03-105415 r
City of Federal Way
Community Development Services Electrical Permit #:03 - 105415 - 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: MAGGIE MOO'S
Project Address: 31653 PACIFIC S SuiteC Parcel Number: 082104 9196
Project Description: Addition of(22)circuits
Owner Applicant Contractor
NONE D.RIDDING ELECTRIC D.RIDDING ELECTRIC
D.RIDDING ELECTRIC D.RIDDING ELECTRIC
19630 N DANVERS RD 19630 N DANVERS RD
NONE LYNWOOD WA 98036 (425)778-1064
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits- Commercial 22
PERMIT EXPIRES June 9,2004.
Permit issued on December 12,2003
I hereby certify that the above` formation is correct and that the construction on the above described property and
the occupancy and the us- in accord. o with the laws,rules and regulations of the State of Washington and
the City of Federal Wa
Date: /
Owner or agent: / � 4.2 ' �1
/ 7-- 2.A—O 5 rV�l� cover AQQrGti-r� ]�S
r CONSTRUCT I ION PERMIT APPLICATION
CITY OF cAeriONI APPLICATION NUMBER: gn - _.,5115--
Federal 11vayAPPLICATION NUMBER:
- - -
'EC 1 l''
!APPLICATION NUMBER: - -
A
**The fg.Upyitnifformation—Please print(in ink)or type**
1 1 ,,1111LDIN
Please note: Electrical, Fire Pt4Vention Systems and Engineering permits may require a separate application.
.
- ■ 'PROPERTY INFORMATION
SITE ADDRESS: �J( (G' 3 /2,4c / (�/ ✓ l Sr
G ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION -
TYPE OF PROJECT(This application): 0 BUILDING o PLUMBING 0 MECHANICAL o DEMOLITION
XELECTRICAL 0 ENGINEERING�/ o FIRE PREVENTION� nSYSTEM
rT
PROJECT DESCRIPTION(Provide detailed description): /i�n� �/
7 ' t, 1Z &44 ,V f /Z 2 Cl/Le K 11:1
VS7/414 ao6 A 3 P1i suis/ ez-
PROJECT NAME: f ?,4a�7/L /114). '
/l&)5 VeC C?g 0�47I
• PEOPLE INFORMATION-
PROPERTY OWNER: NAME: i DAYTIME PHONE
/'4 rcy m'vvfr AWiv?.r LLC ; ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
1/Z, Sc✓ fon-wa ti s r Rag rL Af-Nv 4?2
CONTRACTOR: NAME: DAYTIME PHONE:
I I D. R/pl)1/v( 0-L-& IZIc `; ( .2JT 721- /Obf
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): I. EVENING PHONE:
11630 N D '8"nS 4 L f 'it # g ( `f21) 77, /D 65‘
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - ( 'Zr 7/2 -lzSS
CONTRACTOR'S REGISTRATION NUMBER: h EXPIRATION DATE:
(ropy of card required) 12 / D ri/ a_ey//��j /m / d'7 ; o/ / Z i / D)4
APPLICANT: NAME: DAYTIME PHONE:
M 0 va ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
(
1 RELATIONSHIP TO PROJECT: j FAX NUMBER:
o ARCHITECT o TENANT ❑ OTHER( DESCRIBE): ( ) -
I
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT 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:❑ YES o NO .
WATER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA o PRIVATE(WELL)
t
t SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
i
**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 Value of Mechanical Work: $
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) 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) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o 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 which the permit application Is made. I
further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees Incurred in the
Investigation and defense of such claim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only wher• such daim arises out of the reliance of the city,including Its officers and employees,upon the accuracy
of the Information supplied," e city a part of this application.
NAM E/TITLE: / DATE: �l� ,-OZ 3
o PROPERTY OWNER o APPLICANT CONT-.•CTOR
.FOR.OFFICE USE ONLY
b NEWS. h ADDITION .;u ALTERATION"'. `o REPAIR , I TENANT-IMPROVEMENT _
:CENSUS`CODE - Fi . ,.;n . : ,». . r; •n: LOT SIZE:r, i- .,... ,. ..
ZONING DESIGNATION aR_ BUILDING SHELL`"`.ONLY?- OYES '-=o NO
COMP PLAN DESIGNATION BASIC PLAN? ~ =o YES} o NO' r -`�
:SECTIoN;,,IF6,:y047TOWNSHIP..v. RANGE ? NEW ADDRESS REQUIRED? Vin. a YES _:❑ NO
''PLATTED`;LOT?x..;,o YES =a NO ,k "CHANGE OF USE?-e- , ❑YES' ?`=fl 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 #of Thermostats(First-$43.00;add'n-$13.00ea)
(First 1300 ft2-$85.50:Each add'n 500 02-$27.50) _Service and feeder $93.00 _It of Low voltage fire or burglar alarms
Square Feet: _ First 2500 ft-$50.00:Each add'n 2500 ft`-$13.0(;
_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-S57.00;Add'n service/ _it of Signs(First sign-543.00;add'n sign
(Inspected separately) feeder-$37 each) - $20.00 each)
Swimming pool,hot tub,spa $85.50
l _Yard Pole meter loops $57.00
i I
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.ou
_Up to 200 amp S 93.00 $ 27.50 Feeder 201 -600 216.50
201 -400 amp 115.50 57.00 0 to 100 1 93.00 5 57.00 601 -1000 126.50
_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 la of circuits
_Over 800 amp 289.50 216.50 401-600 252.50 101.00 (1-5 circuits-$72.50;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/Commerciai/lndustrial
_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
#of circuits _over 600 125.00
-
(i-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+572.50.Add'I plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) I FIXTURE FEE FROM TABLES(B) NUMBER OF UNITS(C) TOTAL(D)
i i•
I i
f
i
1
TOTAL COLUMN(D): !
Total Column(D)
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)
Bulletin #100-December 23, 2002