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11-1033071 r =City of Federal Way Gommunity Development Services P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Project Name: MUDBAY Project Address: 1706 S 320TH ST SUITE B Project Description: Adding /altering 0 -200 amp service • Electrical Permit #: 11- 103307- 00-,EL Inspection Request Line: (253) 835 -3050 Parcel Number: 092104 9208 caner Applicant Contractor SEATAC VILLAGE SHOPPING CENTER EVERGREEN ELECTRICAL SYSTEMS EVERGREEN ELECTRICAL SYSTEMS PO BOX 2708 1900 W NICKERSON ST SUITE 116 -9 EVERGES904CH (2/8/12) PORTLAND OR 97208 -2708 SEATTLE WA 98119 1900 W NICKERSON ST SUITE 116 -9 SEATTLE WA 98119 Is Use Educational or Institutional ? .......................No Service greater than 999 Amps? ............................. No Fir, L rl W E11 City of Federal Way • • Community Development Services Permit #. 11 - 1 03307 -00 -EL P.O. Box 9718 Federal Way, WA 98063 -9718 Inspection Request Line: 253 835 -3050 Ph: (253) 835 -2607 Fax: (253) 835 -2609 p Q Project Name: SEATAC VILLAGE Project Address: 1706 S 320TH ST SUITE B Parcel Number: 092104 9208 Project Description: Adding /altering 0 -200 amp service Owner Applicant Contractor SEATAC VILLAGE SHOPPING CENTER EVERGREEN ELECTRICAL SYSTEMS EVERGREEN ELECTRICAL SYSTEMS PO BOX 2708 1900 W NICKERSON ST SUITE 116 -9 EVERGES904CH (2/8/12) PORTLAND OR 97208 -2708 SEATTLE WA 98119 1900 W NICKERSON ST SUITE 116 -9 SEATTLE WA 98119 A Informaf[ AN Is Use Educational or Institutional ? .......................No Service greater than 999 Amps? .............................No Alt. Srvc / Feeder 0 to 200 amps (C 1 PERMIT EXPIRES Wednesday, August 15, 20 Permit Issued on Tuesday, August 16, 2011 1 hereby certify that the above information is correct and that the construction on the the occupancy and the use will be in accordance with the laws, rules and regulation: and the City of Federal Way. Owner or agent: Date: 0 1/ City of Federal Way community Development Services P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Project Name: SEATAC VILLAGE --- RU d h 0-y Project Address: 1706 S 320TH ST SUITE B Project Description: Adding /altering 0 -200 amp service � Electrical Permit #: 11- 103307 -00 -EL Inspection Request Line: (253) 835 -3050 Parcel Number: 092104 9208 Owner ApOicant Contractor SEATAC VILLAGE SHOPPING CENTER EVERGREEN ELECTRICAL SYSTEMS EVERGREEN ELECTRICAL SYSTEMS PO BOX 2708 1900 W NICKERSON ST SUITE 116 -9 EVERGES904CH (2/8/12) PORTLAND OR 97208 -2708 SEATTLE WA 98119 1900 W NICKERSON ST SUITE 116 -9 SEATTLE WA 98119 ,„.,����:r� 'dp z Addit�ta' 1 Iit�ttE��IE>1tk 2 r. ,. '- _8*L x 90 �.,..., sw{$. >> i'r'e. /t n...i ..J x a. .. .�, ;8 b: .,,.....8 i Is Use Educational or Institutional ? ....................... No Service greater than 999 Amps? ............................. No IS 'O +'11'l �AR;@�l:a �. AIN ON -SITE CITY UR Construction In ection Record Federal Way INSPECTION RFQUE, TS: (253) 835 -3050 PERMIT #: 11- 103307 -00 -EL Address: 1706 S 320TH ST SUITE B Project: SEATAC VILLAGE SHOPPING CEO FEDERAL WAY, WA 98003 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. Final - Electrical (4055) Approved Dat' —, UFFR Ground (4295) Ditch cover (4030) Final Electrical Approved Slab /Concrete Floor (4255) Service (4235) Approved By Approved Approved to place concrete By Date By Date By Date Final - Electrical (4055) Approved Dat' —, Pool Bonding (4195) E] Temporary Power (4275) Final Electrical Approved Service (4235) Right