03-101332 •
City of Federal Way
Community Development Services Electrical Permit #:03 - 101332 - 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: CASH AND CARRY
Project Address: 1628 S 344TH 5 Parcel Number: 212104 9089
Project Description: (1)New 30amp 3ph 208 volt circuit with disconnect for refridgerator compressor; (1)new 120v 20amp
circuit for ceiling fans; (1)new 20amp 120V circuit for lighting in the new dairy cooler
Owner Applicant Contractor
SEA-WASH PROPERTIES LLC SOURCE REFRIGERATION SOURCE REFRIGERATION/HVAC INC
1628 S 344TH ST SOURCE REFRIGERATION 800 E ORANGETHORPE AVE
FEDERAL WAY WA 3902 W VALLEY HWY N ANAHEIM CA 92801
98003-6852 AUBURN WA 98001 (253)833-9300
Electrical Fixtures
mit- .. ....,, - iap ron n- ascription . c uant
s y� ��Qu #lty ,; ti
Circuits- Commercial 3
PERMIT EXPIRES October 4,2003.
Permit issued on April 7,2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use willbe in a rdance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agen • / Date:
14,4,"(
- 4----si --c) - F771,67_: 4 ,N,PW ki c-rz.'- ) - -NbCL
/V Fi 711 .D PSA, 7- _.r "% -e
E4 -r 3 `r ley getpc<.9 t % r -7--o /L cz2
Si 5/1) tizt-a..e__ f re______7
ds0 Vt&7-- q -Tr. 3 — 7,0
CONSTRUCTION PERMIT AP LIGATION
CITY OF „......"\1111........' APPLICATION NUMBER: 03- ID 4532_ -Cill,
Federal
Way APPLICATION NUMBER: -
kPPLICATION 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 INFORmATL1N
SITE ADDRESS: )(c0,51( S JILT LI'FL.- ASSESSOR'S TAX/PARCEL #: 2-12 f_b LA. - . (/ .- -/
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING 0 MECHANICAL 0 DEMOLITION
ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): \\ .A.-Ga,.) 3* zo,-e• V C;rci.,,-y 4."/06001.....)--
/ t3`o' c''v
P - _ -._ re • - t A) L • 4- i. . _ _ .!.
PROJECT NAME: 't7E-S 1‘-'dti Lle,„,
• PEOPLE TNFORi"r1T:.A
PROPERTY OWNER: NAME: I DAYTIME PHONE:
(LL .tj r I (u3 )Yc — 12 3-'
MAILING ADDRESS(STREET ADDRESS; ATE,ZIP):
/ c `Z
‘ s 3 ' sfC-✓- Cklet
CONTRACTOR: NAME: DAYTIME PHONE:
Cal-t)�t� n �+ )24r/-Zzs‘
MAILING ADDRESS(STRFFTADDRESS•CTTY.STATE.TLP)•
,�.. ,A/ z� ; ( )
dZ c..- Ja.(1 CITY OF FEDERAL WAY BUSINESS LINUMBER: FAX NUMBER: '"?'Sv
/ (ZS 3
CONTRACTOR'S REGISTRATION NUMBER: j EXPIRATION DATE:
(copy of card required) 5 0 J r- C, i2 IJ- I srz P g ; /L2 /4. / /2r-,-;41
APPLICANT: I NAME: I DAYTIME PHONE:
`�(�(�J ( )
MAILIGDDRES�ET ADDRESS;CITY,STATE.ZIP): EVENING PHONE:
I ( )
III I RELATIONSHIP TO PROJECT: 1 FAX NUMBER:
t I o ARCHITECT o TENANT /..QTHER( DESCRIBE): 6-k -Cz7•-•' ( )
(� ! E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT AkONTRACTOR
' ■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: o LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESI EIALNSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO3ECT 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: 0 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/SI iNAf uR tiL L(
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 as a part of this application.
NAME/TITLE: DATE: 3 -7/ —0 3
❑ PROPERTY OWNER ❑APPLICANT CONTRACTOR
FOR OFFICE.USE,ONLY:;,;
O ADDITIONQ'ALTERATION.;, F 'O REPAIR D TENANT IMPROVEMENT �<� .,..,
.CENSUS CODE :: '
ZONING DESIGNATION*0 ❑ NO '"k
COMP PLAN DESIGNATION - iBASIC PLAN? a YES o NO, ' �M
SECTION TOWNSHIP r#RANGENEW;ADDRESS REQUIREDfk$Mb YES a NOS,
4,LATTED`LOT? 'b YES Ph o NO 'r, r.„ .CHANGE OF USE?-t44, °o YES ' =❑ NO
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
■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _it of Thermostats(First-$43.00;add'n-$I3.00ca)
(First 1300 ft2-$85.50;Each add'n 500 ft'-$27.50) _Service and feeder $93.00 N of Low voltage fire or burglar alarms
Square Feet: First 250011'-550.00:Each add'n 2500 ft'-$13.00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _SI 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/ _SI 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 5 93.00 $ 27.50 Feeder 201 -600 216.50
_201 -400 amp 115.50 57.00 _0 ro 100 5 93.00 $ 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 _�It of circuits
Over 800 amp 289.50 216.50 _401-600 252.50 101.00 (1-5 circuits-572.50;Add'n circuits,$6 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 $ 71.50 _Over 600 volts surcharge 72.50 _0-100 $ 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
_tt of circuits _over 600 125.00
(1-4 circuits-$57.00;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+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) TOTAL(D)
i f a-S G:rul.-rS 7Z.S-
I
1
TOTAL COLUMN(D) 1 !
- Total Column(D)
Estimated Permit Fee: (12) "7Z. -0
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)
Bulletin #100-December 23, 2002