08-104605 E
City of Federal Way4110 • lectrical.* Q
Community Development Services Permit #: 08-104605-00-E L
P.O.Box 9718 :7t12211 *ME
Federal Way,WA 98063-9718 Request Inspection Re t Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
p q
Project Name: CHURCH'S CHICKEN
Project Address: 31717 PACIFIC HWY S Parcel Number: 082104 9229
Project Description: Connect drive up sign to existing circuit.
Owner Applicant Contractor
S&S HOSPITALITY LLC MERIDIAN CENTER ELECTRIC INC MERIDIAN CENTER ELECTRIC INC
10241 BRIDGEPORT WAY 11109 66TH AVE E MERIDCE318SG (2/28/09)
LAKEWOOD WA 98499 PUYALLUP WA 98373 11109 66TH AVE E
PUYALLUP WA 98373
itr has $ h 9 01
.''" . A41 , ,:, .„ .: ., e.,u`!,,, , 7/'o,. @ .fi r; a,«.„ ., � -4 ,..
Service greater than 1000 Amps No
a
Circuits-Commercial 1
PERMIT EXPIRES Tuesday, September 29, 2009
Permit Issued on Monday,September 29,2008
I hereby certify that the above information i5 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.
Owner or agent: 1 Date: 1/9-6)6
THIS CARD IS TO *MAIN ON-SITE -
CITY OF 4Pommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-104605-00-EL
Owner: S&S HOSPITALITY LLC
Address: 31717 PACIFIC HWY S .
FEDERAL WAY, WA 98003-5431
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.
0 UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) ❑ Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved
By Date/ ) / 66
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
itkir 00
* RECEIED
eraiway
coalman,DEVELOPMENT 8SR
►SEP 2 g 2008 PERMIT SF MF CO ME CPL DE EN FP
33325 8H AVENUE SOUTH•PO BOX 9718
459435-2607•P,WA 98°63-z18 F FEDER4 I CATI O N
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II The following is required giRtZtion-an incomplete application will not be accepted. Please print legibly(in ink)or type.
` � • PROPERTY INFORMATION
SITE ADDRESS 3 Tj 11 VI �C�'f C. t 3 SUITE/UNIT 9
ASSESSOR'S TAX/PARCEL 9 .,_- __ LOT SIZE(sJ
•
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) ek\Of CAICr)k(..-/V-ein
(Attach*VacateP lac knatlwlord d Pewnl
IN PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECTDESCRIPTION(Provide detailed description of work included on this permit on(y) `
(Vr) VC.) Ci(.154 liagi
PROJECT NAME(Name of Business or Owner Last Name) 'C)n. t
• PEOPLE INFORMATION
PROPERTY NAME , PRIMARY PHONE _
OWNER (`, op �
MAILING ADDRESS �1 CITY ATE,ZIP craz EMAIL ADDRESS
0 3 n ci �a c ilw LiS k upaAi
CONTRACTOR COMPANY
NAM �/� �,� Nit
A( `CANT�N4ME OFFICE PH 1E�
MAILINGNGADDRVA cat
�� '/�( �!� lLIY.+ ' ) V �
141j �u t- _ Pcve ��TE,ZIP /.��U_ _3 (CELL PHONE {
CITY 0F FEDERAL WAY I.USINESS LICENSE NUMBER C/U7RATI DAT 2J i) FAX NUMB/ER`+
00 _ (Or . toe IL-a- 1 / (253 &4 I - O69'
CONTRACTOR'S REGISTRATION NUMBER EXPIRA ION DATE E-MAIL ADDRESS
4-612-r.t0ce '5l 8 E6.7 arab- C
APPLICANT COMPANY Ne� APPLICANT NAME
LL OFFICE PHONE
MAILING ADbRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 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$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE 1
• ( )
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
•
• EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ❑ NO
WATER SERVICE:PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
_ il\VJL\ri i'LV VS\[i1WAS
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 =WOW PROPOSED TOT'S' TOTAL EXIsTEvo Sr TOTAL PROPOSED er TOTAL St
"*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(Commermas
COMPRESSORS FURNACES RANGES
DUCTS. GAS LOG SETS REFRIG.SYSTEMS
PLUMBING •
BATHTUBS(or Tub/Shower Combo) IAVS(Bathroom sink.) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(romp
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE •
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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.
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, but only
where such claim arts ou of the reliance ty,including its officers and employees, upon the
the city as a part oft ••,'lication. p y ' on P accuracy of e inform•+ •n supplied to
1
SIGNATURE: DATE
Pro.- , o• er and/or Authorized Agent
1 ( 7j..i�.J•a1'i4t t s
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a,YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO 4i,I
Bulletin#100—January 1,2008 Page 2 of 4 k\HandoutsWPermit Application
•
0
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-$115.50;Each add'n 500 ft2-$37.00) 0 0 to 100 amp $125.50 $76.50
❑ Detached outbuilding or garage 0 101-200 amp 155.50 98.00
(Inspected with service) $48.50 , 0 201-400 amp 291.00 115.00
O Detached outbuilding or garage ❑ 401-600 amp 339.50 136.00
(Inspected separately) $76.50 0 601-800 amp 439.00 186.00
0 801 - 1000 amp 536.50 224.50
NEW MULTI-FAMILY(three units or more) 0 Over 1000 amp 584.50 311.50
Service Feeder
❑ Up to 200 amp $125.50 $37.00 ❑ Over 600 volts surcharge $98.00
❑ 201-400 amp 155.50 76.50 0 Mast or meter repair $106.00
O 401 -600 amp 212.50 106.00
❑ 601-800 amp 272.00 145.50 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 389.50 291.00 Service or Feeders
❑ 0 to 200 amp $125.50
ALTERED SINGLE/MULTI FAMILY 0 201 -600 amp 291.00
❑ 601 - 1000 amp 439.00
Service or Feeder
0 0 to 200 amp $96.00 ❑ over 1000 amp 489.00
❑ 201 -600 amp 155.50 y 1 #of circuits to be added/altered
❑ over 600 amp 234.00 (1-5 circuits-$98.00;Add'n circuits,$7.50/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$76.50;Add'n circuits$7.50/ea) $98.00 plus 35%of Permit Fee
SO Service- 1,000 amps or greater
❑ Mast or meter repair $57.50 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $76.50
O Service and feeder $125.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK ResidenttalJMulti-Family $67.50
❑ #of service or feeders
(First service/feeder-$76.50;each add'n-$50.00) Commerciai/1'ndustriai Service or Feeder Arnpacity
❑ 0-100 amps $76.50
❑ 101-200 amps 98.00
❑ 201-400 amps 115.00
❑ 401-600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE/EQUIPMENT
O 5 of Thermostats ❑ #of Signs
(First-$57.50;add'n-$17.50/ea) (First sign-$57.50;add'n sign$27.00/ea) '
❑ Low Voltage ❑ Swimming pool/hot tub $115.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
0 Fire Alarm System 0 Yard Pole meter loops $76.50
0 Security Alarm System 0 Additional Plan Review $115.00/hour
• ❑ voice Cabling (for modified submittals)
Cl Data Cabling
El (for
Automation Fee on all Permits $5.50
lit 2500 ft2-$67.50;
Each add'n 2500 ft2-$17.50) 'Per WAC 296.46.910(5K(bh'i es ii)
A
Bulletin#100-January 1,2008 Page 3 of 4 k\Handouts\Permit Application