03-100825 City of Federal Way
Community Development Services Electrical Permit #:03 - 100825 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253 661 4000 Fax:253.661.4129Inspection request line:.253.835.3050
Project Name: SHOGUN
Project Address: 31140 PACIFIC S :` ` = Parcel Number: 785360 0185
Project Description: Circuit for sign = -
Owner Applicant Contractor
HOUSE OF SHOGUN INC FULLER ELECTRIC FULLER ELECTRIC
31140 PACIFIC HWY S FULLER ELECTRIC FULLER ELECTRIC
FEDERAL WAY WA 98003-4905 37107 12TH AVE S 37107 12TH AVE S
FEDERAL WAY WA 98003 (253)661-7181
Electrical Fixtures
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: 4 Ap 'SCfl fii .
Circuits- Commercial 1 I
PERMIT EXPIRES August 26,2003.
Permit issued on February 27,2003
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 lacus,rules and regulations of the State of Washington and
the City of Federal Way. p, _ -
Owner or agent: '�K (/�""� Date: -X7 3
%V'
C".o GCONSTRUCTION PERMIT APPLICATION
_
r \)\> �YEJF<FIL' APPLICATION NUMBER: 03- 10012 Q
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
SITE ADDRESS: 3//l/a Pa.t.; T%.c ,.✓Y So ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
S k O rj L, rt A 4 S'1/dt tRr-a-,..1-
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
j:WELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
s:5" c:1 G(.t_ /--
PROJECT NAME:
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
!Nokse o' 5/09tc4,. ,2--
h.c. ( ) - I
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
,3//V0 PAt c-;'';c 191('-‘X o Fec& &/ciy
CONTRACTOR: NAME: DAYTIME PHONE:
Ft/e1 E1e.4.-4.'C- ( 2S3) 6 6/ ?/I/
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
37/ o 7 /2 f'` /9-ve 5v ()5 ) 66/ 7/8/
CITY OF FEDERAL WAY
BUSINESS LICENSE NUMBER: FAX NUMBER:
CONTRACTORSFa-W /ISTRATION NUMBER - (2,5EXPIR3)
DATE:TION6 6/ -6 /S 6
(copy of card required) F Li. l L e. e I 62_ 7 t3 , / //2 /2.a o J
APPLICANT: NAME: DAYTIME PHONE:
( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER: I
0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT CONTRACTOR
• • DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 S4O
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
4
"
**NEW RESIDENTIAL CONSTRUCTION ONLY**
•
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROTECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
'-
TOTAL:
U:`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) RANGES) MISC.( )
COMPRESSOR(S5 FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ 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 claim (including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of
Federal Way,but only where such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application.A
NAME/TITLE: I Qt4 DATE: " 2 7 o`3
❑ PROPERTY OWNER ❑ APPLICANT ,"CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW 0 ADDITION ❑ ALTERATION 0 REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? 0 YES 0 NO .
COMP PLAN DESIGNATION BASIC PLAN? 0 YES 0 NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? 0 YES ❑ NO
PLATTED LOT? 0 YES 0 NO CHANGE OF USE? 0 YES 0 NO
■ ELECTRICAL '
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family : _Service or feeder only $44.25 __#of Thermostats(First-533.50;add'n-S I0.50ea)
(First 1300 ft1-S67.00;Each add'n 500 ft -52150) _Service and feeder $72.25 _#of Low voltage fire or burglar alarms
Square Feet: First 2500 ft2-538.75;Each add'n 2500 ft2-510.50
_Each outbuildingor garage $28.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders •Per WAC 296-46-910(5XbXi&ii)
_Each outbuilding or garage $44.25 (First servicclfecdcr-544.25;Add'n service/ _#of Signs(First sign-$33.50;add'n sign
(Inspected separately) $16.00 each)
•
feeder-528 each) _Progress inspection per'h hr $3350
_Swimming pool.hot tub,spa 67.00
_Yard Pole meter loops 44.25
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 $72.25
_Up to 200 amp $72.25 $21.50 Feeder _201-600 169.00
_201-400 amp 89.75 44.25 _0 to 100 $72.25 $44.25 _601-1000 254.50
_401-600 amp 123.25 61.50 _101-200 89.75 56.25 _over 1000 282.75
_ (t-
601-800 amp 158.00 84.25 _201-400 169.00 67.00 _#of circuits
_Over 800 amp 225.25 169.00 _401-600 197.00 78.75 5 circuits-$56.25;Add'n circuits.$5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 254.50 107.25
(When inspected separately from the services.) _801-1000 310.75 129.75 Temporary Service
Service or Feeder P.:- Over Ovcr 1000 339.00 181.00 _0 to 60 $38.75
_0 to 200 amp '$61.50 _Over 600 volts surcharge 56.25 _61 -100 44.25
_201-600 amp 89.75 _Mast or meter repair 61.50 _101-200 56.25
_over 600 amp 135.25 _201 -400 67.00
_Mast or meter repair 33.50 _401 -600 89.75
_#of circuits _over 600 97.75
(1-4 circuits-$44.25;Add'n circuits$5 ea)
- If service is greater than 200 amp,a plan review is rcq'd.Fec is 35%of permit fee+$56.25.Add'I plan review for other submissions is$67.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
TOTAL COLUMN(D):
Total Column(0)
Estimated Permit Fee: (12) •
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $56.25+ 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-January 3,2001