05-103113 City of Federal Way Electrical Permit #: 05 - 103113 - 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) 835-30541
Project Name: 3�H�I�PQTLE MEXICAN GRILL
Project Address: 3+$'tT PACIFIC S V►r1I T C' Parcel Number: 082104 9126
Project Description: Install low-voltage security system.
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES A D T SECURITY SERVICES,INC. A D T SECURITY SERVICES,INC.
HARSCH INVESTMENT PROPERTIES 11824 NORTHCREEK PKWY N SUITE 105 11824 NORTHCREEK PKWY N SUITE 105
1121 SW SALMON ST BOTHELL WA 98055-2910 BOTHELL WA 98055-2910
PORTLAND OR 97205 (425)488-5249
Electrical Fixtures
Description (Quantity Description Quantity Description Quantity
Low Voltage Burglar Alarm -Commt 2500
PERMIT EXPIRES December 26,2005.
Permit issued on June 29,2005
I hereby certify that the above information is correct and that die 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.
Owner or agent — Date: _/;'-2-9
fkl`IP1/41- 11
�D
I
THIS CARD IS TO REMAIN ON-SITE A
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CITY o ACommunity Development Inspection Record
Federal Way WR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103113-00-EL
Owner: HARSCH INVESTMENT PROPERTIES
Address: 31811 PACIFIC HWY S
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.
0 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) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
Rough Electrical(4225) 0 Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Q_�,� Date `tt,_Zy_Ay p By Date BK;.;:- Date/7_3 —GS
,❑ Under-slab groundwork(4295)
Approved
By Date
RECEIVED
/
. illy � 9 2005
a.,«� 0J - / 3_ L / a
Federal WAY OF FEDERAL WAY PERMIT
OOXWMIYDBVS/APYBRT.SER
414ILDING DEPT. SF MF CO ME6PL DE EN FP
33325 BTMAVERUB SOUTH•PO BOX 9718 APPLICATION ro
FEDERAL WAY,WA 98063-9718
253.8352607•FAX 253-835.2609
www.cituoffederalwau.00nt
The (Uowi ' is -. fired in ormation-an inco •fete • • •lication will not be acce•ted. Please •rint le!ibl in in or • .
2 III PROPERTY INFORMATION
SITE ADDRESS 31&i/ ,//v�
l0e- S SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE 1st)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 00hfrn /9iV41126.Ir
(Attach separate page for lengthy legal desorption)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITIONLECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
/AiSrll' 5160a,t/7' S
PROJECT NAME (Name of Business or Owner Last Name) cm/0:077,6- 40 ?j/3
U PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
owNTTEtif & IPDrLE (2i� ) 3a 5bo�
MAILING ADDRESS CITY STATE,ZIP
1 g)i f s . ley 5- Ee.,1,-,,,Q. wA7 , WA-
_
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Or , cugiry 5✓cs• Ro6 60x frPs1 4I88 -6241
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
I/0 221 0601)1CAESU P iv ,&,amu- , w4 /gm/ (2s3) 3?- --11/of
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
I t-.f 0-1 Q S S6 -B L / / ( )
CorTRASTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
f SES, 032 _v5 / ZJ / OS-
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( )
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER Per RCW 29.27..095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
• EXISTING USE PROPOSED USE . .
- - EXISTING ASSESSED/APPRAISED VALUE $ • VALUE,OF PROPOSED WORK•$ /2150 50 6*---
•
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER •0 LAKEHAVEN • a HIGHLINE • ••_ 0 TACOMA. a PRIVATE(WELl%) _ e
SEWER SERVICE PROVIDER 0 LAKERAVEN ,a HIOHLINE 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
EXISTING PROPOS® TOTAL TOTAL=mom or TOTAL PROPOS®Sr TOTAL Sr
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS 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 fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial( W OODSTOV ES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Sho..rrCombo) SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS()Masscnsinw) 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 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 � • DATE U—ZT'O s^
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent Contractor 0 Architect ❑ Other
a FOR OF±'ICE USE ONLY`,5 -t
o NEW a ADDITION o ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
•
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bulletin#100—January 7,2005 • Page 2 of 4 ''k\Handouts\Permit Application
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-$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
O 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
Service or Feeder ❑ over 1000 amp 443.50
❑ 0 to 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/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 Residential/Multi-Family $61.00
U #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Conunercial/Industrial Service or Feeder Ampacity
❑ 0- 100amps $69.50
U 101-200 amps 89.00
U 201-400 amps 104.50
❑ 401 600 amps 141.00
❑ over 600 amps 152.50
•
MISCELLANEOUS SERVICE/EQUIPMENT
0 #of Thermostats U #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
Low VoltageJ ❑ Swimming pool/hat tub $87.00
Square Feet to be served by system(s) 2' (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops - $104.50
,iii'Security Alarm System ❑ Additional Plan Review $104.50/hour
•
❑ Voice Cabling (for modified submittals)
O Data Cabling ❑ Automation Fee on all Permits .. $5.00
(Per System(s) 1•t 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) *Per WAC 296.46-910(5)fb1/i&iil
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application