05-101556 of ry/{r f
t
City or Federal way Electrical Perthit#: 05 - 101556 - 00 - EL
Community Development Services
P.O.3ox 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax (253)835-2609 Inspection request line: (253) 835-3050
Project Name: GOLDENSTONE SUITE 202
Project Address: 33400 9TH1SSuite202 Parcel Number: 926501 0060
Project Description: Ti A �n5 cU{.(Os c -i&( re(000 4-1)+3 t:){3
Owner Applicant Contractor
GOLDEN STONE LLC KIRBY ELECTRIC INC KIRBY ELECTRIC INC
33400 9TH AVE S 4826 B ST NW SUITE 101 4826 B ST NW SUITE 101
FEDERAL WAY WA 98003 AUBURN WA 98001 AUBURN WA 98001
(253)859-2000
Electrical Fixtures
f 'Description 'Quantity Description Quantity Description Quantity1
Circuits- Commercial " 5
PERMIT EXPIRES October 3,2005.
Permit issued on April 6, t.4045
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be m accordance s 4th the laws,rules and regulations of the State of Wilkhington and
the City of Federal Way.
Owner or agent: 5/L,-, / Date: 4/-c -O
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• THIS CARD IS TO REMAIN ON-SITE
CITY of Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-101556-00-EL
Owner:
Address: 33400 9TH AVE S Suite 202
FEDERAL WAY, WA
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
❑ Temporary Power(4275) ❑ Service(4235) .11 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) �❑ Final-Electrical(4055) ,
Approved Approved proved
B '> ' Date q— 6—est.------21t--------, Date 4-4•-6 Date4L-Z t--{>C---
❑ Under-slab groundwork(4295)
Approved
By Date
error RIC iveD � C._ ' 1 Q I 1,, La .
Federal Way PERMIT
^ o 6 zQ9 SF MF CO MF�E�PL DE EN FP
COMMUNITY V860PMBNT SERVIC>L!PR �
33335, RA NUS SOV BOX APPLICATION - T° / /
nDBRAI WAY,WA'9806�� 18
iS3.8354607•FAX 253-85540r OF FED
unuw.dtlMQgdemhaau.rnm BUILDING FEDERAL
The ollou/in• is re•uired t ormation-an incom•late a• •lication will not be acce•ted. Please •rint le,ibl in in or j.:.
, �j • PROPERTY INFORMATION
SITE ADDRESS 33 LI 00 1' Aut. S 50:a ew SUITE/UNIT# o''i0
ASSESSOR'S TAX/PARCEL# - LOT SIZE Op
LEGAL DESCRIPTION(e.g.Acme Estates,Lot]) �76I arx_ CiStn1Q,cn<y S.-4a3a A.
(Attach separate page%r lengthy legal demiptM'n)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ..1)!'ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this hermit only)
jJe_,-,c-4-N
C°' -. l
C)tr Co rdo C..--4-.-,5 4 r5.1113
PROJECT NAME(Name of Business or Owner Last Name) 6701Jf.,40n.Q/
• PEOPLE INFORMATION
PROPERTY NAME, JJ II_ ) PRIMARY PHONE I
OWNER 7cDIc/G, �O0•C.� L/••.,C ( ) -
MAILING ADDRESS , CITY STATE,ZIP
3 3'1oo 9' t' 6 S c,Ifa,\ Lre, 3 , CJc,
CONTRACTOR COMPANY NAME APPLICANT NAME OFFIC PHONE
MAILING KC ASI ��.O c c ( 3)a�`i - ..ago
CITY STATE,ZIP CELL PHONE
1 C6 Aid 3 SSC Nu 410\ ()Da., 1/4.0c-... 9 806\ ( ) -
CITY�F FEDERALWAY BUSINESS�LIC�E NUMBER-� � '�EXPIRATION� 3 DATE O� FAX NUMBER -
CONTRACTOR'S REGISTRATION NUMBER(cops of card required with each application) (EXPIRATION DATE
k l s. 1/' F , o -7 -7 z d I 113 107
APPLICANT COMPANY NAME �/ APPLICANT NAME OFFICE PHONE
5t:. , c-5 Co!c(�c\O(/ ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT • FAX NUMBER
0 Architect O Tenant O Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER ;, ''1+e ')iCtiq7•i*s ertder`i formation is; NAME
:, req th'e,, {jprofecit vLafue%#CAefs$5, 000
MAILING ADDRESS CITY,STATE,ZIP
■ DETAII,ED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN O HIGHLINE O TACOMA O PRIVATE(WELL) •
SEWER SERVICE PROVIDER O LAKEHAVEN O HIGHLINE 0 PRIVATE(SEPTIC)
• .1
.4� -..j%• :'.
