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07-103440
z it— City of Federal Way Electrical Permit #• 07-103440-00-E L 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: DOMINO'S PIZZA Project Address: 1426 S 324TH ST Suite A108 Parcel Number: 150050 0080 Project Description: Install (2) low-voltage thermostats. Owner Applicant Contractor HARSCH INVESTMENT PROPERTIES AMBIENT CONTROL CO INC(GENERAL) AMBIENT CONTROL CO INC 851 SW 6TH AVE SUITE 550 1411 R ST (ELECTRICAL) PORTLAND OR 97204 AUBURN WA 98001 AMBIECC003CJ(3/1/08) 1411 RST AUBURN WA 98001 Additional Permit Information Electrical Fixtures Thermostat. ... 2 , PERMIT PIRES Thursda , June 19, 20 � Y Permit Issued on Moray, June 25, 2007 I hereby certify that the'abov: infirm.tion is comes that the construc on theabove crib property and the occupancy and the use it be i�accordance with the laws, rules and regulations of the State of Washington a d th City of Federal Way. Owner or agent: „� /fit Date: (j ' 0 As- . ©$- -2 a— c •r'i— Q. vv... THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 07-103440-00-EL Owner: HARSCH INVESTMENT PROPERTIES Address: 1426 S 324TH ST Suite A108 FEDERAL WAY, WA 98003-8444 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) ❑ 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 B Date,c:3a,3 -9 By C Date RS—ar4-- —) ❑ UFER Ground (4295) Approved By Date • i • For inspector reference only 0 Rough Electrical ❑ FINAL-Electrical Approved Approved By Date By Date RECEIVED 1 iik a : u JUN 252O7 07-- 7 031/ 110 Federal Way PERMIT Lay OF FEDERAL WAY SF MF CO M (IP'L DE EN FP C0 5m8u:niT DEVELOPMENT SERV 'I 333258n�AVF,N[TE SOUTTi•PO 806LDING DEP • FEDERAL WAY.W.9 98063-9718 �p p LI CATI O N D / 253-835-2607•FAX 253-835-2609 / unt+iu.rilyoQedc�rniwny.cam C The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type. • PROPERTY INFORMATION SITE ADDRESS / " r . .• 3 , SUITE/UNIT# L i)6 a ASSESSOR'S TAX/PARCEL# / 5 0 0 6 a- O O 3 0 LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page jor lengthy legal description) ■ PROJECT INFORMATION TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ,ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description gf work included on this permit oni) .Z41574L/4TToK/ D)-' TL'o 'i'HE!2mO5T47S 41(14 Low 'U14c x• w.74E 13F?14uFN TA)4oak_ /MAO 04TdODk L44/.T7S. PROJECT NAME(Name of Business or Owner Last Name) 6 emix AI O iS illizI4 • PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER 44QSck -TM/PI-7 41 aiv 400E0-Tx ES ( ) - _ MAILING ADDRESS CITY.STATE.ZIP E-MAIL ADDRESS CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE Ali'tiOZPvT Cowl'0201.- C.v. .1- lc . (c?S3)Qf76 - 9933 MAILING(� ADDRESS '_> ,CC TY.QSTATE."LIIP CELL PHONE Q iii f P. 64. (4 /A Q�'EXPIRATIp OO/ (&06) sic 76/C/ CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER OO— vf- ! Ol9J —IO EG 1`90,71.23,7 ( 13)87‘ - `4'9e`l COPY of card required CON7AgACTOR'S REGISTRATION NUMBER ( EXPIRATION DA/� MAI/[,AD")pD SS with elf:: /.[L4 8•�-E c ®®"1 c �] O3/© ! 'c9"V N�•;CNl cep �` ITT,-/ .}� aJ '//// �i0rC. APPLICANT C MPANY NAME APPLICANT NAME OFFICE PHONE H elzo. cox 17 OL Co. T Aic ( ) - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect El Tenant El Agent VOther MV4C- Go' Ti 4c"roe, ( ) - PROJECT NAM ^ PRIMARY PHONE / @ ...i-/A RES. al stilkw`r CONTACT �UL L4 k17n44/ (a96) 5/o 26/p co.44,oGI• (orT LENDER NAME Per RCW 19.27.095: Lender information is required if project value exceeds$5,000 MAILING ADDRESS CITY.STATE.ZIP PHONE ( ) • DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES L NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN El HIGHLINE ❑ PRIVATE(SEPTIC) ■ PROJECT FLOOR AREAS AREA DESCRIPTION