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03-103402 City of Federal Way Community Development Services Electrical Permit #:03 - 103402 - 00 - EL 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050 Project Name: JACK IN THE BOX Project Address: 2400 SW 336TH Si" Parcel Number: 132103 9110 Project Description: Install(1)600-amp service for wiring throughought building. Includes wiring for light fixtures,kitchen equipment,exterior and parking lot lighting. Owner Applicant Contractor JACK IN THE BOX INC SOUTHGATE ELECTRIC INC SOUTHGATE ELECTRIC INC 8909 SW BARBUR BLVD SUITE 250 18940 DES MOINES WAY S#5 18940 DES MOINES WAY S#5 PORTLAND OR 94219 18940 DES MOINES WAY S#5 18940 DES MOINES WAYS#5 SEATTLE WA 98148 (206)244-1570 Electrical Fixtures Description Quantity Description Quantity Description lQuantity Service/Feeder:401-600 amps-Comr, 1 PERMIT EXPIRES March 8,2004. Permit issued on September 10,2003 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: 9—1 0 - V ' FILE , INSPECTION LOG DATE ISPECTOR OK CORR/RE.T AREA AND TYPE OF INSPECTION 9 ,Z 0 31C1Ls -_c/4 4 c #d /5 o Fd/ 4' FloSgL_.5-a�/�C 1/ Wa.11k► c es✓" ice" AO, ......ia '&57164 t.----- C7.4. .\-14( C'fre.-efr ikeoprot-- e./,c; 3,03 ,�! 1i�j�u._ r/ 45.0.0.E.,,,,-..e_ Air co...---70„......„i 7 L_ 5-.. ./z Scu4-0Av t/ ce06.4r 0 ( <S t s "--- 'Zd _= _-,r7 F , "`N.N.....__ . 2 CONSTRUC I ION PERMIT APPLICATION RECEIVED APPLICATION NUMBER: OS - LO 1 4 0 Z - EL . ‘:der al Way AUG 2 X 2003 APPLICATION NUMBER: - - �/ APPLICATION NUMBER: - - "TIgiBI_F,v'(ilegf �lormation—Please print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. ■ PROPERTY INFORMATION SITE ADDRESS: 2 b 0 S---l) 33 4. " 57- ASSESSOR'S TAX/PARCEL #: J3 . J0'?2_ 9j::2'�, LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • • - ■ PROTECT INFORMATION TYPE OF PROJECT(This application): o BUILDING 0 PLUMBING 0 MECHANICAL o DEMOLITION ELECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): LcJ/ 12-1Z__ /�-.e--u.J S' 774—cu.?1.9-4,.)-7- L i7 Z— F-, , ,� , ,z.,, c / l ',7-C-C-----0--- , .©�. ' P e_o ,--,p 4e...---7-....2I Al--,-,_A_, r 4 7- G, ITI fl?--- PROJECT NAME: 3 L°-IL ( r V / l?D U PEOPLE INFORMATION PROPERTY OWNER: NAME: ; DAYTIME PHONE x._.(4 r..iJ 7--LA—.. i? Ox ► (yu—) Cg7 - 1977 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): . I CONTRACTOR: ( NAME: DAYTIME PHONE: SO GC: /i-7'& £(-e c rr /G�. (z ( )Z514 - I.57 0 MAIUNG ADDRESS(SfREET ADDRESS;CITY.STATE.ZIP): EVENING PHONE' / ' '7 &O AAA i.--eJ toa,y . ...c• . ( ) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: ( FAX NUMBER: /7- 5{ 0000 too GL- - - - - - i (2_04) X37 - qO I / CONTRACTOR'S REGISTRATION NUMBER: S' CD Lr (/o C//D 1 / / i EXPIRATION DATE: (ropy of card required) p i APPLICANT: I NAME: . ! DAYTIME PHONE: 6(71 l S e_ 9 -. -- ( ) cAtA& MAILING ADDRESS(STREET ADDRESS;CITY,STA IP): EVENING PHONEA I l` ) /Y/ " RELATIONSHIP TO PROJECT: j FAX NUMBER: ❑ ARCHITECT 0 TENANT ❑ OTHER( DESCRIBE): coo°V-77t-A-C-701Z- ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT CONTRACTOR • ■ DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES o NO WATER SERVICE PROVIDER: o LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER: o LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) S • **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ,. ■ PRO3ECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE j HOW MANY FLOORS? TOTAL: - 1 ■ FIXTURES Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC o GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( ) ' INTERCEPTORS) SUMP(S) ■ 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 daim(induding costs,expenses,and attorneys'fees incurred in the Investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of Federal Way,but only where such daim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy of the information supplied to city as a part of this application. / NAME/TITLE: -C.