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City dFFederal Way Electrical Permit #: 07-103828-00- EL
Community Development$ervices
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: HERFY'S BURGER i
.t:s
Project Address: 1640 S 318TH PL Suite A `-- fi '. Parcel Number: 092104 9208
FIs
Project Description: Adding and altering circuits off of exis ing 200 amp panel. 13:v2
oO� rJZ O
,
Owner Applicant Contractor
SEATAC VILLAGE SHOPPING C D RIDDING ELECTRIC •D RIDDING ELECTRIC
1121 SW SALMON ST 104 148TH PL SW DRIDDE*061B7 1/27/08
PORTLAND OR LYNWOOD WA 98087 104 148TH PL SW
97205-2000 LYNWOOD WA 98087
Additional Permit Information
Electrical Fixtures
Alt. ServFeeder up to 200 amps- 1
PERMIT EXPIRES Sunday, July 6, 2008
Permit Issued on Thursday, July 12, 2007
I hereby certify that the a••f- ormation is :•rrect and that the construction on the above described property and
the occupancy and - '1l be in ,a''ance with the laws, rules and regulations of the State of Washington
a '; iII die • era
tr '' -dl Way.
Owner or agent: Date: 07
st,.�, 8 — 3 - o -) C \A—
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record -
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-103823-00-EL
Owner:
Address: 1640 S 318TH PL Suite A
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) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
0 Temporary Power(4275) ❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
B 9 Date17.&_,-7 By Date By Date
❑ UFER Ground(4295)__
Approved
By Date
•
For inspector reference only
O Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
CITY OP..,, CEIVED ' OM- ( .0 3 2 3
Federal PERMIT ' -
COMMUNITYDBVELOPMBNTS Bs SF MF CO M �PL DE EN FP
333158*"AVBNUB SOUTH•Po71l 2 2007
FEDERAL WAY,WA 98063.9718 WAAPPLICATION TD
153-835.1607•FAX 153-835.1609
,w,it,•t�l„ar dP,t l• 'OF FEDERALi
BUILDING DEPT.
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
//� /� III PROPERTY
INFORMATION
SITE ADDRESS /( 7 0 J• 3/ S Pf /4 a SUITE/UNIT# A
ASSESSOR'S TAX/PARCEL# - _ _ _ LOT SIZE(s,7
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach aeparate Pager lengthy legal desa.piion)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING O PLUMBING 0 MECHANICAL
0 DEMOLITION XELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
r-1le'erkier`r f - . Al-G/ /2 c6i'rsl-ct&S G/( 'TI,
rn
PROJECT NAME(Name of Business or Owner Last Name) / / ER F VS -9-7/&66._
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER J( / f4 c V/LL-4 4 ( ( ) -
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CO T OR COM ANY NAME „APPLICANT NAME OFFICE PHONE
P • It /DO/A)6 SEL c v4-i✓L di i (Y2-S1 77 &-- /04C
�n 9 MAILING ADDRESS CI STATE,ZIP CE,L PHONE
I 1 v V)� CITY OVF FEDERAL WAY BUSINESSV LICENSE NUMBER L MAJ L �� EXPIRATION DATE A (FU MBER� - ‘7,4"--
"T
7��
(V2,n7YZ - 5-1W
COPY of card required
CONTRACTOR'S/' REGISTRATION/ NUMBER �j� ^. EXPIRATION/�cDATE/ .'y{ (T'� E-MAIL ADDRESS
with eee application /J R. ( % % £ '1F- e) F0 / / V / , 2.-7 - `� c
APPLICANT COMPANY NAME t. E APPLICANT NAME OFFICE PHONE
MAILING ADDRESS ' CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent Other rr .677)e ( )
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 TY,STATE,ZIP PHONE
( ) -
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
AREADESCRIPTION
.•:.�x ..rr.�..,,..,.m: .�,n._._�,...,--•,.,..,. �,.....,,� ,,, a,. „ . �.�m, .,, ... . ., ..__ ,- . .. ,, ,._.
ESCRIPTION EXISTING PROPOSED TOTAL
SQ;FT: SQ. FT. SQ.PT.
BASEMENT
•
FIRST
SECOND
THIRD •
•
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
E7OSTIRO PROPOSED TOTAL TOTAL marrow sl TOTAL PROPOSED Sl TOTAL Sl
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 factures 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
Du. GAS LOG SETS •REFRIG.SYSTEMS •
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroomsinka) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS crone)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BI1BS 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 W• as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim), which may be ma•t _ person,including the undersigned,and flied against the City of Federal Way,but only where such claim
arises out of the reliance o e c cludi slefjlcers and employees, upon the accuracy of the information supplied to the city as a part of
this application. t
NAME/TITLE ; DATE 0 7 /
(Sign Lure) (Title)
RELATIONSHIP TO PR•• =' 0 Owner ❑ Agent Contractor 0 Architect ❑ Other
" 'L
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT.
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
•
Bulletin#100—January 1,2007 Page 2 of 4 k\Handouts\Permit Application
.
ELECTRICAL aERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
O 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 ❑ 601-800 amp 423.00 179.00
. 0 801 - 1000 amp 516.50 216.00
NEW MULTI-FAMILY(three units or more) ❑ 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 0 Mast or meter repair $102.00
❑ 401 -600 amp 205.00 102.00 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 262.00 140.50
❑ Over 800 amp 375.50 280.50 Service or Feeders
0 t 0 amp $120.50
ALTERED SINGLE/MULTI FAMILY 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-04.00;Add'n circuits$7.00/ea) $94.50 plus 35%of Permit Fee
❑ Service- 1;000 amps or greater
❑ Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Muiti-Family $65.00
❑ 4 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
❑ 101 -200 amps 94.50
❑ 201-400 amps 111.00
❑ 401 -600 amps 149.50
❑ over 600 amps ' 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ ft of Thermostats ❑ H of Signs
(First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub ... $111.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System • ❑ Yard Pole meter loops $74.00 •
❑ Security Alarm System ❑ Additional Plan Review $1 11.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling0 ❑ Automation Fee on all Permits .. $5.00
1•t 2500 ft2-$65.00;
Each add'n 2500 ft2417.00) •Per WAC 296.46-9]0(5)(b)li&ii)
Bulletin#100-January 1,2007 . Page 3 of 4 k\Handouts\Permit Application