of Way Approved By Approved Approved Date Approved Date By Date By Date By Date E] Rough Electrical (4225) Feeders /Sub - panels (4045) Ceiling Cover (4020) Approved Approved Approved By Date B� Date By Date Final - Electrical (4055) Approved Dat' —, Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date C) CITY OF �suw Federal Way ELECTRICAL RIVED PERMIT APPLICATION AUG 16 2e1 PROJECT NAME (Tenant or Homeowner Last PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER ELECTRICAL CONTRACTOR APPLICANT PROJECT CONTACT NAM____ E� Q MAILING ADDRESS hove, PRIMARY PHONE l E-MAIL CITY STATE I ZIP FAX ( NAME PRIMARY PHONE MAILING AD S _St" M // - E_ c>G .des © i°v. C C J/ STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE °— j/)= /2 � S c6,) y C W "?,/ FEDERAL WAY BUSINESS LICENSE N NAME PRIMARY PHONE 773 - MAILING ADDRESS E -MAIL Sc� w e CITY STATE ZIP FAX ( NAME T PRIMARY PHONE q- E-- -7 7 - 6 1 VS- I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. 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, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. SIGNATURE: PRINT NAME: 6--)7-11 33325 8h Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.ciryoffederalway.com Bulletin #160 - January 1, 2011 Page 1 of 2 k:Wandouts \Electrical Permit Application NEW SINGLE FAMILY RESIDENCE Total Square Feet (including attached garage): FEES: First 1300 ft2 - $122.00; Each additional 500 ft2 - $39.00 NEW MULTIFAMILY (3 units or more) 1st Service /Feeder Additional Feeders ALTERED SINGLE or MULTI FAMILY 1st Service /Feeder 201 '= 600 amp x $164.00 dvei 600 arp ?t . "$24Ei.50 Added or Altered Circuits_. 1 -4 circuits $80.50; each additional $8.00 Mast or meter repair $60.50 MANUFACTURED HOMES Service or feeder only x $ 80.50 '«arvscaad;ieedea;; , 132.50 ERCIAL NEW COMMERCIAL 1- Service /Feeder Additional Feeders 0 1.00 ainp ', .. x "$Z32, 50..: x 101- 200 amp ' x $164:00 x $103.50 x 401 - 6.00 amp '` x $35$:00 x $143 -50 801 - 1000,amp x;$65.00 .t x $236.50 SJvez`; 1.000�ampa. Over 600 volts surcharge , x $103.50 ALTERED COMMERCIAL 1s1 Service /Feeder Additional Feeders "$103.50 20f;, 600 amp x $121.00 ( vei 1000 am" Lx$328,50 Added or Altered Circuits 42-1- 1-5 circuits $103.50; each additional $8.00 Mast or meter repair $111.50 PLAN REVIEW FEES Plan Review required only for: • New, or alteration to, service of 1,000 amps or greater • Medical /Educational /Institutional Facility $103.50 plus 35% of Permit Fee (Permit Fee x 35% _ + $103.50 = Plan Review Fee) Plan review for modified submittals $105.50 /hour MISCELLANEOUS MISCELLANEOUS LOW VOLTAGE ❑ Fire Alarm System ❑ Security Alarm System ❑ Voice /Data Cabling ❑ Other Area to be served by system: 1.1 2,500 ft2- $71.00; each additional 2,500 ft' -- $18.50 # of Thermostats First $60.50; each additional $18.50 Yard Pole /meter loops /pedestal x $ 80.50 Portable Generator (transfer equipment) x $101.00 Ditch cover/ inspection only x $121.00 TEMPORARY SERVICE 1s1 Service /Feeder Additional Feeders 61 - 100 amp 'X $ 80.501 $ 39.00 201,- 400 amp x $121.00 ' $ 60.50 Over'600 amp • x M4.50.1 : X $ 92,00 FEE CALCULATIONS • Fees are determined by the scope of work as indicated. • A $6.00 Automation Fee will be added to all permits. • For assistance in calculating fees or completing the application form, contact the Permit Center at 253- 835 -2607 33325 8" Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com Bulletin #160 - January 1, 2011 Page 2 of 2 k:\Handouts \Electrical Permit Application