01-104410 .`/ . ,
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City of Federal Way Electrical Permit #:01 - 104410 - 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: AM SA HEI MUL TANG RESTAURANT
Project Address: 31218 PACIFIC S SuiteH Parcel Number: 092104 9112
Project Description: ELE-Install circuit for new sign.
Owner Applicant Contractor
B&B ENTERPRISES L&D ELECTRIC L&D ELECTRIC
14811 16TH AVE CTS 14811 16TH AVE CTS
SPANAWAY WA 98387 SPANAWAY WA 98387
(253)208-6582
Electrical Fixtures
Description Ktlie ltl 1 9 yr i escrption Quantity Descript*1 l < Quantity
Sign
PERMIT EXPIRES May 19,2002,IF NO WORK IS STARTED.
Permit issued on November 20,2001
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:
7t—) Date: `7" Z o _ ("/
—Of Pot‘---v c_iNves 4-y`Uhc
C c (,mss E'5, 634t/"-r- t z-/«/b I — 1:
+ 1 .
RECEIVE,
.7.0\r... CONSTRUCTION PERMIT APPLICATION
ETKFI
Y � NOV 1 9 2001 APPLICATION NUMBER: 0 / - L L) ji 4 / 0 Et_
APPLICATION NUMBER: _ _ _
CITY
BUILDING DEPT.F FEDERAL AY 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
F.w' 96,103
SITE ADDRESS: 3/a/S Pyr r iC /41 S. 44141 ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEE• .<:; `' '' • PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): k ;3.,..) /Lc.; ' .�
PROJECT NAME: 2,2$' P' f j ,1'`_ / 1 /i / I tf 1 ,
- ■ PE4.`LE INFORMATION
PROPERTY OW' NAME: ME PHONE:
JAE oi/G C ) -
MAiLING ADDRESS, r D•a CITY,STATE ZIP):
CONTRACTOR: '4.= AME: Vk N DAYTIME PHONE:
L itv r-Le. a;c (p53) S3/ - oaoo _
LING ADDRESS(STREET ADDRESS;t , STATE,ZIP EVENING PHONE:
ae/ IL' /lvr , so Ry S 3e7 ( ) -
• •. FEDERAL WAY BUSINESS LICENSE "' :ER: - FAX NUMBER:
- - ( ) -
III • CTORS• N • TION NUMBER: EXPIRATION DATE:
(copy of card required) I /
APPLICANT: NAME: DAYTIME PHONE:
i a�i,4 B 1.1-5 .¢4o o e- ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
i ( ) -
I RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ 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: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
f
•
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
■ PROTECT 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 0 GAS
PLUMBING
_ BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) 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)
c ■. 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 'ky as).art of this application. /
NAME/TITLE: /`�� DATE: ( (( d(
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
-FOR OFFICEIUSE:ONLY:',::
NEW ADDITION ❑ALTERATION ❑;IEPAIRi TENANT IMPROVEMENT•
CENSUS'CODE: LOT SIZE ... ..
ZONING,DESIGNATION BUILDING HELLON" fI❑ YES' ❑ NO
COMP .LAN¢DESIGNATION BA3I F ❑SES ❑ NO •
SECTION _ TOWNSHIP RANGE NEW;ADDRESS REQUIRED? fl YES '[ NO %!
4.01TEDILOTtli11104E'sivAID'NO CHANGE OF USE?. ❑YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
■~EL /11Cd
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
Square Feet: First 2500 ft2-$42.00;Each add'n 2500 ft2-$11.00
_Each outbuilding or garage $30.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders *Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $48.00 (First service/feeder-$48.00;Add'n service/ A_#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 l
(Includes three units or more) Altered Service or Feeders 1
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 $ 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 _#of circuits
_Over 800 amp 243.00 182.00 _401-600 212.00 85.00 (1-5 circuits-$61.00;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 Residentiat/Mutti-Family/Commercial/Industiral
_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.
1
*FIXTURE DESCRIPTION IA) FIXTURE. EE FROM TABLES"(B)t ;.NUMBER'OF;UN.I.S(C) - " a4.."':'4'-','-64.'~-TOTAL(D) : o "
_
_
;4.TOTALCOLUMN(D).''
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from me 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