09-100809city of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Y k
0. Electrical
Permit #: 09- 100809 -00 -EL
Inspection Request Line: (253) 836 -3050
Project Name: FOOT LOCKER
Project Address: 1928-B S COMMONS SUITE E -16
Project Description: Installation of electrical connection for interior signage
Parcel Number: 762240 0010
Owner
Applicant
Contractor
STEADFAST COMMONS LLC
DEWEYS SIGN SERVICE
DEWEYS SIGN SERVICE
1928 S COMMONS
2222 50TH AVE
DEWYSS95IQ3 (11/23/09)
FEDERAL WAY WA 98003 -6013
LONGVIEW WA 98632
2222 50TH AVE
LONGVIEW WA 98632
F11
A
THIS CARD IS T M AIN ON -SITE
CITY OF tommunity Develo p nt Inspection Record
Federal eral Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 09- 100809 -00 -EL
Owner: STEADFAST COMMONS LLC
Address: 1928 -B 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 (4.195)
❑
Temporary. Power (4275)
❑
Service (4235)
Approved
Approved
Approved
I
By Date
By
Date
By
Date
❑
❑
Rough Electrical (4225)
❑ Feeders /Sub - panels (4045)
_
Ceiling Cover (4020)
Approved
Approved
Approved
By Date
By
Date
By
Date
❑ Final - Electrical (4055)
Approved
By Date :✓ 5-' cS
For in�e or_reference only___
O Rough Electrical O FINAL - Electrical
Approved Approved
By Date By Date
CRY OF 'A 0
Federal Way PERMIT -- - - -~�—
COMMUMTY DEVELOPMENT SERVICES
SF MF CO ME�PL DE EN FP
33325 81H WA SOUTH. Po�X 9718 APPLICATION
FEDERAL WAY, WA 98063 -9718 O
253- 835 -2607• FAX 253 -835 -2609
mauur.oituoffederahuaurnm
The following is required irtbrmation -an incomplete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY •. •
SM'E ADDRESS S22-10-00 �CatIti! ca,4,y �' 'n 'S SUITE /UNIT #
ASSESSOR'S TAR /PARCEL # 10 LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) LC1M %P �! 47` 66I26-294A SiV /41/
PROJECT •- •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION #ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul
W54144<_ Iri 2L= Fe>or 4 <_ freic /ivsi = a
rW—'- IC C11 A,,,14A1 S 41 ,q4 4
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
jq��
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
s%4q,01" -5i Ca�✓vl���;i`S l /, t- �G .
PRIMARY PHONE
LS') 3
MAILING ADDRESS
CITY, STATE, ZIP
E -MAIL ADDRESS
12 /,3 Scsu7 ff
9144
EXPIRATION DATE
COMPANY NAME
�Wey� S161V SF/'v�c�
APPLICANT NAME
y,JIi4.rtra ivl5
OFFICE PHONE
( 340) 4Y-zS- - $sue 7
MAILING ADDRESS
Z Z Z Z 5�G5 �<✓�i/�
CITY, STATE, ZIP
se-1 - b✓� Z
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S RS UrMATION NUMER
ESPMTION DATE
E -MAIL ADDRESS
pEwe y 55 q5 /Q3
11- Z 3-
COMPANY NAM
m e
APPLICANT NAME
OFFICE PHONE
( ) -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
NAME PRIMARY PHONE E -MAIL ADDRESS
NAME
Per RCW 19.27.095:
Lender information is required ifproject value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
( )
EXISTING ASSESSED /APPRAISED VALUE
PROPOSED USE
VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
SO. FT.
PROPOSED
SO. FT.
TOTAL
SO. FT.
BASEMENT
RAINWATER SYST
DRINKING FOUNTAINS
SHOWERS
FIRST
SINKS
HOSE BIBBS
SUMPS
SECOND
❑ NO
ZONING DESIGNATION
THIRD
CHANGE OF USE?
a YES
❑ NO
ADDITIONAL FLOORS (DESCRIBE)
UP /SEPA /SU?
