03-105050 City ofFederal Way
Community Development Services Electrical Permit #:03 - 105050 - 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: EMERALD CITY SMOOTHIES 2 y-5
Project Address: 0. 336TH 'Zl5C2S w ?? /� Parcel Number: 132103 9097
Project Description: Adding(9)circuits for tenant improvement
Owner Applicant Contractor
NONE MOLINA DELTA ELECTRIC CO MOLINA DELTA ELECTRIC CO
22637 102ND PL SE 22637 102ND PL SE
KENT WA 98031 KENT WA 98031
NONE (253)813-8633
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits- Commercial 9
PERMIT EXPIRES May 8,2004.
Permit issued on November 10,2003
I hereby certify that the above informationis 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: Date:
2G 1_14 r� C�
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City of Federal Way
Community Development Services Electrical Permit #:03 - 105050 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210 0
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: EMERALD CITY SMOOTHIES
Project Address: 2150 SW 336TH Parcel Number: 132103 9097
Project Description: Adding(9)circuits for tenant improvement
Owner Applicant Contractor
NONE MOLINA DELTA ELECTRIC CO MOLINA DELTA ELECTRIC CO
22637 102ND PL SE 22637 102ND PL SE
KENT WA 98031 KENT WA 98031
NONE (253)813-8633
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits- Commercial I 9
PERMIT EXPIRES May 8,2004.
Permit issued on November 10,2003
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: See Application Date:- /1 — at/ — D 3
s ,
City of Federal Way Electrical Permit #:03 - 105050 - 00 - EL
Community Development Services
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: EMERALD CITY SMOOTHIES
Project Address: 2322 SW 336TH Parcel Number: 132103 9097
Project Description: Adding(9)circuits for tenant improvement
Owner Applicant Contractor
NONE MOLINA DELTA ELECTRIC CO MOLINA DELTA ELECTRIC CO
22637 102ND PL SE 22637 102ND PL SE
KENT WA 98031 KENT WA 98031
NONE (253)813-8633
Electrical Fixtures
Description Q►= `tor Description Quantity Description Quantity
Circuits- Commercial 9
' EXPIRES May 8,2004.
Pe _ ed on November 10,2003
I hereby certify that . • •bove informationis correct and th. ••* construction on the above described property and
the occupancy and e u•= will be in ac ordance with the laws, -gulations of the State of Washingto d
the City of Federa ! °lb"
Owner or age+t: - Date:
•
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0/
•
of
, ECEVEa t(E
est-_,....-,i;4 i CONSTRUCT I ION PERMIT APPLICATION
,p, l . i.It r'fril
) APPLICATION NUMBER:C V V a (' I(f� APPLICATION NUMBER: -
RF � � CITY��F��;�,RA.1'
BILI t. DEP , (APPLICATION NUMBER: - -
NOV 1 0 2003 **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.
• i :: WAY
■ PROPERTY INFORMATION
SITE ADDRESS: ,s, - 6/0- SSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH PARATE DESCRIPTION IF1-EALCTHY):��v2-�t0C S It/t_ Z t-
_
. 111 PROTECT INFORMATION -
TYPE OF PROJECT(This application): >4CTRICAL
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
a ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
r"--X-21,271eit-13 i (... I o'- 3-
1. (_-.t---j
,,
PROJECT NAME:
�'�-�� , //1-(--0--0----).---1---i-2 &
IIIPEOPLE INFORMATION
• � NAME: - i DAYTIME PHONE
PROPERTY OWNER: _„moi
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAMES 0 ! /p�- 9D--t-- --7341-
I \ _�'�/� ) L J RAYTIME PH NE: o��
YQI-/G/ (w'TJ VD-.JVD 41- /�/6- "y)rs/ J
I
MAILING z (S3 ET ESS;GTY,S7+4jF�Zi(: , J ^ ? [ 5-1, L, i. EVENING PHONE' -
/�_7 (/[1L/1 C/Jr�-UVJ (.
I CITY OF FEDERAL WAY BUST ESS LICENSE NUMBER: n f2�� FAX NUMBER:
� 4.. ° - 1 C , � ( ) -
CONTRACiOR'S REG Ot N NUMAL. ,� 7'- D/ ^ I EXPI ON DATE: ��
(copy of mrd required) /�(v/GJ y�/�"�G.- cQ//)7 � � / c>10
APPLICANT NAME: pr r/� /� .� (AYTIMEPHONE
MAILING ADDRESS(STREET ADD CITY, TE.ZIP):
� - EVENING PH
ONE
a !vO2� Co ( ) _
I LATHIP TO PROJECT
FAX NUMBER:
! 0 ARCHITECT ❑T ANT ❑ OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
■ DETAILED BUILDING INFORMATION •
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
z PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES 0 NO
WATER SERVICE PROVIDER: a LAKEHAVEN o HIGHLINE o TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
LOOR EXISTING S•.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 Me. anical Work: $
AIR HANDLIN NIT(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.( )
COMPR • •R(S) FURNACE(S)
DUCT ' GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECT S. ❑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)
I DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury tha 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(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any p n,induding the undersigned,and filed agai st the City of
Federal Way,but on • ere such claim an • out of thwliance of e d ,induding Its officers and empl.yees,up• the accuracy
of the information s •. ed to the dty as a ••rt of this /plication.
NAME/TITLE: 11
% DATE: l I
❑ PROPERTY OWN R o AP CANT ❑CONTRACTOR
FOR.OFFICEUSE ONLY:
yIJ NEW., reADDITION `s q ALTERATION . O vREP,AIR b�TENANT=IMPROVEMENT �t.'::
CENSUSCODE'a a .•,,.. ; . LOTiSIZE
'ZONING DESIGNATION (BUILDING SHEL'ONLY?ci YES '"" s t
COMP PLAN DESIGNATION F ABASIC PLAN? ❑YES'.i._fl NO.�` r
`SECTIONS TOWNSHIP RANGE" � :NEW ADDRESS REQUIRED? `� ❑'YES 'NCO-
COMMUNITY
O ,COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000 FAX:253-661-4129
www,cltvoffederalway.com
■ E.ECTRY AL
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-$13.00ca)
(First 1300 ft'-SSS.50;Each add'n 500 ft -$27.50) Service and(ceder $93.00 _ti of Low voltage fire or burglar alarms
Square Feet. - First 2500 ft'-$50.00:Each add'n 2500 ft`-513.00
_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/ _W of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-$37 each) $20.00 each)
-
Swimming pool,hot tub,spa $85.50
Il Yard Pole meter loops $57.00
F 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 93.00
_Up to 200 amp 5 93.00 $ 27.50 Feeder 201 -600 216.50
201 -400 amp 115.50 57.00 0 to 100 $ 93.00 S 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 / of circuits
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 ( 5 circuits-572.50:Add'n circuits,S6 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/Commercial/Industrial
_0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 _0-100 $ 57.00
_20)-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 1 401 -600 115.50
a of circuits I _over 600 125.00
(i-4 circuits-$57.00;Add'n circuits$6 ea) Il
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)
i i I I
\t
r
•
` I
TO COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12)
Estimated•• it Fee fro - 12
Estimated Plan Review Fee: $72.50+ ( X.35) = (13)
■ DEMOLSTION
Estimated Permit Fee: (14)
Bond Amount:(15)
■ ENGINEERING -
Estimated Permit Fee• 6)
Bond Amount: )
R 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)
t
Bulletin #100-December 23, 2002