04-103521 t
City of Federal Way
Community Development Services Electrical Permit #:04 - 103521 - 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: TIME OUT ALE HOUSE
Project Address: 34525 16TH`S !-� Parcel Number: 889700 0060
114-vProject Description: Adding and altering up to 3 circuits for new signs
Owner Applicant Contractor
JK&MJ INC INFINITY CONSULTING INC*DANA MERR INFINITY CONSULTING INC*DANA MERR
34525 16TH AVE S 2915 184TH AVE E 2915 184TH AVE E
FEDERAL WAY WA SUMNER WA 98390 SUMNER WA 98390
98003-6802 (253)862-7585
Electrical Fixtures
Description Quantity _ Description Quantity Description _Quantity
' Circuits- Commercial 3
PERMIT EXPIRES March 1,2005.
Permit issued on September 2,2004
I hereby certify that the above information is correct and that the construction on the above described property and
the occupanc • .: n- 1 „ 1 e in accordance ;th the laws,rules and regulations of the State of Washington and
the City o'4 ederal Wa
1
Owner or agent: , p_.,,� ► Date:
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THIS CARD IS TO REMAIN ON-SITE , • i
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103521-00-EL
Owner:
Address: 34525 16TH AVE S
FEDERAL WAY, WA 98003-6802
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.
O Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) 121. Final-Electrical(4055)
Approved Approved Approved
h
By Date By Date By '110 Date 1 , ►.1
❑ Under-slab groundwork(4295)
Approved
By Date
,A
0 LE _ ( o
Federal Way c, 0 2 2004 3
0EP PERMIT SF MF CO ME ,..0 PL DE EN FP
coMMUNIY DEVELOPMENT SERVICES
33325 D AVENUE SOUTH.Po 7I8 PLICATION
FEDERAL WAY,WA 98063- 1' (�;= r E D E R A _r.
253-835-2607•FAX 253-835- n �, C / /
unuw.dtuofederdwau.com �L,''" .
The oilowing is required information-an incomplete ap•Iication will not be accepted. Please .tint legibly(in ink)or type.
- • PROPERTY INFORMATION
SITE ADDRESS 3 l 5 L5 ( ` 1 (V I S SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ _ _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
` ■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
rCcC-rA IC , $ ( ' I- VL)
y �/�oPROJECT NAME(Name of Business or Owner Last Name) fin'IL (� aV (iJ'
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER J ( i) 1 'k Fo"je:y ( )83F F - (/�C/;
MAILING ADDRESS .{.i CITY,STATB ZIP
3? « Al/ ..- c' .4 &ziL4py 1..))1
CONTRACTOR COMPANY NAME APPLICANT NAM�.,,x, ..Q OFFICE PHONE
10))41 -r) coloso&-rov&:✓UL ((��pi -) 7, (2s1) f6'2 - 758'S
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
. -."31/ 5 /sLi'/49Ye e Soivi.v e& l-t,.i.i f LL5? )96 S - 66 C6
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- - - / / ( ) _
B L
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
� i1 E 1_ J1Z ! 2 P P / /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Ly)g) ,I-47 e0 4,(41V99/r9 MJ)2/2)T_A55 ) - 7SFl-S"
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
.Ci `?/ S t Ff 6/ /Q 1/ & Y01,14 yvG /V . (45-V) f (56‘6
RELATIONSHIP TO PROJECT FAX NUMBER
o Architect o Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER Per RCW 19.2Z095: Lender information is NAME
required;if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
i . WATER SERVICE PROVIDER Cl LAKEHAVEN ❑HIGHLINE O TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING S .FT." PROPOSED S•.FT. TOTAL
gaIIIIIIIIIIIIIIIIIIIIIII
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
TOTAL E ISTD(G TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
HOW MANY FLOORS?
