06-102192 City of Federal Way Electrical Permit #: 06-102192-00-EL
Community Development Services
P.O.Box 9718 {f
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: JACK IN THE BOX
Project Address: 1610 S 347TH PL Parcel Number: 212104 9012
Project Description: ALT-Replace existing intercom system with a new system.
Owner Applicant Contractor
JACK IN THE BOX AARON VANFLEET TRITON COMMUNICATIONS LLC
1610 S 347TH'PL TRITON COMMUNICATIONS LLC TRITOCL965K4 05/24/2006
PO BOX 1091 PO BOX 1091
FEDERAL WAY WA 98003 HILLSBORO OR 97123 HILLSBORO OR 97123
Additional Permit Information
Electrical Fixtures
Low Voltage-Other Commercial.. 1,200
PERMIT EXPIRES Sunday, October 29, 2006
Permit Issued on Tuesday, May 2, 2006
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 .
and the City of Federal Way. �r
Owner or agent: Date: .�/ C/,C,g
■
11166 THIS CARD IS TO REMAIN ON-SITE `
CITY OF �
Community Development Inspection Record
` Community
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-102192-00-EL
Owner: JACK IN THE BOX
Address: 1610 S 347TH PL
FEDERAL WAY, WA 98003-8950
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 B C Date 5.-7---0 Fj
❑ Under-slab groundwork(4295)
Approved
By Date
RECEIVED
•
Federal Way MAY 0 2 2006 PERMIT n
CONNUNIY DEVELOPMENT SERVICES SF MF CO ME a PL DE EN FP
39325 EPAVENUE SOU1H•PO BOX 9718
FEDERAL WAY,WA 98083-Vgy OF FEDER rpLI CATI O N m ��
253�3528w•FAX253�95 of NQ D
The •: . ,..., is - -. • • •• -an -. .late • ;.■,lication wiU not be • •. •tied. Please - t '•L. (i ink)or .,.
IN PROPERTY INFORMATION
SITE ADDRESS 1 O t C.) ON_C_O__ SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# — — — LOT SIZE(
LEGAL DESCRIPTION(e.g.Acme Estates.Lot 1)
mach sOlaraIr WW.rer hgrhy Lrw7 dex+lpmry
PROJECT INFORMATION
TYPE OF PERMIT o BUILDING ❑ PLUMBING CI MECHANICAL.
❑DEMOLITION..O FFd.ECTRICAL ❑ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work bid bided on this permit only)
£c'T' Q -A-An c C C' Yl Cv( L' i C C *i C\71r-)..S
PROJECT MINE(Name of Business or Owner Last Name) ��C��_ ` ��
(! PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER rC `-C.� � �?C (a55) S CO3
MATING ADDRESS CRY STATE,ZIP
J o 3 ACA [0-`02_ � x;. ( A C.1-
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
10. Csy'y\xn.ca..e;I rack,c3v15 1\-cucerd \Ja.r-cc-62 ( o.) 62(5 -500
MAILING ADDRESS CITY,STATE.ZIP CELL PHONE
QC 1C.YA 1-16 I l 90 - c) i 3c °11.4 a3 V ) -
CRY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
2G-C..) ( -` t .CQ k -B L a/ i /0 Co ( k2 -51,7
CONIRAC10R5 REGISTRATION NUMBER leePF of card required with each appH tIo*) EXPIRATION DATE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
LSZ CL/j ) -
MAIING ADDRESS CITY,STATE.Z P CELL PHONE
( ) -
REIATIONSHIP ID PROJECT' FAX NUMBER
❑Architect o Tenant o Agent ,e-Other(Descr le) J 1. i2 C a I ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
Q (aS��S1S- 3039
LENDER Per RCW I8.97.005: Lender hijbr nation is NAME
required if Pmt mane exceeds$5.000 CI f Cks.
MATING ADDRESS Cr1Y.Sr TE.ZIP PHONE
( )
DETAILED BUILDING INFORALATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRIItffi.ERED BUILDING? o YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES O NO
WATER SERVICE PROVIDER ❑LAKE:HAVEN ❑RIGHIINE ❑ TACOMA ❑PRIVATE(WELL)
SERER SERVICE PROVIDER [7 LAKEHAVEN o HIGMU'NE o PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
BASEMENT 59.FT. S$.FT. SQ.FT.
FIRST
SECOND
THIRD
FOURTH
ADDmONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
11321117106 NUMBER OF FLOORS S 11321117106 rumness TOTAL rorN.=SUM v :. TOTAL PROPOSED re rata SF
"NEW HOURS ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type off xtu a to be installed or relocated as part of this project Do not include existing fixtures to remain.
MECHAIIRCAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODSIcossim s0 WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Nb/Shover combo) SHOWERS WATER CLOSETS riser MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
TAUS M,throa,o gob) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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,andflled 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 LAC"sigOarAr4 Vm U d DATE S/(/C�ZQ
RELATIONSHIP TO PROJECT p Owner ❑Agent Contractor Cl Architect ❑ Other
FOR OFFICE USE ONLY
o NEW D ADDITION o ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100-January 1,2006 Page 2 of 4 k'Handouts\Permit Application .
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 fta-$107.50;Each add'n 500 ft2-$34.50) ❑ 0 to 100 amp $117.00 $71.50
❑ Detached outbuilding or garage ❑ 101-200 amp 145.00 91.50
(Inspected with service) $45.50 ❑ 201-400 amp 272.00 107.50
❑ Detached outbuilding or garage ❑ 401-600 amp 317.00 127.00
(Inspected separately) $71.50 ❑ 601-800 amp 410.00 173.50
❑ 801 - 1000 amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $3450 ❑ Over 600 volts surcharge $91.50
❑ 201 -400 amp 145.00 71.50 ❑ Mast or meter repair $99.00
❑ 401 -600 amp 198.50 99.00
❑ 601 -800 amp 254.00 136.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 364.00 272.00
Service or Feeders
❑ 0 to 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 272.00
Service or Feeder ❑ 601 - 1000 amp 410.00
❑ 0 to 200 amp $89.50 CI
1000 amp 456.50
❑ 201 -600 amp 145.00
CI #of circuits to be added/altered
❑ over 600 amp 218.50
[1-5 circuits-$91.50;Add'n circuits.$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50;Add'n circuits$7A0/ea) $91.50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $71.50
❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi Famify $63.00
❑ #of service or feeders
(First service/feeder$71.50;each add'n-$46.50) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $71.50
❑ 1 Ol-200 amps 91.50
❑ 201-400 amps 107.50
❑ 401-600 amps 145.00
❑ over 600 amps 157.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
rst-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n sign$25.00/ea)
Low Voltage ❑ Swimming pool/bot tub $107.50
Square Feet to be served by system(s)`C. ') (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $71.50
❑ Security Alarm System
❑ Voice Cabling ❑ Additional Plan Review $107.50/hour
❑ Data Cabling (for modified submittals)
..Ef`':Y1.�.Q.�(` Y'Y'` ❑ Automation Fee on all Permits .. $5.00
(Per Systems)1A 2500 ft2-$63.00;
Each add'n 2500 ft2-16.50)•Per WAC 29646-910151 @1(t a pi
Bulletin#100-January 1,2006 Page 3 of 4 k\Handouts\Permit Application