08-103603 City of Federal Way 1110 Electrical
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Community Development Services Permit #: 08-103603-00-E L
P.O.Box 9718
Federal Way, F '(253)9718
35- Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: EVERGREEN BANK
Project Address: 31433 PACIFIC HWY S Parcel Number: 082104 9013
Project Description: Installation of new 200A meter and installation of(4)circuits in bathroom. **1/8/09
Updated with new contractor information**
Owner Applicant Contractor
PAVILION CENTER ASSOCIATES ANDERSON ELECTRIC EVERGREEN POWER SYSTEMS
120 W DAYTON SUITE D9 9390 SE HIDE-A-WAY CT EVERGPS950BE(1/5/09)
EDMONDS WA 98020 DAMASCUS OR 97089 3623 E MARGINAL WAY S
SEATTLE WA 98134
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.
Service greater than 1000 Amps? No
,.n.
Circuits-Commercial 4 New Service/Feeder: 101-200 am 1
PERMIT EXPIRES Thursday, July 30, 2009
Permit Issued on Wednesday, July 30, 2008
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
and the City of Federal/Way.
Owner or agent: a../21Zri t..F�?Y' 8,, Date: /'
FINALED
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City of Federal Way • Electrical Permit 008-103603-00-E L .
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: EVERGREEN BANK rt. - ,
Project Address: 31433 PACIFIC HWY Siii a Parcel Number: 082104 9013
Project Description: Installation of new 200A meter i" and instalia tt`) circuits in bathroom.
Owner Applicant Contractor
PAVILION CENTER ASSOCIATES ANDERSON ELECTRIC ANDERSON ELECTRIC
120 W DAYTON SUITE D9 9390 SE HIDE-A-WAY CT ANDEREL935DL(3-13-09)
EDMONDS WA 98020 DAMASCUS OR 97089 9390 SE HIDE-A-WAY CT
DAMASCUS OR 97089
Additional Permit Information
Service greater than 1000 Amps? No
Electrical Fixtures
Circuits-Commercial 4 New Service/Feeder: 101 -200 am 1
PERMIT EXPIRES Thursday, July 30, 2009
Permit Issued on Wednesday, July 30, 2008
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use iII v..; in accordance with the laws,rules and regulations Of the State of Washington
an. the ity of Federal Way.
jAlr,Owner or agent: �1 Date: �—
DATE INSPECTOR AREA AND TYPE OF INSPECTION
B- 1 nv 6-K" � (94
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THIS CARD IS TiEMAIN ON-SITE t,
� �' CommunityDevelo ent Inspection Record
•
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Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-103603-00-EL
Owner: PAVILION CENTER ASSOCIATES
Address: 31433 PACIFIC HWY S
FEDERAL WAY, WA 98003-5405
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.
0 UFER Ground(4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) Ei Temporary Power(4275) o Service(4235)
Approved Approved Approved
By Date By Date By Q Date 2} -,—/-C30)
,
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date . By Q_yk,.A/ Date 1..,aq•—z,
❑ Final-Electrical(4055)
Approved
By 'r, Date /2.07
For inspector reference only
O Rough Electrical 0 FINAL-Electrical
Approved Approved
i
By Date By Date
- RECEI Et) _ JO 3_6 03
FedeffilVVaY 2e 'ERMIT
COMMUMITDEVELOPMENT BERMES JUL 3 SF MF CO r /ME PL DE EN FP
33325 Sri AVENUE SOUTf!•1'O BOX 9718 A T E T___„Ry A TIO N
FBOEM-835-2 07. WA 53-63.9778 ® --/vim—3� �ir.E \(Nl'��`(%'K
253-83SZ607•PAX 453-835-26 /
CDS
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS 3(Y 33 ?C-cca�.L- S. SUITE/UNIT#
ASSESSOR'S TAX/PARCEL 9 ,,_- —_ —— LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
path aqmwate Page fir SWAY lega descriPdini
MI PROJECT INFORMATION
TYPE-OF PERMIT ❑BUILDING 0 PLUMBING CI MECHANICAL
0 DEMOLITION$.ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailedtdescription ofwork inelrided on this permit wag)
t\ r.e_LO 1-Y \ � `ielo t
l,11,54 •\\ L/ G\�.t�iA-S Qo-A-\1.rbS9tv‘
PROJECT NAME(Name of Business or Owner Last Name) P ,, ', e0.4.--e...2
II PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER ( ) - .
