07-100561 r-
CityofFederalWay Electrical Permit #: 07-100561 -00-EL
Community Development Serspo s
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph'.(253)835-2607 Fax:(253)835-2609
Project Name: COMMONS- SPACE C-10
Project Address: 1928 S COMMONS Suite C-10 Parcel Number: 762240 0010
Project Description: Change 100amp panel to a 200amp panel. Space C-10 is within the mall,no tenant leasing
the space yet.
Owner Applicant Contractor
STEADFAST COMMONS LLC EVERGREEN ELECTRICAL SERVICES INC EVERGREEN ELECTRICAL SERVICES INC
1928 S COMMONS 15103 60TH AVE W EVERGES039KF 5/6/07
FEDERAL WAY WA 98003-6013 EDMONDS WA 98026 15103 60TH AVE W
EDMONDS WA 98026
Additional Permit Information
Electrical Fixtures
Alt. Serv./Feeder up to 200 amps- 1
PERMIT EXPIRES Monday, July 30, 2007
Permit Issued on Wednesday, January 31, 2007
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u will be in acco ance wit the laws, rules and regulations of the State of Washington
a d the C of Federal Way.
Owner or agen : 0.,11.A. Date: .2
e 2- i c"1 e ~
RECEIVED
•
arror
Federal Way JAN 3 1 2007
PERMIT . 2_ - --1c 0 _,_s---Li, -Z_
COMMUMTYDEVELOPMENT SF MF Co ME LPL DE EN FP
33325 8t AVENUE SOUTH•I(�r y FEDERAL
/253-FEDERAL WAY,WA 98069-971gUILDING DEPf, pLl CATI O N
ITD / te
835-2607•FAX 253-8352609
wmu._vffe mhum rn
The following is re.uired information-an inco •iete a..lication will not be acce•ted. Please •rint le. •1. n I or ty.e.
1
■ PROPERTY INFORMATION
SITE ADDRESS Z 9
L o-.,r� .-..„5., SUITE/UNIT# C/D
ASSESSOR'S TAX/PARCEL# 7 (7 Z 2 ��
~ 0- 0 U V O
LOT SIZE(sn
LEGAL DESCRIPTION(e.g.Acme Estates,Lot I)
(Aeachsepa,ay page fee lengthy 1pdd.,o,.Jan/
■" PROJECT INFORMATION �.
TYPE OF PERMIT D BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 1KELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this ermit onl
t'L~/Lie- Q. t }t
...a 0 co _00 A. a. 120 a: V
PROJECT NAME(Name of Business or
Owner Last Name) 6 vv.. •^'l .. ."--x s C., /. 0
III PEOPLE INFORMATION
PROPERTY NAME
OWNER A D F 57- PRIMARY PHONE
MAILING ADDRESS � ( )
ZoL 11 5., Birc ST ..4k. Igo
r
CONTRACTOR COMPANY NAME
APPLICANT NAME OFFICE PHONE
E■ Lr rt./LA etep-4,-•, l Set.) . pa,1 K lu+z— (y )
MAILING A,a RESS 25 7Y2 - S(Zep
0^ �O CITY,STATE,ZIP CELL PHONE
3 Me hle."-}- EdwiondS W. .7$021. (Lt2s )773 - oileg
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE FAX NUMBER
12--05--1 CI 2. 6 8 `I---`BB L 1Z. / 31 /24107 (.t •S )7q7-- - 2-3yLf
CONTRACTORS REGISTRATION NUMBER loopy of card required with each application)
G C O EXPIRATION DATE
S / G / b
APPLICANT COMPANY NAME
� 1 APPLICANT NAME OFFICE PHONE
eu �c..4 glee-f'rilsa.Q Servtca. AL4( kLrrL- (Lts,c ) Per- - yZw
MAILING *DRESS
15(^, CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT 1. )-7 73 -52-77
❑ Architect ❑ Tenant ❑Agent • •they 1 FAX NUMBER
(Describe) ..,. ur • ( )-
CONTACT
p
PRIMARY PHONE E-MAIL ADDRESS
LENDER Yt
)- 7 73 51 eq.../1 . GG rt
A �Sn ara0f f e "r,-Ag'4W-tfA) nx ' Ay-,' ' NAME Z .�IGC
MAILING ADDRESS ' -
- CITY,STATE,ZIP PHONE
I ) _
■ DETAILED BUILDING INFORMATION
EXISTING USE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $
VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? d YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES O NO
WATER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE o TACOMA ❑ PRIVATE(WELL)
.7°SEWER SERVICE PROVIDER o LAREHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) ��°
■
PROJECT FLOOR AREAS
._ ..._. . _..._.-_ PROPOSED
AREA DESCRIPTION a S•.FT. TOTAL S••FT.
