10-100429City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718 FILE
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: ROSY NAILS
Project Address: 1414 S 324TH ST Suite B204
Project Description: Add GFI outlet adjacent to HVAC unit.
0 - Eleeltjrical
Permit #: 10- 100429 -00 -EL
Inspection Request Line: (253) 835 -3050
Parcel Number: 150050 0080
Owner
A[)[)Iican
Contractor
HARSCH INVESTMENT PROPERTIES
EVERGREEN ELECTRICAL SERVICES INC
EVERGREEN ELECTRICAL SERVICES INC
1414 S 324TH ST
15103 60TH AVE W
EVERGES039KF (5/6/09)
FEDERAL WAY WA 98003 -8444
EDMONDS WA 98026
15103 60TH AVE W
EDMONDS WA 98026
Is Use Educational or Institutional ? ....................... No
............... 1
PERMIT EXPIRES
Service greater than 1000 Amps ? ...........................No
rday, January 29,
iv. January 29, 201
use will be in accordance With the laws, rules and regal
and the City of Federal Way.
Owner or agent: r
11
Date: f C71-1 1-'1 U
CrrY OF 4A�
Federal Way
PERMIT #:
Owner:
THIS CARD IS TCOMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835 -3050
10- 100429 -00 -EL Address: 1414 S 324TH ST Suite B204
HARSCH INVESTMENT PROPERTI 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.
E]
UFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)
Slab /Concrete Floor (4255)
El
Approved
By
Approved
By
Approved to place concrete
By
Date
By
Date
By
Date
o Final - Electrical (4055)
Approved
By , Date
❑
Rough Electrical
Approved
❑
Temporary Power (4275)
El
Service (4235)
By
Pool Bonding (4195)
By
Approved
By
Date
Approved
Approved
By
Date
By
Date
By
Date
❑
Ceiling Cover (4020)
Rough Electrical (4225)
Feeders /Sub - panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
o Final - Electrical (4055)
Approved
By , Date
❑
Rough Electrical
Approved
❑
Final Electrical
Approved
❑
Right of Way
Approved
By
Date
By
Date
By
Date
.......... ............... 7'. * �� Wx I
?�rf�.gjgg�v MM 7:
zx�, ; "'M 10
's "t.
MEMO -M I
SITE ADDRESS
MMMrr #
ZONING ASSESSOR'S TAWFARML 0
Icy
/5 0 0 5 0
NAM OF PROJECT
rrenant or Homeowner Name)
I'M 1111
/Va /5
❑ BUUMMZ( ❑ PLIIMBING ❑ XMCHANICAL.
TYPE OF PERIM
❑ DZMOLMON/0*Lw=cAL ❑ wonuxitnm ❑ FIRE PREVENTION
I&LO /17- -re-2
PRCVZCT DESCRIPTION
Detailed description of work to
be included an this permit only
XA=
1pNaNARYpHIONE
PROPERTY OWNER
STATE, ZZIP
s lieu,
OWNER IS ALSO:
❑ CONTRACTOR ❑ APPLICANT ❑ PROJUT CONTACT
NAM
Mre&21 ;1�71ec--rl4j
MM UM A*&XSB, =ff. STATE,
1-5-103 677
FAX
-
CONTRACTOR
WA WA BTATZ CONTRWTORIS LICENSE 0
C-�t1r;,--k
FXPEUTION DATE
FZMRAL VAT BV� LDCFJM #
7,o5-7-5—
APPLICANT
NAM
ok-
FRI39AM �
CZZ2773 -01W
rn"a,MD=88, CM. STATE, M
FAx
(�L;Y) 7 V,;L - A 3 9 q
PROJECT CONTACT
NAM
IPFZMAMF>iOta6
—rnm indiuiduat to receive-and- -
- --(
---) - -----
m&n=G ADDRESS, crry, STATE, zip
FAX
respond to all correspondence
concerning this application)
ALTERNATE CONTACT NAM
PFJEKAW FBOM
Z•MAIL
PROJECT FUMNCING
NAM
0 OWNSR-FINANCED
Required for projects with
MAllaw ADDRESS, CITY, STATE, ZIP
value of $5, 000 or more
jwcw 1927.095) 1
I cerft underpenafty of perjury that I am the property owner or authorized agent of the property owner. I certUb that to the best
of my lawwledge, the injbrmation-submitted in support of this permit application is true and correct. I cot(& that Z will comply with
all applicable CUM of Federal Way regulations pertaining to the wank authorized by the issuance of a permiL Z understand that the
issuance Of this permit do" not remove the owner's responsibility fiw compliance with Local, state, or federal laws regulating
construction or environmental laws.
