01-103257 City of Federal Way Electrical Permit #:01 - 103257 - 00 - EL
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253 661 4000 Fax 253.661.4129 Inspection request line: 253.835.3050
Project Name: HA NA TERIYAKI
Project Address: 106 SW CAMPUS Dr S+e.-$ Parcel Number: 415920 0710
Project Description: ELE-Install(1)meter and (1)200-amp 3 ph 480v feeder to new panel in tenant space
Owner Applicant Contractor
KAREN KIM INDEPENDENT ELEC CONTR INC INDEPENDENT ELEC CONTR INC
1819 MEEKER ST 20614 84TH AVE S 20614 84TH AVE S
KENT WA 98032 KENT WA 98032 KENT WA 98032
(253)872-8600
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Service/Feeder:101-200 amps-Comr 1
PERMIT EXPIRES February 13,2002,IF NO WORK IS STARTED.
Permit issued on August 17,2001
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use '11 be in accordance ith the laws,rules and regulations of the State of Washington and
the City of Federal Way. Q�
Owner or agent: Date: Vol
RECEIVED
« CONSTRUCTION PERMIT APPLICATION
_
VV FAY —Al ipmill' APPLICATION NUMBER: Of .�- �Q7-��
APPLICATION NUMBER: -
t:I BUILDING DEPTHY - -
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.
■ PROPERTY
INFORMATION
SITE ADDRESS: I 4)40 S ) CWI IPJ S QQit v ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
W I IUC'o cIP.bces-ktit S10
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
2LECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): I N'Tft"(.....• C� \ tic r., CI 1
2e)a �,P - Pv.a, L $ONJ r-L-gezo o
eA-n +Err--1_ 0 2 4- rl s(PA c "
rt
PROJECT NAME: gA KM- ep--evrnear
• PEOPLE. '%1F 'TIO
taoPROPERTY OWNER' NAME: DAYTIME PHONEY
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAME: DAYTIME PHONE:
ruo P,,r7 c Trz.t (2-0_± )) V71-SO
MAILING ADDRESS(STREET ADDRESS;CITY ATE,ZIP): EVENING PHONE:
v. r7--b(, N To- 0441=r- So- ( )
CITY DERAL WAY BUSINESS LICENSE NUMBER: ' FAX NUMBER:F wry. . _ �?-8°32
RACTOR'S REGISTRJION NUMBER: EXPIRATION DATE:
•
(copy of card required)
APPLICANT' NAME: DAYTIME PHONE:
t_ ►z-Ja. J ' 'V A. V-1 e-K-- (204)511 --3oia3
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
El ARCHITECT El TENANT ❑ OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR •
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO]ECT FLOOR AREAS -
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
r . _� `FIXTURES
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) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
■ DISCLAIMER/SIGNATURE BLOCK -. .
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 o here such clai arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the informatio plied to t ity s a part of th application.
NAME/TITL : ./Ii DATE: Sr/l II 0 I
❑ PROPERTY OWNER ❑ APPLICANT COCONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? El YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES 0 NO CHANGE OF USE? 111 YES ❑ NO
r
Y
■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
-Single Family 2 _Service or feeder only $44.25 _N of Thermostats(First-$33.50;add'n-$10.50ea)
(First 1300 ft2-567.00;Each add'n 500 ft -$21.50) _Service and feeder $72.25 _ft of Low voltage fire or burglar alarms
Square Feel: First 2500 1i'-$38.75;Each add'n 2500 ft1-$10.50
_Each outhuildingor garage $28.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _ft of service or feeders * l'cr WAC 296-46-910(5)(b)(i K ii)
_Each outbuilding or garage $44.25 (First service/feeder-$44.25;Add'n service/ _#of Signs(First sign-$33.50;add'n sign
(Inspected separately) feeder-$28 each) $16.00 each)
Progress inspection per' 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 _201-600 169.00
_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 1 101-200 - 89.75 56.25 _over 1000 282.75
_601-800 amp 158.00 84.25 _201-400 169.00 67.00 _#of circuits
_Over 800 amp 225.25 169.00 _401-600 197.00 78.75 (1-5 circuits-$56.25;Add'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 56.25 _61 -100 44.25
_201-600 amp 89.75 _Mast or meter repair 61.50 _101-200 56.25
_over 600 amp 135.25 _201-400 67.00
_Mast or meter repair 33.50 _401-600 89.75
_ff 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.Add'I plan review for other submissions is$67.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $56.25+ X.35= (13)
■ DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
■ ENGINEERING •
Estimated Permit Fee:(16)
Bond Amount: (17)
•
- ■ OTHER FEES
Mitigation Fee: (18) (20) (22)
SI3CC Surcharge:(19) (21) (23)
Total(Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24)
Bulletin#100-January 3,2001