1111111.11111111111111111111111111111 ;
SECOND 1111111111111 . ''''
THIRD MIMI
FOURTH —■
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) —
GARAGE 0 CARPORT❑
menno PROPOSED v- + .. i.
NUMBER OF FLOORS
**NEW HOMES ONLY*' NUMBER OF BEDROOMS Ak i TED SFLIJNG PRICE $_— —-------.
AIL
FIXTURES
res to remain.
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing
MECHANICAL
Value of Mechanical Work $_--- .
GA LAOS REFRIG.SYSTEMS
AIR HANDLING UNITS EVAPORATIVE COOLERS
BBQS GAS LOGS
FANS HOODS�c*m«Iv)
RANGES MISC(Describe)
BOILERS FIREPLACE INSERTS
COMPRESSORS
FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING - WATER CLOSETS irw•y MISC(Describe)
SHOWERS
BATHTUBS i*rnn/stww�.c*m>"1 SINKS DRINKING FOUNTAINS
DISHWASHERS NWATER SYST
GAS PIPE OUTLETS SUMPS
URINALS HOSE BIBBS
WASHING MACHINES VACUUM BREAKERS ELECTRIC WATER HEATERS
- IAVS(Bath room¢1n4y)
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
am authorized by the owner of the above premises to perform the work for which the permit
fees t a incurred pcatio in the made.
I investigation and defense hold d
t application is made. I further agree to hold
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'
such claim),which may bgg 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'df the city,including its Jeers an employees,upon the accuracy of the information supplied/too the city as a part of
this application. V /3/I
DATE
�. �
' !�/ - (Title)
NAME/TITLE __�- (signature _
RELATIONSHIP TO PROJECT . Owner O Agent ❑ Contractor ❑ Architect n Other
^'tie 3 ,
i
. ' ■ § r.,':: F.,s I ,fly 9).3'3'SNl. '.`I l a{ y,'■_•'c
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Bulletin#100—January 1,2006
Page 2 of 4 k\l landoutaermit Application
.,
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single 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
❑ Detached outbuilding or garage $91.50
❑ 101.-200 amp 145.00 91.50
(Inspected with service) $45.50 ❑ 201 -400 amp 272.00 107.50
❑ Detached outbuilding or garage
(Inspected separately) $71.50 ❑ 401-600 amp 317.00 127.00
❑ 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 surchar e
❑ 201 -400 amp g $9
p 145.00 71.50 ❑ Mast or meter repair $99.00
.00
❑ 401 -600 amp 198.50 99.00
Q 601 -800 amp 254.00 136.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 364.00 272.00
Service or Feeders
ALTERED SINGLE/MULTI FAMILY 0 0 to 200 amp $117.00
❑ 201 600 amp 272.00
Service or Feeder ❑ 601 -.1000 amp 410.00
❑ over 1000 amp 456.50
❑ 0 to 200 amp $89.50
❑ 201 -600 amp 145.00
❑ over 600 am ❑ #of circuits to be added/altered
p 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/MuItt-Family $63.00
❑ �#of service or feeders
(First service/feeder-$71.50;each add'n-$46.50) Commercia
i/Industrtal 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
(First-$53.50;add'n-$16.50/ea) ❑ #of Signs
❑ Low Voltage (First sign-$53.50;add'n sign$25.00/ea)
Square Feet to be served by system(s) ❑ Swimming pool/hot tub $107.50
(Includes additional circuit,if required)
❑ Fire Alarm System
❑ Security Alarm System 0 Yard Pole meter loops $71.50
Voice Cabling ❑ Additional Plan Review $107.50/hour
❑ Data Cabling (for modified submittals)
❑ ❑ Automation Fee on all Permits $5.00
(Per Systems) 1•t 2500 fts-$63.00;
Each add h 2500 ft2-16.50) •Per WAC 296-46.910(5W&ii) ..
•
Bulletin#100=January I,2006 _...._.......__.
Page 3 of 4 k\Handouts\Perrriit Application