03-102611 _
City of Federal Way
Community Development Services Electrical Permit #:03 - 102611 - 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: MCDONALD'S DESSERT BAR
Project Address: 1416 S 348TH 51r Parcel Number: 202104 9088
Project Description: Adding(2)circuits for dessert bar
Owner Applicant Contractor
MCDONALDS CORP 046&0152 NORTH SHORE ELECTRIC INC NORTH SHORE ELECTRIC INC
NORTH SHORE ELECTRIC INC NORTH SHORE ELECTRIC INC
5415 S ORCHARD ST PMB 103 5415 S ORCHARD ST PMB 103
TACOMA WA 98467 (253)230-9717
Electrical Fixtures
CARP t%Antiiir �tl.
Circuits Commercial 2
PERMIT EXPIRES December 22,2001
Permit issued on June 25,2003
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 Wa6--117:224.----
y.
Owner or agent: Date: C/2 5-/63
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RECEIVED BYCONSTRUCTION PERMIT APPLICATION
CITU OF �� COMMUNITY DEVELOPMENT DEPARTM , APPLICATION NUMBER: 03 92 ' -
Federal Way APPLICATION NUMBER: -JUN 25 20 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.
a''PROPERTY INFORMATION
SITE ADDRESS: 'LI kU S. S UDA- ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): MV®pv-‘e, (AS
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL ❑ DEMOLITION
, ELECTRICAL o ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): ; [1 1c' G�rciu t'# de55
PROJECT NAME: 9KC.�q uu,t,k8 3
PEOPLE INFORMATION ,
PROPERTY OWNER: NAME: ; DAYTIME PHONE.
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAME: , DAYTIME PHONE:
RC)roti 5 Lo r( E\c c-r t c (A5) ) -TCT
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP). � tww, �' � EVENING PHONE:
CiTVT FEDERAL
S_BUSINESS dNUMBER:cT ey�.4$ 3 . 10.43- q PIG 7 ( )
FAX NUMBER:
(25-5) 2.14.- 7101
CONTRACTOR'S REGISTRATION NUMBER:
I EXPIRATION DATE:
(copy of card required)
APPLICANT: NAME: DAYTIME PHONE:
� ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
I
RELATIONSHIP TO PROJECT: I FAX NUMBER:
❑ ARCHITECT o TENANT o OTHER ( DESCRIBE): ( )
E-MAIL ADDRESS:
I i
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT r,o(CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES ❑ f'O
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE o TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o 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
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 OUTLET(S) HEAT SOURCE: o ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) 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.( )
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 city,induding Its officers and employees,upon the accuracy
of the information supplied to the city s a part of this application.
NAME/TITLE: DATE: /f
S/0
❑ PROPERTY OWNER o APPLICANT geNTRACTOR
::FOR-OFFICE USE ONLY -
�67NEW .;tr.ADDITION ; U ALTERATION §'r7 i i REPAIR .: O TENANT IMPROVEMENT `
CENSUS'CODE ': r == =LOT
;ZONINGDESIGNATION ,,;`P•7'" -BUILDING SHELL ONLY? a YES i".-❑ NO
COMP PLAN DESIGNATION_ x <BASIC PLAN?-.-7--1-'1:p YES o"NO - •
SECTION-'w ,
TOWNSHIP-, "RANGE NEW ADDRESS REQUIRED? R= -❑YES • ❑ NO
PLATTED LOT?, `❑YES' =❑ NO "" CHANGE OF USE? ❑YES''°"-o NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www,dtyoffed era Iwa v.com
•
■ ELECTRICAL
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-$13.O0ea)
(First 1300 ft1-$85.50;Each add'n 500 ft2-$27.50) Service and feeder $93.00 _#of Low voltage fire or burglar alarms
Square Feet. _ First 2500 R1-$50.00:Each add'n 2500 ft`-$13 00
_Each outbuilding or garage 535.50 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-$57.00;Add'n service/ _#of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-537 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 in more) Altered Service or Feeders
Service Feeder Amps Service or Add'n _0 to 200 5 93.00
_IJp to 200 amp 5 93.00 5 27.50 Feeder _201 -600 216.50
-201 -400 amn 115.50 57.00 -0 to 100 5 93.00 5 57.00 _601 -1000 226.50
fl401 -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 3 It of circuits
_Over 800 amp 289.50 216.50 401 -600 252.50 101.00 (I-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 _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
rt of circuits 1 over 600 125.00
(1-4 circuits-557.00;Add'n circuits$6 ea) I`
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+572.50.Add'I plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) i TOTAL(D)
TOTAL COLUMN(D):
Total Column(D)
I
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)
11 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