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05-105608 si 'gat City of Federal Way Electrical Permit #: 05 - 105608 - 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 t Project Name: CHIPOTLE MEXICAN GRILL Project Address: 31827 PACIFIC S SuiteC Parcel Number: 082104 9126 Project Description: Installation of(2)L/V CCTV cameras,(1)monitor,and(1)recorder. Owner Applicant Contractor HARSCH INVESTMENT PROPERTIES LLC ARGENS,INC ARGENS,INC HARSCH INVESTMENT PROPERTIES LLC 84 S MAIN ST 84 S MAIN ST 1121 SW SALMON ST PORTLAND OR 97205 \SEATTLE WA 98104 (206)623-2662 Electrical Fixtures Description — Description ,Quantity Description _Quantity Low Voltage-Other Commercial 1100 PERMIT EXPIRES April 30,2006. Permit issued on November 1,2005 I hereby certify that the above information is correct and • s e construction on the above described property and the occupancy andwill be in :eco dance , • , the ,rules and regulations of the State of Washington and the City of Federal Owner or agent: / 11. I L i Date: ////a�— i ' e_/ .676'. (' PINALD F .A THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-105608-00-EL Owner: HARSCH INVESTMENT PROPERTIES L f Address: 31827 PACIFIC HWY S Suite C FEDERAL WAY, WA 98003-5409 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. ❑ 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) 0 Service(4235) ❑ Feeders/Sub-panels(4045) Approved Approved Approved By Date By Date By Date ❑ Rough Electrical(4225) 0 Ceiling Cover(4020) 0 Final-Electrical(4055) Approved Approved Approved By Date By Date B Date/%e'�� ❑ Under-slab groundwork(4295) Approved By Date I YO A - ‘ • RECEIVE2?,-_ 1 Federalway PERMIT OPL" ��COMWNTTYDRVELOPMENT SERVICES NOVO 1 2O Q FMF CO ME DE EN FP 333251"AVENUESOUTH FAX25•POBOX9711APPLICATI FEDERAL WAY,WA 91063.9711 253-135.2607•FAX 253->t35-2609 uww.atwllederafway.coft FEDERA BUILDING DEP . The o flowln• is re,aired in ormation-an Inco •fete • ••lication will not be acce•ted. Please •rint le•ibl or i IN PROPERTY INFORMATION OP SITE ADDRESS ! " SUITE/UNIT# ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(sJ) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach.epara epWI•rlengthU legal&roipHon) ■ PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITIONECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) ( �7-U 2 e-#1 fit sV4- //t/ y PROJECT NAME(Name of Business or Owner Last Name) a PEOPLE INFORMATION PROPERTY NAME �j PRIMARY PHONE OWNER /1—A-G� g chs huaz.ST `I'LL!% Pry, ( ) - MAILING ES c �^M TE,/Y� - II I�' II w� , at A9 CONTRACTOR COMPANY NAME APPLICANT NAME / OFFICE PHONE 4-1Z6701( /N " .s ie/r1, b.06) lois,-Z66, MAILING ADDRESS 114A-/L-�� CITY,STATE,ZIP CELL PHONE ) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER /D r'�� -B L l / ( )bZ j "�lZ CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE kg 6 Ai / 4 r33E-4- / / APPLICANT MPANY NAME APPLICANT NAME - OFFICE PHONE f-- 'i-it.r 2 7 . ( ) - LING ADDRESS CITY,STATE,ZIP - CELL PHONE ( ) - RELATIONSHIP TO PROJECT FAX NUMBER a Architect a Tenant ❑Agent ❑ Other(Describe) ( ) - CONTACT I NAME PRIMARY PHONE C� '� J ( E-MAIL ADDRESS • eZ,J2-- 7ENDER - ;<.,•. .,,;-:, r NAME ) a r,trf iira,f:,; x; / MAILING ADDRESS CTTY,STATE,ZIP ■ DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF P.P . :• =. . .4' $ SPRINKLERED BUILDING? 0 YES a NO F t• • . "•• • .y,-i.ION SY s, • :OPOSED/REQUIRED? 0 YES ❑ NO WATER SERVICE PROVIDER a - ' N ❑ HIGHLINE 0 TACOMA 0 PRIVA SEWER SERVICE ' •• ' . - 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE SEPTIC) • - PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL S..FT. S•.FT. S•.FT. BASEME FIRST • • SECOND 0 THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE 0 CARPORT 0 NUMBER OF FLOORS RRISTIRO PROM= TOTAL ( ' :v 4.t,!.F. ,;,_„ s> 'L .. ,v..`944.,.v......:4, _ ; -;' a **NEWHOMES ONLY" NUMBER OF BEDROOMS : MATED SELLING PRICE $ FIXTURI,3 Indicate number of each type of fixture to be installe' or relocated as p. • 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 Kmm -r. WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES OAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING B •" 7.S(or7ub/Shower Combo) SHOWERS WATER CLOSETS(rode - (Describe) •ISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(55jotW 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 c• , expenses, and attorneys'fees incurred in the investigation and defense of such claim),which may be made by any p rson,including the - ersigned,and filed against the City of Federal Way,but only where such claim arises out of the reit• • the city,ind•i its officer • •loyees,upon the accuracy of the Information supplied to the city as a part of this application. / I<AIiZITIIME At ' 'Art 1�_ DATE ///// ��_ wl (Title) RELATIONSHIP TO • • a Owner 0 Agent Aontractor 0 Architect ❑ Other 4_,V,'C ;VOW 0(4:11 s1€.'i1 DA Cy(e){) F:'iL. .11;J; I,'A4, 0'1 IAI:):YC"/:)0.1:4f , ' ile L)Nre. :):t�I1,E e_01,„, . �cnt S �(ei = I:1,,s'F=1(f at/,'ird '/,C);lI{(c` :.)y.1(04.'-t r)kf - z vkt of `I'j;tA:)?i 7jiiiiir> A r. (t) !fie €, F 1),A%,I'3j:�"YFi!r :•e�:i)r)1t�'ek:' 2 ' 'A . it^1 Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application y r ELECTRICAL PERMIT INFORMATION if RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE ' ❑ Single Family Square Feet Service or 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 Cl 401-600 amp 308.00 123.50 (Inspected separately) $69.50 0 601-800 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 O 201 -400 amp 141.00 69.50 ❑ 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 Cl 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/e4 ❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee ❑ Service- 1,000 amps or greater O 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 Residential/MuitiFamily $61.00 ❑ #of service or feeders (First service/feeder-$69.50;each add'n-$45.00) ContmerciatJlndustrial Service or Feeder Ampacity ❑ 0-100 amps _ $69.50 ❑ I01-200 amps 89.00 ❑ 201-400 amps 104.50 ❑ 401-600 amps - 141.00 ❑ over 600 amps 152.50 MISCELLANEOUS SERVICE/EQUIPMENT ❑ $of Thermostats ❑ it of Signs (First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea) Low Voltage © s f ❑ Swimming pool/hot tub $87.00 Square Feet to be served by system(s) / 9 D e?14:" • (Includes additional circuit,if required) ❑ Fire Alarm System ,-__J ❑ Yard Pole meter loops $104.50 ❑ Security Alarm System ❑ Additional Plan Review $104.50/hour ❑ Voice Cabling for modified submittals) Cl Data Cabling Ari G c.:7- V ,Arttomatiien he on all Permits .. $5.00 (Per System(s) 1g 2500 ft2-$61.00; Each add'n 2500 ttt2-16.00)•Ihr WAC2s6-4FeJCW t i y► Bulletin$100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application