I'firther agree to hold harmless the CUM of Federal Way an to any claim (including ewts, expenses, and aftw7tays'fees incurred
in the investigation and dqfenm of such claim), which may be made by any person, including the u"wMgn&4 and ftled against the
city, but only where such claim arises out of the reliance qf the aft, including its qVicers and employes:, upon the accuracy of the
inrormation supp the city as a jmut of hFUs application.
SIGNATURE. DATE Z
PRINT NAMM
Bulletin #100 -January 1, 2010 Page 1 of 4 k-U-1andoutMerrait Application
D1Elitl
::. : : ..::.:::::::: :.: ..................................... ............................... .
FIRST FLOOR (or Mobile Home)
....... ........
........ ............................... .
COVERED ENTRY
GARAGE ❑ CARPORT ❑
......... :::::::::::::: :::....................... :.:::. ..................
............. ...... : :.....:::.... : :. :....... .. :. : : : ::::::....
rioroasn am
Area Totals
... ::. �.:� ... __..._... � �. :.ri.11EC�fl.�tfA. /at•.iA1}�. :: �
Area
in Square
ADDITIOA
.......' ...J:f.._.
: ?::::::::isi:: is r<_=': X: :a:`;i'::::::i: ?::`?i::::......
:.:::::::::::::::.:::::::::: ::::::::::.....................
AREA DESCRIPTION
in
TENANT AREA ONLY
Bulletin #100 — January 1, 2010 Page 2 of 4 k1IandoutsTelmitApplication
X. ::. ................. .::....................................:.......::::::::::::::: :::::.:.::::::.:::......�.�^►�G
:....:;:.:....... b................,................:.:...:.::.::::::.:::::.::: :::::::::.:::.:::. :::: ::.::....
Value of Mechanical Work $
COPT' OF BID OR 1 smm,TE MUST BE PROVIDED
Indicate number of each type of facture to be installed or relocated as part of this " prqject. Db.ndt; Sbiuude, Akisting jUtuscs to remain.
AIR HANDLING UNITS
FANS GAS PIPE OUTLFTS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS HOODS (c...i q
BOILERS
FURNACES HOT WATER TANKS (a+)
COMPRESSORS
GAS LOG SETS REFRIGERATION SYST
DUCTING
GAS PIPING WOODSTOVE
....
;:.:....:..
Indicate number of each type of fixture to be installed or relocated as part of this project Do rent include existing jPxtures to remain
BATHTUBS (. n b/ Combo)
LAVS P—d mob) TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS
SHOWERS VAC BREAKERS
DRINKING FOUNTAINS
SINKS l /ut�► WATE EATERS (uectde)
HOSE BIBBS
.... .
SUMPS WAS NG MACHINES 'FDl1K1lflCF[iRffi8 >:;::
. ... .:..:. :.
:. . -�,,7 �
1�L1 :.:.....: ...:. .... .:: ..: ..
PROJECT VALVATIOA
WATER PURVEYOR
SEWER PORVETOR
VALUE OF WaST NG DI�ADVEISSA 1S
S7LZSTlNG /PRSVI0= DES
LOT SIZL,(in Sqm" F
EXISTING FIRE vnnwm aTwrzm?
PROPOSED FIRS 8OPPRESIROX BISTEir?
❑ es'❑ No:
❑ Yes Q. No
>' ' . ......
AREA DESCRIPTION (in square feet)
EXISTING
OP03
TOTAL
FOR OFFICE USE
......... ...............................
D1Elitl
::. : : ..::.:::::::: :.: ..................................... ............................... .
FIRST FLOOR (or Mobile Home)
....... ........
........ ............................... .
COVERED ENTRY
GARAGE ❑ CARPORT ❑
......... :::::::::::::: :::....................... :.:::. ..................
............. ...... : :.....:::.... : :. :....... .. :. : : : ::::::....
rioroasn am
Area Totals
... ::. �.:� ... __..._... � �. :.ri.11EC�fl.�tfA. /at•.iA1}�. :: �
Area
in Square
ADDITIOA
.......' ...J:f.._.
: ?::::::::isi:: is r<_=': X: :a:`;i'::::::i: ?::`?i::::......
:.:::::::::::::::.:::::::::: ::::::::::.....................
