03-103116 City of Federal Way
Community Development Services Electrical Permit #:03 - 103116 - 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: FRANK'S MEAS t,
Project Address: 29500 PACIFIC'S Suitel Parcel Number: 304020 0093
Project Description: Alteration of(7)circuits for refrigerators,meat cutter,oven and general purpose outlets.
Owner Applicant Contractor
DAVID RHODES ENERGY SYSTEMS INC ENERGY SYSTEMS INC
29500 PACIFIC HWY S PO BOX 8074 PO BOX 8074
FEDERAL WAY WA 98003 LACEY WA 98509 LACEY WA 98509
(360)239-6203
Electrical Fixtures
IEPTIFTITMI I*tis n K0. l scat da eik
Circuits- Commercial 7
PERMIT EXPIRES January 25,2004.
Permit issued on July 29,2003
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: ���� � A. '410( ` Date: 142 9
`iY
?.(61
t,17
RECEIVED BY CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT
CITY of �..� APPLICATION NUMBER: 42 - L 42I L/4 - D D EL
Federal Way JUL ?00; APPLICATION NUMBER: -
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.
■ PROPERTY INFORMATION •
0`l9 S°° P/acI h O. Suc`Te ASSEvt/VSSOR'S
WA. CELg''°°3..,#: c7 3—bo
SITE ADDRESS: ASSESSOR TAX/PARCEL it: O O Z D - 0 0
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): a BUILDING o PLUMBING o MECHANICAL a DEMOLITION
*'ELECTRICAL o ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): '' - r n C '(t , 5 or ri. e r.tar e
OVA( GCnQ11 v((1;ce 00-rt,e
PROJECT NAME: i^FJ "rr
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: ( DAYTIME PHONE:
g A
Rikode3 1 (2s3 ) gq! -3F00
MAILING (STREET ADDRESS;CITY.STATE,ZIP):
scc PS I/v(1 $ Sui fe, CC rede v/u/141 WA • 7'8'003
CONTRACTOR: NAME: i DAYTIME PHONE:
gylerc y S qs 7'cwcs, LriC. ; (3& )Z39 -
MAILING ADDRESS(STREET ADDRESS:QTY.STATE.ZIP): p eny,
PHONE:
f0 bast Q "7 y, � I (5(5o ) 23? - (oZo3
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: �H'�Q(� FAX NUMBER:
Ft" 1- 29 -03 - / i (3605 ) -
CONTRACTORS REGISTRATION NUMBER: U EXPIRATION DATE:
(copvaadra+M ENE G S Z o v 3 M / 6 1200y
APPLICANT: ( NAME: _ 54/09640A) kiw
o/U . i (1251 113z- -‘264S-
MAILING
a 645-
MAILING ADDRESS(STREET ADDRESS;QTY,STATE.ZIP): ! EVENING PHONE: -
I - .I (
aRELATIONSHIP TO PROJECT: ) /1�'! FAX NUMBER:
a ARCHITECT TENANT THER(DESCRIBE): �/� ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: WNER a APPLICANT CONTRACTOR I
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:a YES 0 NO
WATER SERVICE PROVIDER: a LAKEHAVEN a HIGHLINE o TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC)
• ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only 157.00 _II of Thermostats(First-$43.00;add'n-$l 3.00ea)
(First 1300 ft'-585.50;Each add'n 500 ft'-$27.50) _Service and feeder $93.00 _U of Low voltage fire or burglar alarms
Square Feet: First 2500 fe-$50.00;Each add'n 2500 fi'-S13 00
_Each outbuilding or garage 535.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _It of service or feeders •Per WAC 296-46-910(5)(bxi&ii)
_Each outbuilding or garage 557.00 (First service/feeder-557.00;Add'n service/ _SI of Signs(First sign-543.00;add'n sign
(Inspected separately) feeder-S37 each) - 520.00 each)
Swimming pool,hot tub,spa 585.50
,Yard Pole meter loops S57-00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or morel Altered Service or Feeders
Service Feeder Amps Service or Add'n _U to 200 5 93.00
_Up to 204 amp S 93.00 $ 27.50 Feeder _201 -600 216.50
201-400 amn 11530 57.00 0 to 100 $ 93.00 S 57.00 _601-1000 326.50
401-600 amp 158.50 7830 _101-200 115.50 7230over 1000 363.00
601-800 amp 202.50 108.50 _201-400 216.50 85.50 ._II of circuits
_Over 800 amp 28930 216.50 _401-600 252.50 101.06 (1-5 circuits-572.50;Add'n circuits,SO 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 ResidentiaUMulti-Family/Commerciai/Industrial
_0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 _0-100 S 57.00
_201-600 amp 115.50 _Mast or ratter 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
nemtit fee+572.50.Add'I plan review for other submissions is 585.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(U) NUMBER OF UNITS(C) 1 TOTAL(0)
3 Near- acc./e4
i / FrP e z-e!'
/ 2001e- ('h r/(ie/'
/ 345 /He9q-r l t71'e2
/ l'b1C'o J-1 '1--
:
1 .'TOTAL;COLUMN(D):
i
Total Column(0)
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)
• 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)
**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 UNIT(S) 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 OUTLETS) HEAT SOURCE: ❑ ELECTRIC ❑GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ❑ELECTRIC ❑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 whidh the permit application is made. I
further agree to hold harmless the City of Federal Way as to any daim(inducting costs,expenses,and attorneys'fees Incurred in the
investigation and defense of such claim),which may be made by any person,lnduding 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 suppliedQ�pjpl� to the city"Are-
asa art of this application.
NAME/TITLE: ..A�xf'r Lir? DATE: 7/Z q(cY3
o PROPERTY OWNER a APPLICANT KCONTRACTOR
AOR:.OFTTCESUSE ILY D
?RJEW _:►ODIL...._. TIO .___.__TIPROVEMENT - ;
ENSUSV015E. ;LO1=SIZE; _*-
:COMippIJ►DESIGNATION x - ANS 3 D NO_ _
SECTION WN � : •�: ES Y: .
rPafrEnbTiIeresiteit-ttirStiwe0. CHANGE O iISE? D YESoNO.. F"` ::
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•2.53-661-4000•FAX:253-661-4129
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