05-106179 • • , ejliNION
City of Federal Way Electrical Permit #: 05-106179-00-EL '
Community Development Services
PO.Box 9718
Federal Way,WA 98063-9718
Ph.(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
•
Project Name: TERIYAKI BISTRO
Project Address: 27400 PACIFIC HWY S Suite B Parcel Number: 332204 9009
Project Description: Adding/Altering(9)circuits to support the installation of kitchen hood fan,walk-in cooler
and miscellaneous kitchen equipment.
Owner Applicant Contractor
BALDRIDGE-FEDERAL WAY LLC HAN KOOK ELECTRIC HAN KOOK ELECTRIC
11825 MANCHESTER RD 34300 13TH PL SW HANKO**98707 09/27/06
ST LOUIS MO 63131-4620 FEDERAL WAY WA 98023 34300 13TH PL SW
FEDERAL WAY WA 98023
Additional Permit Information
Electrical Fixtures
Alt. Serv./Feeder up to 200 amps- 1
CONDITIONS:
PERMIT EXPIRES Saturday, June 3, 2006
Permit Issued on Monday, December 5, 2005
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: %
Q,,,`` Oa--tti — to
THIS CARD IS TO REMAIN ON-SITE w,. . '4
ulTY OF Community Development Inspection Record_
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-106179-00-EL t
Owner:
Address: 27400 PACIFIC HWY S Suite B
FEDERAL WAY, WA 98003
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) 0 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) 12 Ceiling Cover(4020) 114
Final-Electrical(4055)
Approved ApprovedApproved
By 0 1 Date 12.-6.1.-0.1- By 0 At,, , Date 2—k,..I!O 1, By Q , 1 Date a..`��,
❑ Under-slab groundwork(4295) `P^"'
Approved
By Date
Federal Way PERMIT RESUBMI 5 I -.q
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III PROPERTY INFORMATION
SITE ADDRESS "/ U �j 1-3
P G` C` l 1 C f Wy SUITE/UNIT# LJ
ASSESSOR'S TAX/PARCEL$ _ _ LOT SIZE(sJ) /)(-3,, CA
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
GISegww4maid►knowlegal desaipdoni
ii 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 o, '" ....,,it ,nl
l ' 1e�_,...1i /ate
. Li -_. 106J la '17--7------ _'� a� _ «
PROJECT NAME(Name of Business or Owner Last Name) 1 -
7e)-;/6.1/` )3 1 S' I -v
NI PEOPLE INFORMATION
answiwirtlit<qAMEPRIMARY PHONE
OWNER 4de
MAC , CAA'YL-5 A •w� I ( 2 .3 j Y.qi. ILINGDRESS CITY,STATE,ZIP +
�. '2_,(2,4 /i/ Ave Ai.(--I fpQlevwe WA 93'004-
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
_ , ) kGC)k ClC-Fi-- r y 1 i /NAL ( )
G ADDRESS c STATE,ZIP `� ' �// (`CELL PHONE
I1+ 3 Y OF a
a L l3 ilEss I ` Pei fl-c-4
\A•LF.XPIRATION DATE 3 FAX NUMBER
CITY OF FEDERAL WAY BUSIN LIMNS NUMBER
Q- 65-1 0 3 y 3 S�'-s LI - 3/ /o5 ( ) -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
a6 k 01a70o0 09 / iY-1 / 6i;/
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
3 1-/A4 k6o dec-41c rl>iKn. -5 Jo L;tvv (-2_5:-.5 ) Z.2. - -'3)3
MAILIN ADDRESS 33 b CITY,STATE,ZIP CELL PHONE
34T3N H P TO PR) ), / / ��NV T eC e),--c1/41 Wa� � ().4-31--):23 - a -›1RELA7
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FAX d MBER
0 Architect 0 Tenant 0 Agent ❑Other(Describe)Cr7,4 PAr-f-o)— ( ) -
CONTACT NAM
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PRIMARY;HONE E-MAIL ADDRESS
LENDER :,, ;t:..
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=-,e.,r. : ,r.•1.",JC.•r •.eft; �e.I ter.f" ::},,7,;,. / _ /
MAILINO ADDRESS CXIY,STATE,ZIP
!o DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE 4-D._. 0 0 .:::‘,2.
EXISTING
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 2 1 0 G Q
SPRINKLERED BUILDING? )(YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? .(('YES 0 NO
WATER SERVICE PROVIDER 0 LAKEIIAVEN a HIGHLME O TACOMA O PRIVATE(WELL) \`
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TO • _
SQ.FT. SQ.FT. :•.FT.
BAS' NT
FIRST •
SECOND
THIRD
FOURTH •
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS =IMO PROPOS= TOTAL t .--„� �> iir'+' Kra l =_•
"NEW HOMES ONLY NUMBER OF BEDROOMS MATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be ins .)led or relocated as part of th •roject. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
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AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(C.mme,daq WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
• COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATH r•:3(or Tub/ShewerCombo) SHOWERS WATER CLOSETS(renes _ MISC(De-• 'be)
DP ' ASHERS SINKS DRINKING FOUNTAINS
AS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Make, 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 claims,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 ' /] DATE /2`d 7 (•
(Signature) (fide)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent 946Qntractor ❑ Architect ❑ Other
•
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ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL •
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft1$104.50;Each add'n 500 ft2-$33.50) 0 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage 0 101-200 amp 141.00 89.00
(Inspected with service) $44.00 0 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 601-800 amp 398.50 . 168.50
❑ 801 - 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) 0 Over 1000 amp 530.50 283.00
Service Feeder _
❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
❑ 201 -400 amp 141.00 69.50 0 Mast or meter repair $96.00
❑ 401 -600 amp 193:00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
�.♦ '.:_<. eeder ❑ over 1000 amp 443.50
• • to 200 amp $87.00
41 201-600 amp • I ❑ #of circuits to be added/altered
• • p 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
, circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residentlal/MuitlFamily $61.00
• ❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commereiai/Industria1 Service or Feeder Ampacity
❑ 0-100 amps _ $69.50
❑ 101-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps - 141.00
❑ over 600 amps 152.50
•
MISCELLANEOUS SERVICE/EQUIPMENT
O #of Thermostats ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
O Fire Alarm System 0 Yard Pole meter loops $104.50
❑ Security Alarm System ❑ Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling Automation Fee on all Permits .. $5.00
(Per System(s) la 2500 ft2-$61.00;
Each addh 2500 ft2-16.00)•Per WAC 29646.910(5J(b) &U)
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application