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06-103330
City of Federal Way Electrical Permit #: 06-103330-00=EL Conllnunity 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: ORIGINAL ROADHOUSE GRILL Project Address: 31525 20TH AVE S Parcel Number: 092104 9019 Project Description: Installation of 6 Low Voltage T-Stats Owner Applicant Contractor VERMONT MANAGEMENT,INC. MERIT MECHANICAL INC MERIT MECHANICAL INC 620 N BRAND BLVD FLOOR 6TH 9630 153RD AVE NE MERITMI163CM (6/1/07) GLENDALE CA 91203 REDMOND WA 98052 9630 153RD AVE NE REDMOND WA 98052 Additional Permit Information Electrical Fixtures Thermostat 6.00 PERMIT EXPIRES Tuesday, January 2, 2007 Permit Issued on Thursday, July 6, 2006 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 laws, rules and regulations of the State of Washington and the City of Federal Way. / Owner or agent: �_ � ••� �/� � c -e. Date: �' 6 - t�t� THIS CARD IS TO REMAIN ON-SITE CITYof Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 . PERMIT#: 06-103330-00-EL Owner: VERMONT MANAGEMENT, INC. Address: 31525 20TH AVE S FEDERAL WAY, WA 98003-5457 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 Slab/Concrete Floor(4255) ❑ Ditch cover(4030) 0 Pool Bonding (4195) Approved to place concrete Approved Approved By Date By Date By Date ❑ Temporary Power(4275) ❑ Service(4235) 0 Feeders/Sub-panels(4045) Approved Approved Approved By Date By Date By Date 14 Rough Electrical(4225) ❑ Ceiling Cover(4020) El Final-Electrical(4055) Approved Approved Approved ,C `B N6 ) Date a . By Date By`.. Date 12 u Q� ,❑ Under-slabergroundwork(4295) Approved By Date r .' RECEIVED CITU OF ,1�L 0 6 2006 OLP 1 [23_ 3 ,,L Federal Way PERMIT COMMUNITY DEVELOPMENT SERVICES OF F�0ERM.W Y SF MF CO AWL DE EN FP 3332FEDERALAY.SOUTH 8• 9°8 s„►LDNGAApLI CATION To 253-835-2607•FAX 253-835-2609 / / www cttyof(ederalway corn The ollowin a is re,uired in ormation-an incom'lete a a'lication will not be acc-a ted. Please a rint le'ibi (in ink)or a•. • PROPERTY INFORMATION SITE ADDRESS 3/S ,i1 �/�� a,.(e_ S _ SUITE/UNIT# ASSESSOR'S TAX/PARCEL it 0 0 I <) L - , _(1) 1 C7 LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal descnpttoN • PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu) Tt -SW\ S; LLa...) \/A-/ e T-5J 4 , S PROJECT NAME(Name of Business or Owner Last Name) (5....-,‘,5,,.....,, I kciL,-,e a-s.-s~// • PEOPLE INFORMATION PROPERTY NAME -_ PRIMARY PHONE OWNER V Q / c LJ 3-" ✓/�A" -C-VA-L-S 2/fin.C.a"" ( ) - MAILING ADDRESS CITY,STATE,ZIP CONTRACTOR COMPANY IrE APPLICANT NAME OFFICE PHONE Mart JV\ )...fir—\�-..C.--, ca.vekc ,N-c-S Q-Q (‘1 zs) `02 `13 )2 MAILING ADDRESS CITY,STATE,ZIP CELL PHONE %3o / 3-4't\Os-i - ACAU. 'z- ,,,..a..A C.)`-z ('.it `/Hz -3”r-i3 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER i 1.-. c'—/C) S Ye °-13 L /7.... / 5( /C)6 (4 Z5-) f-t,"? - a9(.0.., CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE M E 2 Z t /.11 T.- j -5 ( A< :2 3--//0 /2449-7 APPLICANT ANY NAME PLIAME OFFICE PHONE - �j ( ) MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect ❑Tenant o Agent o Other(Describe) ( ) - CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS ._.�,., /Al-, - ( /i s) 60,2 `/3 2a l « C/vt `--,ma k «_i• LENDERNAME c o,........,Per aRci+v.0 8.