10-101264 • Electrical
City of Federal Way
Community Development Services Permit #: 10-101264-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
ph:(Z)ezi5 2607 Fax:(25 93738-2609
Project Name: JIMMY JOHN'S GOURMET SANDWICHES
Project Address: 31889 GATEWAY CENTER BLVD S Parcel Number: 092104 9137
Project Description: Adding/altering(10)circuits for tenant improvement
Owner Applicant Contractor
ANS LLC B B ELECTRIC INC B B ELECTRIC INC
PO BOX 1941 2721 S ASH ST BBELEBE950P1(10/21/11)
AUBURN WA 98071-1941 TACOMA WA 98409 2721 S ASH ST
TACOMA WA 98409
H, r ��� ' Additional Permit Information 1'!'! , u
Is Use Educational or Institutional`, No Service greater than 1000 Amps9 No
.[
'; a ", ., ,, w. c .i ,,,L---=`, »�--�'
3
Electrical Fixtures '. .1 S m x v`rSli«!' r . 3^e s 3 X t ,,,-7-„,-E
Circuits-Commercial 10
PERMIT EXPIRES Tuesday, March 29, 2011
Permit Issued on Monday, March 29, 2010
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 accor.ance with the laws, rules and regulations of the State of Washington
and the City of Federal Way. 11
Owner or agent: ' / ,LrL Date: °�O 4/J
Of
/A/ 511 g./1 1 1
MAIN ON-SITE
CIrr°F Construction.I ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 10-101264-00-EL Address: 31889 GATEWAY CENTER BLVD S
Owner: ANS LLC FEDERAL WAY, WA 98003
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.
O UFER Ground (4295) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By5((> Date ? _ /o By Date
El Pool Bonding(4195) ❑ Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) ' ❑ Rough Electrical(4225) Ceiling Cover(4020)
Approved Approved Approved
By Date Bye Date _ 12 I"� By Date
o Final-Electrical(4055)
Approved
By3CS Date s_l/)J_ 4)
1I
II
1
II
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
/ n / ol z &
.-�� RECEIVED — — `
Federal Way 'PERMIT SF�AIF CO M} EL L DE EN FP
C
253-835-2607*nAYDEVELOPME 6SEJi( 9 29 Zo»APPLICATION : .. !::
www.citvoffederahvau.com -I I
4 ■ i
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SITE ADDRESS
,:n»..»:.,.3%z)g%%;%,....,.,.}t;n.}f:•: .;a; }'si[si#2s$! ::};:
SITE ADDRESS � � " ' "'
31i g 6-: w .� Le--(1 ' Qtvo/
SUITE/UNIT• ZONING ASSESSOR'S TAXjPARC3Lii /7
.i i t / it .} %:n..:�.�'. .: JR_
enant or Homeowner Name) 1 (� lY-+ (�l/ y '%:
NAME OF PROJECT t7 d t AO G _� `=
0 BUILDING 0 PLUMBING 0 MECHANICAL.
TYPE OF PERMIT
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
PROJECT DESCRIPTION ' till(t i JiiT U G F
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT ❑ PROJECT CONTACT
NAME PRIMARY PHONE
R - rj C...4-ir• (... (. , ;)6 '),3- io 73
CONTRACTOR RAILING ADDRESS,CITY,SKATE,VP FAX
..) ')el-i 3. AS ( ) -
WA STATE CONTRACTOR'S LICENSE I I EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
i
� Li CA: a6/), Pi / /
SAME PRIMARY PHONE
APPLICANT ( ) -
MAHJNG ADDRESS,CITY,STATE,ZIP FAX
( )
PROJECT CONTACT , /PRIMARY
(The individual to receive and ,
6 J e&�-. (, ' • ) , ' .. - i7-Z
respond to all correspondence MAILING ADDRESS,CITE,STATE,ZIP FAX
concerning this application) .1
i7 f, jt-r. . 'P -e ^. / J ( ) -
ALTERNATE NAME:
PRIMARY PHONE E-MAIL
(
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required for projects with
value of,$5,000 or more MAILING ADDRESS,CITY,STA PRIMARY PHONE
(RCW 19.27.095)
I -
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
Ifurther agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part o this application.
SIGNATURE: �t ,� DA.� b
PRINT NAME: • J-Ev`Pi ii.-1\t/e4- `d 2
Bulletin#100—January 1,2010 Page 1 of 4 k:\Handouts\Perrnit Application
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Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
-
Indicate number of each type of fixture to be installed or relocated as part of this project Do not include existing fixtures to remain.
— —
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
— —
AIR CONDITIONER FIREPLACE INSERTS HOODS
BOILERS _ FURNACES ____ HOT WATER TANKS Knie.)
COMPRESSORS GAS LOG SETS REFRIGERATIDN SYST
_
_ —
_ —
DUCTING GAS PIPING WOODSTO S
..............._................___................................ ........_.........._.••••...••.••... -- ----------------r-------_-_-_-,-,-:ffe.-------•—__-_-_-.....„.-.---.....-..-.-.-.-_-_-..-::-.-:.-.-.-.-...-..-.-..............:........:,....,..::::_.:,:„....„...........PLUMBING FT .
Indicate number of-, h type of fiidure to be installed or relocated as part of this p 'ject. Do not include existing fixtures to remain.
