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09-100154
s • A Electrical yF-14 q CommuCitynityof DevelopmentFederalWaServices Permit #: 09-100154-00-EL P.O.Box 9718 z Federal Way,WA 98063-9718 ; Ph (253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050 : : Project Name: 3 DOG DELI Project Address: 35425 21ST AVE SW Suite B Parcel Number: 252103 9002 Project Description: Install electrical for kitchen equipment,exhaust/make-up,&sign. Owner ADDlicant Contractor GLEN&PATTI'S FEDERAL WAY L&D ELECTRIC L&D ELECTRIC PO BOX 8164 757 116TH ST S LDELE**055ME (2/5/09) TACOMA WA 98418 TACOMA WA 98444 757 116TH ST S TACOMA WA 98444 Service greater than 1000 Amps? No Eby. .. < e¢g b y$! i re . Circuits-Commercial 12 Sign 1 PERMIT EXPIRES Thursday, January 14, 2010 Permit Issued on Wednesday, January 14, 2009 I hereby certify that theabove 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: ‘7,1ty' Date: /_7 / FINALED ' ,' '/o, � �s l , ' DATE INSPECTOR AREA AND TYPE OF i1 SPECTION 2, -3 a�f vti � I t THIS CARD IS TO MAIN ON-SITE i - , CITY OF `C:ommunity Developm nt Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 09-100154-00-EL Owner: GLEN & PATTI'S FEDERAL WAY Address: 35425 21ST AVE SW Suite B FEDERAL WAY, WA 98023 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. 0 UFER Ground (4295) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date ❑ Pool Bonding(4195) ❑ Temporary.Power(4275) 0 Service(4235) Approved Approved Approved By Date By Date By Date ❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020) Approved Approved Approved By Date ByV> Date 3 --- -D l By Date .❑ Final-Electrical(4055) Approved By2- Date 6 .t- Cf7:-11 . For inspector_reference only ❑ Rough Electrical 0 FINAL-Electrical Approved Approved By Date By Date f ,''' NiAi A' _ / oo / 5- Li Federal ' �. `o©o D SF MF CO ME F�RMIT PL DE EN FP COMMUNITY DEVELOPMENT SERVICES ‘A N 6x `, t 33325 FEDERAL AY,SOUTH•P0BOX 9718 x.`'.. 'P LIGATION TD / / FEDERAL WAY,WA 98063-9718 ,Il-' 253-835-2607•FAX 253-835-2609 uww.cituottederalwa,l.corn 0\ �S The following ip- u red iI>f'o bort—an incomplete application will not be accepted. Please print legibly(in ink)or type. V • PROPERTY INFORMATION SITE ADDRESS 35425 21ST AVE SW SUITE"B" SUITE/UNIT#_ „B„ ASSESSOR'S TAX/PARCEL# 252103-9002-02 __ LOT SIZE(sJ) 880 LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) FWLLAOO-100053, KING COUNTY 20000601900019 Attach separate page for lengthy legal descrtpbonl • PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION Q ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu) INSTALL ELECTRICAL FOR KITCHEN EQUIPMENT, AND EXHAUST/MAKEUP, SIGN, . PROJECT NAME(Name of Business or Owner Last Name) 3 DOG DELI MI PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER NORTHSHORE VILLIAGE MANAGEMENT, LLC ( ) - MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS PO BOX 8164 TACOMA,WA 98419 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE L&D Electric Ron Davis (253 )531 -0200 MAILING ADDRESS CITY,STATE,ZIP CELL PHONE 757 116th St S. Tacoma, WA 98444 (253 )405 -2587 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER 20-08-103232-00-BL 12/31/08 (253 )539 -9694 CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS LDELE**055ME 02/05/09 rondavis_1@msn.com APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE L& D Electric Ron Davis (253 )531 -0200 MAILING ADDRESS CITY,STATE,ZIP CELL PHONE 757 116th St S. Tacoma, WA 98444 (253 )405 _2587 RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect 0 Tenant 0 Agent )S(Other Electrical contractor (253 )539 -9694 PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT LORI OTO (253 )310 -8572 LENDER NAME Per RCW 19.27.095: Lender information is required if project value exceeds$5,000 MAILING ADDRESS