03-104086 City of Federal Way
Community Development Services Electrical Permit #:03 - 104086 - 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: DINNERS DONE RIGHT
Project Address: 1414 S 324TH uiteB-108 Parcel Number: 150050 0070
Project Description: 100-amp/208-volt service for new tenant space.
Owner Applicant Contractor
HARSCH INVESTMENT PROPERT*HARSC] KIRBY ELECTRIC INC KIRBY ELECTRIC INC
1320 S 324TH ST 4826 B ST NW SUITE 101 4826 B ST NW SUITE 101
FEDERAL WAY WA AUBURN WA 98001 AUBURN WA 98001
98003-8445 (253)859-2000
Electrical Fixtures
Description Quantity ;' Description'' Quantity Description Quantity
Alt.Serv./Feeder up to 200 amps-Co 1
PERMIT EXPIRES March 1,2004.
Permit issued on September 3,2003
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: �i�,j� i ._ ��� Date 3 C ,
OG
V O
7/0
RECEIVED
CONSTRUCT 1 ION PERMIT APPLICATION
CITY Of �� APPLICATION NUMBER: Q3 - L Q 4O g - E
Federal Way SEP 0 3 2003 APPLICATION NUMBER: - -
CITY
RR��O�� F FEDERAL WAYAPPLICATION NUMBER: - -
**The follUwiQIVPLTI 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: /3-2.. 0 S• 3 Z Lor S/ ) �C ASSESSOR'S TAXPARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROSECT INFORMATION _ -_ _
i
TYPE OF PROJECT(This application): ❑ BUILDING o PLUMBING o MECHANICAL 0 DEMOLITION
fECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): /— X00 c'l/lip 7.--08✓ 0 s 'e,,. v/ c---t. ,
/'Y7 i.S c— w /r,x.79 -7ec✓ /-7 T. c,., Y.7 c2 r7 7'-
, PROJECT NAME: Di'✓)Y7erS Ddh - R ,,.9hr
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE
A/arSC,h ani., rsfns e.1 f" ercip42rI `CS I ( ) -
MAILING ADDRESS,.,IREET ADDRESS;CITY,STATE,ZIP):
� 1
CONTRACTOR: NAME: DAYTIME PHONE:
h,rby E/T-�fv-,• (� ! ( 2-c-3) ssoi - z-oo0
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): I. EVENING PHONE:
c./.r2-6 &s 74 40/1/ S7L /O / ( 25-j) 1s,-, - ' cc
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
/9v 6v.- r7 /ti,, L - .7 Q _/?/ . ./7- aG -6LI (z s3WY 7 - 2-3 63
CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE: y
(copy of card required) 11- / 3C / C'9
APPLICANT: I NAME: DAYTIME PHONE:
/I<'/ b y _ t c., fv.i•C__ ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
qz.I,''1--Q GI 5 cf 6 d r—L. ( )
RELATIONSHIP TO PROJECT: j FAX NUMBER:
❑ ARCHITECT ❑TENANT o OTHER( DESCRIBE): i ( ) -
`� // E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER I►,rAPPLICANT 1YCONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ __ __S--0C,
SPRINKLERED BUILDING? ❑YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES ❑ NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE O TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
- a
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS) EVAPORATIVE 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) URINALS) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC o GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) 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 daim(induding costs,expenses,and attorneys'fees Incurred in the
investigation and defense of such daim),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,induding its officers and employees,upon the accuracy
of the Information supplied to the city as a part of this application.
•
NAME/TITLE: _i— �/�/ 5 7// cq fc.H DATE: 9' 3 - 03
o PROPERTY OWNER i9'JCPPLICANT O C CONTRACTOR
-FOR:OFFICE,USE ONLY::-I
? NEWS . rp-ADDiTiON a g ALTERATION ' ]REPAIR : d TENANTIIMPROVEMENT
i!;CENSUS.CODEK00014 - _" LOT SIZE W ' . .. Y. a.
:'ZONING DESIGNATION, tWi BUILDING SHELLONLY?lia YEStic NO'iT
COMP PLAN DESIGNATION -.:T:^ . ii BASIC PLAN? ❑AYES;,...O.NO,
SECTION _ TOW.NSHIP_ tlikANdt TIMWNEW ADDRESS REQUIRED?, ::o'YES 0 NO
PLATTED LOT? x.❑YES o NO � � ,CHANGEOF USE? -°,.., -'n YES d'NO ,, :;
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
Www.dtvoffedera lway.com
• ■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only 557.00 _N of Thermostats(First-$43.00;add'n-II3.O0ca)
(First 1300 ft'-$85.50,Each add'n 500 111-527 50) _Service and feeder $93.00 _N of Low voltage fire or burglar alarms
Square Fecc _ First 2500 ft'-$50.00:Each add'n 2500 ft'-S 13 0(;
_Each outbuilding or garage 535.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _N of service or feeders * Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage 557.00 (First service/feeder-557.00;Add'n service/ _#of Signs(First sign-543.00;add'n sign
(Inspected separately) feeder-537 each) $20.00 each)
Swimming pool,hot tub,spa 585.50
Yard Pole meter loops 557 00
t j
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 3 93.00
_Up to 200 amp $ 93.00 $ 2750 Feeder 201 -600 216.50
201 -400 amp 115.50 57.00 0 to 100 5 93.00 5 57.00 601 -1000 326.50
-401 -600 amp 158.50 78.50 =101 -200 115.50 72.50 =over 1000 363.00
601 -800 amp 202.50 108.50 201-400 216.50 85.50 N of circuits
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 (I-5 circuits-$72.50:Add'n circuits,56 ea)
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 5 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
a 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$85.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
i ! !
3 I I I
TOTAL COLUMN(D):-
I/GTotal Column(0)
Estimated Permit Fee: (12) ( 3 00
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)
1 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-December 23, 2002