07-101433 , L
City of Federal Way - Electrical Permit #: 07-101433-00-EL
Community 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: 2002 SW CAMPUS DR Parcel Number: 132103 9108
Project Description: Installation of cabling& equipment for paging,BGM,telephone,WiFi,FA,CATV&
CCTV systems to include fire alarm system
Owner Applicant Contractor
CLEMENTE ANDRADE CLEAR COMM CO CLEAR COMM CO
2611 35TH AVE SE 1911 SW CAMPUS DR SUITE 195 CLEARCC977PL(10/13/07)
PUYALLUP WA 98374 FEDERAL WAY WA 98023 1911 SW CAMPUS DR SUITE 195
FEDERAL WAY WA 98023
Additional Permit Information
Electrical Fixtures
Low Voltage Fire Alarm-Comme] 8,500
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 r be in accor•-nce the I s, rules and regulations of the State of ashington
�d t Ity o e l Way.
Owner or agent: # ! Date: S
I 1\14 LED
THIS CARD IS TO REMAIN ON-SITE
CITY OF .,"-
Community Development Inspection Record .
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-101433-00-EL
Owner: CLEMENTE ANDRADE
Address: 2002 SW CAMPUS DR
FEDERAL WAY, WA 98023-6603
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 j Approved
B /� Date ��l G G7 By Date By Date j ', J?/ -0z,
❑ Under-slab groundwork(4295)
Approved
By Date
Feder Way ���1�0 PERMIT O - 1 0 i 4S
�Cj 1 SF MF CO M 4t)PL DE EN FP
COMMUNITY DEVELOPMENT SERVIC 't
33325 8eN AVENUE SOUTH•PO BOX 97 1 TD _
FEDERAL WAY,WA 98 063-9 718 ��� vA i L I CATION / 1
253-835-2607•FAX 253.835-2609
glynlr.olga/Jedrmlwnztconi �c O �•
The following is requiredj„{ ra5vfoil4-an incomplete application will not be accepted. Please print legibly(in ink)or type.
`` '' 1`` ,Ie S PROPERTY INFORMATION
SITE ADDRESS 4:2 0612 L3 (w4 PUS .PR, 1 fr-epaeilL.kilt% SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(eft
LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1)
/Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING ❑ PLUMBING ❑ MECHANICAL
0 DEMOLITION 1 ELECTRICAL 0 ENGINEERIN IRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onhi)
/4/tstl-z t-To J QF i'A,SL/.VG f &Q/J/PMENT i "Q PAGA16-- , B6/9, 1E-1317141,14-,
(A)/ F:/ Fif 1 CAT ii— GC TV (5)17- -,11 5_
PROJECT NAME(Name of Business or Owner Last Name) Pliciere y it-4.. /27 I /;)ES/1.49t ,t//
• a PEOPLE INFORMATION
PROPERTY NAME - n.� PRIMARY PHONE
OWNER pve-/77) I ilt-t, RT�i 0(2-E5 J/t?,4-, ( ) -
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
CL6l#9eon CEO. ,TAM t JI 5P/ - (-25w)64/—a&
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
!4g(fit/ti.4ti9 i/.c 4/75 . Ft-Pa/1i /.07123 pc3)62o /se35
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
125.3) lo/ - 3/7 3
COPY of card required
CONTRACTOR'S REGISTRATION NUMBER (//� .7 7 EXPIRATION DATE E-MAIL ADDRESS
with el_ e application L-Lt 1, e I r?/ / PL
APPLICANT COMPANY APPLICANT /M p OFFICE PHONE
,"G _/ ` (11,1� �/b ��0-51D / i� (
MAILING ADDRESS CITY,STATE,ZIP
- CELL PHONE
) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent o 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 o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES o NO
WATER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE 0 TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
- PReJ • • • w
AREA
DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT: SQ.FT. SQ.FT.
BASEMENT
FIRST l
SECOND
THIRD • .
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑UNCOVERED?) —
GARAGE ❑ CARPORT 0
NUMBER OF FLOORS EIOerID PROPOSED I TOTAL TOTAL=STING Sr TOTAL PROPOSED Sr TOTAL Sr
"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 $ IA 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(commerciol)
COMPRESSORS FURNACES RANGES
GAS LOG SETS - REFRIG.SYSTEMS
PLUMBING
BATHTUBS for Tub/Shower Combo) LAVS[Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS . SHOWERS WATER CLOSETS(ropey
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 flied 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 / /'r iC7. DATE 3/MA
/ (Signature) % (Title)
RELATIONSHIP • PROJECT 0 Owner ❑ Agent Contractor ❑ Architect O Other
a NEW ❑ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT.
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? . o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES a NO
•
. Bulletin till 00—January I,2007 Page 2 of 4 101-landouts\Perrnit Application
- 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
❑ 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 ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 -800 amp 262.00 140.50
❑ 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 ❑ f)of circuits to be added/altered
❑ over 600 amp .225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
❑ f4 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 Residential/Multi-Family $65.00
❑ 44 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 .
❑ 4 of Thermostats ❑ f4 of Signs
(First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign $26.00/ea)
pr Low Voltage ❑ Swimming pool/hot tub $111.00
3 care Feet to be served by system(s) :5-6151-57C -�i (Includes additional circuit,if required)
J Fire Alarm System ❑ Yard Pole meter loops $74.00 '
❑ Security Alarni System ❑ Additional Plan Review $111.00/hour
cit Voice Cabling (for modified submittals)
JO Data Cabling ❑ Automation Fee on all Permits .. $5.00
1"2500 ft'-$65.00;
Each add'n 2500 ft2;17.00) 'Per WAC296-46-9)0(50)(4 BJ
•
Bulletin/4100-January I,2007 . Page 3 of4 k\Handouts\Permit Application ''