08-102546City of Federal Way •
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Electrical Permit 008- 102546 -00 -EL
Inspection Request Line: (253) 835 -3050
Project Name: LBA REALTY BUILDING g
Project Address: 3600 S 344TH ST
Project Description: Adding/altering (10) circuits for remodel work on 1st & 2nd floor
Parcel Number: 726120 0221
Owner
Applicant
Contractor
LBA REALTY FUND III CO INC
EVERGREEN POWER SYSTEMS
EVERGREEN POWER SYSTEMS
3201 SW 344TH ST
3849 1ST AVE S
EVERGPS950BE (1/5/09)
FEDERAL WAY WA
SEATTLE WA 98177
3849 1ST AVE S
98023
SEATTLE WA 98177
Additional Permit Information
F, -I
DATE
INSPECTOR
AREA AND TYPE OF . PECTION
• - 1
THIS CARD IS TO REMAIN ON -SITE
CITY OF OCommunity Developitnt Inspection Record.
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 902546 -00 -EL
Owner: LBA REALTY FUND III CO INC
Address: 3600 S 344TH ST
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
Q Pool Bonding (4195) 0 Temporary Power (4275) Service (4235)
Approved Approved Approved
By Date By Date By Date
Rough Electrical (4225)
Approved
By Date
Forte
❑ Rough Electrical
Approved
By Date
F1 Ceiling Cover (4020)
Approved
By Date
reference only
❑ FINAL - Electrical
Approved
By Date
Feeders /Sub - panels (4045)
App, oved
By
Date
[]
Final - Electrical (4055)
Approved
By
Date ,e:��
Rough Electrical (4225)
Approved
By Date
Forte
❑ Rough Electrical
Approved
By Date
F1 Ceiling Cover (4020)
Approved
By Date
reference only
❑ FINAL - Electrical
Approved
By Date
toe
CITY Q,F EC E N
Federal W E RM IT - - - - - - -
COMMUNITY DEVELOPMENT SERVICES
SF MF CO M L DE EN FP
33325 AVENUE SOUTH • BOX 971MAY 2 2 ZAtP P LI CATI O N
FEDERAL WAY, WA 98063 63 -9718 1'1
253 -835 -2607• FAX 253 - 835 -2609
www ituoffederalwau ®F .FEDERAL WAY
The ollowill[ ^�-!s ad it fprALgdon -an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS -
3 �'(�-(� SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # 7— (0� - ^_ LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal descrlpttoN
PROJECT • ' •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Dermit ontul
VyWA -3 IF iQt- 1 q '4'z y_f4LAc 7 ' _ *w- '%V
i
PROJECT NAME (Name of Business or Owner Last Namel '-&A 2nft` l t
PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR
QAPLIC
PROJECT
CONTACT
LENDER
NAME PRIMARY PHONE
MAILING ADDRESS CITY, STATE, ZIP E -MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
Tct/ a S
PHONE
( 2.,L ) 7-741 - 14QPO
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
'341-1 r9 s
'S )
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
( C1 - 19- I avye - . YlnL
12 7, od
(z"'N.)7' - t4a1
CONTRACTOR'S REGISTRATION NUMBER
WPIRIMON DATE
E -MAIL, ADDRESS
rG.! S Cif:
J1 IL
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
S`1s
PHONE
( ) -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent `Other t4^rMy AJA'it(t
NAME PRIMARY PHONE E -MAIL ADDRESS
NAME
Per RCW 19.27.095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING USE C �M�k'Cl I rAl� �('°7 i£S PROPOSED USE �riLY 1
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 33 to
SPRINKLERED BUILDING? YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑4tS ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN >�_HIGIILINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 05:�IGHLINE ❑ PRIVATE (SEPTIC)
A
AREA DESCRIPTION
EXISTING
.FT.
PROPOSED
3 . FT.
TOTAL
S . FT.
BASEMENT
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
FIRST
COMPRESSORS
FURNACES
RANGES
SECOND
GAS LOG SETS
REFRIG, SYSTEMS
❑ YES
THIRD
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
ADDITIONAL FLOORS (DESCRIBE)
❑ YES
❑ NO
PLATTED LOT?
DECK (❑ COVERED OR ❑ UNCOVERED ?)
DEMO PERMIT REQUIRED?
