06-104799 Y ti
r4
City of Federal way Electrical Permit #: 06-104799-00-EL
Commuiaity Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: CHECK N GO
Project Address: 31830 PACIFIC HWY S Suite H Parcel Number: 092104 9221
Project Description: Install(1)circuit to add switched out for front of store
Owner Applicant Contractor ,
•
CHECK N GO ELECTRIC CONSTRUCTION COMPANY ELECTRIC CONSTRUCTION COMPANY
31830 PACIFIC HWY S SUITE H 1650 CENTER STREET ELECCCT543RW(7/31/2008)
FEDERAL WAY WA 98003 TACOMA,WA 1650 CENTER STREET
98409 TACOMA,WA
98409
Additional Permit Information
Electrical Fixtures
Circuits Commercial 1'
P RMIT EXPIRES Tuesday, March 20, 200
Permit sued.�on C°llil imerciSeptember 21 2006
I hereby
certfry that theabove-informa an is;correct artd that the construction on
abovedescribedr�and
the occupancy and the use ill be in accordance with the laws, rules and regulations of the Mate of Washington �r
and the City f Federal Way.
4 Owner or agent: /""y ti474Date:
111'
A
. THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-104799-00-EL
Owner: CHECK N GO
Address: 31830 PACIFIC HWY S Suite H
FEDERAL WAY, WA
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.
❑ Slab/Concrete Floor(4255) ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
.
ElTemporary Power(4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
0 Rough Electrical(4225) ❑ Ceiling Cover(4020) N Final-Electrical(4055)
Approved Approved �/ Approved
By Date By Date BIW 'Or Date q zs
It-
❑ Under-slab groundwork(4295)
Approved
By Date
�`��o
0 .4 - 1 0 _7_1 0
Federal4 • Wa 10 PERMIT
coaululvRY DEVELOPMENTsErzvlc Q % N. �( SF MF CO ME L L DE EN FP
33326 FR AVENUE FEDERAL WAY.
M 3•PO BOX97M c PLICATION � �
FBDER-2607*FAX
88083-8718
263.836-Z007•FAX7b3-B3b•TB09c'tQ
www.ciluoffederaWwu.com �si O%\�O\.,\Cj
The of . , 1, is -, \ - ,tion-an in..' 'lex a y'lication will not be acce-bed. Please • t le M I or .
7 /� n I♦ PRO PI RIY TNIORMAIION
f�
SITE ADDRESS 3 /c! J (/� /17 C I Fie hi//G 17110/9/ 3-'0147/71 SUITE/UNIT# 1
ASSESSOR'S TAX/PARCEL# - — — — — LOT SIZE
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
lAaachseparate page far lengthy legal de&rWmN
■ PRO ILC[ INF ORM A11ON
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION i(ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
A- bb410 aOg c/li)CttiT 7-o FJe Qivr p ..c- 70k To ,9
Sw/ TGt",e-JSOGt TLE T FoR i 0P&4' 5/64.' /9 Nil '9
C hC 4/ 6-a 5'/6N .
