06-105486 City of Federal Way Electrical Permit #: 06-105486-00-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: ORIGINAL ROADHOUSE GRILL
Project Address: 31525 20TH AVE S Parcel Number: 092104 9019
Project Description: Installation of 1/v for security alarm system
Owner Applicant Contractor
BARI MANAGEMENT INC. PACIFIC SECURITY ENGINEERING PACIFIC SECURITY ENGINEERING
620 N BRAND BLVD FLOOR 6 PO BOX 5156 PACIFICSE051B6(1/25/07)
GLENDALE CA 91203 LYNNWOOD WA 98046-5156 PO BOX 5156
LYNNWOOD WA 98046-5156
Additional Permit Information
Electrical Fixtures
Low Voltage Burglar Alarm -C0E10,001
PERMIT EXPIRES Tuesday, April 24, 2007
Permit Teed on Thursday,October 26,2006
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 tha-laws,rules and regulations of the State of Washington
anie City of Federal Way.
Owner or agent: Date: /1S oa
FINALED
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record -
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-105486-00-EL
Owner: BARI MANAGEMENT INC.
Address: 31525 20TH AVE S
FEDERAL WAY, WA 98003-5457
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.
O Slab/Concrete Floor(4255) ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date Be ------?" Date -.Z.—
❑ Under-slab groundwork(4295)
Approved
By Date
REcove®
CITY OF O _1 O _f 9 Re
- _ Federal Way oCI 2 6 Zoos PERMIT
COMMUNITY DEVELOPMENT SERVICES
SF MF CO ME Q PL DE EN FP
LICATION TD /
253-835-2607•FAX 253-835-2609 BUiLD)N
www.citt offederalwaq.can
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS 3/6-025." G:96* 4/& .-L4, SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# LOT SIZE(5.J)
LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1) D/Pl6l✓(/��=--- -m,o,'� 3/ /C6'
(Attach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 0 MECHANICAL
0 DEMOLITION 'ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION/ / (Provide detailed description of-work included on this permit only)
_f2vt) N�6,--e ' .e 47 cJy,S7/fri
•
•
• PROJECT NAME(Name of Business or Owner Last Name) Z/1/4/.tt;#l/ / 2Q� 4ie/L�
• U PEOPLE INFORMATION '
PROPERTY NA P RY PHONE
�/� x
OWNER MiT ( 7 w---d o 37
MAILING ADDRESS CITY STATE,ZIP E-MAIL ADDRESS
, cowki $lam
CONTRACTOR Cy�PANY NAME 7 APPLICANT NAME OFFICE PHONE
Y /P/C"/P/C" Jai/z/Yr e,,u�,,ee/. .. Ow I arVAI (5t7-5-1 7s/s4 -6---,01
•I MAILINGA DRESS CITY,STATE,ZIP CELL PHONE
AOdoX 5'1.�L Lyvri r4,Gtifr9ci)W-52 SZ (gas-) SW -Q/ '/
• CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
. ( ) -
CONTRACTOR'SREGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
COPY acard required
•
with application ,e4e/�/c.,k. 0,57et alcki/tr Sis//oemieadiwi-
,
APPLICANT COMPANY NAMEg{ APPLICANT NAME OFFICE PHONE
S�/)'/� ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect o Tenant 0 Agent 0 Other ( ) -
PROJECT NAME • PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) - .
LENDER NAME ' Per RCW 19.27.095:
Lender'information is required if project value exceeds$5,000
MAILING ADDRESS • CITY,STATE,ZIP PHONE
( )
a DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ _
•SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
■ PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
• SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE ❑ CARPORT 0
EXISTING PROPOSED TOTAL TOTAL EXISTING St TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**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 include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE•COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAYS(Bathroom sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS mato
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS JIJ
SIGNATURE
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, includin' its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
0
NAME/TITLE 'pb,tL ' 1 DATED Q /
lei
Signature) (Title)
RELATIONSHIP TO •JECT ❑'Owner 0 Agent /Contractor 0 Architect 0 Other
❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES a NO • BASIC PLAN? a YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES a NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES a NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? o YES a NO
• •
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application
•
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
LI Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$107.50;Each add'n 500 ft2-$34.50) ❑ 0 to 100 amp $117.00 $71.50
❑ Detached outbuilding or garage ❑ 101 -200 amp 145.00 91.50
(Inspected with service) $45.50 ❑ 201 -400 amp 272.00 107.50
❑ Detached outbuilding or garage ❑ 401 -600 amp 317.00 127.00
(Inspected separately) $71.50 0 601 -800 amp 410.00 173.50
❑ 801 1000 amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $34.50 ❑ Over 600 volts surcharge $91.50
❑ 201 -400 amp 145.00 71.50 ❑ Mast or meter repair $99.00
LI 401 -600 amp 198.50 99.00
❑ 601 800 amp 254.00 136.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp .364.00 272.00 Service or Feeders
❑ 0 to 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 272.00
U 601 - 1000 amp 410.00
Service or Feeder ❑ over 1000 amp 456.50
❑ 0 to 200 amp $89.50
❑ 201 -600 athp 145.00 ❑ #of circuits to be added/altered
❑ over 600 amp 218.50 (1-5 circuits-$91.50;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50;Add'n circuits$7.00/ea) • $91.50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
LI Service or feeder only $71.50
❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $63.00
❑ #of service or feeders
(First service/feeder-$71.50;each add'n-$46.50) Commercial/Industrial Service or Feeder Ampacity
• ❑ 0'- 100 amps $71.50
❑ 101 -200 amps 91.50
Q 201-400 amps 107.50
❑ 401-600 amps 145.00
❑ over 600 amps • 157.00
•
MISCELLANEOUS SERVICE/EQUIPMENT
•
❑ #of Thermostats ❑ #of Signs
(First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n sign$25.00/ea) •
Low Voltage ❑ Swimming pool/hot tub $107.50
Square Feet to be served by system(s) /e)i (Includes additional circuit,if required)
Fire Alarm System ❑ Yard Pole meter loops $71.50
Security Alarm System ❑ Additional Plan Review $107.50/hour
❑ Voice Cabling (for modified submittals)
. ❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00 •
(Per System(s) 1•t 2500 ft2-$63.00; •
Each add'n 2500 ft2-16.50) •Per WAC 296.96-910(5)(b)(i&ii)
Bulletin#100-January 1,2006 Page 3 of 4 k\Handouts\Permit Application