05-104573 .
City of Federal Way Electrical Permit #: 05 - 104573 - 00 - L
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: ERNIE'S FUEL STOPS
Project Address: 33101 PACIFIC S Parcel Number: 172104 9100
Project Description: Alter(4)circuits for interior remodel.
Owner Applicant Contractor
ERNIE'S FUEL STOPS ALLIED ELECTRIC SERVICES INC ALLIED ELECTRIC SERVICES INC
ERNIE'S FUEL STOPS PO BOX 3855 PO BOX 3855
33101 PACIFIC HWY S LACEY WA 98509 LACEY WA 98509
FEDERAL WAY WA 98003 (360)459-0575
Electrical Fixtures
Description Quantity Description }Quantity Description Quantity
Circuits- Commercial 4
PERMIT EXPIRES March 7,2006.
Permit issued on September 8,2005
I hereby certify that the above information i -gi. -of and that the construction on the above describedpt operty,an
d
the occupancy and the use will be in ac •. • wi laws,rules and regulations of the State of Washington and n,
the City of Federal Way. // +
Owner or agent: ;' Date: Y`Ou J0
\q
\Q t$%
THIS CARD IS TO REMAIN ON-SITE
�,n or ACommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104573-00-EL .
Owner: ERNIE'S FUEL STOPS
Address: 33101 PACIFIC HWY S
FEDERAL WAY, WA 98003
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
❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
O Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date Bk Date ,,,-- 6By Date
❑ Under-slab groundwork(4295)
Approved
By Date
CITY
_ 5'- 0 X2
2
'` Federal Way RECEIVED PERMIT SF MF CO ME L 'L DE EN FP
COMMUM7YDEVELOPMENT SERVICES
3332F5 8ERDERAL AVEMIEWAY,SOWA 9UTH8063•PO BOX-9718 +J"'S E P 0 g AP PLICATION
ir,---ifirm
E
- 253-835-2607•FAX 253-835-2609
Immo cduoffederalwau.m
I1YOf- FEDER, WAY
The ollowin, is ,u : i i,,;f�c , - incom,lete a, .lication will not be acre ted. Please .rint le,ibl. (in ink)or
�., I //
IN PROPERTY INFORMATION
SITE ADDRESS /0/ 6;/e >0U6/1/4--17 ‘46 Zf4
,../ SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _/_ _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal deue(ptAN
■ PROJECT 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 only)
4- �i',,-, C%rC,.fszsZ C'-�toi..
PROJECT NAME(Name of Business or Owner Last Name) ,�/✓/ES• C rretErne/
al PEOPLE INFORMATION
PROPERTY
/ PHONE,r
OWNER '• °''(//&s el�9��G��'/C CXN V ) -7✓/6
MAILING ADDRESSCPIY,STATE.ZIP `�� ���
916,97-77 )c,, ' /QA
4L5e-� � .
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
2l�ed RC/r/G /C.eS h 14 (`?e,C, ) 46, -aS7,1-..
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
',D0.. . X J8S dace• w9 ,9g'69 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
4O -O'5. - / 0 L / e-B L 4? /c.1/ /6.5' (&40) �.s'e' �!
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
Z 4 / ,E •Es' / ,."8 / / d/ /cx
APPLICANT COMPANY NAME ' APPLICANT NAME OFFICE PHONE
/4//led,79C75%C 'fihif (3e0 ) >e7-4.e'�
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
'o_1305 L5 XQ,cP,C� iJg 9� ( ) ( -
RELATIONSHIP TO PROJECT /� FAX NUMBER
❑ Architect o Tenant ❑Agent }Other(Describe) C_oY?�/LR�C'fes- ( ) (O--‘ -0Q9d
CONTACT NAME, PRIMARY PHONE E-MAIL ADDRESS
47*e Sal) (.fi ) X5-17 - /4
LENDER Per RCW 1927.095 Under mien atlon is; NAME
'•revoked tfprojeet value*coeds$5,000, 4/4
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• 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 ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL) '
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
• AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS Ex/STING PROPOSED mrw sort szmrnm� TOTAL PROPOSED sr TOTAL of
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of furture to be installed or relocated as part of this project. Do not incbvic,existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercim WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSLab(fot(eq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I cm tify 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 authorised 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 arty 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'Albrmation supplied to the city as a part of
this application.
rfi
NAME/TITLE/IoT� g�r9n DATE OAS"
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 'Contractor 0 Architect 0 Other
W R + USE 6111.Y
>a.NEW ADDITION ALTERATION r REPAIR a TENANT IMPRO
BUILDING SHELL ONLY? a TES a NO BASIC PLAN? a YES; a NO
ZONING DESIGNATION CHANGE OI( USE? ` a YES a NO
NEW ADDRESS REQUIRED? a YES a'NO UP/BFPO/t U? a YES fa NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES . a NO
Bulletin#100—January 7,2005 Page 2 of 4 kkHandouts\Permit Application
ELECTRICAL PERMIT INFORMATION
• RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
U Single Family Square Feet
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) U 0 to 100 amp $113.50 $69.50
U Detached outbuilding or garage ❑ 101-200 amp 141.00 89.00
(Inspected with service) $44.00 U 201-400 amp 264.50 104.00
U Detached outbuilding or garage U 401-600 amp 308.00 123.50
(Inspected separately) $69.50 U 601-800 amp 398.50 168.50
U 801 - 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) U Over 1000 amp 530.50 283.00
Service Feeder
❑ Up to 200 amp $113.50 $33.50 U Over 600 volts surcharge $89.00
U 201 -400 amp 141.00 69.50 U Mast or meter repair $96.00
❑ 401 600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 -800 amp 247.00 132.00
U Over 800 amp 353.50 264.50 Service or Feeders
U 0to200amp $113.50
ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 264.50
U 601 - 1000 amp 398.50
Service or Feeder
❑ over 1000 amp 443.50
U Oto 200 amp $87.00
U 201 600 amp 141.00 44 #of circuits to be added/altered
U 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
U Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 U Medical/Educational/Institutional Facility
MOBILE HOMES
U Service or feeder only $69.50
U 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
U 0-100 amps $69.50
U 101-200 amps 89.00
U 201-400 amps 104.50
U 401-600 amps 141.00
U over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
U Low Voltage U Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $104.50
❑ Security Alarm System U Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling g Automation Fee on all Permits .. $5.00
(Per System(s)1st 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 296-46-910(51@I(t&tU
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application