'• �'' PROJECT FLOOR AREAS
is- AREA DESCRIPTION EXISTING 8 FT. PROPOSED = 1.FT. TOTAL
g49 WENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
TOTAL G7U.TTuIO TOTAL PROPOSM TOTAL L73srOI0 MO PROPOS=
HOW MANY 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 $
LOGS REFRIG.SYSTEMS
AIR HANDLING UNITS EVAPORATIVE COOLERS, OAS WOODSTOVES
BBQS FANS HOODS(commercial) MISC(Describe)
FIREPLACE INSERTS RANGES
BOILERS GAS WATER HEATERS
COMPRESSORS FURNACES
DUCTS OAS PIPE OUTLETS
PLUMBING SHOWERS WATER CLOSETS Roam MISC(Describe)
BATHTUBS IorTubishaAerCo�ho)
DISHWASHERS SINKS DRINKING FOUNTAINS
OAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks)
VACUUM BREAKERS ELECTRIC WATER HEATERS
,•r DISCLAIMER/SIGNATURE BLOCK •
/certify under penalty of perjury that the information furnished by me is true and correct to the st of
myis knowledge,
and further that
am authorized by the owner of the above premises to perform the work nses and attorneys'feesapplication ncurred in the investigation and defense of
harmless the City of Federal Way as to any claim(including costs, expenses, but only where such claim
such arises claim),ouwhich the reliance of the city,any iuding its officerrson, sthe undersigned,and flied against the City of Federal andemployees, pon the accuracy of the information supplied to the city as a part of
this application. / I /
Allir • DATE L ' V -O
NAME/TITLE '7 (Title)
Signature)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent O Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY ' I
TENANT o NEW t
o ADDITION o ALTERATION o REPAIR a YES o NO
BUILDING SHELL ONLY? o YES a NO BASIC PLAN?
ZONING DESIGNATION CHANGE OF,USE? o YES D NO
o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU?
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? a YES o NO
•
— Page 2 of 4 is\I•Iandouts—RcviscaPermit Application
Bulletin 11100—March 30,2004 •
ELECTRICAL PERMIT INFOR ' s
•
• RESIDENTIAL COMMERCIAL
NEW COMMERCIAL/INDUSTRIAL SERVICE
NEW RESIDENTIAL SERVICE
Service or Feeder Each Add%
❑ Single Family Square Feet 0 0 to 100 amp $ 94.50 $ 58.00
(First 1300(tl-$87.00;Each add'n 500 ft2-$28.00) 0 101 -200 amp 117.50 74,00
❑ Detached outbuilding vi garage $36.50 t 0 201 -400 amp 220.50 87.00
(Insppectedtwith service) 0 401-600 amp 256.50 103.00
❑ Detached outbuilding or garage
(Inspected separately) $58.00 0 601-800 amp 332.00 140.50
0 801 - 1000 amp 405.50 169.50
NEWMULTI-FAMILY(three units or more)
0 Over 1000 amp 442.00 236.00
Service Feeder
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
O 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL.
O Over 800 amp 294.50 220.50 Service or Feeders
0 0 to 200 amp $ 94.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 220.50
Service or Feeder 0 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 0 over 1000 amp 369.50
❑ 201 -600 amp 117.50 ,® #of circuits to be added/altered
❑ over 600 amp 177.00 (1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) $74.00 plus 35%of Permit Fee
❑ Service over 200 amps
O Mast or meter repair $43.50 ❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
O Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES TEMPORARY SERVICE
O Service or feeder only $58.00
a Service and feeder $94.50 Commercial Residential
0 0-100 $58.00 $51.00
MOBILE HOME/RV PARK 0 101 -200 74.00 51.00
O #ofservice or feeders a 201 -400 87.00 n/a
(First seervice/(ceder-$58.00;each add'n-$37.50) n/a
❑ 401 -600 117.50
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
0 II of Thermostats 0 #of Signs
sign-$43.50;add'n sign$20.50/ea)
(First-$4a.50;add'n-$13.50/ea) 0 Swimming pool/hot tub $87.00
❑ Low Voltage (Includes additional circuit,it required)
❑ Fire Alarm S
Square Feet to be System served by systems) 0 Yard Pole meter loops $58.00
❑ Security Alarm System 0 Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
(Pr System(s) l"2 500 ft2-$51.00; 811)
Each add'n 2500 ft-13.50 'Per WAC 29646-910(50N'
I'agc 3 of 4
k\I Iandouts-RcvisedU'crnut Application
Bulletin 11100-March 30,2004