�7.Q95: Lender ir}furrrtatlon is required if project value exceeds$5.000 MAILING ADDRESS CITY,STATE,ZIP PHONE ( ) • DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE 9S EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO WATER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) • 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-$107.50;Each add'n 500 ft2-$34.50) ❑ 0 to 100 amp $117.00 $71.50 ❑ Detached outbuilding or garage ❑ 101-200 amp 145.00 91.50 (Inspected with service) $45.50 ❑ 201-400 amp 272.00 107.50 ❑ Detached outbuilding or garage ❑ 401-600 amp 317.00 127.00 (Inspected separately) $71.50 ❑ 601-800 amp 410.00 173.50 ❑ 801- 1000 amp 500.50 209.50 NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 546.00 291.00 Service Feeder ❑ Up to 200 amp $117.00 $34.50 ❑ Over 600 volts surcharge $91.50 ❑ 201 -400 amp 145.00 71.50 ❑ Mast or meter repair $99.00 ❑ 401 600 amp 198.50 99.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ 601 -800 amp 254.00 136.00 ❑ Over 800 amp 364.00 272.00 Service or Feeders ❑ 0 to 200 amp $117.00 ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 272.00 LI 601 - 1000 amp 410.00 Service or Feeder ❑ over 1000 amp 456.50 ❑ 0 to 200 amp $89.50 ❑ 201 -600 amp 145.00 ❑ #of circuits to be added/altered ❑ over 600 amp 218.50 (1-5 circuits-$91.50;Add'n circuits,$7.00/ea) ❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits-$71.50;Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee ❑ Service- 1,000 amps or greater ❑ Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility MOBILE HOMES ❑ Service or feeder only $71.50 ❑ Service and feeder $117.00 TEMPORARY SERVICE MOBILE HOME/RV PARK Residential/Multi-Family $63.00 ❑ #of service or feeders (First service/feeder-$71.50;each add'n-$46.50) Commercial/Industrial Service or Feeder Ampacity ❑ 0- 100 amps $71.50 ❑ 101-200 amps 91.50 ❑ 201-400 amps 107.50 ❑ 401-600 amps 145.00 ❑ over 600 amps 157.00 �-` /� MISCELLANEOUS SERVICE/EQUIPMENT X (#of Thermostats ❑ #of Signs (First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n sign$25.00/ea) ❑ Low Voltage U Swimming pool/hot tub $107.50 Square Feet to be served by system(s) (Includes additional circuit,if required) ❑ Fire Alarm System ❑ Yard Pole meter loops $71.50 ❑ Security Alarm System U Additional Plan Review $107.50/hour ❑ Voice Cabling (for modified submittals) ❑ Data Cabling ❑ ElAutomation Fee on all Permits .. $5.00 (Per System(s) 1S1 2500 ft2-$63.00; Each add'n 2500 ft2-16.50)•Per WAC 296-46-910(5)(b)(t&t1 Bulletin#100-January 1,2006 Page 3 of 4 k\Handouts\Permit Application PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE 0 CARPORT 0 NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTALS*iMING 55 TOTAL PRONoS=sf TOTAL VP **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type of fixture to be instnllPd or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(commerMaq WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(orThb/shower Combo) SHOWERS WATER CLOSElb[reset) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK 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,including the undersigned,and filed against the City of Federal Way,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 of this application. n �/7 NAME/TITLE "V— DATE - 6 "O C (Signature) (Title) RELATIONSHIP TO PROJECT ❑ Owner ❑Agent contractor ❑ Architect ❑ Other FOR 0410E.US t>IOX • ,4:i o NEW o ADDITION o ALTERATION o REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? o YES o NO TIP/SEPA/SU? a YES o NO PLATTED LOT? o YES ©NO DEMO PERMIT REQUIRED? a YES o NO Bulletin#100-January 1,2006 Page 2 of 4 k\Handouts\Permit Application