06-103764 4
• City of Federal Way Electrical Permit #: 06-103764-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: DEL TACO
Project Address: 34528 16TH AVE S Parcel Number: 212104 9043
Project Description: Install new service
Owner Applicant Contractor
DEL NORTE LLC ELECTRI-CITY,INC ELECTRI-CITY,INC
5150 VILLAGE PARK DR SE SUITE 107 23008 56TH AVE W ELECTI*110BA(1/1/07)
FEDERAL WAY WA MOUNTLAKE TERRACE WA 98043 23008 56TH AVE W
MOUNTLAKE TERRACE WA 98043
Additional Permit Information
Electrical Fixtures
Service/Feeder:201-400 amps-Cc 3 Service/Feeder:401-600 amps-Cc 1
PERMIT EXPIRES Tuesday, January 30, 2007
Pew Issued on Thurlay, August 3, 2006
I hereby certify thatthe above information is coact and tat the construCtionomthe above described propertyand
the occupancy and the use will be in accordance with the laws, rules and regulations of the Stat of Washington
and the City''of'Federal Way.
Owner or agent: ' ' ` 'tOl C'O' T Date: )5 2-1
ft/
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City of Federal Way Electrical Permit #: 06-103764-00-EL'
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: DEL TACO
Project Address: 1800 S 344TH ST Parcel Number: 212104 9010
Project Description: Install new service
Owner Applicant Contractor
DEL NORTE LLC ELECTRI-CITY,INC ELECTRI-CITY,INC
5150 VILLAGE PARK DR SE SUITE 107 23008 56TH AVE W ELECTI*110BA(1/1/07)
FEDERAL WAY WA MOUNTLAKE TERRACE WA 98043 23008 56TH AVE W
MOUNTLAKE TERRACE WA 98043
Additional Permit Information
Electrical Fixtures
Service/Feeder:201-400 amps-C 3.90 $ervice/Feeder:401-600 amps-Ci 1.00
PERMIT EXPIRES Tuesday, January 30, 2007
Permit Issued on Tiorsday,August 3, 2006
max; F
I hereby certify that the above inform atioW is correct and that the construction on the above described property and
the occupancy and the use will b- in - rdanc a with the laws,rules and regulations of the tate of Washington
and the City of Federal Way.
I
Owner or agent: �'�i
g �i� Date: cpai. jegsC
THIS CARD IS TO REMAIN ON-SITE
CIT. A:
Y OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 .
PERMIT#: 06-103764-00-EL
Owner: DEL NORTE LLC
C4/ Address: 1800 S 344TH ST
FEDERAL WAY, WA 98003-6841
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) V.
Ditch cover(4030) ` ti Pool Bonding (4195)
Approved to place concrete Approved Approved
1t
By Date By 1-P4 '1\‘ Date `S \4\00 By I Date
I❑ Temporary Power(4275) �❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date .B—y�c) Date/a—fZ—o 6 Byd ,4 Date t O .214-
aC
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical (4055)
Approved Approved Approved
` B�(,Lj Dateet_(�.o49 By 0_,.46.,,, Date 1 b-,‘)..m—is L l Date few x7-07,4.
❑ Under-slab groundwork(4295)
Approved
B- y Date ktl�I.A.t,dk.. # ,NQ�
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Federal Way JUL. 3. 1 zoV E RM IT
COMMUNITY DEVELOPMENT SERVICES•
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33325 W BOX
O 897f8�`)rY oF FE, ,I CATI O N /
253-835-2807•FAX 253-835-2609 BUILDING L r�
www.cituoffederalwau.com DEPT,
The o1 . , ' is -. fined i •rotation-an Inco •lete a y•lication will not be ace, •ted. Please 'riot le, •I (in ink)or ..). .
' • PROPERTY INFORMATION
SITE ADDRESS 0p�0 D S '7`rte S#_. SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# — — LOT SIZE(s,1
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page far lengthy legal description
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 5J LECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detaflPd description of work included on this permit only)
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/UL , rQ SJ)atrc•..T
PROJECT NAME"(Name of Business or Owner Last Name) ,e.,1 Tax_,,-,
II PEOPLE INFORMATION
OWNER NAME ^.4� ��c PRIMARY PHONE -
'�/) A) .,
MAILING ADDRESS CnY.STATE.ZIP
.ISC> lS t.(la1z. Qat L )J SE. 3470 7 &J&L.e- 1,J,4 93 0 0 G.
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
£ -I -r- G 1,7 /i~,& AUL-v(1,,, )uar_.4,,.z.t ( e-c- ) i- - '19
MAILING ADDRESS W CITY.STATE.ZIP /q�o CELL PHONE
21 F DE) WAY BUSINESSLICENSE NUMBER 00w 6-EXPIRATIONQ DATE 43 FAX NUMBER
z t> o -1 o 18 S- 7 -B L (2.- /St /off (clef ) 6-72_ - C719
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
4 X e-- `r 1 4 I ) o LA / /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
itlVeE is Cdr ! ( ) -
MAILING ADDRESS CnY.STATE.ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT Na�yyT M PRIMARY PHONE E-MAIL ADDRESS
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY.STATE.ZIP PHONE
( ) -
MI DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE 0 5.11.J ct-inIt-
c/
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 6 O ) 24.7
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) .
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
S9.FT. 39.FT. S9.FT.
BASEMENT'
FIRST 2.Z`
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
ammo PROPOS® TOTAL. TOTAL eSTINO Si TOTAL PROPOS®Al mw.Si
NUMBER OF FLOORS
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offlrture 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) WOODSTOVES
BOILERS FIREPLACE INSERT'S RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Mile) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certlly 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 Federa Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be by an n.includi e undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance city, ' lading its employees,upon the accuracy of the information supplied to the city as a part of
this application. *-� r
NAME/TITLE DATE /`( 7 1 J 0 1�
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent ',Zontractor ❑Architect ❑ Other
FOR OFFICE USE ONLY
o NEW o ADDITION ❑ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES ❑NO
NEW ADDRESS REQUIRED? ❑YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES a NO
Bulletin#100-January 7,2005 Page 2 of 4 kkHandouts\Permit Application
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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
(Inspected with service) $44.00 ® 201-400 amp 264.50 104.00 x 3
❑ Detached outbuilding or garage 401-600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 601-800 amp 398.50 168.50
O 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
U 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
❑ 0to200amp $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
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercialfndustrial Service or Feeder Ampacity
U 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 ❑ Yard Pole meter loops $104.50
❑ Security Alarm System U Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
0
(Per System(s) 1•t 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 296.46-910(5)(b)(t @,til
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Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application