BATHTUBS tor Tub/-b.•••.Combo) LAVS[Hand Sinks) TOI TS WATER PIPING
— —
DISHWASHERS RAINWATER SYSTEMS ALS OTHER(Describe)
____
— —
DRAINS SHOWERS ACUUM BREAKERS
— — —
DRINKING FOUNTAINS SINKS(Isielitisty) ,WATER HEATERS(ski-sso
— —.
HOSE BIBBS SUMPS .'• WASHING MACHINES •:•:::::i:i:•:::ii:?:iit;:;:::!..!9.774kfFXTNAlf.!i•:; :.-::
— — . .................................................
.......................„..„„....„.................................
GENERAL:•'• '' -••-- • • •-.• .:• :-:- :.: .. •'.' '••-•••:-':•••<•'"-••:•,•::'•:•-••:-:-,.,-:•:•:•:•:•,•:,•,-,-,•:':,,,,.:•:-:.:-:.:-,-,:.,.:,-.:.,-,-:••-•:,:.,. .,,,,..-•,.:.:',:-,-:-•-•:',:.:-:.:.:•:,:•,-
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PROJECT VALUATION WATER P 1 -, •,- 'OR SEWER P OR
VALUE OF EXISTING IMPROVEMENTS
$ /
EXISTING/PREVIOUS USE LOT SIZE as ••. ,est) E •:TING FIRE SPRMICLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
o Yes o No 0 Yes o No
...........................,..........,...........,........................„.......„.............................„...
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AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
-...-.::,...,....ee,.:,.:::: ::::::::e..,:::...:::::::::::...::.:::::: :,: :.:::]:i,,:,:.:,
GARAGE 0 CARPORT El
IDOSTONO PROPOSMD TO
Area Totals
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ESTIMATED SELLING PRICE$ #OF BEDROOMS
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AREA DESCRIPTION Area....................................................................................... ..........................................................................................................
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Constructi,n #of
Occupancy Group(s) Additional Information
i Square Feet Type Stories
ADDITION
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AREA DESCRIPTION Area Construction Additional Information•
....,. of
Occupancy Group(s)in Square Feet TFP° Sto es
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TENANT ARE ONLY
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Bulletin 4100-January 1,2010 Page 2 of 4 k:\Handouts\Permit Application
• ELECTRICAL
•
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
..� 0 lnliamp �1"Service/Feeder Additional Feeders
(including attached garage):
x$ 80♦so
FEES: First 1300 ft2-$122.00; 101- 200:amp .. ,.x$164.00 _...x$103.50
Each additional 500 ft2-$39.00
2U1 40l):anap $3f374H3 _x$121«OR
NEW MULTIFAMILY (3 units or more) 401: 60Q:amp _X:$358:00 x:$143.50
1 'Service/Feeder Additional Feeders 6131 800:=amp X:$463 00 ._: x$136::00
801 .1000 amp Jr$565:00 x:$236.50
201 -400 amp x4164.00 x $1:80.50
X$328.56
901 600 atop
.... x.$224.00 _x $114.50
601:::,4,800 amp x:$287:00 ,___x $153.30 over:600i 1ts:suretiarge x.$103.50
OaeE80$amp x InvO x $30 •000
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
7"
Service/Feeder Additional Feeders 1"Service/Feeder Additional Feeders
0 2i 0 amp <, x:$101 00 x $ 3 OO cz.,0 200 amp :X;$132.541 _x:$](33:50
201-- 0:amp x:
_ :$1600 _x $::8
4. _.___. 0.54! 201 600 amp _x$397;00 -x$12.1:.00
60
47vcac 6[?[3 amp Jc; 46 SO # x $111.uQ
601.44000-amp:- . ,.,x$195 O0
Orer::1000:airip „_X:$515:50 _x:$328.50
Added or Altered Circuits... ��
1-4 circuits$80.50; each additional$8.00 Added or Altered Circuits
1-5 circuits$103.50;each additional$8.00
Mast or meter repair $60.50
Mast or meter repair $111.50
MANUFACTURED HOMES PLAN REVIEW FEES
service or feeder:only _x $ 80.50 0
$103.50 plus 35%of Permit Fee; Plan Review required for:
B Ice and feed _,_X .$132,:50
❑ New, or alteration to,service of 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
Plan review for modified submittals $105.50/hour
MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
❑ Fire Alarm System
]"Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling :!4 p �..- 1.00
❑ Other 61 100 amp x $:$0.50 $ 34.00
Area to be served by system:
1'2,500 ft2-$71.00;each additional 2,500 ft2-$18.50 M 200(iM p W:,410
20X::.400:auxp •x'$121.00 ;x $"60.50
# of Thermostats 4QY-60t} p x $164 00 . $ 8A 5Q
First$60.50;each additional$18.50
Over•6011::amp x $184.50 -<x=$:92.00
#of Signs **NOTE: an automation fee of$6.00 will be charged
First$60.50; each additional$28.50 on all permits**
Yard Pole/meter loops/pedestal x$ 80.50
Portable Generator(transfer equipment) x$101.00 For fixtures or fees not listed contact the Permit Center at
Ditch cover/inspection only x$121.00 253-835-2607
Bulletin#100-January 1,2010 Page 3 of 4 k:\Handouts\Petmit Application