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05-103991
City of Federal Way Electrical Permit #: 05 - 103991 - 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) 835-3050 Project Name: FOX HOLLOW COFFEE Project Address: 27404 PACIFIC S Parcel Number: 332204 9009 Project Description: Install wiring for drive-thru coffee shop/espresso stand. Owner Applicant Contractor 272ND&PACIFIC HWY ASSOCIATES*DMS NORTH PACIFIC ELEC NORTH PACIFIC ELEC 6402 TACOMA MALL BLVD 5746 BOSTON HARBOR RD 5746 BOSTON HARBOR RD TACOMA WA 98409 OLYMPIA WA 98506 OLYMPIA WA 98506 (360)943-6020 Electrical Fixtures Description 'Quantity Description !Quantity Description Quantity Service/Feeder: 101-200 amps-Cowin" 1 PERMIT EXPIRES February 5,2006. Permit issued on August 9,2005 I hereby certify that the abs - fo a « ' ' 'c. ect and that the construction on the above described property and the occupancy and the j, .e ' o e with the laws,rules and regulations of the State of Washington and the City of Federal W. t, 161h - Owner or agent: / �r Date: ( ©V q l vVs4 � THIS CARD IS TO REMAIN ON-SITE ' CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 05-103991-00-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 yourinspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card. .N Slab/Concrete Floor(4255) 0 Ditch cover(4030) ❑ Pool Bonding(4195) Approved to place concrete Approved Approved P (� t�,� By , Date O `Q V J By Date By Date , .Temporary Power(4275) , #52Service(4235) 0 Feeders/Sub-panels(4045) Approved Approved Approved `By Date . . By `kli Date Vi) 06.- By Date • Rough Electrical(4225) � � 0 Ceiling Cover(4020) , [l Final-Electrical(4055) Approved Approved Approved 1 By4it„) Date q\' q\ c" By DateBy :1/4 Date \\VIV,6-' • , ❑ Under-slab groundwork(4295) Approved By Date RECEIVED ak AUG 0 9 2005 Q 5 . f 0 3 g g 1 Federal Way PERMIT COMMUNTIYDEVEIAPMENTSERVICF TY OF FEDE SF MF COM EL L DE EN FP 33325 BmRALWASWA}I. 3BOX 9 A` " '�I CATI O N 53-83 FEDERAL WAY,WA 98063-9718 BUILDING - 'D / / 253-835-2607•FAX 253-835-2609 i www.cituof(ederafwwt.corn The oUow ' is ..•uired' ormation—an incom'tete a, 'lication will not be ' • ,ted. Please ,rInt le!ibl. (in ink)or ,-f' -. IN PROPERTY INFORMATION SITE ADDRESS C2 7 0 0 I t vtiy 50 SUITE/UNIT# ASSESSOR'S TAX/PARCEL* — — — LOT SIZE ND LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) !Attach separate page for le,pthy legal deuTt,&N • PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION Xe ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu) cch ge /)r) re 1441.1,( (44 S409/0 PROJECT NAME(Name of Business or Owner Last Name) ��I I. PEOPLE INFORMATION OWNER PROPERTY NAME �� ���� PRIMARY PHONE _ /0 % �' e i4 I`o S A ,smi er a.44. ?2.3,5,6 l t d CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE SAii„,,, � ,��fi _ 3 s 8=9S2 G ADD.- 11'.... C TE.ZIP A PHONE gseitit 1TY OFFEDERAL fb WAY BUS LI NUMBER k k1 EXPIItA ATE FAX NUMBER 77 _ 5'6/0 C?-0. -10 -'9'�-BL l / l3 /05 ( ) CONTR'A/CTOR'S/R/EGISTMRA7IO NUMBER(Doofpy with oath application) EXPIRATION DATE APPLICANT CO NAME r ( APPLI7St/04.4104ei gICEPHO divi (A.61:2) C LA ST IE.ZIP CELL PHONE RE�iP TO PROJECT� 4yr �� U' in , 4� � 8045,(0/ YC �O/ y AX NUMBER �j ElArchitect ❑Tenant Agent ❑ Other(Describe) )��l CONTACT NRI �) //�� � // PRIMARY PHONE E-MAIL ADDRESS( 1 I LENDER Per RCW 19.21.095: Lender injbrmation is N' required if prqfect value exceeds$5,000 MAILING ADDRESS CITY,STATE.ZIP El DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑YES (p'NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ BIGHLINE 0 TACOMA o PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST goo /2J0 SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE D CARPORT❑ NUMBER OF FLOORS E�nNO PROPOS® TOTAL TOTAL TOTAL PROPOUND IF Tam SP "NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type of f ixture to be installed or relocated as part of this project Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(CommerdeI) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS roses MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAYS R th..sinko VACUUM BREAKERS ELECTRIC WATER HEATERS DISCL_AIVTER/SIGNATURE BLOCK I certify under penalty of perjury that the Inform, 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 prem - • perform the work for which the permit application is made. I further agree to hold harmless the City of •- Way as to any or; (including costs,expenses, and attorneys'fees incurred in the investigation and defense of such claim),which m - - , by , including the undersigned,and,filed against the City of Federal Way,but only where such claim arises out of the relkt ci'r'/ its officers and employees,upon the accuracy of the information supp to the as a part of this application. / NAME/TITLE / DATE (Signature) (ntie) RELATIONSHIP TO PROJECT ❑ Owner Agent ❑ Contractor ❑Architect ❑ Other FOR OFFICE USE ONLY ❑NEW a ADDITION o ALTERATION ❑REPAIR ❑TENANT U PROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? ❑YES ❑NO ZONING DESIGNATION CHANGE OF USE? ❑YES a NO NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES ❑NO PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? a YES ❑NO Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Pennit 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 X101-200 amp 141.00 89.00 (Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00 U Detached outbuilding or garage ❑ 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 U Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00 ❑ 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 ❑ Over 800 amp 353.50 264.50 Service or Feeders ❑ 0 to 200 amp $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 ❑ 0to200amp $87.00 ❑ 201 -600 amp 141.00 U #of circuits to be added/altered ❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea) U #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 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 U #of service or feeders (First service/feeder-$69.50;each add'n-$45.00) Conunercial/Industrial Service or Feeder Ampacity ❑ 0-100 amps $69.50 U 101-200 amps 89.00 ❑ 201-400 amps 104.50 U 401-600 amps 141.00 U over 600 amps 152.50 MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Thermostats U #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 Mann 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 ElAutomation Fee on all Permits .. $5.00 (Per System(s)1st 2500 ft2-$61.00; Each add'n 2500 ft2-16.00)•Per WAC 296-46-9100)(bi(i&W Bulletin#100-January 7,2005 Page 3 of 4 k\I-Iandouts\Permit Application _