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08-103681 deral • City of Development Se Electrical Perlr> #: 08-103681-00-EL Community 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: BURGER KING 3 Project Address: 34819 PACIFIC HWY S Parcel Number: 202104 9042 Project Description: Remodel existing building light fixtures to T8(34 FIXTURE),alter 10 circuits. Owner Applicant Contractor ERNEST A REINHARD SOUTHGATE ELECTRIC INC SOUTHGATE ELECTRIC INC 28727 PACIFIC HWY S 23444 30TH AVE S SOUTHEI366P1 8/30/07 FEDERAL WAY WA KENT WA 98032 23444 30TH AVE S 98003-3223 KENT WA 98032 Additional Permit Information Service greater than 1000 Amps? No Electrical Fixtures Circuits-Commercial 10 PERMIT EXPIRES Wednesday, August 5, 2009 Permit Issued on Tuesday,August 5, 2008 hereby certify that the above information is correct and that the construction on the above;�cribed property and the occupancy and the use will be in a« fiance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: C/j` Date: g/+7-�" r -� Aix, tY p THIS CARD IS TO AIN ON-SITEp CITY OF tommuni Develo me t Ins , ection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 08-103681-00-EL Owner: ERNEST A REINHARD Address: 34819 PACIFIC HWY S FEDERAL WAY, WA 98003-8308 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 — 0 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) ❑ Ceiling Cover(4020) Approved Approved Approved By Date By Date By Z Date a-ZZ .45 ❑ Final-Electrical(4055) Approved G By ` Dates `��C� For inspector reference only ❑ Rough Electrical 0 FINAL-Electrical Approved Approved By Date By Date ".e*. © _2 - moo _e. L CITY OF '' FederalWRECEIV PERMIT COMMUNITY DEVELOPMENT SERVICES FCO ME/ PL DE EN FP 33325 8T"AVENUE SOUTH•PO BOX 9718 ` // FEDERAL WAY,WA 98063-9718 A 11 G 0 5 2 a oA PP L I C A T I 0 N TD / / 253-835-2607•FAX 253-835-2609 ennui.cittloffedernhvatt.corn The foilow Te eq i iNAYompiete application will not be accepted. Please print legibly(in ink)or type. 0) PROPERTY INFORMATION ' SITE ADDRESS 3 y I l 1-3,...(4,,, f't i ii S 1P 4`I �47 SUITE/UNIT#_ ASSESSOR'S TAX/PARCEL# C9 a Z ( 0 - / a 47 2— LOT SIZE(sj LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) / 116 Y /CX>1 s f(d 7-- (Atta(Attach ch separate page for lengthy legal description) • PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION fi<ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu) KetiLko o o f EAS t S'i-r-v C BLA1 x.01--)cj . /\1� �.cTB Li&r-f r F/xru2 s. C tie fx.7vrwc) PROJECT NAME(Name of Business or Owner Last Name) B Cd V Eit i`t C( • PEOPLE INFORMATION J PROPERTY NAME r n ,� PRIMARY PHONE OWNER ,,,,am cr./441L- ( ) t MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS CONTRACTOR C MPANY NAME APPLICANT NA OFFICE PHONE 3QuTI4&764-TC- Et z rt i G. C.11-4-15 A-C+0 5 (Ablo) 117 -a?566 40 MAILING ADD SS TY,STATE,ZIP CELL PHONE 3c qL-� 3ori-1 Acre-- 5, V 7 (AM 9''b3o2 (206) '113 -1(�9s CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRA ION DATE FAX NUMBER /7-1c`0000c)L/_00`,3L r4-S i 08 (gotC) r7V - a'.3 'c COPY of card required �r� CONTRACTOR'S REGISTRATION NUMBER EX✓�PIR T{]•eON DATE E-MAIL ADDRESS .rrP with each application 1 / 50L.d—14 rL /�ti{o p i 6/...Jv / cc �hLe_N Com,M. �K. C ��j f J !VL`. WV. APPLICANT COMPANY NAME /� APPLICANT NAME OFFICE PHONE .S -v-v• . 4S � oA17 _I-c ( ) - MAILING ADDRESS - CITY,STATE,ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect 0 Tenant 0 Agent ❑ Other ( ) PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT CSS /C/4eker ( ) LENDER NAME Per RCW 19.27.095: Lender information is required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP PHONE ( ) - • DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) AREA DESCRIPTION � EXISTING�� PROPOSED TOTAL • SQ.•• SQ. FT. SQ.FT. BASEMENT FIRST SECOND THIRD ADDITIONAL FLOORS(DESCRIBE) • DECK•(0 COVERED OR ❑UNCOVERED?) • GARAGE 0 CARPORT 0 NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL ETISTMS SP TOTAL PROPOSED Sr TOTALS? **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ • FIXTURES • Indicate number of each type offixture 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 lcommereian COMPRESSORS FURNACES RANGES ' DUCTS ' GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Tone) ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS SIGNATURE 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,1 eluding the undersigned, and filed against the City of Federal Way,but only where such claim arises out of the reliance of the city,includi is officers and employees, upon the accuracy of the information supplied to the city as a part of this application. �� NAME/TITLE �_� T`)�[-S e,•• JT DATE O �� (Signature) (Title) RELATIONSHIP TO PROJECT 0 Owner 0 Agent Contractor 0 Architect 0 Other < 5 1701?i2 o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO . BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? . o YES o NO NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? o YES o NO • PLATTED LOT? o YES 'o NO _ DEMO PERMIT REQUIRED? o YES o NO Bulletin#100-April 2,2007 . Page 2 of4 k\Handouts\Permit Application