01-102751 City of Federal Way
Community Development Services Electrical Permit#:01 - 102751 - 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: MARISTA'S COFFEE
Project Address: 1301 S 320TH St Parcel Number: 150050 0040
Project Description: ELE-Wiring and trim for fire alarm system,11 devices
Owner Applicant y Contractor
1560 INVESTORS LLC*1560 INVESTORS LI GUARDIAN SECURITY SYSTEMS GUARDIAN SECURITY SYSTEMS
200 S BROAD ST FLOOR 6 1743 1ST AVE S 1743 1ST AVE S
PHILADELPHIA PA 19102 SEATTLE WA 98134 SEATTLE WA 98134
(206)622-6545
Electrical Fixtures
,x Desc ption.. 'Quantity) ' 4 y escript oh : Quantity v;Descrip#'ori Quantity
Low Voltage-Other Commercial 1
PERMIT EXPIRES January 8,2002,IF NO WORK IS STARTED.
Permit issued on July 12,2001
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: 7 ` /2 — Q1
7_ Z" - oi N/ p r —/
7- z - /
06/31/2001 12:06 FAX 2636614129 CITY FEDERALWAY 2002/004
,P
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." CONSTRUCTION PERMIT APPLICATION
V Fry. APPLICATION NUMBER_ Q 1 - 1 Q a-i 5—FT61 •
JUL1 APPLICATION NUMBER: _ _ - _ _ _ _ _ -
APPLICATION NUMBER: -
Lai Y L)1 l-L:: r6L' rvAtThe following is required information–Please print(in ink)or type"
BUILDING DEPT.
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
r ZL PROPERTY INFORMATION •
/
X SITE ADDRESS: 3CJ 1 b ,3-9e3-g"'...1ST ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ^�
Y. PROJECT INFORMATION •
TYPE OF PROJECT(This application): 0 BUILDING 0-PLUMBING 0 MECHANICAL 0 DEMOLITION
A ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 0)�i() -712(An – Fite-
G� /VI
OQ ,d 4
1 DLT _
r `,.......
V, / / / /
PROJECT NAME: •' a L j 4 k- C I4,n (- • P
A
F.: Eqpt.',":I.'FORMAT'JN
IIMM t IMINEMValw - a
PROPERTY OW NAM): . i , 1
1 OAYfME PHONC:
t. A
MAILING , ..ESS(ST•. A ,
4
_ ,
CONTRA • p: ME: ^•.t , �'•' i•t AYIME PHONC:
R D A 1U ++� ' S k‘ '�6A ` ) r022."(054s
MA UNG ADDRESS( i. '- TY
Q ,STA ,ZIP): ING PHONE! i
V
CITY Cr PAL WAY BUS 51 SCE NUMBER: FAX NUNOER: ?
Its,
CONTRACTOR'S R;,GtsffRA . .UMBER: .' EXPIRATION DATE:
coy of tet ) A' 1' &U A ':' .0 3 K " o .
APPLICANT: ° ?f' DAYTIME PHONE:
okVIAID
MAIUNG ADO - (STREET A••RFS- ,t ITY, A EVENING PHONE:
07 ` ( ) _
RELATIONSMtp YO PROJECT: , " FAX NUMBER:
0 ARCHITECT 0 TEN• `. 0 OTHER(DESCRIBE): ( ) -
E-MAIL A00RE55:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR — i
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: S //61
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) •
1
I
05/31/2001 12:07 FAX 2538614129 CITY FEDERALWAY Q1003/004
y
•.NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ J
. ■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT- TOTAL
BASEMENT II lT� `
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.( )
COMPRESSORS) FURNACE(S)
DUCT(S) GAS PIPE OUTLETS) HEAT SOURCE: 0 ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS- VACUUM BREAKER(S) 0 ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
- „7 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 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 apart
�ofthis application. ^�
NAM E/TITLE: `__ (Q )j i tiA) 7 - / C� O I
❑ PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR
FOR OFFICE USE ONLY:
0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 TENANT IMPROVEMENT
CENSUS CODE: t l 4'( LOT SIZE: _
ZONING DESIGNATION: CC•.•1 BUILDING SHELL ONLY? 0 YES yfNO _
COMP PLAN DESIGNATION tV0.4(111 BASIC PLAN? 0 YES p NO _
SECTION TOWNSHIP RANGE NEW ADDRESS R£•UIRED? 0 ES L NO
PLATTED LOT? 0 YES fa'NO CHANGE OF USE? 0 YES ►I NO' •
-................-.-......e..rr•r.-,,,,PP-. ♦(1n cm,.IU A,,rnn+.._n n (NW 4114.CCf\C1f A. p1,V V.1A 0444.1_0710."CI 441.4r1(111.RAY•741.CA1-1110 ,
