06-102503 a
City of Federal WayFIL trical Permit #: 06-' 02503-00-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
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Project Name: ORIGINAL ROADHOUSE GRILL
Project Address: 31525 20TH AVE S Parcel Number: 092104 9019
Project Description: New 800amp service with (4)200amp feeders
Owner Applicant Contractor
VERMONT MANAGEMENT,INC. 011 ELECTRICAL SERVICES OTI ELECTRICAL SERVICES
620 N BRAND BLVD FLOOR 6TH PO BOX 982 OTISEED986K9 05/29/06
GLENDALE CA 91203 MCKENNA WA 98558 PO BOX 982
MCKENNA WA 98558
Additional Permit Information
Electrical Fixtures
Service/Feeder: 101-200 amps-C< 4.00 Service/Feeder:601-800 amps-0 1.00
PERMIT EXPIRES Tuesday, November 14, 2006
Permit Issued on Thursday, May 18, 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: Date:
SHCio 6 b(tt.
(011(0(0. OAAba3igSw NK-V
n
THIS CARD IS TO REMAIN ON-SITE Y
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-102503-00-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) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date
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❑ Under-slab groundwork(4295)
Approved
By Date
City of Federal Way * .0 '1 Electrical Permit #: 06-102503-00-EL
erm
Community Development Services r �
P.O.Box 9718 4
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 ar Inspection Request Line: (253)835-3050
Project Name: ORIGINAL ROADHOUSE GRILL
Project Address: 31525 20TH AVE S Parcel Number: 092104 9019
Project Description: New 800amp service with (4)200amp feeders
Owner Applicant Contractor
VERMONT MANAGEMENT,INC. 011 ELECTRICAL SERVICES 011 ELECTRICAL SERVICES
620 N BRAND BLVD FLOOR 6TH PO BOX 982 r OTISEED986K9 05/29/06
GLENDALE CA 91203 MCKENNA WA 98558 4 PO BOX 982
MCKENNA WA 98558
Additional Permit Information
Electrical Fixtures
Service/Feeder: 101-200 amps-0 4 Service/Feeder:601-800 amps- I
PERMIT EXPIRES Tuesday, November 14, 2006
Permit Issued on Thursday, May 18, 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
d the City of Federal Way. /t,
Owner or agent: i �2-f /� �__� Date: /c? (Y 6
A- . THIS CARD IS TO REMAIN ON-SITE ,
CITY OF Community.Development Inspection Record .
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-102503-00-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.
0 Slab/Concrete Floor(4255) El Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved t,tte Approved
By Date By ` Date �''�, By Date
El Temporary Power(4275) .123Service(4235) ❑ Feeders/Sub-panels(4045)
Approved l ' Approved Approved
110
By Date B \kr Date IDt,s , By Date
❑ Rough Electrical(4225) *❑ Ceiling Cover(4020) 0 Final-Electrical(4055)
Approved ApprovedI' Approved
By Date By Date By ` �,` Date i
i:1' Under-slab groundwork(4295)
Approved
By 0Llfrl Date : P1 %. .
A fi ceivEp O -
0-
Federal Way PERMIT SF MF CO M AO'L DE EN FP
• COMMUNITY DiVNLOPMINT311614/SAY r 8 200
33325 D2RAL WA SOUTH•/p BOX 9711P P LI C AT I O N
reasr:AL WAY,WA 9d Io
253-135.2607•FAX 25849 1P FEDE
ynmo.dtwfiddemlwauco = _I�DING DFWAY
The olio • is -• ired ormation-an Inco •late a••lication will not be acce•ted. Please •rint legIb1 n in or 1• .
