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11-103305City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 fax: (253) 835 -2609 Project Name: SEATAC VILLAGE Project Address: 1706 S 320TH ST SUITE A e Electrical Permit #: 11- 10330'5 -00 -EL Inspection Request Line: (253) 835 -3050 Parcel Number: 092104 9208 Project Description: Adding /altering 0 -200 amp service ** *9/13/11- also relocate 150 -amp panel * ** owner Applicant Contractor SEATAC VILLAGE SHOPPING CENTER EVERGREEN ELECTRICAL SYSTEMS EVERGREEN ELECTRICAL SYSTEMS PO BOX 2708 1900 W NICKERSON ST SUITE 116 -9 EVERGES904CH (2/8/12) PORTLAND OR 97208 -2708 SEATTLE WA 98119 1900 W NICKERSON ST SUITE 116 -9 SEATTLE WA 98119 Is Use Educational or Institutional ? .......................No Service greater than 999 Amps? ............................. No Alt. Srvc / Feeder 0 to 200 amps (C 2 PERMIT EXPIRES Wednesday, August 15, 2012 Permit Issued on Tuesday, August 16, 2011 -1 hereby certify that the above information is correct and that the construction on the above described property. and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: Date: 3 FINAL 0/11 CITY OF Federal Way PERMIT #: 11- 103305 -00 -EL THIS CARD IS TO MAIN ON -SITE Construction In ection Record INSPECTION REQU TS: (253) 835 -3050 Address: 1706 S 320TH ST Suite A Project: SEATAC VILLAGE SHOPPING CU 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. Final - Electrical (4055) Approved y Date ---( ❑ UFER Ground (4295) Ditch cover (4030) Temporary Power (4275) Slab /Concrete Floor (4255) Approved By Approved Approved to place concrete By Date By Date By Date Final - Electrical (4055) Approved y Date ---( ❑ Pool Bonding (4195) E] Temporary Power (4275) Service (4235) By Approved By Approved By Approved By Date By Date By Date Feeders /Sub - panels (4045) ❑ Rough Electrical (4225) Ceiling Cover (4020) Approved Approved Approved By Date By Date By Date Final - Electrical (4055) Approved y Date ---( ❑ Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date 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 work authorized 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 this application. SIGNATURE: Q� Q.. v4x�._ DATE L-1 7- / PRINT NAME: 33325 8'' Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.ciryoffederalway.com Bulletin #160 — January 1, 2011 Page 1 of 2 k:\Handouts \Electrical Permit Application "V WA Federal Wa Y ELEC'T'RICAL RECEIVED PERMIT APPLICATION AUG 1 6 20H. "Most electrical permits may be obtained on -line at wwwxi.tyo eder11af Ic SAL WAY SITE ADDRESS: --, Lti J SUITE /UNIT /SPACE # /14 ASSESSOR'S TAR /PAR # 4- _ � � CD � 0 q 2 © CURRENT /PROPOSED USE PROJECT NAME � � (Tenant or Homeowner Last Name) p PROJECT DESCRIPTION , ,� C /- r k Detailed description of work to be included on this permit only s j )^ e � (T ` PROPERTY OWNER NAME G PRIMARY PHONE ( ) - MADdNG ADDRESS E -MAIL CITY STATE ZIP FAX NAME PRBARY PHONE q� 77-3 011BLECTRICAL - MAILING AD ES q;,:'I'vUelso-A SU z't`�I r E -NAM ° op— - ceS ' e CONTRACTOR CITY STATE ZIP FAX "/;q l i ( ) - WA STATE TE CONTRACTOR'S LICENSE # EXPIRATION DATE f FEDERAL WAY BUSINESS LICENSE # NAME / Toe— Oe 6t SQ" V r -f PRIMARY PHONE ( 2 7 - 0 A/ J` MAILING ADDRESS E -MAD. Se CITY STATE ZIP FAX ( ) PROJECT CONTACT NAME PRIMARY PHONE 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 work authorized 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 this application. SIGNATURE: Q� Q.. v4x�._ DATE L-1 7- / PRINT NAME: 33325 8'' Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.ciryoffederalway.com Bulletin #160 — January 1, 2011 Page 1 of 2 k:\Handouts \Electrical Permit Application "V WA NEW SINGLE FAMILY RESIDENCE Total Square Feet (including attached garage): FEES: First 1300 ft2 - $122.00; Each additional 500 ft2 - $39.00 NEW MULTIFAMILY (3 units or more) ALTERED SINGLE or MULTI FAMILY 111 Service /Feeder 201 '- 600 am "p- x $164.00 Added or Altered Circuits . 1 -4 circuits $80.50; each additional $8.00 Mast or meter repair $60.50 MANUFACTURED HOMES Seivice or feeder only, $'80-50 NEW COMMERCIAL 111 Service /Feeder Additional Feeders 0 -10 amp k" 132..50 x'$ 80.50 101 - 200 amp x $164,00 x $1"03.5.0 401 - 600 amp ., —k $358.W- "" "P x $143.50 601 $QO" aixil� x,$463 00' :. $196,Q0 801 - 1000 amp x-$565.00 x $236.50 Over 600 volts: surch'arg x $103.50 ALTERED COMMERCIAL I$I Service /Feeder Additional Feeders $103..50 Over, ver 000 4Z15.56 x $328.50 Added or Altered Circuits —0 1 -5 circuits $103.50; each additional $8.00 Mast or meter repair $111.50 PLAN REVIEW FEES Plan Review required only for: • New, or alteration to, service of 1,000 amps or greater • Medical /Educational /Institutional Facility $103.50 plus 35% of Permit Fee (Permit Fee x 35% = + $103.50 = Plan Review Fee) Plan review for modified submittals $105.50 /hour MISCELLANEOUS SERVICE /EQUIPMENT LOW VOLTAGE ❑ Fire Alarm System ❑ Security Alarm System ❑ Voice/ Data Cabling ❑ Other Area to be served by system: 1s, 2,500 ft2- $71.00; each additional 2,500 W - $18.50 # of Thermostats First $60.50; each additional $18.50 Yard Pole /meter loops /pedestal x $ 80.50 Portable Generator (transfer equipment) x $101.00 Ditch cover/ inspection only x $121.00 TEMPORARY SERVICE 1s1 Service /Feeder Additional Feeders 01— 100 amp 9: $.80.50 zs $ 39.00 201- 4aoamp x $12T.00 x $ 60.50 40:x,QQ''amp .'. ; s .... 16,QO,< 50 Over 600 amp ;x " $18450' x $ 92.00 FEE CALCULATIONS • Fees are determined by the scope of work as indicated. • A $6.00 Automation Fee will be added to all permits. • For assistance in calculating fees or completing the application form, contact the Permit Center at 253- 835 -2607 33325 8'" Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com Bulletin #160 - January 1, 2011 Page 2 of 2 k: \Handouts \Electrical Permit Application