07-102650 t
s
I
City of Federal Way Electrical Permit #: 07-102650-00-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: JIMMY MAC'S ROADHOUSE
Project Address: 34902 PACIFIC HWY S Parcel Number: 185295 0060
Project Description: Telecommunications cabling to include 6 voice outlets, 10 data outlets and voice cabling will
be terminated on one 50-pair, 110 style block data cabling on one 24 port patch panel.video
cabling terminated by others.
Owner Applicant Contractor ,
AL JIWANI PUGET SOUND SERVICES INC PUGET SOUND SERVICES INC
FANA FEDERAL WAY CROSSING 4507 44TH AVE SW PUGETS505LH(6/8/08)
UNLIMITED PARTNERSHIP X/O TIM SEATTLE WA 98116 4507 44TH AVE SW
FANA GROUP OF COMPANIES SEATTLE WA 98116
16400 SOUTHCENTER PKWY SUITE 204
TUKWILA WA 98188
Additional Permit Information
Electrical Fixtures
Low Voltage-Other Commercial. 4,200
PERMIT EXPIRES Sunday, November 11, 2007
Permit Issued on Tuesday,May 15, 2007
I hereby certify t -t the above information is correct and that the construction on the above described property and
the occupanc . d the use will be in accordance with the laws, rules and regulations of the State of Washington
..---P
the City of Federal Way.
Owner or ag= IL - -�.• P- -- Date: ISKA&N CLY '
FINAII ED
. Ali,. THIS CARD IS TO REMAIN ON-SITE -
CITY OF 10111 . Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-102650-00-EL
Owner: AL JIWANI
Address: 34902 PACIFIC HWY S
FEDERAL WAY, WA 98003
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) ElCeiling Cover(4020) ,❑ Final-Electrical(4055)
Approved Approved Approved
By a Date 4 -7 IC? ByZGj Date G-7-0-7—+, By jf 9 Date s"--.—72
❑ Under-slab groundwork(4295)
Approved
By Date
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
MAS 1 61°'1
,, .C2_. - 10 .2L SO
Federal Way Fe0ERpL` tRMIT
33325MMMT AVENUE SOUTH DEVELOPMENT
971!.r,/
of
ntNC'SEPT SF MF CO ME® PL DE EN FP
FEDERAL WAY.WA 98063-9718 APPLICATION / /
253-835-2607•FAX 253-835-2609
wwia_citudjederalway,mm
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• `PROPERTY IJ
INFORMATION
SITE
SITE ADDRESS- 3 490 Z i G Fl G l-•1 d '1 • am . SUITE/UNIT#-
ASSESSOR'S TAX/PARCEL# i852- 9 5 - ® .r'... 2 tp LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)'—'093:0 m l&-r- C�-.)G A. Vim.&( C.o SILL( J
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION X ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
'TEEECOKA tAu tit CA'C-t tit Com.'Bt _t t4G TO 1 LIC b -- c VOICE.
, t(II s` -rt lb V IDEC
VOICE- cA ....m4.0 r 'Mt t L E-i-ERLA1 ca.. O SO_AAIB i I cta syt.CR.ocl_
Tarn. C�.+_lLltb CA OMEC) Z4-14SC,r-a 44EL • U110 0 CtkktiLl(TTEaltUA) maces.
PROJECT NAME(Name of Business or Owner Last Name) J(LA NA y Iu(C S (4( j 5e:
- �/� • PEOPLE INFORMATION
PROPERTY NG�e i y� � / PRIMARY PHONE
OWNER 7 / IrJfJ�l/.C�irL�� ( )
`4/
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
711 i
CONTRACTOR X COMPANY NAME APPLICANT NAME OFFICE PHONE
C ' ( t) PVIC -J i
ES . 4 r6u (z®.
oLis )937- oxz3
MAIL'R?
NC?G ADDRESS Cn',STATE.ZIP CELL PHONE
-6-144Zu AVE• SV,f Am-LE ikld 98 it 6 (zee )}I8 ---685
6\ / ` I Y OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER -
1., m m - t®ff 1 '1 Z 934 3I
COPY of card requiredCONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
with acL application b .J(1j�Trj�j 0605 5 LI,} ICS ii C653 ,j .st rner►s0 ifbccSAINI,
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 ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS Cn',STATE.ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ 44941 53
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES o NO '
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$111.00;Each add'n 500 ft2-$35.50) ❑ 0 to 100 amp $120.50 $74.00
❑ Detached outbuilding or garage ❑ 101-200 amp 149.50 94.50
(Inspected with service) $47.00 ❑ 201-400 amp 280.00 111.00
❑ Detached outbuilding or garage ❑ 401-600 amp 327.00 131.00
(Inspected separately) $74.00 U 601-800 amp 423.00 179.00
U 801 - 1000 amp 516.50 216.00
NEW MULTI-FAMILY(three units or more) U Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $35.50 ❑ Over 600 volts surcharge $94.50
❑ 201 -400 amp 149.50 74.00 ❑ Mast or meter repair $102.00
❑ 401 600 amp 205.00 102.00 ALTERED COMMERCIAL/INDUSTRIAL
U 601 -800 amp 262.00 140.50
❑ Over 800 amp 375.50 280.50 Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 280.50
❑ 601- 1000 amp 423.00
Service or Feeder ❑ over 1000 amp 471.00
❑ 0 to 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)
❑ #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 Fee
❑ Service- 1.000 amps or greater
U Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
U Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $65.00
❑ #of service or feeders
(First service/feeder-$74.00;each add'n-$48.00) Commercial/Industrial Service or Feeder Ampacity
U 0-100 amps $74.00
❑ 101-200 amps 94.50
❑ 201-400 amps 111.00
U 401-600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea)
IALow Voltageti U Swimming pool/hot tub $111.00
Square Feet to be served by system(s) 42Qp (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $74.00
❑ Security Alarm System U Additional Plan Review fir-Volce Cabling (for modified submittals)
01(Data Cabling ❑ Automation Fee on all Permits .. $5.00
Pt 2500 ft2-$65.00;
Each add'n 2500 ft2-17.00)•Per WAC 296-46-910(5)@1([&C +
Bulletin#100-April 2,2007 Page 3 of 4 k\Handouts\Permit Application
•
■ 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 0 CARPORT 0
NUMBER OF FLOORSMIMING
PROPOS® TOTAL TOTAL EXISTING SF TOTAL PROPOSED SP TOTAL SF
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of,f bcture 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 APPLICATIOM
AIR HANDLING UNITS EVAPORAHVE 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) LAVS Bathroom smko) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS crone)
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 made by any person,including the undersigned,and flied against the City of Federal Way,but only where such claim
arises out oft Hance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this applica n. �/ i�;� ,ALA" ,,rip
NAME/ IL.L. �V��It tcLt c1\O1 p1r &L DATE 1 5 Mt '1®�
Ignature) (Title)
RELATIONSHIPkir
O PROJECT 0 Owner 0 Agent `contractor 0 Architect 0 Other
FOR,OFFICE USE ONL
❑NEW o ADDITION o ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin#100-April 2,2007 Page 2 of 4 k\Handouts\Permit Application