07-103196 City of Federal Way Electrical Permit #•• 07-103196-00-EL
Community Development Services FILE
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: KENTUCKY FRIED CHICKEN/LONG JOHN SILVERS
Project Address: 34506 16TH AVE S w Parcel Number: 212104 9036
Project Description: Electrical service for new 3,605 square foot restaurant.
•
Owner Applicant Contractor
HARMAN MANAGEMENT CORPORATION JAMES K CLARK R J CLARK LLC
199 FIRST ST SUITE 212 R J CLARK LLC RJCLAL*981MA 7/1/08
LOS ALTOS CA 94022 15601 18TH AVE S 15601 18TH AVE S
LYNNWOOD WA 98037 LYNNWOOD WA 98037
Additional Permit Information
Electrical Fixtures
Service/Feeder: 101-200 amps-G 4 Service/Feeder:201-400 amps-Cc 1 Service/Feeder: 801-1000 amps-( 1
PERMIT EXPIRES Thursday, June 26, 2008
Permit Issuedva Monday, July 2, 200
I hereby certify that the above information is correct andtithe construction on the abovedcribed property and
the occupancy and the use will be in acoordan« .,:;='i the aw ,rides and regolabons of the State of Washington
an• the City of Federal Way.
Owner or agent: C- (/ Date: --2(P.--LA (
o1 - a�� Q vim`
THIS CARD IS TO REMAIN ON-SITE • -
CITY OF ACommunity Development Inspection Record ,
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-103196-00-EL
Owner: HARMAN MANAGEMENT CORPORATION
Address: 34506 16TH AVE 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) 0 Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By ;4,-t- --
Date Jo,23 j 7 By Date
— 0 Temporary Power(4275) ❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date M •2 •67 y Date
El Rough Electrical(4225) El Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
Byk-7 Date Q—/_,Zr(f By Q Vs,"_, Date 1 l 10'1_dr] By(., Date ).\..-�1--c,�
❑ UFER Ground(4295) _/
Approved
By Q Date 0 ,ps?,,.a1
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
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Federal Way RM IT
COMMU DYBEYELOF1 1'SERVICES SF MF CO ME (11)PL DE EN FP
9992ENUESOUTH•POBOX 9718 l N A PLICATION i 6 / , , / o f
_o FEDERAL WAY,WA 980639718
259.336.2807•FAX 253636.2609
?u 1•11,eiluoni>dernlanal!.mrn
CrIN OF FEDERAL WAY
The following is required tt fdiid&C3-IiikaToomplete application will not be accepted. Please print legibly(in ink)or type.
/ II PROPERTY1\FORSLITIO\
SITE ADDRESS- 224-10&✓ 1�C e �Q /� p SUITE/UNIT#-
ASSESSOR'S TAX/PARCEL 9 .0.L\j 1 _a - _1__...L „2 i& LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Aane Estates.Lot 1)
en*arParate Pr'MOW letioldeaCTIPOMI
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION/"(ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECTON(Providey detailed ofC of work iFupermit ded on this onset)
/ig('V nit /pc;),4 ` L,--c sI 4 _sfvuirp
(-- L100� m i eeeeiN i
—; OO /1--pyo 1�eedet
PROJECT NAME(Name of Business or Owner Last Name) t<FC- I,C)el 344i cji14 /4
PROPERTY NAME (4a ,i Lel 04 q ortO 't ( ' zmi, E'T( .%th
OWNER c! Y
MAXIM DRESS CITY TE. E-MAIL ADDRESS
Ng 99' ts"t --i ?fg Cos 417$ C4
CONTRACTOR COMPANY NAME R
s5 �� _"-ice �. 6MI.— C16 k OFFICE LSY0
- 9983
MAiL`IN��G/,A�eD//D'yQR7S L aa? n __ J F� -/j ?sag'? )Vt V- C[J
ZIP IRIeLCPHONE
TOF FEDERALI/ WAY BUSINESS LICENSE (NUMBER r^'a ( t/✓I'ALE O(/ / FAX NUMBER
XQ-O'7-I C� go-co -�C. la-�3 `7 (( »y,s- e 2
. 44 .. : CONTRACTOR'S REGISIRATION NUMBER 710N DATE il E-MAIL ADDRESS
PrA R n a/1i -A- qe/m/i- -277d-crib c.cap fs eveszoyhite-
APPLL be w CO ����� /� APPLICANT NAME OFFICE PHONE
MAILINGb� •�iL`y`\Y// C[LY.STATE,ZIP CELL PHONE
) -
RELATIONSHIP TO PPDJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent 0 Other ( ) -
PROJECT OGpe/ �/4 k- PRIMARY PHONE E-MAIL ADDRESS
CONTACT 00 , vO ?g3
LENDER NAME Per RCW 19.27.095:
Lender in oemation is required if Pram value accords$5,000
MAILING ADDRESS CRY.STATE.ZIP PHONE
) -
• DET.IILED BUILDING INTORA1_AIION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLER=BUILDING? 0 YES 0 NO 1. . I -- •N SYSTEII PROPOSED/REQUIRED? o YES o NO
WATER SERVICE PROVIDER ❑LAKEHAVEN 0 •• :1 ii c ♦• • ❑PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 :I y: 0 HIGHLUfE 0 PRIVATE(SEPTIC)
AREA DESCRIPTION EXISTING PROPOSED TOTAL
sg.FT. sg.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(O COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS 0
I sae� rh. T '071
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXI1 RI S
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$ (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 tcmmerems
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PSG URINALS MISC(Describe)
BATHTUBS(or Tub/shower Combo) LAYS Malmo=
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS macs
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I cergiil under penalty of perjury that the iqformationfurniehed by me is true and correct to the best of my knowledge.and further,that I
am authorised by the owner of the abase premises to perform the work for which the permit application is made. I further apron to hold
harmless the City of Fade al Wag as to any claim(including cods,expenses.and attorneys'fees incurred in the investigation and defense of
such claim),which may be made by any person,including the undersigned,andfiled against the City of Federal Wady.but only where such claim
arises out of the reliance of the city.including its qfficers and employees,upon the accuracy of the itgbrmation supplied to the citycias a part of
thisDATE 6949/0NAME/TTILE Mile)
(signature)
RELATIONSHIP TO PROJECT ❑ ❑Agent , Contractor c Architect ❑Other
aeck /r t
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR o TENANT
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 ❑NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—April 2,2007 Page 2 of 4 k\Handouts Permit Application
0. / ' II •
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
U Single Family Square Feet UOto 100 amp $120.50 7 00
(First 1300 ftj•$111.00;Each add'n 500 fta-$35.50) � /
U ❑Detached outbuilding or garage R-101-200 amp 149.50 •4.50 "T
(Inspected with service) $47.00 P.201-400 amp 280.00 aa /
U Detached outbuilding or garage U 401-600 amp 327.00 1%/_+1%