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08-104723
r - City of Federal Way • • Electrical Q Community DevelopmentO.Box9718 Services Permit #: 08-104723-00-E L P Federal Way,WA 98063-9718 '.., 253ues ec Ins tion Request Line: Ph:(253)835-2607 Fax (253)835-2609 p q ( )835-3050 Project Name: CHURCH'S CHICKEN Project Address: 31717 PACIFIC HWY S Parcel Number: 082104 9229 Project Description: Connect roof top signs to existing circuits. Owner Applicant Contractor ELLA YENNS LLC MERIDIAN CENTER ELECTRIC INC MERIDIAN CENTER ELECTRIC INC 10900 NE 4TH ST#850 11109 66TH AVE E MERIDCE318SG (2/28/09) BELLEVUE WA PUYALLUP WA 98373 11109 66TH AVE E 98004-5808 PUYALLUP WA 98373 • Service greater than 1000 Amps? No c�� 'fit i �:v> j � � �::�, ��q x' �g J'�% "nf r, Circuits-Commercial 3 PERMIT EXPIRES Wednesday, October 7, 2009 Permit Issued on Tuesday,October 7, 2008 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 taws, rules and regulations of the State of Washington lr \ and the City of Federal Way. Owner or agent: ` 1 � 1 �, Date: (i 9) c...IL 614 THIS CARD IS TO WAIN ON-SITE CITY OF 44Pr . fommunity Develo m t Inspection Record p p Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 08-104723-00-EL Owner: 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. O UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date 0 Pool Bonding(4195) ❑ Temporary Power(4275) 0 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 By Date By Date , ❑ Final-Electrical(4055) Approved By (4) Dates-/ •, • • For inspector reference only 0 Rough Electrical 0 FINAL Electrical Approved Approved By Date By Date � Et=. 8 PERMIT 14 z1 _UNI7YDEYELOFKExrsERV �'� 2Qf'3 SF MF CO M•�PL DE EN FP 33925 DERALWA SOUTH.ro�X c I C ATI O FEDERAL WAY,WA 98063-9718 N TD / 253.835-2607.FAX 253-835-2609 e� 1\ / • 1�wuI.ciUalredemlurau, n, ori: The foilowln Is required i>{ ioi ion-an incomplete application will not be accepted. Please print legibly(in ink)or type. III PROPERTY INFORMATION - SITE ADDRESS 3n n P0...c...E S • SUITE/UNIT# ASSESSOR'S TAX/PARCEL# 0 v e ( C`2 , - 2- (4)7 LOT SIZE( LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 0`I 4 ){al. S alk .Q V (Math separate page�lwOw legaldesepuoe) • PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 74.ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only{) x:01( nt V00% -\-nvS CX-4. ---1 R-9 PROJECT NAME(Name of Business or Owner Last Name) C%1 V V r L IY C)'[\ V 4•-el \ • PEOPLE INFORMATION • PROPERTY NAME � .`�� PRIMARY PHONE _ • OWNER MAILi AD S CITY,STATE,ZIP , ri TD" E-MAIL ADDRESS CONTRACTOR - E. OFFICE PH E it�aY •1111/4.( `�ti�4�"‘L A C 1 ME '1 ©k p ri ( )t_1 V' V " VD MAILING ADDRESS p�1,L`�,�L E STAT P \`'�`�'e06:375.•M-1 CELL PHONE CITY 011\ FEDERAL WAY BUSINESS LICENSE EXPII7ATION DATE FAX NUMBER ( ) - CONTRACTOR'S REGISTRATION NUMBER. EXPIRATION DATEE-MAIL ADDRESS )4612111e C 31 B (SC7 d/a$/0') memcp,ictkeari, ..,-, APPLICANT COMP ME 4 APPLICANT NAMEOFFICE PHONE _ MAILING ADDRESS CITY,STATE,ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑Tenant 0 Agent 0 Other ( ) _ PROJECTNAM 4 C^^r '� PRIMARY PHONE E-MAIL ADDRESS CONTACT ►. `i lI l&l \ ( ) a _ 5coct LENDER NAME Per RCW 19.27.095: Lender information is required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP • PHONE • (. . ) _ ■ DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE 4110 EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ SPRINItLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO WATER SERVICE PROVIDER ❑LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) iiii riwkIc:,i TLC,uc,aa:.:.A, AREA DESCRIPTION EXISTING PROPOSED TOTAL BASEMENT SQ.FT. SQ.FT. SQ. FT. FIRST III SECOND THIRD ADDITIONAL FLOORS(DESCRIBE) DECK(0 COVERED OR 0 UNCOVERED?) GARAGE 0 CARPORT 0 NUMBER OF FLOORS MUM PROPOSED TOW, TOTAL WSTINO sr TOTAL mores=sr ram ST **NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ ■ FIXTURES Indicatenumber of each type offuchtre 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 icommetdq COMPRESSORS FURNACES RANGES • DUCTS. OAS LOG SETS REFRIG.SYSTEMS PLUMBING • BATHTUBS for Tub/Shower Combo) LAVS(Dammam sett* URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roues ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS • SIGNATURE 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 comet.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 arises out of the reliance , including its officers and employees, upon the accuracy of the information supplied to the city as apart h application. -I 4111b (0SIGNATURE: _ I AL.�`.. "/ Properly Owner and/or Authorized Agent DATE e l • 1;o,•7•�'' '1'-SJR lfit:r i '' a NEW a ADDITION . a ALTERATION a REPAIR a•TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO II/ 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 Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application • • ELECTRICAL PERMIT INFORMATION : IIIRESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE 0 Single Family Square Feet Service or Feeder Each Add'n (First 1300 ft2-$115.50;Each add'n 500 ft'-$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 F 0 201-400 amp 291.00 115.00 ❑ Detached outbuilding or garage 0 401-600 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 0 Over 600 volts surcharge $98.00 ❑ 201 -400 amp 155.50 76.50 Cl Mast or meter repair $106.00 0 401 -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 Cl 201 -600 amp 291.00 O .i ... • •p A39-O0 Service or Feeder 0 0 to 200 amp $96.00 _.---11over 1000 amp 489.00 0 201 -600 amp 155.50 #of circuits to be added/altered ❑ over 600 amp 234.00 1-5 circuits-$98.00;Add'n circuits .-' ea) ❑ #of circuits to be added/altered • 'o'1' 't +STRIAE PLAN REVIEW • (1-4 circuits-$76.50;Add'n circuits$7.50/ea) $98.00 plus 35%of Permit Fee ❑ Service- 1,000 amps or greater ❑ Mast or meter repair $57.50 ❑ Medical/Educational/Institutional Facility MANUFACTURED HOMES ❑ Service or feeder only $76.50 ❑ Service and feeder $125.50 TEMPORARY SERVICE MOBILE HOME/RV PARK ResidentiayMutti-Family $67.50 ❑ #of service or feeders (First service/feeder-$76.50;each add'n-$50.00) Commerciai/lndusMal Service or Feeder A»tpacity Cl 0-100 amps $76.50 ❑ 101-200 amps 98.00 ❑ 201-400 amps 115.00 O 401-600 amps 155.50 ❑ over 600 amps 168.00 MISCELLANEOUS SERVICE/EQUIPMENT Cl #of Thermostats Cl #of Signs (First-$57.50;add'n-$17.50/ea) (First sign-$57.50;add'n sign$27.00/ea) • 0 Low Voltage ❑ Swimming pool/hot tub $115.00 Square Feet to be served by system(s) (Includes additional circuit,if required) ❑ Fire Alarm System Cl Yard Pole meter loops $76.50 ❑ Security Alarm System 0 Additional Plan Review • ❑ Voice Cabling $115.00/hour ❑ Data Cabling (for modified submittals) 0 0 Automation Fee on all Permits $5.50 1K 2500 ft2-$67.50; Each add'n 2500 ft2-$17.50)*Per WAC296-}6.910(S)(b)(i&ii) A Bulletin#100-January 1,2008 Page 3 of 4 k\Handouts\Pennit Application