05-105619 City of Federal Way r Electrical Permit #: 05 - 105619 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
Project Name: QUIZNO'S
Project Address: 27400 PACIFIC S SuiteA Parcel Number: 332204 9009
Project Description: New 200amp service with 60amp feeder
Owner Applicant Contractor
BALDRIDGE-FEDERAL WAY LLC ERWIN ELECTRIC LLC ERWIN ELECTRIC LLC
11825 MANCHESTER RD 19632 MEADOW LAKE RD 19632 MEADOW LAKE RD
ST LOUIS MO 63131-4620 SNOHOMISH WA 98290 SNOHOMISH WA 98290
(425)397-0309
Electrical Fixtures
Description Quantity r Description Quantity Description 1LQuantit
Service/Feeder: 0-100 amps-Comm.' 1 I Service/Feeder: 101-200 amps-Comr 1
PERMIT EXPIRES April 30,2006.
Permit issued on November 1,2005
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. W"1
Owner or agent: Date: /14/0c---
•
ti
�` '�
THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105619-00-EL
Owner:
Address: 27400 PACIFIC HWY S Suite A
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) Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
11
By Date B ���i Date`i By Date
El Temporary Power(4275) •❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
K] Rough Electrical(4225) 0 Ceiling Cover(4020) 0 Final-Electrical(4055)
Approved Approved Approved
1
By `'►� Date `k-2 o< By Date By Date
❑ Under-slab groundwork(4295)
Approved
By Date
4 A RECE VED
_0 :5: _i_. 4e 1
Federal Way
Cs — _/
COMMUNI7'YDEVEIAPMENfSv10E OV 0
1 2QQ5 PERMIT SF MF CO DE EN FP
33325 8TM AVENUE SOUTH•PO BOX 9718 W
FEDERAL WAY.WA 98083-9 / /
253-835-2609•FAX z53-a35-�ce�TY OF F E D E I��P LI ATI O N
www.cdyoffederalway.com BUILDING DEPT.
' The allow' ' is -,aired • , ation-an incom,lete a""lication will not be acre,ted. Please , t le!ib - (in ink)or _
rr
• PROPERTY INFORMATION
SITE ADDRESS 2.7)LtW��yy�� L 4PU '1 L C LA_S -i S SUITE/UNIT#
ASSESSOR'S TAX/PARCEL N - _ _ LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION)(ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detn fled description of work included on this permit only)
1 K�4 ) Ceil Yu_C T (31/\ - ZCZYA \M-12 J
PROJECT NA(Name of Business or caner Last Name) (4)(A-4.2_r10‘S S t2 S
El PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER D-PD o y --- (253)4'IL Q 4j4-
MAILING ADDRESS CITY,STATE,ZIP
(01-02_ -1` .Het l( (jl.vi✓( 12-e-4 - kkA q 1
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
1,01 le.i--- CO ls-trc h v , C r� k-6 l t — ( ) -
MAILINNG ADDRESS
'AV{� '1( 'P~��- cnY STA( ZIP ],� �(/�j)�-� CELL
JPHONE �]C/ 7
Z 1 CITY OF FEDERAL WAY BU�INFSS Ili SE NUMBER ( X1 0 kikct LV nJ (J V C NUMBER .[ ZL
- - LJ -B L TY/-�- / (F , -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
I /
APPLICANT CICMPANY NAME APPLICANT NAME OFFICE PHONE
LVi3tn W+yii) I--LCA (`t`Ls) . 1-1 - 0
MAILING 6� 2 ADDRESS1/,�J��� � � gOSTATE.ZIP � � CELL PHONE � -RELATIONSHIP TO PROJECT 1'1,4111414 Oalf3FAX NUMBER
0 Architect ❑Tenant ❑Agent Other(Describe) .00.11-h4 C (',O) 0..02_ -6 1 L-
CONTACT . PRIMARY PHONE E-MAIL ADDRESS
SCUAZ or 1C,‘diCt.:&r(.Utkait HZ'S-) 31-) - d3o7
LENDER Par RCW 18.17.096: Leader h{forwmtisa is NAME
iewid, a ifpads*vane*zooids$6.000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
Sg.FT. SQ.FT. Hg.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
NUMBER OF FLOORS szeanes PROPOSED TOTAL TOTAL OBANaw TO?a17011P�OW Tarar.w
**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 inciuth'existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS)commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) _ _ SHOWERS WATER CLOSISIb(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sink*) 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. 4114
J�/ ,p,DATE /I //� (YNAME/TITLEIV
/A„ ure) (Title) 1
RELATIONSHIP TO PR• ❑ Owner ❑Agent ( Contractor 0 Architect 0 Other
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING MULL ONLY? a YES a NO BASIC PLAN? a YES a N0
ZONING DESIGNATE CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? ❑YES a NO UP/SEPA/SU? ❑YES O NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? a YES o NO
Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Permit Application
1 ,
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
• NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service• Feeder Each Add'n
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage 101-200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 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) ❑ 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 ❑ Mast or meter repair $96.00
❑ 401 600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ 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 U 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
❑ Oto 200 amp $87.00
❑ 201 -600 amp 141.00 ❑ #of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$69.50;Add'n circuits$7.00/ca) $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 Residentiai/Multi-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50:each add'n-$45.00) Commercial/Industrial 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
❑ #of Thermostats ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
❑ Low Voltage U Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $104.50
❑ Security Alarm System U Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
U Automation Fee on all Permits .. $5.00
(Per System(s)1•a 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)*Per WAC 296-46-910(51@1(1&it)
Bulletin#100-January 7,2005 Page 3 of 4 k\I-Iandouts\Permit Application