"NEW HOMES ONLY** NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offacture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
GAS LOGS REFRIG.SYSTEMS
AIR HANDLING UNITS EVAPORATIVE COOLERS REFRIG SYSTEMS
BBQS FANS HOODS(commoLaa1( OO
ES
BOILERS (Describe)
FIREPLACE INSERTS RANGES MISC COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING WATER CLOSETS Roa�y MISC(Describe)
BATHTUBS(or Tub/show«combo) SHOWERS
SINKS DRINKING FOUNTAINS
GAS PIPEEHERS OUTLETS SUMPS
DISHWASHERS
RAINWATER SYST
URINALS HOSE BIBBS
WASHING MACHINESELECTRIC WATER HEATERS
LAVS(Bathroom Bulks) VACUUM BREAKERS
-- ; DISCLAIMER/SIGNATUREBLOCK
nd
v I certify d yr penalty of of the aboveaethepremisesation toperforms the work for which the permit application isby me is true and correct to the best of ymade knowledge,
furtherfurther,
gee to hold
am authorized by theowner the
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 app cation.
NAME/TITLE l'/'Ir es7(-L'Y'7 DATE 9 !7- O /
�'-
(Signature) (Title)
i RELATIONSHIP TO PROJECT o Owner o Agent 0 Contractor o Architect o Other
f
E FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION REPAIR o TENANT IMPROVEMENT
o YES o NO
L BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN?
{ ZONING DESIGNATION
CHANGE OF USE? o YES o NO
t NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
F
Page 2 of 4 k\Handouts-Revised\Permit Application
Bulletin k 100-March 30,2004
ELECTRICAL PERMIT INFORMATION •
a '' COMMERCIAL
RESIDENTIAL -
NEW COMMERCIAL/INDUSTRIAL SERVICE
NEW RESIDENTIAL.SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet 00 amp $ 94.50 $ 58.00
(First 1300 ft ❑ 0 to 1
2-$87.00;Each add'n 500 ft2-$28.00) CI 101 1 200 amp 117.50 74.00
CI
outbuilding or enrage 0 201 -400 amp 220.50 87.00
(Insppecteddwith service) $36.50
❑ Detached outbuilding or garage
0 401-600 amp 256.50 103.00
(Inspected separately) $58.00 0 601-800 amp 332.00 140.50
0 801 - 1000 amp 405.50 169.50
NEW MULTI-FAMILY(three units or more) CI 1000 amp 442.00 236.00
Service Feeder
❑ 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
❑ 0 to 200 amp $ 94.50
ALTERED SINGLE MULTI FAMILY ❑ 201 -600 amp 220.50
0 601 - 1000 amp 332.00
Service or Feeder 369.50
CI to 200 amp $ 72.50 ❑ over 1000 amp
❑ 201 -600 amp 117.50
#of circuits to be added/altered
❑ over 600 amp 177.00 (1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) $74.00 plus 35%of Permit Fee
CI Service over 200 amps
❑ Mast or meter repair $43.50
❑ Medical/Educational/Institutional Facility
SINGLE MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES TEMPORARY SERVICE
❑ Service or feeder only $58.00
❑ Service and feeder $94.50 Commercial Residential
❑ 0- 100 $58.00 $51.00
MOBILE HOME/RV PARK CI 101 -200 74.00 51.00
❑ #of service or feeders n/.
(First service/feeder-$58.00;each add'n-$37.50) 0 201 -400 87.00
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
OAAJ_____.# of Signs
CI #of Thermostats (First sign-$43.50;add'n sign$20.50/ea)
(First-$44a.50;add'n $13.50/ea) ❑ Swimming pool/hot tub $87.00
❑ Low Voltage (Includes additional circuit,if required)
Square Feet to be served by system(s) $58.00
❑ Yard Pole meter loops
❑ Fire Alarm System $87.00/hour
❑ Security Alarm System 0 Additional Plan Review
(for modified submittals)
O Voice Cabling
❑ Data Cabling
(Per System(s) 1•t 2 500 ft2-$51.00; u
Each add'n 2500 ft-13.50) •Per WAC 29646-9/0(5)(b(&) )
Page 3 of 4
k\I landouts-Revised\Permit Application
Bulletin#100-March 30,2004