)
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+$72.50.Add'I plan review for other submissions is 585.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
i
j t+
G-, I I 1 I
r ( I "TOTAL COLUMN(D): .
8 Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72.50+( X.35) =(13)
■ DEMOLITION -
Estimated Permit Fee: (14)
Bond Amount:(15)
■ ENGINEERING ;°, • - .
Estimated Permit Fee:(16)
Bond Amount: (17)
a OTHER FEES -• .
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
TotaI (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-December 23, 2002