IN PROPERTY INFFORMATION
>CSITE ADDRESS 3 f S7 gc� A V ,so SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ _ LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) - •
Manch••Paid•P478firt.,yuhyhtald••e+Pdanl
IN 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 o work included on this permit only) `' /�
/e' v i C.�t / Ce pt.S)tect fir^. 'c1 Ale(.4) X e_slt LQ 4/aim-ii--- 2
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AJCPROJECT NAME(Name of Business or Owner Last Name) J rt [t,-aC• 4t SL. Get 7/
• PEOPLE INFORMATION
'--'PROPERTY 6
NAME� - , / pp 0 11 /'
11 PRIMARY PHONE
OWNER t ,IAA ( pl, Ito r ts-E ri ( ) -
C�'MAILING9DRESS CITY,STATE,ZIP
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CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
0T_T .4CfrtcQ/ J{J))/ces S'c. 1,N e (3 ) q -2?a17
NO ADDRESS CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
SCS -06-- J° --1C?=0'-B L • J j 3/ 1€ c (36c )yam - Q'- (,
CONTRACTOR'S REGISTRATION NUMBER loopyof cord roquirod with each application) EXPIRATION DATE
� c -s �O ,�q�� - — — / 66
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Sa,,,,,e . ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) ••
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME • PRIMARY PHONE E-MAIL ADDRESS
( .) -
LENDER NAME
MAI O AD CITY,STATE,ZIP PHO
( ) -
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■ DETAILED BUILDING INFORMATION
EXISTING USE PROPO- s• USE
EXISTING ASSESSED/ • • SED VALUE $ 'ALUE OF PROPOS,D WORK $ •
-iRINKLERED BUILDING? ❑YES 0 NO 'IRE SUP• • ' SION SYSTEM PROPOS' '. •-z,• • D? ❑ YES 0 , 0
WATER SERVICE PROVIDER ❑LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑HIGHLINE 0 PRIVATE(SEPTIC)
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 •
memo . . tura,
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BED'%OMS 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 fudures to•remain.
MECUARICAL
Value of Mechanical Work $
AIR HANDLING UNITS APORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS F H..m: „., . , WOODSTOVES
BOILERS FIREP.•CE INSERTS / GES MISC(Describe)
COMPRESSORS • FURNAC x GAS WATER HEATERS
DUCTS GAS PIPE 0 •
PLUMBING •
BATHTr1BS(.cTub/shower Combo) SHOW. +: WATER CLOSETS(me)) MISC(Describe)
DISHWASHERS S i ' ' DRINKING FOUNTAINS
GAS PIPE OUTLETS /SUMPS • a ' ATER SYST
WASHING MACHINES / URINALS HO'• :IBBS
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LAVS ,,...MAO VACUUM BREAKERS ELECTRI TER HEATERS
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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 authorised 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.
NAME/TITLE r ms`I.`CFit_� A o1(n. I.Ift ga' DATE `/ ?— t
(Signature) (Title)
RELATIONSHIP TO PROJECT U Owner O Agent Xcontractor O Architect O Other •
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D..11�4...
MI M�T........,1 911/16 Don.9.fA irkti*nAnutoWo mit Annlu.etion
I - '
ELECTRICAL .r-rvr ORMATION
8
Apo, rl
RESIDENTIAL '` COMMERCIAL
FEW RESIDENTIAL SERVICE VIEW COMMERCIAL/INDUSTRIAL SERVICE
0 Single Family Square Feet Service or Feeder Each Add'n
(First 1300 tt2-$107.50;Each add'n 500 ft2-$34.50) ❑ 0 to 100 amp $117.00 $71.50
❑ Detached outbuilding or garage 0 101.-200 amp 145.00 91.50
(Inspected with service) $45.50 0 201-400 amp 272.00 107.50 e
❑ Detached outbuilding or garage ❑ 401-600 amp- 317.00 127.00
(Inspected separately) $71.50 CIA 601-800 amp 410.00 173.50•
O 801 - 1000 amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 546.00 291.00
Service Feeder
O Up to 200 amp $117.00 $34.50 0 Over 600 volts surcharge $91.50
O 201-400 amp 145.00 71.50 0 Mast or meter repair $99.00
❑ 401-600 amp 198.50 99.00 ALTERED COMMERCIAL/INDUSTRIAL
Q 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 0 201 -600 amp 272.00
Service or Feeder •
❑ 601- 1000 amp 410.00
0 over 1000 amp 456.50
❑ 0to200amp $89.50
O 201-600 amp 145.00 0 1 of circuits to be added/altered
❑ over 600 amp 218.50 (1-5 circuits-$91.50;Add'n circuits,$7.00/ea)
❑ I of circuits to be added/altered COMMERCIALJINDUSTRIAL 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 0 Medical/Educational/Institutional Facility
MOBILE HOMES
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❑ Service or feeder only $71.50
❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/b?ultf-Fainly $63.00
❑ I 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
O 201-400 amps 107.50
O 401-600 amps 145.00
❑ over 600 amps 157.00
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MISCELLANEOUS SERVICE/EQUIPMENT
❑ I of Thermostats • ❑ 11 of Signs
(First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n sign$25.00/ea)
0 Low Voltage 0 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 ❑ Additional Plan Review $107.50/hour
0 Voice Cabling • (for modified submittals)
Q Data Cabling ❑ Automation Fee on all Permits .. $5.00
(Per Systems)let 2500 ft2-$63.00;
Each add'n 2500 ft2-16.50)`Per WAC 296.46910(S)(6N16 IQ