01-101886 City of Federal Way Electrical Permit #:01 - 101886 - 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: OROWEAT BAKERY STORE
Project Address: 2116 S 314TH 5t Parcel Number: 092104 9053
Project Description: ELE-Electrical for 2 wall signs
Owner Applicant Contractor
ROSEN PROPERTIES NATIONAL SIGN CORPORATION NATIONAL SIGN CORPORATION
PO BOX 5003 1255 WESTLAKE AVE N 1255 WESTLAKE AVE N
BELLEVUE WA 98009 SEATTLE WA 98109-3531 SEATTLE WA 98109-3531
(206)282-0700
Electrical Fixtures
Description "Quantity „ 4°]Quantity) Description 'Quantity
Sign 2
PERMIT EXPIRES November 13,2001,IF NO WORK IS STARTED.
Permit issued on May 17,2001
I hereby certify that the ab. - informatio is correct and that the construction on the above described property and
the occupancy and the use be in acc I dance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: \I Date: .1.41--61 (
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/ 'iA} ( - 7,r -<51--( —�i 2
•
c.� . CONSTRUCTION PERMIT APPLICATION
uv ice — APPLICATION NUMBER: 0 L - 1 f 163 - EL
APPLICATION NUMBER: - -
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.
• 5/�-/■ PROPERTY INFORMATION q /� q-
SITE ADDRESS: Ill i 5. 3/741 /. ASSESSOR'S TAX/PARCEL#: 0 ( L l 0 q - 05'3
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PRO]ECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ P BING - HANICAL ❑ DEMOLITION
ELECTRICAL ❑ EN EERI ❑ FIR'` ;EVENTION SYSTEM
PROJECT DESCRIPTION(Prov[ a detailed description):
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PROJECT NAME: No - � '+.
• PL. DLE IN1 `RMATION
NELPROPERTY OWNE s NAME: V DAYTIME PHONE:
` . I * t55 Bfy 04 Lf 24) V3-' 915
MAILING ADDR"'STR •r: aRES "t..-- A ,, IP PI dr(go S. •,, a ^SO"
CONTRACT '. N.'E: / Y , - Z. DAYTI : 'HONE:
/✓%ff dg' .,: 5, N/ 0128 ( sit, ` tlz - 04D
AILING ADDRESS(STREET ADDR'
CITY,STATE,ZIP): ( VENING PHONE:
f z ff ( m3at (w ' . • ( ) -
ITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: •< • FAX NUMBER:
w L ' ;4�•:; '10-00-4 _ ( 91 ) 215'- 309/
CON'`; OR'S REGISTRATION NUMBER: — z EXPIRATION DATE: e/
(copy of : .uired) (J_ 0 _ _ 7 / 2 /
APPLICANT: NAME: swr DAYTIME PHONE:
„ .i
MAILING ADDRESS(STREET ADDRESS;CITY,STA ZIP): EVENING PHONE:
MPdn/ to. , ( )REL -
CI NSHIP TO PROJECT: �7r' 1 t' \ (AX 2, R O'I/ .
❑ ARCHITECT CI TENANT CHER(DESCRI '(� ( ) sr - 3
&MAIL AD RESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER CI APPLICANT U CONTRACTOR 5/11(26)A#Iiiiitirr1 MA ail
• 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 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: ❑ 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 har . ess the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in the
investigation and defen-• ••f su claim),which may be made by any person,including the undersigned,and filed against the City of
Federal Way,but only ,re s l h claim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information sup. :d o e city as a part of this application.
NAME/TITLE: DATE: SI f
❑ PROPERTY OWNER 1 A•PLICANT C ONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
COMM(INITY r)FVFLOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
• ELECTRICAL '
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $44.25 _#of Thermostats(First-$33.50;add'n-$I0.50ca)
(First 1300 ft2-$67.00;Each add'n 500 ft?-$21.50) _Service and feeder $72.25 _#of Low voltage fire or burglar alarms
Square Feet: First 2500 f12-$38.75;Each add'n 2500 ft2-$10.50
Each outbuilding or garage $28.00 MOBILE HOME/RV PARK S arc Feet:
(Inspected with service) _#of service or feeders *Per WAC 296-46-910(5)(b)(i&ii)
_Eaeh outbuildingor 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'/2 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 _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
_Ovcr 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
_#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 rcq'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(0):
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)
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-January 3, 2001