07-100298 •
City of Federal Way Electrical Permit #: 07-100298-00-EL
Community Development Services
P.O.Box 9718
Federal
53 83 Way, Fax:98063-9718
5 35- F I L
Ph:(253)835-2807 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: ADVANCE AMERICA
Project Address: 1706 S 320TH ST Suite I Parcel Number: 092104 9208
Project Description: Install (1) circuit for 2 emergency/exit lights and front and back doors
Owner Applicant Contractor
ADVANCE AMERICA CLOVER CREEK ELECTRIC CLOVER CREEK ELECTRIC
1706 S 320TH ST SUITE I 1413 CENTER ST CLOVECE293LA (4/30/08)
FEDERAL WAY WA TACOMA WA 98409 1413 CENTER ST
TACOMA WA 98409
Additional Permit Information
Electrical Fixtures
Circuits- Commercial f
PERMIT EXPIRES Wednesday, July 18, 2007
Permit Issued on Friday, January 19, 2007
I 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
d the Cit ederal Way.
Owner or agent: f���. "77 Date: /'/°l_ 4�
e �� l 2'i —¢N C11. L
THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Development Inspection Record-
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-100298-00-EL
Owner: ADVANCE AMERICA
Address: 1706 S 320TH ST Suite
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.
❑ Slab/Concrete Floor(4255) ❑ Ditch cover(4030) .❑ Pool Bonding (4195)
Approved to place concrete Approved Approved
By Date By Date By Date
Y � Y Y
❑ Temporary Power(4275) ❑ Service (4235) ❑ Feeders/Sub-panels (4045)
Approved Approved Approved
By Date By Date By Date
.❑ Rough Electrical (4225) p❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date `By Date By�� ' Date 1,...-2:a.;
•❑ Under-slab groundwork(4295)
Approved
By Date
II
REc°
FederalWay,AN 1 9 2001 PERMIT
COMMUX',YDEVELOPMENTSERVICES SF' MF CO ME CPL DE EN FP
'' EO^F ',' ; pwao A.-rPLICATION TO
www.dtwtkderalwau.wm
The oliowing is •uired information-an incom•lete • •piication Will not be acre•ted. Please print legibl in in or • .
■ PROPERTY INFORMATION
SITE ADDRESS I G ei ,.. s+, SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sn
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attad,eeporotepoge/or I n9u y tepai desotpdanl
■ PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION.(ELECTRICAL ❑ ENGINEERING 0 F RE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed desc iptii n of work Inca ded on this permit onlu)
�,1.sfRfl
Cy A5,4 f lrsIi f s 44. L/ 6ia-r/ ,
d(3 ,
PROJECT NAME(Name of Business or Owner Last Name) ((--1C.-4'Q n&( A at.e!J ale.,
■ PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER p V V�
)
) MAILING ADDRESS CITY,STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
��cvcr ac471 c, Zne . (.4573 ) ? - GSt$
MAILING ADDRESS _sty,STATE,ZIP CELL PHONE
1 3 C.e"--v 54 l ac;ev.,— (.JA 9 F ) 66 - ?6,
CITY OF FEDERAL,WAY BUSINESS LICENSE NUMBER `EXPIRATION DATE - FAX NUMBER
- /
/ 1 ) 6a1 -(161(
B L
CONTRACTOR'S REGISTRATION NUMBER loopy of card required with each application) EXPIRATION DATE
/— O E. ca `� 3 ?— fl Oy- /30 / O8
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT . . FAX NUMBER
❑ Architect ❑.Tenant ❑Agent ❑ Other(Describe) ( ). -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( .) -
LENDER . (�Tts r"six.�e, •,.E•i F,r.l.vrs NAME'- -- - -- - -: t -III
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
■ DETAILED BUILDING'INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . ❑ HIGHLINE 0 PRIVATE(SEPTIC)
I
1
i
PROJECT FLOOR AREAS >
i
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ.FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) .
