08-100203City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
40 Electrical Perm #: 08- 100203 -00 -EL
Inspection Request Line: (253) 035 -3050
Project Name: COMMONS AT FEDERAL WAY
Project Address: 1928 S COMMONS Y y Parcel Number: 762240 0010
Project Description: Alter one circuit for installation of electric roof hatches.
Owner
Applicant
Contractor
STEADFAST COMPANIES
EVERGREEN ELECTRICAL SERVICES INC
EVERGREEN ELECTRICAL SERVICES INC
4343 VON KARMAN AVE SUITE 300
15103 60TH AVE W
EVERGES039KF 5/6/09
NEWPORT BEACH CA 92660
EDMONDS WA 98026
15103 60TH AVE W
EDMONDS WA 98026
Additional Permit Information
Service greater than 1000 Amps ? ...........................No
Electrical Fixtures
1
PERMIT EXPIRES Friday, January 9, 2009
Permit issued on Tuesday, January 15, 2008
information is correct and that the construction on the above described property and
vill be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: C Date:, J� CS 2-oC>8
0
- THIS CARD IS TO�MAIN ON -SITE
CITY OF tommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 100203 -00 -EL
Owner: STEADFAST COMPANIES
Address: 1928 S COMMONS
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.
❑ Slab /Concrete Floor (4255)
❑
Ditch cover (4030)
❑
Pool Bonding (4195)
Approved to place concrete
Approved
Approved
By Date
%
By
Date
By
Date
❑
❑
Service (4235)
❑. Temporary Power (4275)
Feeders /Sub - panels (4045)
Approved
Approved
Approved
By Date
By
Date
By
Date
❑
❑
❑ Rough Electrical (4225)
Ceiling Cover (4020)
Final - Electrical (4055)
Approved
Approved
Approved
By Date
By
Date
By
Date
❑ UFER Ground (4295)
Approved
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved '
By Date B Date2'
EIVIP
ag ` nova -o - b 0
emraP �.L
PERMIT — —"
CommumYDEVBIAPAIBM 3B/tj(I� +y7� SF MF CO ME L L DE E
93925 Im AVENUE SOUTH • PO p(j]I � C Si�
FEDERAL WAY, WA 53-835 18 A LI C AT I O N
459••954607• PAR 259 -dJS ?609 p� ��j jr`r'r
E 4.V V::�� L
The�wing is requICIS! ation - an incomplete application will not be accepted. p ase print legibly (in inkj or
type.
PROPERTYINFORAIATION
SITE ADDRESS _/ Pe, C-Ql3ni+ '-0kg jC? —J3 S C.6!M 1Mrn�,� SUITE /UNIT i
ASSES90RIS TAX /PARCEL it a -6 1Z d- �L Q - Q Q Q LOT SIZE (sj
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
PROJECT •• •
TYPE OF PERMIT O BUILDING ❑ PLUMBING ❑MECHANICAL
O DEMOLITIOXELECTRICAL O ENGINEERING II2E PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work induged 50 j is permit onU
Arm -,fir g'l�r. rs, ! kre_4ewse°s
PROJECT NAME (Name ofBusines s or Owner Last Hamel
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
NAME
PRIMARY PHONE
MAILING ADDRESS
CITY, STATE, ZIP
E -MAIL ADDRESS
CO PANY NAME�
Nr
OFFICE PHONE
(9ZS )-7 (-
MAILING DRESS
STATE, P
�' l
?5i WJQ C 4 A
CELL PHONE /. -CJ i Lt
�1
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
tea,; qef Of> f3L-
EXPIRATION DATE
121.2_ S
FAX NUMBER
(�j4 !:')`t�- ?� 1
CONTRAOTOR'9 REOIBTRATION Mums M,
r" RATION PATE
S16 L
EMAIL ADDRESS
MPANY NAME j) j
PerR .098r
1 i
MAUJNG DDRESS
57/<D3 6 Aug f/;./
ATE, ZIP
. s it 1r
CELL PHONE
3 G,-'?
RELATIONSHIP TO PROJECT
0 Architect Tenant
FAX NUMBER
n ❑ Agent 0 Other
( _
NAME PRIMARY PHONE E MAIL ADQRB83
NAME
PerR .098r
nder inrormation is required (f project aatue exceeds $5#000
MAILING ADDRESS
CI9Y. STATE, ZIP
PHONE
DETAILED BUILDING •
EXISTING USE PROPOSED USE -- - -- -.
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? 0 YES O NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? o ONO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE (WELL)
SEWER SERVICE PROVIDER O LAKEHAVEN 0 HIGHLINE ❑ PRIVATE SEPTIC
AREA DESCRIPTION
BASEMENT
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
60. FT.
FIRST
FANS GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS HOODS (cemm.M,q
SECOND
F
DUCTS.
o GAS LOO SETS REFRIO. SYSTEMS
THIRD
SUMPS
a YES
a NO
ADDITIONAL FLOORS (DESCRIBE)
a YES a NO
UP /SEPA /SU?
DECK (❑ COVERED OR ❑ UNCOVERED ?)
a NO
PLATTED LOT?
a YES a NO.
GARAGE ❑ CARPORT ❑
DEMO PERMIT REQUIRED?
a YES
ONO
NUMBER OF FLOORS
Memo
peamety
rory
Mr."x=rmsr
roretRearussesr
MALOr
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
a
Indicate. number of each type of fixture to be insta)6d or relocated as part 'of-this project. Do not include existing fudures to remain.
Value of Mechanical Work $
(A OF BID OR ESTIMATE MIDST B CLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS GAS PIPE OO ME�TS WOODSTOVES
BB Q3
FANS GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS HOODS (cemm.M,q
COMPRESSORS
FURNACES RANGES
DUCTS.
o GAS LOO SETS REFRIO. SYSTEMS
BATHTUBS (. ?Uble
LAVE (9.th .m sL.k,)
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINIQNO FOU NS
SHOWERS
WATER CLOSETS troa.q
ELECTRIC WAT R HEATERS
SINKS
WASHING MACHINES.
HOSE BIBBS
SUMPS
a YES
I cerl{ jy under penalty of perjury that I am the property owner or authorised agent of the property owner. I e
knowledge, the Warmation submitted in support of this permit application is true and eorreeL I e that I will that to the apse of ble
ertill! amply with all applicable
City of Federal Way regulations pertaining to the work authorised by the issuance of a permit I understand that the issuance of this permit
doss not nmow the owner's responsibility for compliance with local, state, or federal laws regglating construction or onvirenmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fits incurred in the
investigation and defense of such claim), which many be made by any person, including the undersigned+ and filed against the city, but only
where such claim arise cue cf the reyante of the city, including its officers and employs", upon the accuracy of the,information supplied to
the city as a part of j�s pptieation li
SIGNATURE:
Authorized
a NEW a ADDITION
a ALTERATION
a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES a NO
BASIC PLAN?
o, YES
ti NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
a NO
NEW ADDRESS REQUIRED?
a YES a NO
UP /SEPA /SU?
o YES
a NO
PLATTED LOT?
a YES a NO.
DEMO PERMIT REQUIRED?
a YES
ONO
Bulletin #100 —January 1, 2008 Page 2 of 4 Mandou&iPermit Application