01-103647 City of Federal Way
Community Development Services Electrical Permit #:01 - 103647 - 00 - EL
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: ARBY'S
Project Address: 31675 PACIFIC S Parcel Number: 082104 9077
Project Description: ELE-Add one circuit
Owner Applicant Contractor
Peter T&Sandra El Jouflas FULLER ELECTRIC FULLER ELECTRIC
3650 131ST AVE SE#205 FULLER ELECTRIC FULLER ELECTRIC
BELLEVUE WA 37107 12TH AVE S 37107 12TH AVE S
98006-1334 FEDERAL WAY WA 98003 (253)661-7181
Electrical Fixtures
Descri tionP. QuatY01 Decrl tion Quantity
., k4 ;;Descnpton .: j W4Quanti
time
Circuits- Commercial 1
PERMIT EXPIRES March 17,2002,IF NO WORK IS STARTED.
Permit issued on September 18,2001
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: fd67 Date: -"/0 -0/
J%r'�-
•
ca� G CONSTRUCTION PERMIT APPLICATION
=isVV f�Y El�L y " � APPLICATION NUMBER: O L L 0:3641--
APPLICATION NUMBER;:
SE -_
R ?091APPLICATiON NUMBER
**The followi].g is required winfr n—Please print(in ink)or type**
DUILDU, DEPT
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
)�■ 'PROPERTY INFORMATION
SITE ADDRESS: -3/ 6 7 / r aJJ
✓
c. �� c .SQ ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACHEPARATE DESCRIPTION IF LENGTHY):
Ark/'S , Oa S,I Beef /ees/ak,rct,/
;- ■ PRO]ECT INFORMATION
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
Res)4 wfa -__1 'LW (.%"•Q CiAxJAAt
PROJECT NAME: A (by's R 04 S-1 L e e--( 05' et/'
PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
Arbq - (253 )ClYY/ - y -5
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAME: DAYTIME PHONE:
F // - , e�;�.�, (? S) ) 6C/ -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP: EVENING PHONE:
3)/D7 /2#-1- /}ve So (is) ) 66/ - 7/ /
OTI'OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
kderoi ( JC. J/4 S
- - ().s3 ) 6C/ -dy6
CONTRACTORS REGISTRA ON NUMBER: EXPIRATION DATE
(copy of card required) F I / et 0 P e 6/ / 11 I d Z
APPLICANT: NAME: DAYTIME PHONE:
( )
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER ❑ APPLICANT CONTRACTOR
1 DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
•
**NEW RESIDENTIAL CONSTRUCTION ONLY** •
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT, PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
: ■ :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: 0 ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINALS) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE CUTLET(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 daim(inducting costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,inducting the undersigned,and filed against the City of
Federal Way,but only where such daim 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. q
NAME/TITLE: �L�G't,,,<-c• r��- 44` %k l DATE: / - a /
❑ PROPERTY OWNER 0 APPLICANT ,$J CONTRACTOR {
FOR USE.ONLY
z - _
❑NEW}
'03-ADDITION 0'ALTERATION . _ __==❑,REPAIR = ❑ TENANT IMPROVEMENT -
•
CENSUS CODE .�}: . _;_ LOTSIZE: ,
ZONING DESIGNATION .x __
_ ..:, BUILDING SHELLONLY�_}_❑YES; --_❑'NO ;_
-COMPPL'A_
-�„ =aN DESIGNATION _ - .. BASIC PLAN-� -❑YES :�.❑N0 "4
.SECTION `,TOWNSHIP '. RANGE :. NEW ADDRESS REQUIRED? .YES ❑`NO
PLATTED'COi �_C7�fES __❑ NO CHANGE OF,USE?.• ..__.❑YES _.:❑ NO
mMMI INTTY nnnr•r.....x en,rru_net env ecnef A. vuv .... .. «. .,..... �... �__ .._ _.--
■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $48.00 _#of Thermostats(First-$36.00;add'n-$11.00ea)
(First 1300 ft2-$72.00;Each add'n 500 ft2-$23.00) _Service and feeder $78.00 _#of Low voltage fire or burglar alarms
Feet: First 2500 ft2-$42.00;Each add'n 2500 ft2-$11.00
_Each outbuilding orgarage..._ $30.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders •Per WAC 296-46-910(5)(b)0&ii)
_Each outbuilding or garage $48.00 (First service/feeder-$48.00;Add'n service/ _#of Signs(First sign-$36.00;add'n sign
(Inspected separately) feeder-$31 each) $17.00 each)
_Swimming pool,hot tub,spa 72.00
_Yard Pole meter loops 48.00
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 $ 78.00
_Up to 200 amp $ 78.00 $ 23.00 Feeder _201-600 182.00
_201-400 amp 97.00 48.00 _0 to 100 S 78.00 $ 48.00 _601-1000 274.00
_401-600 amp 133.00 66.00 _101-200 97.00 61.00 over 1000 305.00
_601-800 amp 170.00 91.00 _201-400 182.00 72.00 F#of circuits
_Over 800 amp 243.00 182.00 _401-600 212.00 85.00 1-5 circuits-561.00;Add'n circuits,$5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 274.00 116.00
(When inspected separately from the services.) _801-1000 335.00 140.00 TEMPORARY SERVICE
Service or Feeder _Over 1000 365.00 195.00 Residential/Multi-Family/Commercial/lndustiral
_0 to 200 amp $66.00 _Over 600 volts surcharge 61.00 _0-100 48.00
_201-600 amp 97.00 _Mast or meter repair 66.00 _101-200 61.00
_over 600 amp 146.00 _201-400 72.00
_Mast or meter repair 36.00 _401-600 97.00
_#of circuits _over 600 105.00
(1-4 circuits-$48.00;Add'n circuits$5 ea)
- If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+$61.00.Add'I plan review for other submissions is$72.00/hr.
FDCTURE'DESCRIPTIONi(A) FIXTURE'FEE FROM TABLE B(B)' It4 NUMBER',OF.UNITS(C)t * ' „` ; ' :TOTAL.(D). .. .s
I
ii
TOTAL;COLUMN(D)f
Total Column(0)
Estimated Permit Fee: (12)
Estimated Permit fee from fine 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)
SBCC 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-August 20,2001