05-104610 A
City of Federal Way Electrical Permit #: 05 - 104610 - 00 - EL
Community Development Services
, P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
Project Name: FOX HOLLOW COFFEE
Project Address: 27404 PACIFIC S Parcel Number: 332204 9009
Project Description: Install low-voltage thermostat.
Owner Applicant Contractor
272ND&PACIFIC HWY ASSOCIATES*DAV` EVERGREEN REFRIGERATION EVERGREEN REFRIGERATION
6402 TACOMA MALL BLVD 727 S KENYON ST 727 S KENYON ST
TACOMA WA 98409 SEATTLE WA 98108 SEATTLE WA 98108
(206)763-1744
Electrical Fixtures
Description Quantity Description iQuantityi Description Quantity
Thermostat 1
PERMIT EXPIRES March 11,2006.
Permit issued on September 12,2005 °
I hereby certify that the above information is correct and that the construction n 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 l''''' '
the City of Federal Way. ... -ri '''
Owner or agent: Date: 7 /7 — e:›
\ 4
\� •i
ATHIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-104610-00-EL
Owner: DAN DURR
Address: 27404 PACIFIC HWY S
FEDERAL WAY, WA 98003-6999
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
O Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
•
O Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) [ ] Final-Electrical(4055)
Approved Approved Approved
r�'
By Date By Date B ,�� Date kz\t-ktse
•
O Under-slab groundwork(4295)
Approved
By Date
CITY OF."V E{ - ry PERMIT
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,Federal Way 'W
c0MMTJNIYDEVELOPMENT SERVICES O SF u O M:e) PL DE EN FP
2FEDERA WATVA 063-189718 SEP 1 2Ai P LI CATI O N To
253-8352607•FAX 253-8352609 / /
www.dtuofederalway.com �/
CIT r DEPT
- The ollowi • is re•uire•1 "F
on-an IAnco .tete a••lication will not be acce•ted. Please •rint le•ibl (in in or .
• PROPERTY INFORMATION
SITE ADDRESS Q Qui f Pa ci K^^��U seder t t \4 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# j d O % - ( D O q LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desaiption)
-
alPROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION`ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
PROJECT NAME(Name of Business or Owner Last Name) "i-C>>C. T`C M( 3 C J'c Q
• • PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER i* [- tOuti 174 ( ) -
MAILING ADDRESS CITY,STATE,ZIP
Itiq--/Lia ,qv�e' f 5t Sunvw-ir uotei . q g 4 0
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
\deA,/iq ,pry ,-, l (a°4' ) `
MAILING ADHRR`S'S CITY,STATE,ZIP CELL PHONE
e
7CITY 027 OF FEDERAL WAY BUSINESS LICEiNSE f- � u.- . DATE oc FAX NUMBER
2 o-C)C-)--I Q I g53-B L 1-2 l 3/ lbs ( ) -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE
6_:� °QSaS — / /
APPLICANT COMPANY
NAME APPLICANT NAME OFFICE PHONE
Elie -
MAILING It
1,5�,y u��l CITY,STATE,ZIP - PCaoLL )
7 � t-7, /~i/
7.27 S, V_nc� Si-, S _ct:t-}-te, L . 98-0g ( ) -
RELATIONSHIP TO PROD FAX NUMBER
0 Architect ❑Tenant a Agent 0 Other(Describe) ( ) -
CONTACT NAM PRIMARY PHONE X2 Z co. E-MAIL ADDRESS
01 CL,wL M er'S LaZv4P)-7 L3 -1.7144 1C J
LENDER , E, 7, 1.
=i,-ro-,-K NAME
`t III
MAILING ADDRESS CITY,STATE,ZIP
IN DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN a RIGHLINE a TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGBLINE 0 PRIVATE(SEPTIC)
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage ❑ 101-200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 601-800 amp 398.50 . 168.50
❑ 801 - 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00
Service Feeder
❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
❑ 401 600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
U 601 -800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 201-600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
❑ 0 to 200 amp $87.00
❑ 201 -600 amp 141.00 ❑ #of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0- 100 amps - $69.50
❑ 101-200 amps 89.00
O 201-400 amps 104.50
O 401-600 amps - 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
l]i / #of Thermostats ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $104.50
❑ Security Alarm System ❑ Additional Plan Review $104.50/hour
❑ Voice Cabling for modified submittals)
❑ Data Cabling Automation Fee on all Permits .. $5.00
(Per System(s) 18t 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) •Per WAC 296-46-910(5)(6X&uJ
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application