07-101430 City of Federal Way Electrical Permit #: 07-101430-00-EL
Commue.ity Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: PUERTO VALLARTA RESTAURANT
Project Address: 35105 ENCHANTED PKWY S Suite G103 Parcel Number: 185295 0040
Project Description: Installation of cabling& equipment for CCTV,CATV,Paging,BGM,Telephone and WIFI
Owner Applicant Contractor
OPUS NORTHWEST LLC CLEAR COMM CO CLEAR COMM CO
OPUS NORTHWEST LLC 1911 SW CAMPUS DR SUITE 195 CLEARCC977PL(10/13/07)
915 118TH AVE SE SUITE 300 FEDERAL WAY WA 98023 1911 SW CAMPUS DR SUITE 195
BELLEVUE WA 98005 FEDERAL WAY WA 98023
Additional Permit Information
Electrical Fixtures
Low Voltage-Other Commercial.. 4,000
PERMIT EXPIRES Saturday, September 15, 2007
Permit Issued on Monday, March 19, 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 be in accor, nce with the laws Liles and regulations of the State of Washington
d the of F;s- al Way. J
Owner or agent:
• i Date: 2// g7
0_,,:s1 - 0
THIS CARD IS TO REMAIN ON-SITE
, 4400446Sh,......,CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-101430-00-EL
Owner: OPUS NORTHWEST LLC
Address: 35105 ENCHANTED PKWY S Suite G103
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)
El Final-Electrical (4055)
Approved Approved Approved
Bye,c Date 3_ ? 7' By Date By C GA,.1 Date C (o _,r) -)._c..
❑ Under-slab groundwork(4295)
Approved
By Date
CITY OP Way -0° PERMIT n-7 MF CO M O P D EN FP
COMMUNITY DEVELOPMENT SERVl OOj
33J2FED•FEDERAL WA ,WA 98 PO BOX 9718 Mph "Os L I-C AT I O N T°
FEDERAL WAY,WA 98063-9718
.253.835-2607•PAX 253-835-1609 .( - /
Wunaci voffedenll,,4ll.eom ���0�(V' -C]\' .
The following is requirekfh Fri n\�-Can incomplete application will not be accepted. Please print legibly(in ink)or type.
III PROPERTY INFORMATION .
SITE ADDRESS 35-/O S T/Nef ED nI i S , F Dt /lL
U'k, . SUITE/UNIT# g/6.3
ASSESSOR'S TAX/PARCEL# - _ _ LOT SIZE(s,/)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) .
IAttach aeporata page for lengely legal deserip ionl
■ PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING O PLUMBING ❑ MECHANICAL
❑ DEMOLITION ›tf ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
/,VS741-477 Ai ,,f M-82-116- ti2QU/P/£.</`r «/4e CCTV, cst
• psl- /w4,-/ .B`z./0 , j N fl,A-/_
•
PROJECT NAME(Name of Business or Owner Last Name) 1 eAP // r` / r`
1 ■ PEOPLE INFORMATION
PROPERTY NAME m� PRIMARY PHONE•
OWNER paav vv1��,e-j�- �( ��/!f igif7V7— ( J
MAILING ADDRESS - • CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME • • • APPLICANT NAM • OFFICE PHONE
et R lO/IM'. eo, /�, .Ti.4 l/kL y1-- (2s 1 6,/ -DEG
C7L~OF FEDERAL WAY BUSINESS L] ENSE NUMBER CITY,F STATE,�EXPIRATION DATE`3 ,.FAX(3) �� - /5-X)
NUMBER
. czs3)6L/ - 5/73
COPY of card required
CONTRACTOR'S REGISTRATION NUMBER - EXPIRATION DATE . E-MAIL ADDRESS
with eve up/Aleutian e� 2d 977p� - .
APPLICANT COMPANY NAME • APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP • - CELL PHONE
RELATIONSHIP TO PROJECT • FAX NUMBER •0 Architect D Tenant 0 Agent 0 Other • (
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19,27.095: -
Lender information is required if project value exceeds$5,000
• MAILING ADDRESS CITY,STATE,ZIP PHONE
• (
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE .
EXISTING ASSESSED/APPRAISED VALUE $ _ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? - • o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? D YES 0 NO
WATER SERVICE PROVIDER D LAKEHAVEN 0 HIGHLINE ❑ TACOMA D PRIVATE(WELL)
SEWER SERVICE PROVIDER D LAKEHAVEN 0 HIGHLINE D PRIVATE(SEPTIC)
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT: SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS
EXISTING PROPOSED TOTAL TOTAL SrnJO St TOTAL PROPOSED Sr TOTAL el —
lm
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 $ (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(commercial)
COMPRESSORS FURNACES RANGES
GAS LOG SETS REFRIO.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAYS Iessroom spa) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(mks
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 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,I clu ng its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application. j1
NAME/TITLE / DATE g/pt/Q 7
(s gna ure) '/ (Tide)
RELATIONSHI 0 PROJECT ❑ Owner o Agent ,(Contractor O Architect ❑ Other
(lksi �if'%,�i I yt(2N; / `
❑NEW o ADDITION a ALTERATION o REPAIR o TENANT IMPROVEMENT. •
BUILDING SHELL-ONLY? o YES o NO - BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
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
•
•
•
Bulletin#100—January 1,2007 Page 2of4 k'-landouts\PermitApplication
r
) .
' `- ELECTRICAL PERMIJ INFORMATION '
: RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ftz-$111.00;Each add'n 500 ft2-$35.50) ❑ 0 to 100 amp $120.50 $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
❑ 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
❑ 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)
❑ #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
❑ 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 Residentiai/Multi-Family $65.00
❑ # of service or feeders •
(First seciice/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 ❑ Swimming pool/hot tub $111.00
Square Feet to be served by system(s) . (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $74.00 '
❑ Security Alarni System ❑ Additional Plan Review $111.00/hour
,i' Voice Cabling (for modified submittals)
Data Cabling ❑ Automation Fee on all Permits .. $5.00
• 2500 ft2-$65.00;
Each add'n 2500 1t2+17.00) •Per WAC29646-9)0(5f(bffi a ii)
Bulletin#100-January 1,2007 . • Page 3 of 4 k\Handouts\Permit Application