05/31/2001 12:07 FAX 2536614129 CITY FEDERALWAY fj004/004
P. ELECTRICAL .
TABLE 8
/ NEW RESIDENTIAL SERVICES II0-4, • MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $44.25 _,N of Thermostau(first-$33.50;add'n-5 I 0.50ca)
(First 1300 ft3-567.00;Each add'n 500 ft -S2 .50) _Service and feeder.._._ •$72.25 _N of Low voltage fire or burglar alarms
first.2500 li=-S38.75;Each add'n 2500 R'-$10.50
Square Tout:- .,.$28.00Squre Feet:
Each(Inspected
with
se r Garage..............•••....... MOBILE HOME/RV PARK •per WAC 296-4G-910(5xb)(i&ii)
(In5pccicd with service) _H of Service or feeders
Casted d separaor tely)
garage $44.25 (First service/feeder-544.25;Add'n service/ -H of Siens�(First sign-$33.50;add'n sign
_Each
scparatcly) fccdcs•528 cacti) _progress inspection per Ys hr.........._...333-5U
Swimming pool.hot tub.spit 67.00
Yard Pole meter loops •41.25
NEW MULTI-FAMILY COMMIERCIAt/lNPU57RIAL CONtMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service RoderAmps Service or Add n 0 to 200 5 72.23
Up to 200 amp..--......-$72.25........._......$21.50 feeder _20I-600 169.00
_20l-400 amp 89.75....................44 25 0 to 100
$72.25........$44.25 _601-1000 254.50
401.600 amp 123 5....------.... 61.50 _101 200 89.75......•....56.25 _over 1000..,...--.............._............•.......282.75
601-a00 amp---...........158.00...._......._.....84.25 _201-400..... - 169.00...-_ .67.00 _I of circuits
_Over>100 amp......_ 225.25 169.00 _401-600 197.00....-.-•-78.75 (1.5 circuits-556.25;Aden circuits.$5 ea)
ALTERED SINGLE/MULTI FAMILY _601-600
254.50 107.25
(When inspected separately from the services.)
_801-1000......--___ 129.75 Temporary Service
Sctvica or Feeder Over 1000 339.00 161.00 ,_0 to 60 $38.75
010200 amp. . $61.50 _Over 600 volts surcharge.. .._..,.--.•------56.25 _61-100 44.25
201-600 amp 19.75 Mast or meter repair.........................••...61.50 _101-200 56.25
_over 600 amp........................... - 135.25 ^201-400 67,00
_401.600 89.75
_Mast Of meter repair............._......._.....•-.-_...33.50 97.75
over 600
N of circuits
(1-4 circuits-544.25;Add'n circuits$5 ea) .
U'scrvioc is greater Than 200 amp,s plan review is rcq'd.Fee is 35%of permit fee.S5 ).5.Add'I plan review for ocher submissions is S67.00AU,
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(f3) NUMBER OF UNITS(C) TOTAL(D)
------------
TOTAL COLUMN(CO:
Tot Colvmn(0).
Estimated Permit Fee: (12) •
-
Istimated Permit Fa!from Me 12
Estimated Plan Review Fee: $56.25+ .X 35=(13)
II DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
• r ENGINEERING
Estimated Permit Fee:(16) _
Bond Amount: (17) _
. • OTHER FEES
Mitigation Fee:(16) (20) (22)
SBCC Stfrdiarge:(19). (21)_ - (23)
Total Owes one aTWO): Une(5)(1L)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)r(21)+(22)t(23)=(24)
l
Bulletin a 100-January 3,2001