ERSEPROPOSED TOTAL S*.FT. S..FT. BASEMENT FIRST SECOND THIRD ADDITIONAL FLOORS(DESCRIBE) -_ DECK(❑COVERED OR ❑UNCOVERED?) -_ GARAGE ❑ CARPORT ❑ EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF 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$3 y/ 7 97.c/F/(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) MEQMoSTATs COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS(or na,/Shower Combo) LAVS Bol mom Sinks) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSET,motto ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS 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 m.loLy any person,including the undersigned,and filed against the City of Federal Way,but only where such claim arises out of the reliance o i cluding its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. l NAME/TITLE Lt.L�/ '� - DATE (Signal (Title) RELATIONSH r . PROJECT 0 Owner c A ontractor a Architect a Other FOR OFFICE USE ONLY c NEW ❑ADDITION ❑ALTERATION c REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? c YES NO ZONING DESIGNATION CHANGE OF USE? ❑YES c NO NEW ADDRESS REQUIRED? o YES c NO UP/SEPA/SU? ❑YES ❑NO PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? ❑YES ❑NO Bulletin#100—April 2,2007 Page 2 of 4 k\Handouts\Permit Application '. . :' ELECTRICAL-PERMIT INFORMATION • • RESIDENTIAL COMMERCIAL 1 NEW RESIDENTIAL SERVICE • NEW COMMERCIAL/INDUSTRIAL.SERVICE ❑ Single Family.Square Feet Service or'Feeder Each•Add'n (First 1300 ft2-1111.00;Each add'n 500 ft2-$35.50) 0 0 to 100 amp $120.50 $74.00 • 0 Detached outbuilding or garage 0 101-200 amp 149.50 94.50 (Inspected with service) $47.00 0 201-400 amp 280.00 111.00. 0 Detached outbuilding or garage ❑ 401-600 ainp '327.00 131.00 (Inspected separately) $74.00 0 601-800 amp 423.00 179.00 0 801 - 1000 amp 516.50. 216.00 • NEW MULTI-FAMILY(three units•or more) 0 Over 1000 amp 563.00 300.00 Service Feeder ❑ Up to 200 amp $120.50 $35.50 0 Over 600 volts surcharge $94,50 ❑ 201 -400 amp 149.50 74.00 ❑ Mast or meter repair $102.00 • 0 401.-600 amp 205.00 102.00 ❑ 601 -800 amp 262.00 140.50 • ALTERED'COMMERCIAL/INDUSTRIAL • 0 Over 800 amp 375.50 280.50 Service or Feeders • ❑ 0 to 200 amp $120.50 ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 280.50 0 601 - 1000 amp 423.00 Service or Feeder ❑ over 1000 amp 471.00 • ❑ Oto 200 amp $92.50 • ❑ 201 -600 amp 149.50 ❑ #of circuits to be added/altered ❑ over 600 amp 225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea) 0 #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits-$74.00;Add'n circuits$7.00/ea) $94.50 plus 35%of Permit FM ❑ Service- 1,000 amps or greater 0 Mast or meter repair $55.00 • 0 Medical/Educational/Institutional Facility MANUFACTURED HOMES ❑ Service or feeder only $74.00 ❑ Service and feeder $120.50 TEMPORARY SERVICE MOBILE.HOME/RV PARK •ResidentialfMuiti-Family $65.00 ❑ I of service or feeders (First service/feeder-$74.00;each add'n-$48.00) Commercial/Industrial Service or Feeder Ampacity ❑ 0-100 amps $74.00 O 101-200 amps 94.50 • 0 201-400 amps 111.00 O 401-600 amps 149.50 ❑ over 600 amps 162.00 MISCELLANEOUS SERVICE/EQUIPMENT 0 vg-,#of Thermostats 0 I of Signs • (First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea) 0 Low Voltage 0 Swimming pool/hot tub $111.00 Square Feet to be served by system(s) (Includes additional circuit,if required) D Fire Alarm System 0 Yard Pole meter loops $74.00 D Security Alarm System 0 Additional Plan Review $111.00/hour D Voice Cabling (for modified submittals) - D Data Cabling . D ❑ Automation Fee on all Permits• .. $5.00 102500 1t2.$65.00; Each add'n,2500112_17.00)•Per WAC 296-46-910(5)(b)(j&ri) Bulletin#100-April 2,2007 Page 3 of 4 k\Handouts\Permit Application