07-100872 City of Federal Way Electrical Permit #: 07-100872-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609 p 4
Project Name: PANERA BREAD
Project Address: 2107 S 320TH ST Parcel Number: 762240 0010
Project Description: Install low-voltage voice& data cable.
Owner Applicant Contractor
STEADFAST COMMONS LLC HENKELS&MCCOY INC HENKELS&MCCOY INC
1928 S COMMONS 19219 WEST VALLEY HWY SUITE M-109 HENKEM1984PM(10/14/08)
FEDERAL WAY WA 98003-6013 KENT WA 98032 19219 WEST VALLEY HWY SUITE M-109
KENT WA 98032
Additional Permit Information
Electrical Fixtures
Low Voltage-Other Commercial.. 3,572
PERMIT EXPIRES Wednesday, August 15, 2007
Permit Issued on Friday, February 16, 2007
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
an he City of Federal Way.
Owner or agent: `tar i' Date: a-1‘ "C
FINAL`D
•
THIS CARD IS TO REMAIN ON-SITE
CITY OF '-- Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 8353050
PERMIT #: 07-100872-00-EL
Owner: STEADFAST COMMONS LLC
Address: 2107 S 320TH ST
FEDERAL WAY, WA 98003
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.
❑ Slab/Concrete Floor(4255) ❑ Ditch cover(4030) ❑ Pool Bonding (4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power (4275) ❑ Service (4235) ❑ Feeders/Sub-panels (4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical (4225) ❑ Ceiling Cover(4020) ❑ Final -Electrical (4055)
Approved Approved Approved
By Date By Date
113.y_6*-----
y CS Date Z'—-a-Z-0 ..)
❑ Under-slab groundwork(4295)
Approved
By Date
�mo. RECEIVED O2 - U O� =7th
Federal Way PERMIT
wn9nfM1Y DEVELOPMENT SERY1e » 1 6 2007
SF MF CO iy PL DE EN FP
• FEDERAL WAY.WA 980�.�e" ,.PPLICATION '„ -'
253.835-2607 FAX 253831-260
www.ctuoffedemWe.....( F FEDERAL
BUILDING DEPT.
The following is required Information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
t� 2
II PROPERTY INFORMATION
SITE ADDRESS 1101 S. )g.o •Fe p-erk q` wiw Y, W A 1€OOS SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# — — — — LOT SIZE(
LEGAL DESCRIPTION(e.g.Acme Estates.Lot 1) )ht- Cow,mr,V)S (At FeJfrU1` Wtoy
0...aeporaoe pete.for Ien0N.legal dexrgtmN
MI PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING ❑ MECHANICAL
0 DEMOLITION )(ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
Lo v✓ Vu l i-c4 F Vo.,P EL V u� &
PROJECT NAME(Name of Business or Owner Last Name) 13 Ct Y1 er4L for eo a
• PEOPLE INFORMATION
PROPERTY' NAME PRIMARY PHONE
OWNER P(.lN'fA Lt Z're(A E-MAIL
ADDRESS
MATING ADDRESS CRY,STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME t OFFICE PHONE
F4eh,k�L, 4 m`GoY ,"L. J.w7 -)ru6,sc c\L/` (42,5)asi - 10103
MATING ADDRESS CITY,STATE.ZIP CELL PHONE
,4 1C( W95tVk11ea 4w M-1oLi ke„! w4 4100300 (405 ) s' t - t-13
CITY FEDERAL WAY BUSINESS ENSE ER EXPIRATION DATE FAX NUMBER
10 -Co1-100►(0C9.- OC)- BL is- 1-01 (I*5 ) 0.51 - 6034
CONTRACTOR'S REGISTRATION NUMBER EXPIRAT ION DATE E-MAIL ADDRESS
O
CPY of met required.Im b HGNkEMigc34P/0 W -14-043 ,�br“ssF;Aielwnlci.►5.6..,
APPLICANT COMPANY NAME APPLICANT NAME `OFFICE PHONE
&:in a S CIbau e- `CELL PHONE -
MAILING ADDRESS CRY.STATE.ZIP
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant ❑Agent ❑ Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT -SCA.14■e- Qs fdbt)Je✓ ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CRY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGIILINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGFD INE ❑ PRIVATE(SEPTIC)
' ■ PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
' FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS �O PROPOSED TOTAL rOAaJ®lIIla Br '1O''''" o 701144 W?
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
■ FIXTURES
Indicate number of each type oftixture to be installed or relocated as part of this protect Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ lA 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(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLV3 1IVG
BATHTUBS tor Tub/Shower Combo) LAYS(Bathroom Soho) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
'
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 authorised 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 Wag 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 _ 6f 015 6,,Ve V,%o.'" DATE a-16-0-9
(St Mae)
RELATION TO PR D Owner D Agent Contractor ❑Architect ❑ Other
IFOR OFFICE USE ONLY
o NEW ❑ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#100—January 1,2007 Page 2 of 4 k\llandouts\Permit Application
a
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
CI Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$111.00;Each add'n 500 ft2-$35.50) ❑ 0 to 100 amp $120.50 5 74.00
❑ Detached outbuilding or garage ❑ 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 ❑ Mast or meter repair $102.00
❑ 401 -600 amp 205.00 102.00 I
❑ 601-800 amp 262.00 140.50 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 375.50 280.50 Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 280.50
❑ 601 - 1000 amp 423.00
Service or Feeder ❑ over 1000 amp 471.00
❑ Oto200amp $92.50 I
❑ 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)
CI of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-574.00;Add'n circuits$7.00/ea) $94.50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ 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 ❑ #of Signs
(First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea)
Low Voltage ^1 ❑ Swimming pool/hot tub $111.00
Square Feet to be served by system(s) 51 a (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $74.00
❑ Security Alarm System ❑ Additional Plan Review $111.00/hour
.Voice Cabling (for modified submittals)
Data Cabling ❑ Automation Fee on all Permits $5.00
1u 2500 ft2-$65.00:
Each add'n 2500 ft2-17.00)•Per WAC 296-46-910(51 @)(t 8.it)
Bulletin#100-January 1,2007 Page 3 of 4 k\Handouts\Permit Application