GARAGE ❑ CARPORT❑
EXISTING PROPOSED IOTA,. k rur....O.. te'1t ' 1 ''fits 3 x,£- ° , ,i,,),c s-
NUMBER OF FLOORS _`��r£7 i £a, ,
1 1�d.z-�ii. r�l/au�-hi"� a-1au , JS.,aH1 "� L_ ,. 1'
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fccture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODSicammauaul WOODSTOVES
1
BOILERS- - FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS j
DUCTS GAS PIPE OUTLETS f
PLUMBING
BATHTUBS(orTob/Shower Combo) SHOWERS WATER CLOSETS moues MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST 11
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
•
DISCLAIMER/SIGNATURE BLOCK - •
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further,that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,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 a part of
this application.
NAME/TITLE '`_. � d C_ ), Y a.4-C r DATE /' / Q 1
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agen Contractor ❑ Architect ❑ Other
, ,
y ti 7 s�i �M " s��ah: ':;
p 4',S, , d")'rvc3pT:',Ii:S;,,I;,C e is !k" __∎It.4 1.:11,, ,a',..`4",,,/£I 0:7
�P!TA4 0 9 as "a `y;,,'ry in"� �i ,--:�... I, it ���i ., ,a Or,. 4 g
r..� ' I+cs.. 1�. ..�
Rnllrtin lit on_iannary 1 WIDA. Pave 2 of 4 k11-Iandnntc\Permit Annlicatinn
j DEPARTMENT OF LABOR AND INDUSTRIES
rl
LICENSED AS PROVIDED BY LAW AS
ELEC CONTR GENERAL
t' LICENSE
ECO1 CLOVECE293LA 04/30/2008 ''
EFFECTIVE DATE 06/01/1971
Ili
CLOVER CREEK ELECTRIC
F`. 1413 CENTER ST
TACOMA WA 98409
d 1-63 -Oi'-INH((8/97)
`--- Detach And Display Certificate
gq ' )0(JUR) Cr. taa1) ,
•
'' ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Li Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$107.50;Each add'n 500 ft2-$34.50) ❑ 0 to 100 amp $117.00 $71.50
❑ Detached outbuilding or garage ❑ 101--200 amp 145.00 91.50
(Inspected with service) $45.50 ❑ 201-400 amp 272.00 107.50
❑ Detached outbuilding or garage ❑ 401-600 amp 317.00 127.00
(Inspected separately) $71.50 ❑ 601-800 amp 410.00 173.50
❑ 801 - 1000.amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $34.50 ❑ Over 600 volts surcharge $91.50
❑ 201 -400 amp 145.00 71.50 ❑ Mast or meter repair $99.00
❑ 401 600 amp 198.50 99.00
❑ 601 -800 amp 254.00 136.00
ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 364.00 272.00 Service or Feeders
❑ O to 200 amp $117.00
ALTERED SINGLE/MULTIFAMILY ❑ 201 -600 amp 272.00
❑ 601 . 1000 amp 410.00
Service or Feeder
❑ 0 to 200 amp $89.50 ❑ over 1000 amp 456.50
❑ 201 -600 amp 145.00 g l #of circuits to be added/altered
❑ over 600 amp 218.50 (1-5 circuits-$91.50;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50;Add'n circuits$7.00/ea) - $91.50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $71.50
❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $63.00
❑ #of service or feeders
(First service/feeder-$71.50;each add'n-$46.50) Commerciaf/Industrial Service or Feeder Ampacity
❑ 0-100 amps $71.50
❑ 101-200 amps 91.50
❑ 201 -400 amps 107.50
❑ 401 -600 amps 145.00
❑ over 600 amps 157.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats - ❑ #of Signs
(First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n sign$25.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $107.50
Square Feet to be served by system(s) - (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $71.50
❑ Security Alarm System ❑ Additional Plan Review $107.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
❑ ❑ Automation Fee on all Permits .. $5.00
(Per Systems) 1•t 2500 ft2-$63.00;
Each add'n 2500 ft2-16.50) •Per WAC296-46-910(5)(W as ii)
R,lI tin aran_ra,,,i.m:,1 -911n.< .... .. .