08-102285 CityofPa era'Way Electrical Permit # 18-102285-00- f .6Comn>GniCy 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: JACK IN THE BOX#8420
Project Address: 31130 PACIFIC HWY S Parcel Number: . : 60 0186
Project Description: Adding(1) circuit for smoothie machine
Owner Applicant
JACK IN THE BOX AMERITECH ELECTRIC CO ' TECH TR
9330 BALBOA AVE 8604 NE 90TH PL Y2IEC' (2/16/0',
ATT:RESTAURANT ACCOUNTING VANCOUVER WA 98662 r 90TH •
SAN DIEGO,CA 92123 VA VER , :662
Additional Permit information
Service greater than 1000 Amps? No %4‘
Electrical Fxtures
Circuits- Commercial 1
PERMIT EXPI- S Wedn • mber 5, 08
Permit ed on,F , May 9, 2008
'i
I hereby certify that the above infor+ ation is cor . t4 nd.that r r construction on the above described property and
the occupancy and the use will • : laws, rules and regulations of the State of Washington
Federal Way.
Owner or agent: ' - __ Date: c9i- -c _�_
THIS CARD IS T MAIN ON-SITE
CITY OF •Community Developfifent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-102285-00-EL
Owner: JACK IN THE BOX
Address: 31130 PACIFIC HWY S
FEDERAL WAY, WA 98003-4905
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.
•
❑ UFER Ground(4295) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) EI Temporary Power(4275) CI Service (4235)
Approved Approved Approved
By Date By Date By Date
.El Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
'0 Final-Electrical(4055)
Approved ,1
By Date�,,ir, •/7 •'
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
I
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COMMUNITYDBVELOPMBNT SERVICES wa
MAY 0 PERMIT SF MF CO ME I, PL DE EN FP
33325 Fit AVENUE SOUTH•PO BOX 9718
5 6 ,W2534 r OF FE 104 'CATION
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The following is required information—an incomplete application will not be accepted. Please print legibly(in ink)or type.
`■ PROPERTY INFORMATION
SITE ADDRESS_ 113 0 PQM°c4 /
i C -ewtp S �J/A)a
�.J ( � SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(sfl
LEGAL DESCRIPTION(e.g.Atane Estates,Lot 1)
(Attach separate pacalbr lengthy legal descOpBoa)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
O DEMOLITION `4[ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work /included on this permit only)
SYYit'•)C>4'1A t 2 Lwq_C° (n ) tAQ eG 4' GC f
PROJECT NAME(Name of Business or Owner Last Name) 7C i.- i l.1 'f k t?fC �/,; �
• PEOPLE INFORMATION
PROPERTY NAMEPHONE
/, p
OWNER � C �C C tJc gid: C�r42_c P(7-513 )a33 -S oZ
MAILING ADDRESS CITY,STATE ZIP .901 �) E-MAIL ADDRESS
1 q 330 l Bow �
. �Ao dy/
CONTRACTOR CRMPANY NAME APP CANT NAME OFFICE PHONE
\1144 def.& ' rrt e C o . � c,t.1 (S60 ) g''e)4 -700a2
LING ADDRESS 1ITY,STATE,ZIP CELL PHONE
6 0c, ti F 98 PL evcco , �� �d'66d, ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( )
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
44EklEe_g s( cub c;z-ff
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
O Architect O Tenant 0 Agent O Other
PROJECT PRIMARY PHONE
E-MAIL ADDRESS
CONTACT �9
- �cQ
LENDER NAME - Per RCW 19.27.095:
Lender information is required tfproject value exceeds$5,000
MARINO ADDRESS • CITY,STATE,ZIP PHONE
( )
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? t]YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES O NO
WATER SERVICE PROVIDER O LAKEHAVEN O HIGHLINE o TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER O LAKEHAVEN O HIGHLINE O PRIVATE(SEPTIC) '
PROJECT FLOOR AREAS
•
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 LMMO T1OPOS= TOTAL TOTAL 1NO sr TOTAL rsoroeso MT TOTAL SF -
"!NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicatenumber of each type of fracture 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(cminkoreto
COMPRESSORS FURNACES RANGES
DUCTS. GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS*ornb/sb..wer combo) LAYS(sathr.em 84,ka, URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS[rodeo)
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 arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to
the city as apart of this appiicatio p
SIGNATURE:
/;-)
��/ - _ DATE '�GJ
• Owner end/or Authorized Agent
o 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
t
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o 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\Pennit Application
ELACTRICAL PERMIT INFORMATI ,A
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$115.50;Each add'n 500 ft2-$37.00) ' ❑ 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
❑ Detached outbuilding or garage 0 401-600 amp 339.50 136.00
(Inspected separately) $76.50 0 601-800 amp 439.00• 186.00
O 801 - 1000 amp 536.50 224.50
NEW MULTI-FAMILY(three units or more) ❑ 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 0 Mast or meter repair $106.00
❑ 401 -600 amp 212.50 106.00 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 272.00 145.50
❑ Over 800 amp 389.50 291.00 Service or Feeders
❑ 0 to 200 amp $125.50
ALTERED SD/OLE/MULTI FAMILY 0 201 -600 amp 291.00
O 601 - 1000 amp 439.00
Service or Feeder
❑ 0 to 200 amp $96.00 a over 1000 amp 489.00
❑ 201 -600 amp 155.50 .1 #of circuits to be added/altered
❑ over600 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;Addn 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 Residential/Multi-Family $67.50
❑ #of service or feeders
(First service/feeder-$76.50;each add'n-$50.00) Commercial/Industrial Service or Feeder Ampacity
O 0-100 amps $76.50
O 101-200 amps 98.00
❑ 201-400 amps 115.00
❑ 401-600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #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)
❑ Fire Alarm System ❑ Yard Pole meter loops $76.50
❑ Security Alarm System ❑ Additional Plan Review $115.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling0 ❑ Automation Fee on all Permits $5.50
Pt 2500 ft2-$67.50;
Each add'n 2500 ft2-$17.50) •Per WAC 296-46.91o(5)(b#r a a/
A
Bulletin#100-January 1,2008 Page 3 of 4 k\Handouts\Permit Application