PROJECT NAME(Name of Business or Owner Last Name) Cu/ECJz Ai 6 0
• PLOPLL EN,FORM:NMON
PV ROPERTY ,/ C•0 p 1"" Q r.r),jag -a 9o0
OWNER C//EC� / .7 -J PRIMARY PHONE
O
MAILING ADDRESS - CRY.STATE.ZIP
3/"3o PA ,pc. limy So FE11E01_ 10"z AI 01''4903
4 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
ELECT (0A/Sr. CO4FTcoir4 Tovy //?isL, (?3.)3,3 -S373
MAILING ADDRESS CRY.ST ZIP CELL PHONE
Po Box Wel t7 Z TI9 Gc' 7er// (a5-3)3 77 - 7 7
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER 7 EXPIRATION DATE FAX NUMBER
- - -B L / / (?53 )3.r3 -57S-,2,
CONTRACT'OR'S REGISTRATION NUMBER(copy of card tegidred with each epplicatloe) EXPIRATION DATE
EL e c c Y 5 y 3 E w 07 / 3/ / df
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CRY,STATE.ZIP CELL PHONE
( )
RELATIONSHIP'IDD PROJECT FAX NUMBER
El Architect 0 Tenant o Agent ❑Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( )
LENDER Per RCN,19.21.098: Daudet tiortnation is NAME
required(/'proJect vats.enaeed..0,600
MAILING ADDRESS CRY.STATE.ZIP PHONE
( ) -
!♦ DI FAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED'BUILDING? 0 YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHL1NE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
PIZO IIA''1 FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
NUMBER OF FLOORS sasDINo PROPOS® TOTAL TOTAL IurISata Tow.ravronun TOTAL sit
**NEW HOMES ONLY"' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIX1I RES
Indicate number of each type offixture to be installed or relocated as part of this protect Do not include existing fbdures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(ormb/shower combo) SHOWERS WATER CLOSETS Ironed MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(sorhroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
LITS( LAI:ti1LR/SI(;rrAruRE PA 0(
I certify under penalty of perjury that the igfonnation furnished by me is true and correct to the best of my knowledge,and further,that
am authorised by the owner of the above premises to perjbrm the work for which the permit application is made. !further agree to hold
harmless the City of Federal Wag 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.
\E---
1/
NAME/TITLE j
(Signature)
DATE wD-111...��' tulle)
RELATIONSHIP TO PROJECT 0 Owner a Agent ql Contractor a Architect 0 Other
FOR PririPE �ONLY >,x
0 NEW o ADDITION o ALTERATION o REPAIR a TENANT IMPROVEMENT
BUILDING SHF J.ONLY? o YES .NO- BASIC PLAN? a YES ❑NO
ZONING DESI ATION CHANGE OF USE? a YES D NO
NEW ADD REQUIRED? ❑YES a NO IIP/BEPA/SU? o YES a NO
PLATTED o YES o NO DEMO PERMIT REQUIRED? o YES a NO
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application
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67
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
LiSingle Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2$107.50;Each add'n 500 ft2-$34.50) U 0 to 100 amp $117.00 $71.50
U Detached outbuilding or garage ❑ 101-200 amp 145.00 91.50
(Inspected with service) $45.50 U 201-400 amp 272.00 107.50
U Detached outbuilding or garage U 401-600 amp 317.00 127.00
(Inspected separately) $71.50 U 601-800 amp 410.00 173.50
U 801- 1000 amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) U Over 1000 amp 546.00 291.00
Service Feeder
U Up to 200 amp $117.00 $34.50 U Over 600 volts surcharge $91.50
U 201 -400 amp 145.00 71.50 U Mast or meter repair $99.00
❑ 401-600 amp 198.50 99.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 -800 amp 254.00 136.00
U Over 800 amp 364.00 272.00 Service or.Feeders
❑ 0 to 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 272.00
U 601- 1000 amp 410.00
Service or Feeder
U over 1000 amp 456.50
❑ 0 to 200 amp $89.50
U 201 -600 amp 145.00 1 I #of circuits to be added/altered K
U over 600 amp 218.50 (1-5 circuits-$91.50;Add'n circuits,$7.00/ea)
U #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50;Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee
U Service- 1.000 amps or greater
U Mast or meter repair $53.50 U Medical/Educational/Institutional Facility
MOBILE HOMES
U Service or feeder only $71.50
U Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $63.00
U #of service or feeders
(First service/feeder-$71.50;each add'n-$46.50) Commercial/lndustrial Service or Feeder Ampacity
❑ 0-100 amps $71.50
U 101-200 amps 91.50
U 201-400 amps 107.50
U 401-600 amps 145.00
U over 600 amps 157.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n sign$25.00/ea)
U Low Voltage U Swimming pool/hot tub $107.50
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $71.50
O Security Alarm System U Additional Plan Review $107.50/hour
0 Voice Cabling (for modified submittals)
❑ Data Cabling 74 Automation Fee on all Permits .. $5.00
(Per Systems)14 2500 ft2$63.00;
Each add'n 2500 ft2-16.50)•Per WAC 29648-910(5Kb)(i&U) I: /e SO
Bulletin#100-January 1,2006 Page 3 of 4 kAHandouts\Permit Application