09-100631City of Federal Way
,Community Development Services
P.O. Box 9718
Federal Way; WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
F L---
1"i C
Project Name: FOOTLOCKER
Project Address: 1928-B S COMMONS SUITE E -16
Project Description: New lighting circuits and power to new outlet.
Electrical
Permit #: 09- 100631 -00 -EL
Inspection Request Line: (253) 835 -3050
Parcel Number: 762240 0010
Own r
Applicant
Contractor
STEADFAST COMMONS LLC
SURGE ELECTRIC INC
SURGE ELECTRIC INC
1928 S COMMONS
13617 NE 61ST AVE
SURGEEI922PG (10/7/10)
FEDERAL WAY WA 98003 -6013
VANCOUVER WA 98686
13617 NE 61ST AVE
VANCOUVER WA 98686
Service greater than 1000 Amps ? ...........................No
FI
,. • THIS CARD IS T1W.MAIN ON -SITE
CITY OF Community Development Inspection Record,
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 09- 100631 -00 -EL
Owner: STEADFAST COMMONS LLC
Address: 1928 -13 S COMMONS SUITE E -16
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.
❑ UFER Ground (4295)
❑
Ditch cover (4030)
❑
Slab /Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By Date
By
Date
By
Date
❑ Pool Bonding (4195)
❑
Temporary Power (4275)
❑
Service (4235)
Approved
Approved
Approved
By Date
By
Date
By
Date
❑
❑
❑ Feeders /Sub - panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By Date
By
Date a _ _6I
By 0
Date J
❑ Final - Electrical (4055)
Approved
By Date - -6 O
0 Rough Electrical
Approved
By Date
For inspector reference only
13 FINAL - Electrical
Approved
By Date
oly OF 4A
'OvECEIVE' hy
'COMMUMIYDBVBLOAMBM SBRVI� PE RM IT SF MF CO M L PL DE EN FP
3331FEWRM WAY, WTI, • P -9718 97�. A P PLI CAT I O N
PSDBRAL WAY, WA 98063 -9718 /
Y53- 835.1607• A - 835.2609
*F FEDERAL WAY
The following is r'e4uireCl nation _ an incomplete application wilt not be aeceptsd. Phrase print tegibbj (in Wci or type•
PROPERTY INFORMATION
SITS ADDRESS �?/(.! l
SUITE /UNIT #
ASSESSOR'S TAX /PARCELf` %if S'� _ Sd� 6
— — — — — _ — — LOT SIZE (sp
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) , zl ml
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING Q MECHANICAL
❑ DEMOLITION ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVEXITION SYSTEM
PROJECT DESCRIPTION (Pro/vide detailed description of Mork included on tiers tom= onlu)
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
.7�
E PEOPLE INFORIIATION
NAME
PRIMARY PHONE
MAILING ADDRESS
CIfY, STATE, ZIP
E-MALL ADDRESS
AMP
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
MAILING ADDRESS
3 -- %r
CITY, STATE, ZIP
y rf ,4 °rte >�, �' 4� _
CELL PHONE
_
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
/AX NUMBER
C0FrRACTOA'8R=Un?AT/I0X X9K8�SR !�
SI@O!A DATS
E-MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
( ) -
NAME PRIMARY PHONE E-MAIL ADDRESS
NAME
Par RCW 19.27.095:
....,a..q
Lender i#L&rn -don is • aZut ed #%p *-t veils! ows-is $4000
MAILING ADDRESS
arr, STATE, ZIP
PHONE
( ) -
E�STING USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE VALUE OF PROPOSED WORK
SPRUfl(LERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? O YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGEMM ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAICFHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTICI
AREA DESCRIPTION
EBIS=G
3 . FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
GAS WATER HEATERS MISC (Deembe)
BOILERS
FIREPLACE INSERTS
FIRST
COMPRESSORS
FURNACES
RANGES
SECOND
GAS LOG SETS
REFRIG. SYSTEMS
3
THIRD
a YES )<NO
BATHTUBS (wTubjshwwComea►
IAVS 9ia"
ADDITIONAL FLOORS (DESCRIBE)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DECK (❑ COVERED OR ❑ UNCOVERED ?)
SHOWERS
WATER CLOSETS (r.&q
=,ZCTRW WATER HEATERS
GARAGE ❑ CARPORT ❑
WASHING MACHINES
HOSE BIBBS
SUMPS
NUMBER OF FLOORS
1�=
PROPOSED
TOTAL
TWALAM Mar
�oreersaroesosr
Tamar
"NEWROMES ONLY'" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fudure to be installed or relocated as part of this project. Do not include existing f"tAM to remain.