❑ YES
DECK (El COVERED OR ❑ UNCOVERED ?)
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
GARAGE ❑ CARPORT ❑
❑ NO
NUMBER OF FLOORS
EXnsrma
rsor0910
TWAL
TOTAL anarwv Or
TOTAL rRMIUMM sr
Toret sr
"NEW HOMES ONLY"* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AINCRANWAL,
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 (commercieA
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG. SYSTEMS
PLErAMBG
BATHTUBS (or Tub /shower combo)
LAVE (Bathroom sftfl q
DISHWASHERS
RAINWATER SYST
DRINKING FOUNTAINS
SHOWERS
ELECTRIC WATER HEATERS
SINKS
HOSE BIBBS
SUMPS
URINALS
VACUUM BREAKERS
WATER CLOSETS goiiey
WASHING MACHINES
MISC (Describe)
I certify under penalty of pedJury that I am the property owner or authorised agent of the property owner. I certify that to the best of my
knowledge, the hiformation 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 authorised 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 apart of piication. l--a
SIGNATURE:
or Authorized
FOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
❑ NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP /SEPA /SU?
❑ YES
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100— January 1, 2009 Page 2 of 4 MandoutsTerinit Application
i •
ELECTRICAL PERMIT INFORMATION
*NOTE: an automation fee of $6.00 will be charged for all permits.
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW C011MERCIAL /1-NDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2- $121.00; Each add'n 500 W- $39.00)
❑ 0 to 100 amp $131.50 $ 80.00
❑ Detached outbuilding or garage (w/ service) .........................$51.00
L3 101 - 200 amp 163.00 103.00
❑ 201 - 400 amp 305.50 120.50
❑ Detached outbuilding or garage (inspected separately).........
$80.00
❑ 401 - 600 amp 356.00 142.50
❑ Swimming Swming pool (w /service) .................. ...............................
$80.00
L3 601 - 800 amp 460.50 195.00
601
❑ Swimming pool (inspected separately) ...............................
$120.50
L3 - 1000 amp 562.50 235.50
❑ Hot tub /spa /sauna (w/ service) ................. .........................$51.00
❑ Over 1000 amp 613.00 327.00
❑ Hot tub/spa/sauna (inspected separately) ..........................
$80.00
❑ Septic pumping system (w /service) ............ .........................$51.00
❑ Over 600 volts surcharge $103.00
❑ Septic pumping system (inspected separately) .....................
$80.00
❑ Mast or meter repair $111.00
NEW MULTI - FAMILY (three units or more)
ALTERED COMMERCIAL /INDUSTRIAL
(Does not include circuits.)
Service Feeder
Service or Feeders
❑ Up to 200 amp $131.50 $ 39.00
❑ 0 to 200 amp $131.50
❑ 201 - 400 amp 163.00 80.00
❑ 201 - 600 amp 305.50
❑ 401 - 600 amp 223.00 111.00
❑ 601 - 1000 amp 460.50
L3 601 - 800 amp 285.50 152.50
❑over 1000 amp 513.00
❑ Over 800 amp 408.50 305.50
❑ # of circuits to be added /altered
ALTERED SINGLE /MULTI FAMILY
(1 -5 circuits - $103.00; Add'n circuits, $8.00 /ea)
Service or Feeder
COMMERCIAL /DFDUSTRIAL PLAN REVIEW
❑ 0 to 200 amp $100.50
$103.00 plus 35% of Permit Fee
❑ 201 - 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
❑ 0 to 60 amp $ 71.00 $32.00
❑ Service or feeder only $80.00
❑ 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)
(g �# 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
❑ Ditch cover /inspection only ....................... $120.50
❑ Voice Cabling
❑ Data Cabling
Pt 2500 ft2- $71.00;
For fees not listed, contact the Permit Center at
Each add'n 2500 W- $18.50)
253 - 835 -2607
Bulletin # 100 - January 1, 2009 Page 3 of 4 k\Handouts\Pertnit Application