01-100067 City of Federal Way Electrical Permit #:01 - 100067 - 00 - EL
Conununity Development Services
33530 1st Way S
Federal Way,WA 98003-6210 Inspection request line: 253.661.4140
Ph:253 661 4000 Fax:253.661.4129
(3:30pm cut-off for next day inspections)
Project Name: QFC
Project Address: 31217 PACIFIC S Parcel Number: 082104 9186
Project Description: ELE-Altering 1 circuit for new receptacle(near the old Noah's Bagels store)
Owner Applicant Contractor
QFC#867 QFC#867 CAPITOL ELECTRIC CO,INC.
31217 PACIFIC HWY S 31217 PACIFIC HWY S 12810 NE AIRPORT WAY
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 PORTLAND OR 97230
(503)255-9488
Electrical Fixtures
Qescrptltri , a'. Quatltt"' `h `,'Description : <<, "L cuia,rltlty " �iscriptian Quantity
Circuits- Commercial 1
PERMIT EXPIRES July 7,2001,IF NO WORK IS STARTED.
Permit issued on January 8,2001
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: Date: /— •- /
Rough-in inspection:
Date
Service inspection:
Date
FINAL inspection: '7-‘)/
Date
1
•
Jjj' 4
= CONSTRUCTION PE MIT APPLICATION
x )� " APPLICATION NUMBER;' —
GIIY of F" `�WAY APPLICATION NUMBER. _ — — — — _
BUILDING DEPT. 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.
SITE ADDRESS: 3/24 7 P/k//2/_- /1/44/ S. ASSESSOR'S TAX/PARCEL #: Qz 2 L Q cJ - 9 1 7 co
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION If LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING o MECHANICAL ❑ DEMOLITION
ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detaileddescription): QFC �S`Tb2E
/— 20A-,,gyp /ZOt) DED/c,#7—€o (')/ CIA
PROJ CT NAME: l// � f0 6702E
PROPERTY OWNER ' NAME: 4. DAYTIME PHONE:
acc4 y Slog-ES
SES ( )
MAILIN ADDRESS(STRE ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: +'"NAmE: DAYTIME PHONE:
C4gP/%oG ,?G CT,el C. (t) ritfC• V03 )25 -9488
MAILING ADDRESS(STREET AADDRESS/;�CITTY,STATE,ZIP): '). EVENING PHONE:
/;e7o
CITYr FEDERAL WAY BUSINESS
V
cPCI"
/ - FFFAX NUMBER:
C TRACTOR'S REG j RATION NUMBER: EXPIRATION DATE:
«r`1 vegG.� CAtoi roc. 24/ L F / /
APPLICANT: NAME: DAYTIME PHONE:
,41A€7-41.1 (-05 ) Z=f -94835
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
iz8,O 4eizP�'r U.y7Z,7o ) 4i f
RELATIONSHIP TO PROJECT: // FAX NUMBER:
El ARCHITECT ❑ TENANT �THER ( DESCRIBE): ace-7`4/(41 ( 6 (5,05 - 7/1)
E-MADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT ❑ CONTRACTOR
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES ❑ NO
• WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
FLOOR EXISTING SQ.FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
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) W OODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o 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. ( )
INTERCEPTOR(S) SUMP(S)
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 suppliedsu' to the city as a part ofofthis application.
NAME/TITLE: /C/C1/4120 4147e72.1 ///<E i/LlJ/664..ct DATE: /.L/✓x/00
o PROPERTY OWNER o APPLICANT CONTRACTOR
r
• PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (6)
Estimated Plan Review Fee: (7)
Base Fee Number of Fixtures
$21.00+{ _ X$7.00/fixture}= (8)Estimated Permit Fee
Estimated Permit Fee
X .65 = (9)Estimated Plan Review Fee
Miscellaneous Fixture Charge: (10)
Sub Total (Page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10)= (11)
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
Single Family _Service or feeder only $44.25 _#of Thermostats(First-$33.50;add=n-$10.50ea)
(First 1300 ft2-$67.00;Each add=n 500 ftZ-$21.50) _Service and feeder $72.25 _#of Low voltage fire or burglar alarms
Square Feet: First 2500 ft2-$38.75;Each add=n 2500 ft2-$10.50
_Each outbuilding or garage $28.00 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 $44.25 (First service/feeder-$44.25;Addn service/ _#of Signs(First sign-$33.50;add=n sign
(Inspected separately) feeder-$28 each) $16.00 each)
_Progress inspection per 2 hr $33.50
_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 I : I 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
_601 -800 amp 158.00 84.25 _201 -400 169.00 67.00 L#of circuits
Over 800 amp 225.25 169.00 _401-600 197.00 78.75 (1-5 circuits-$56.25 •dd=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 _Over 1000 339.00 181.00 _0 to 60 $38.75
0 to 200 amp $61.50 _Over 600 volts surcharge 56.2' _61-100 44.25
201-600 amp 89.75 _Mast or meter repair 61.5i _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 req=d.Fee is 35%of permit fee+$56.25.Addl plan revie for other submissions is$67.00/hr.
FIX1 E DESCR01I{IN (# IXTaf° . .. 6{ " a <,
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74:Wit4oUtttoto toy. i
Ctal Column(D)
Estimated Permit Fee: (12) ✓� .Z�
EstimatOt Fee from line 12
Estimated Plan Review Fee: $56.25+ X.35 = (13)