-44---- .- CP/"-e_--S / d.. — DATE: 89—a/ 03 ❑ PROPERTY OWNER o APPLICANT t5ONTRACTOR ::FOR,OFFICE.USEONLY I •o NEW DON "gliffia TM laALTERATION o REPAIR ,,:0 TENANT-IMPROVEMENT4,aY... .: CENSUS CODES =,c .�-�-:�-oce?'g-s�, t' nt !,a LOT SIZE %° AW4. : e ZONINGrESIGNATION,; .., _ 1_ 4 1MI BUILDING SHELL'ONLY?' D YES `..❑ NO ., COMP PLAN DESIGNATION r ~. z/M;. rBASIC PLAN?N-'445 YES 4:','7❑ NOS i :SECTION; 10TOWNSHIP_< , RANGE-tiFfrbr,r NEIN ADDRESS REQUIRED?- , .•"--o YES .A--o NO PLATTED;LOT? P''❑YESµ o'NO ,01r1t6fi. 'CHANGE OF USE?.= - n YES S.9 NO 'h • COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.dtvoffederalway.com • IN ELECTRICAL TABLE B 1 NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only $57.00 #of Thermostats(First-$43.00;add'n-$I3.00ea) 411 (First 1300 ft2-585.50;Each add'n 500 It'-$27.50) _Service and feeder $93.00 _f of Low-voltage fire or burglar alarms square Feet: First 2500(t'-$50.00;Each add'n 2500 ft`-$13 00 _Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet: (Inspected with service) _#of service or feeders * Per WAC 296-46-910(5)(b)(i&ii) _Each outbuilding or garage $57.00 (First service/feeder-557.00;Add'n service/ _#of Signs(First sign-$43.00;add'n sign (Inspected separately) feeder-S37 each) - $20.00 each) Swimming pool,hot tub,spa $85.50 _Yard Pole meter loops $57.00 NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (Includes three units in more) Altered Service or Feeders Service Feeder Amps Service or Add'n _0 to 200 1 93.00 t _Up to 204)amp 5 93.00 S 27.50 Feeder 201 -600 216.50 _201 -400 amp 115.50 57.00 _0 to 100 1 93.00 5 57.00 601 -1000 326.50 -401 -600 amp 158.50 78.50 -101 -200 115.50 72.50 =over 1000 363.00 601-800 amp 202.50 108.50 201 -400. 2 6.50 85.50 #of circuits _ 9 Over 800 amp 289.50 216.50 >4401 -600 1. -.0, 1 101.00 (I-5 circuits-$72.50:Add'n circuits,16 ea) ALTERED SINGLE/MULTI FAMILY _601 -800 'l t 326.50 138.00 (When. inspected separately from the services.) _801 -1000 399.00 166.50 TEMPORARY SERVICE Service or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/Industrial = 0 to 200 amp S 71.50 _Over 600 volts surcharge 72.50 _0-100 S 57.00 201-600 amp 115.50 _Mast or meter repair 78.50 _101-200 72.50 _over 600 amp 174.00 _201-400 85.50 _Mast or meter repair 43.00 _401 -600 115.50 1 -#of circuits _over 600 125.00 (1-4 circuits-$57.00;Add'n circuits$6 ea) If a new or altered commercial service is 200 amps or greater,or a new or altered residential service is greater than 400 amps,a plan review is required.Fee is 35%of ncnuit fee+$72.50.Add'l plan review for other submissions is$85.50/hr. FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) 1 TOTAL(D) l I i 4 III l i i I l I TOTAL COLUMN(D): Total Column CD) i Estimated Permit Fee: (12) Estimated Permit Fee from line 12 Estimated Plan Review Fee: $72.50+( X.35)= (13) - ■ DEMOLITION -• - Estimated Permit Fee: (14) Bond Amount:(15) ■ EN.GINEERING - - Estimated Permit Fee: (16) Bond Amount: (17) - _ -. ■ OTHER FEES .: . . • - Mitigation Fee: (18) (20) (22) SBCC Surcharge: (19) (21) (23) Total (Pages one&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24) Bulletin rt 100-December 23, 2002