COY,STATE,ZIP PHONE ( ) al DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE a TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) • C • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND THIRD ADDITIONAL FLOORS(DESCRIBE) DECK(❑COVERED OR ❑UNCOVERED?) GARAGE ❑ CARPORT ❑ EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF , TOTAL SF NUMBER OF FLOORS **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC(Describe) BOILERS FIREPLACE INSERTS HOODS(commemlao COMPRESSORS FURNACES RANGES DUCTS GAS LOG SE 1 h REFRIG.SYSTEMS PLUMBING BATHTUBS(orThb/Shower Combo) LAVS(Bathroom sinks) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSEIS Rouen ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS SIGNATURE I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local,state,or federal laws regulating construction or environmental laws. 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, but only where such claim arises out of the reliance of . 4,including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. .- C � SIGNATURE: /`} DATE / Property Owner and/or Authorized Agent FOR OFFICE USE ONLY U NEW ❑ADDITION U ALTERATION U REPAIR U TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES U NO BASIC PLAN? o YES U NO ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? ❑YES U NO PLATTED LOT? U YES o NO DEMO PERMIT REQUIRED? U YES o NO Bulletin#100—August 16,2007 Page 2 of 4 k\Handouts\Permit Application 4. • III •0. ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE Service or Feeder Each Add'n ❑ Single Family Square Feet (First 1300 ft2-$111.00;Each add'n 500 ft2-$35.50) ❑ 0 to 100 amp $120.50 $74.00 U Detached outbuilding or garage Cl 101-200 amp 149.50 94.50 (Inspected with service) $47.00 ❑ 201-400 amp 280.00 111.00 ❑ Detached outbuilding or garage ❑ 401-600 amp 327.00 131.00 (Inspected separately) $74.00 ❑ 601-800 amp 423.00 179.00 ❑ 801 - 1000 amp 516.50 216.00 NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 563.00 300.00 Service Feeder ❑ Up to 200 amp $120.50 $35.50 ❑ Over 600 volts surcharge $94.50 ❑ 201 -400 amp 149.50 74.00 U Mast or meter repair $102.00 U 401 600 amp 205.00 102.00 ALTERED COMMERCIAL/INDUSTRIAL U 601 -800 amp 262.00 140.50 U Over 800 amp 375.50 280.50 Service or Feeders ❑ 0 to 200 amp $120.50 ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 280.50 ❑ 601 - 1000 amp 423.00 Service or Feeder ❑ over 1000 amp 471.00 ❑ 0 to 200 amp $92.50 ❑ 201 -600 amp 149.50 ❑ #of circuits to be added/altered ❑ over 600 amp 225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea) o 12 #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits-$74.00;Add'n circuits$7.00/ea) $94.50 plus 35%of Permit Fee ❑ Service- 1,000 amps or greater U Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility MANUFACTURED HOMES U Service or feeder only $74.00 ❑ Service and feeder $120.50 TEMPORARY SERVICE MOBILE HOME/RV PARK Residential/Multi-Family $65.00 ❑ #of service or feeders (First service/feeder-$74.00;each add'n-$48.00) Commercial/Industrial Service or Feeder Ampacity ❑ 0-100 amps $74.00 ❑ 101-200 amps 94.50 ❑ 201-400 amps 111.00 ❑ 401-600 amps 149.50 ❑ over 600 amps 162.00 MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Thermostats o 1 #of Signs (First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea) U Low Voltage U Swimming pool/hot tub $111.00 Square Feet to be served by system(s) (Includes additional circuit,if required) ❑ Fire Alarm System U Yard Pole meter loops $74.00 ❑ Security Alarm System U Additional Plan Review $111.00/hour ❑ Voice Cabling (for modified submittals) ❑ Data Cabling U Automation Fee on all Permits .. $5.00 0 let 2500 ft2-$65.00; Each add'n 2500 ft2-17.00)*Per WAC 296-46-910(5)(b)(i&ii) r Bulletin#100-August 16,2007 Page 3 of 4 k\Handouts\Permit Application