04-104016 •
City of Federal Way Electrical Permit #: 04 - 104016 - 00 - EL
Community Development Services
P.O.Box 9718
Ph:(2
Federal Way.WA 98063-9718
Inspection request line: (253) 835-305€
Ph:(253)835-7000 Pax:(253;835-2609 h Q
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Project Name: DISCOUNT TIRE
Project Address: 31414 PACIll ICSH Parcel Number: 092104 9233
Project Description: (1)new circuit for new IFI receptacles in bathrooms,new office,lights,and add power to fire dampers.
P
Owner Applicant Contractor
NONE FULLER ELECTRIC FULLER ELECTRIC
FULLER ELECTRIC FULLER ELECTRIC
37107 12TH AVE S 37107 12TH AVE S
NONE FEDERAL WAY WA 98003 (253)661-7181
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits- Commercial 1
PERMIT EXPIRES March 30,2005.
Permit issued on October 1,2004
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 t e laws,rules and regulations of the State of Washington and
the City of rederal Way. 4 r '
Owner or agent: Date: U— J tr
I` I.
101 ,5 (a-4 t--dl.kAtA. Or-
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THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 1
Owner:
Address:
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
NOTE: Prior to scheduling a Framing(4120) Ern_ ,�k gftc..( Mrid
inspection;Electrical,Plumbing&Mechanical 1`Oma"` ►'"`� /?'
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4
Date/0,4-0�
4 a. 4A.
CITY OF OCI7 V.)4
Federal Way ,L P E RM IT
COMMUNITY DEVELOPMENT SERVI�-r!OF ANG p�PTSF MF CO ME EL PL DE EN FP
.13325 8*"AVENUE SOUTH•PO BOX 9718 gu►�o APPLICATION TO
FEDERAL WAY,WA 98063-9778
253-835-2607•FAX 253-835-2609
www.cihloffederalwau.com
The ollowi • is re•uired in ormation-an inco •lete a••lication will not be acce•ted. Please •rint le•ibl (in in or p -.
y Q PROPERTY INFORMATION
SITE ADDRESS 3 I LI/ ti ! �-i-.'(- C //I' / Li)117
3 ) SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - / _T LOT SIZE(sf
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) P'-SC Oct-dev f /�•��
(Attach separate page for lengthy legal desenption)
PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION.4LECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
_17tSe-K( /7€ - &r-F1- Re c. T io 13 s
Ado[ Re c,P.ft& c Q-t's
Al e( w 1-; A,/ .t Site w /€o o, 7F j c•c 4 t fl Le
A'(o( Po w er i Fere Dom., ' 3
PROJECT NAME(Name of Business or Owner Last Name) 0 5 c o , (12-
NI PEOPLE INFORMATION
PROPERTY NAME
yy�� / PRIMARY PHONE
OWNER IJ,5LOLt 0.171 /;t e- ( )
MAILING ADDRESSCITY,STATE,ZIP
31 111 7 P4-e- I I / iciJ yfo l-e,olP,,�,,! L./4., wig.
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
ler fectri i°4.vtty r,/lam (z-53 ) 66/ -7/1/
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
37107 1-214• i 'e Fe/.e,, to Ay 14/A-903 (1496 )Y23 -F39 y
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
43_- / p � � oU _- B L /2/ JO /a1,0t' ( 257 ) 64/ 6�S•G
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
lee ..-TO zZ ,a /2 /QCk)-6,
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant ❑Agent 0 Other(Describe) ( )
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
LENDER 6 to NAME
w,w+ t a s eq+3
MAILING ADDRESS CITY,STATE,ZIP
$ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
t. r
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101 -200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201-400 amp 220.50 87.00
❑ Detached outbuilding or garage ❑ 401 -600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601 -800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) ❑ 801 - 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY U 0 to 200 amp $ 94.50
❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 U #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ #of circuits to be added/altered
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW
$74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 ❑ Service- 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑.Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
U Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
❑ # of service or feeders ❑ 101 -200 74.00 51.00
(First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00 n/a
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
U #of Thermostats U #of Signs
(First-$43.50; add'n-$13.50/ea) (First sign-$43.50; add'n sign$20.50/ea)
U Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $58.00
❑ Security Alarm System U Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
0 Data Cabling t
(Per System(s) 1•.2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5)(byi&ii)
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Bulletin#100-August 19,2004 Page 3 of 4 k\Handouts\Permit Application
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
EXISTING PROPOSED TOTAL TOTAL EXISTING Sr TOTAL PROPOSED SF' TOTAL.SF
NUMBER OF FLOORS •
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(toile( MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks( _ VACUUM BREAKERS ELECTRIC WATER HEATERS
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, an{i 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 a part of
this application.
NAME/TITLE L`�l/ CYi"� DATE 10 O
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent › Contractor ❑ Architect ❑ Other
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a NES ` '" a ADDZTIOI a AI�TEi A'>v'1 1 ci REPS a fiEN al:ERI VI lENT.° "
BUILDING SF M ONLY. a YES a NO .
ZONING DESIGNATit}N="° a EFIAN 4I IISEW. a FES a NO` •
NE b0.14k$1 UIRELk
REQ � �Y�-kcls y0N�‘ ,,0✓0 *I ftE=/SI:Ei4t��II '.�.��'� €� ,• r�;NE7 "
.y
• PLAT:TEDO ct' t'N ' Kf+ ,mr ; ', =IIEME> a NO'
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Bulletin#100—August 19,2004 Page 2 of 4 k\Handouts\Permit Application