AREA DESCRIPTION
in
TENANT AREA ONLY
Bulletin #100 — January 1, 2010 Page 2 of 4 k1IandoutsTelmitApplication
I* ELECTRICAL 0
I RESIDENTIAL I COMMERCIAL
I NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
(including attached garage):
FEES: First 1300 ft2 - $122.00;
Each additional 500 ft2 - $39.00
NEW MULTIFAMILY (3 units or more)
P' $pTWFeeder. Additional Feeders
..... ........... Additional. -- ......
P.
.... ... :Ax.
1n.;��Feeder
39100
.............. QQ: amp ...... .............
. ..... ........
......
....... - .....................
........... .........................
......
... ............
........ .......
.......... .............
$ MO.
............
...........
................ ........... ..........
. ..... ......
x $ &.
1550
.............
...............
. .........
............ :.!W.p
. ............
- ..............
..................
ALTERED SINGLE or MULTI FAMILY
over. 60.0 �V.ofts: ............ k$161 So
. .. .........
ALTERED COMMERCIAL
.......... - ..... . . I- ;��Meeder
..
--- ....... - ............ ..........
1n.;��Feeder
Additional Feeders
...... .......
0 too ...............
. ..... ........
........
... ..
...... ..............
.............................................................
101:::* 2o**('):ia0'::.:::
... .....
..
. ....
...........
................ ........... ..........
.......... - ............ ....... - .....
...................... ........... ..........
................ ...........
. ...... ...... ......
:12M 40
2Q1- 6c%O ;amp::
100....
]k 1,
$12 W.,
Qw..— 6.00 . ...... P, 5
............ -.- ......
.......
. ......... ..........
.19.&00
801
00 ... :
442M- Ad
..... . ........
.......
7C S�SQ
over. 60.0 �V.ofts: ............ k$161 So
. .. .........
ALTERED COMMERCIAL
.......... - ..... . . I- ;��Meeder
..
--- ....... - ............ ..........
Additional Feeders
. ....... - .....
A
Pd SendeelPm4or
Additional Feeders
'50
.
0:- 2.j4U0.` .p ...........
...
.........
...............
201
:amp $464. 0.0,
... ... ... .......
2Q1- 6c%O ;amp::
100....
]k 1,
$12 W.,
Qw..— 6.00 . ...... P, 5
............ -.- ......
.......
. ......... ..........
....
am ...........
.......... ............. . ...................
............. $4-630
X:
�: .... .........
......... ...........
.........
over:40
....
.... ..............
0
Added or Altered Circuits... . .........
1-4 circuits $80.50; each additional $8.00
Mast or meter repair $60.50
MANUFACTURED HOMES
......................... - ............. ................
Service or: feeder ortig x:..: $::80.50
............. .... ......
.......... .. .. ................... .............. ...... .
.......... ..........................
..............
............... ........... - ......... :::::::: .... ak 1:32 .1.1. ...
MISCELLANEOUS
. - LOW VOLTAGE
❑ Fire Alarm System
❑ Security Alarm System
❑ Voice/Data Cabling
❑ other
Area to be served by system:
1- 2,500 ft2-$71.00; 8.50
# of Thermostats
First $60.50; each additional $ 18.50
of Sigma
First $60.50; each additional $28.50
Yard Pole /meter loops/pedestal — x $ 80.50
Portable Generator (transfer equipment)— x $101.00
Ditch eaver/inspection only x $121.00
Added or Altered Circuits 1
1-5 circuits $103.50; each additional $8.00
Mast or meter repair $111.50
PLAN REVIEW FEES
$103.50 plus 35% of Permit Fee; Plan Review required for.
❑ New, or alteration to, service of 1,000 amps or greater
❑ Medical /Educational /Institutional Facility
Plan review for modified submittals $105.50/hour
TEMPORARY SERVICE
Is, Service /Feeder Additional Feeders
60, ...
................
............. ......
61 0.0-
............... .
.W . ..........
$ ......... -
. .... .... .. - .......
. .....
A
atnp .................
.........
.... .... ..
A .. ..
201
...........
....... ..................
... ... ... .......
............. ................................
...............
$1
. ... ...... ......... ...
X:4
Over 600 AMP:...
Jc ..................
................
**NOTE-. an automation fee of $6.00 will be charged
on all permits**
For fixtures or fees not listed contact the Permit Center at
253-835-2607
Bulletin #100 -January 1, 2010 Page 3 of 4 k-MandoutMerzinit Application