%due of Medutnical Work .$ (A C OF Bm OR ESTIMATE MUST BE INCLUDED %TMAPPLICATIONJ
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
Saw
FANS
GAS WATER HEATERS MISC (Deembe)
BOILERS
FIREPLACE INSERTS
HOODSIcoem.�tq
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
3
NEW ADDRESS REQUIRED?
a YES )<NO
BATHTUBS (wTubjshwwComea►
IAVS 9ia"
URINALS MISC, (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (r.&q
=,ZCTRW WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
Z car ft Fj muter penally of perjury that Z mn the properly ow— or mduetzed agent of the property owner. Z aw t(& that to the best q/ my
knowledge, the information submitted in support of this permit application is true and correct Z certify that Z will comply wtth all applicable
City of Federal Way regatUdions pertaining to the work authorised by the lasuance of a permit Z understand that the issuance of this permit
does not remove the oamses responsibility for compliance with boat, state, or federal taws reguZuting construction or environmental lanmt
Z further agree to hold harmless the City of Federal Way as to any claim (including costs, aepenses, and the
atto ragas' Jens incurred ire
tnwsIIgation and defense of such claim), which may be made by any person, including the undersigned, and fitsd against the city, but only
where such claim arises out of the reliance of the city, including its o leers and employees, upon the accuracy of the h4formation supplied to
the city as a part of this Ucatio
SIGNATURE• DATE G
Property Owner and /or Authorized Agent
a NEW a ADDITION
a ALTERATION
a REPAIR ktENANT IMPROVEMENT
BUILDING SHELL ONLY?
a YES ArIfo
BASIC PLAN?
)e-Yw
a NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
O
NEW ADDRESS REQUIRED?
a YES )<NO
IIP /SEPA /SII?
a YES
O
Z.
PLATTED LOT?
a YES ENO
DEMO PERMIT REQUIRED?
a YES
_I�fNO
Bulletin #100 January 1, 2009 Page 2 of Mandouts\Permit Application
an automation fee of $6.00 will be charged for all permits.
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMM MULMMUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 m- $121.00; each add n 500 W , $39.00)
❑ 0 to 100 amp $131.50 $ 80.00
❑ Detached outbuilding or garage (/service) ......................... $51.00
❑ 101- 200 amp 163.00 103.00
❑ 201- 400 305.50 120.50
❑ Detached outbuilding or garage (inspected separately) $80.00
amp
........
• swimming pool (./.vice) ........................ $80.00
❑401. -600 amp 356.00 142.50
.........................
• swimming pool ( inspected separately) ............................... $120.50
❑ 601 - 800 amp 460.50 195.00
❑ 801 - 1000 562.50 235.50
• Hot tub /spa sauna (w /service) ................. $51.00
amp
.........................
❑ Hot tub /spa /sauna (inspected separately) .......................... $80.00
❑ Over 1000 amp 613.00 327.00
❑ Sept pumping system (-/ service) ............ ......................... $51.00
❑ Over 600 volts surcharge $103.00
❑ Sept pumping system (inspected separate ly) ..................... $80.00
❑ Mast or meter repair $111.00
NEW MULTI- FAMILY (three units or more)
ALTERED COMMERCIALMIDUSTRIAL
(Does not include circuits.)
Service Feeder
❑ Up to 200 amp $131.50 $ 39.00
Service or Feeders
❑ 201 - 400 amp 163.00 80.00
❑ 0 to 200 amp $131.50
❑ 401 -600 amp 223.00 111.00
❑ 201 -600 amp 305.50
❑ 601 - 800 amp 285.50 152.50
13 601 - 1000 amp 460.50
❑ Over 800 amp 408.50 305.50
13 over 1000 amp 513.00
❑ J__Z# of circuits to be added /altered
ALTERED 8II�GLE /MULTI FAMILY
(1-5 circuits - $103.00; Add'n circuits, $8.00 /ea)
Service or Feeder
CONMOMIAWINDUSTRUL PLAN REVIEW
❑ 0 to 200 amp $100.50
$103.00 plus 35% of Permit Fee
❑ 261 - 600 amp 163.00
❑ Service - 1,000 amps or greater
❑ over 600 amp 245.50
❑ Medical /Educational /Institutional Facility
❑ Additional plan review for
❑ # of circuits to be added /altered
modified submittals $115.00 /per hour
(1-4 circuits - $80.00; Add'n circuits $8.00 /ea)
❑ Mast or meter repair $60.50
TEMPORARY SERVICE
Service or Feeder Each Add'n
MANUFACTURED HOMES
• Service or feeder only $80.00
C3 0 to 60 amp $ 71.00 $32.00
❑ 61 -100 amp 80.00 39.00
• Service and feeder $131.50
❑ 101- 200 amp 103.50 51.00
❑ 201 - 400 amp 120.00 60.50
MOBILE HOME /RV PARK
❑ 401- 600 amp 163.50 80.00
❑ # of service or feeders
❑ Over 600 amp 183.00 92.00
(First service /feeder - $80.00; each add'n - $52.50)
MISCELLANEOUS SERVICE /EQUIPMENT
❑ # of Thermostats
(First - $60.50; add'n- $18.50/ea)
❑ # of Signs
❑ Low Voltage
(First sign- $60.50; add'n sign $28.50/ea)
Square Feet to be served by system(s)
❑ Yard Pole /meter loops /pedestal ................... $80.00
❑ Fire Alarm system
❑ Portable Generator (transfer equipment) ...... $100.50
❑ Security Alarm system
❑ Voice Cabling
❑ Ditch cover /inspection only ....................... $120.50
❑ Data Cabling
❑
19, 2500 0471.00;
For fees not listed, contact the Permit Center at
Each add'n 2500 ft?- $18.50)
253- 835 -2607
Bulletin #100 -January 1, 2009 Page 3 of 4 k\Handouts\Permit Application