❑ YES
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
a)aIrM
PROPOSED
WtAL
Toro �G sr
WrAL PROPOSED sF
Torni sP
"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.
Value of Mechanical Work
(A COPY OF BID OR ESTIMATE MUST BE IlVCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (Commercial)
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG, SYSTEMS
PLUMBING
BATHTUBS (or Tub /Shower Combo(
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
LAVS (Bathroom smks) URINALS MISC (Describe)
RAINWATER SYST VACUUM BREAKERS
SHOWERS WATER CLOSETS (Toilet)
SINKS WASHING MACHINES
SUMPS
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best of my
knowledge, the information 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 wo authorized by the issuance of a permit. I understand that the issuance of this permit
does not remove the ow responsibility for compli ce with local, state, or federal laws regulating construction or environmental laws.
I further agree hol harmless the City of F ral Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and d Tense such claim), which y be made any person, including the undersigned, and filed against the city, but only
where such claim es o t of the reliance of the ity, includ t its officers and employees, upon the accuracy of the information supplied to
the city as a part this plication. // ''
SIGNATURE:
Owner
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR
❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ 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, 2008 Page 2 of 4 MandoutsTertnit Application
0
•
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL / INDUSTRLAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2- $115.50; Each add'n 500 ft2 - $37.00)
❑ 0 to 100 amp $125.50 $ 76.50
❑ Detached outbuilding or garage
❑ 101 - 200 amp 155.50 98.00
(Inspected with service) $48.50
❑ 201 - 400 amp 291.00 115.00
❑ Detached outbuilding or garage
❑ 401 - 600 amp 339.50 136.00
(Inspected separately) $76.50
❑ 601 - 800 amp 439.00 186.00
❑ 801 - 1000 amp 536.50 224.50
NEW MULTI- FAMILY (three units or more)
❑ Over 1000 amp 584.50 311.50
Service Feeder
❑ Up to 200 amp $125.50 $ 37.00
❑ Over 600 volts surcharge $98.00
❑ 201 - 400 amp 155.50 76.50
❑ Mast or meter repair $106.00
❑ 401 - 600 amp 212.50 106.00
ALTERED COMMERCIAL /INDUSTRIAL
❑ 601 - 800 amp 272.00 145.50
❑ Over 800 amp 389.50 291.00
Service or Feeders
❑ 0 to 200 amp $125.50
ALTERED SINGLE /MULTI FAMILY
❑ 201 - 600 amp 291.00
❑ 601 - 1000 amp 439.00
Service or Feeder
❑ over 1000 amp 489.00
❑ 0 to 200 amp $ 96.00
❑ 201 - 600 amp 155.50
- (7 # of circuits to be added /altered
❑ over 600 amp 234.00
(1 -5 circuits - $98.00; Add'n circuits, $7.50 /ea)
❑ # of circuits to be added /altered
COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1 -4 circuits - $76.50; Add'n circuits $7.50 /ea)
$98.00 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Mast or meter repair $57.50
❑ Medical /Educational /Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ Service and feeder $125.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK
Residential/Multi- Family $67.50
❑ # of service or feeders
(First service /feeder - $76.50; each add'n - $50.00)
Commercial/Industrial Service or Feeder Ampacity
❑ 0 - 100 amps $ 76.50
❑ 101 - 200 amps 98.00
❑ 201 - 400 amps 115.00
❑ 401 - 600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE /EQUIPMENT
❑ # of Thermostats
❑ # of Signs
(First - $57.50; add'n - $17.50 /ea)
(First sign- $57.50; add'n sign $27.00 /ea)
❑ Low voltage
❑ Swimming pool /hot tub ................ $115.00
Square Feet to be served by system(s)
(Includes additional circuit, if required)
❑ Fire Alarm System
❑ Yard Pole meter loops ..................... $76.50
❑ Security Alarm System
❑ Additional Plan Review $115.00 /hour
❑ voice Cabling
(for modified submittals)
❑ Data Cabling
❑Automation Fee on all Permits .. $5.50
1st 2500 ft2- $67.50;
Each add'n 2500 ft2 - $17.50) ' Per WAC 296- 46- 910(5)(b)(i & W
Bulletin #100 - January 1, 2008 Page 3 of 4 k\Handouts\Pemtit Application