03-104091 City of Federal Way
Community Development Services Electrical Permit #:03 - 104091 - 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: FLOWERS BY CHI
Project Address: 1748 S 312THSr Parcel Number: 785360 0181
Project Description: Provide(2)circuits for refrigeration units.
Owner Applicant Contractor
Tien T Tran Tien T Tran MOLINA DELTA ELECTRIC CO
1748 S 312TH ST 1748 S 312TH ST 22637 102ND PL SE
FEDERAL WAY WA FEDERAL WAY WA KENT WA 98031
98003-4973 98003-4973 (253)813-8633
Electrical Fixtures
.. ttiO% ,, r., Sinidi 1117KYttirarieri _.:or f l (;`(:i 4 3 0-00:1 1
Circuits- Commercial 2
PERMIT EXPIRES March 1,2004.
Permit issued on September 3,2003
I hereby certify that the a.ove information is correct and that the construction on the above described property and
the occupancy and the u'- '11 be in accordance with the laws,rules an lations of the State of.Washington and
the City of Federal Way. ��j
I C Date: 7/V o
Owner or agent:
Ct —
/--/VIA/ 4/;/9/ ..eD __,. :1
62(
o.3-4-64--*- ty----A.4C.,__E.4.,
_A., ,4_,.._ REcENCONSTRUCI ION PERMIT APPLICATION
CITY OF 3 - L 0 // i / -
Federal WayAPPLICATION NUMBER: CJ - sS/ L -
S EP 0 3 2003 IAA APPLICATION NUMBER:
CITY OF FEDERAL WAY
**The
WPPLICATION NUMBER: - -
**The followaYIisE IQ4Qgormation-Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
. ■ PROPERTY INFORMATION
SITE ADDRESS: / "2 < -` / ( S&SSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
1-4-r� -t
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): 0 BUILDING o PLUMBING 0 MECHANICAL o DEMOLITION
>ECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): r
i _ "--
. --,! -.A ??t))
PROJECT NAME: 4, C
a PEOPLE INFORMATION.r.
PROPERTY OWNER: NAM . -..
�v^`'^` DAYTIME PHONE
MAI Ni ADDRESS(STREET ADDRESS;CITY,STATE,I ZIP):
I QC5 )'3 32 -‘6/Li
•
CONTRACTOR: I NAME: ` 'L) J7
---.....L. ---._.1f AYTIME PHONq:� (^��
///-/(1J C /43741_ ) 37 GYM )
MAILING ADDRESS(SIRE ADDRESS;CITY,STATE,ZIP): � I. EVENING PH r
CI TY,OF FEDERAL WAY BUSINESS LICENS ER� FAX NUMBER:
1,,...,!:"M--1 alit / 3/ _ 4D 2 - ( ) -
CONTRACTOR'S RE TI/O�N/NUMBER: I EXPIRATION DATE:
(copy Of card required < ' `� � �/ / /
3
APPLICANT: NAME: DAYTIME PHONE:
-1-cl,e / Ko ( ) 9trb -Fd-00
MAILING A RESS(STREET ADO ESS,CITY,STATE,ZIP): EVENINGPHONE:
1 / 7 �( ((Xc`()� 5 ." "3 uI-A P. /'4 % 66/ ���/
RELATIONSHIP 70"PROIECT: FAX NUMBER: (,
O ARCHITECT ❑ TENANT a OTHER( DESCRIBE): (Z-3) C)(i c- 9S9g3
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: PERTY OWNER ❑ APPLICANT 0 CONTRACTOR
' -■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:a YES ❑ NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN o HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT 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 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: ❑ ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC ❑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,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 a part of this application. i°�'C/ ,C-`�-
7tP
NAME/TITLE: ` � Z( � DATE: v 3
❑ PROPERTY OWNER ❑APPLICANT ,ef(ONTRACTOR
-FOR,OFFICE,USE
'1] NEW::;' �O ADDITION rs p.AL'I ERATION ❑,REPAIRS x a TENANT>IMPROVEMENT 14 ,,,,
:CENSUS.`CODE
•:: ,,..: IV114. 0P:::a.`,`€t.€"t�.-'-
'ZONING DESIGNATION 0 4,r „ , NO
COMP PLAN DESIGNATION .: ,
�. �,.�ABASIC PLAN?_ .❑YES_' •^❑NO
SECTION�r TOWNSHIP xP"
RANGE M NEW ADDRESS REQUIRED? "a YES - •a NO
'PLATTED LOT?.; a YES o NO .?, n>, CHANGE OF USE? • . ,,'=:a YES °:a NO a;
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
• it ELEC'i RICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
III _Single Family _Service or feeder only $57.00 _#of Thermostats(First-$43.00;add'n-S 13.00ca)
(First 1300 ft'-$85.50:Each add'n 500 ft'-$27.50) _Service and feeder $93.00 _#of Low voltage fire or burglar alarms
Square Feet. _ First 2500 fl'-$50.00:Each add'n 2500 ft`-5 13.00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders *Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $57.00 (First service/feeder-557.00;Add'n service/ _#of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-$37 each) - $20.00 each)
Swimming pool,hot tub,spa $85.50
_Yard Pole meter loops $57 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 93.00
_Up to 200 amp $ 93.00 $ 27.50 Feeder 201 -600 216.50
_201 -400 amp 115.50 57.00 0 to 100 $ 93.00 5 57.00 _601 -1000 126.50
-401 -600 amp 158.50 78.50
601-800 amp 202.50 108.50 201 -400 216.50 85.50 a101 -200 115.50 72.50 over 1000 363.00
#of circuits
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 (1-5 circuits-$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/Commerciai/industrial
=
0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 _U- 100 $ 57.00
201 -600 amp 115.50 _Mast or meter repair 78.50 _101 -200 72.50 I!
_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-157.00;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)
.
l I
} I ,
TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
r
•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)
■ 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