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
A ersee• C ler....4c_. (6 )ci42s -Ltaz?
MAILING ADDRESS 0.� f�CITY,STATE.ZIP �^� CELL PHONE
yc rr3Y OF `SERAAL E W Y�BUSINESS LICENSE NUMBER wCJ�fY1Ct5GLl1__L DA� Eq (5°3 NDE R(qC{ -Ca g
EXPIRATION ( ). -
CONTRACTOR'S azeurneaTung NUMBERa, EXPIBATIOX DATE E•MAILADDRESS
NI \DeCZ e 1. 935-0L 3-t3-Oct 0 efii-Afttei 6:lec4hz•ce
APPLICANT COMPANY NAME 1 APPLICANT NAME OFFICE PHONE
SaC.A.1M.e o,-S Gorc-t7s C" ( ) -
MAILING ADDRESS CITY.STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect a Tenant a Agent ❑ Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS ,�1�.,� -�� ����
CONTACT
NYGEs
SS � t�JGJG¢.C( -C:,ci53 TVtickncael�� el"�, a
LENDER NAME Per RCW 19.27.095:
Lender Information is required ifpro/ect value exceeds$5,000.
MAILING ADDRESS CITY.STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES; a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
WATER SERVICR PROVIDER a LAKEHAVEN a HIGHLINE a TACOMA a PRIVATE(WELL) -
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLIIIE a PRIVATE(SEPTIC)
i PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED ; TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SE OND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
- maim" r=orosm TOTAL mrwsttohmeose �ror.� sr TOTAL al
NUMBER OF FLOORS
**NEW HOMES ONLY"* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
M FIXTURES
Indicate number of each type of future to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MSC(Describe)
BOILERB', FIREPLACE INSERTS :. HOODS(cammaar}
COMPRESSORS FURNACES RANGES
DUCTS _ GAS LOG SETS REFRIG.SYSTEMS
PLUMBING URINALS ?MSC(Describe)
BATHTUBS(arms/Shower c LAVS(Botbreem shako
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(me)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I cry under penait of perjury that I am the property owner or authorised agent ef the property owner.I ce rtl jt/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 authorised 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 law&
I farther 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 a part of this app -•
SIGNATURE: �� y aI DATE "?-22)0'-0�
Property Owner and/or Authorized Agent
•
o NEW o ADDITION a ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO IIP/SEPA/SII? - a YES a NO
PLATTED LOT?. - a.YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Pennit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL ' COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet ❑ 0 to 100 amp $125.50 $76.50
(First 1300 ft2-$115.50;Each add'n 500 ft2-$37.00)
O Detached outbuilding or garage "
101-200 amp 155.50 98.00
(Inspected'With service) $48.500 201-400 amp 291.00 115.00
O Detached outbuilding or garage 0 401-600 amp 339.50 136.00
(Inspected separately) $76.50 ❑ 601-800 amp 439.00 186.00
O 801-1000 amp 536.50 224.50
NEW MULTI-FAMILY(three units or more) 0 Over 1000 amp 584.50 311.50
Service Feeder
O Up to 200 amp $125.50 $37.00 0 Over 600 volts surcharge $98.00
O 201-400 amp 155.50 76.50 0 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
O 0 to 200 amp $125.50
ALTERED SINGLE/MULTI FAMILY 0 201-600 amp 291.00
• 0 601-1000 amp 439.00
Service or Feeder 0 over 1000 amp 489.00
O 0 to 200 amp $96.00
O 201-600 amp 155.50 , -- '1 #of circuits to be added/altered
O 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
O Service- 1,000 amps or greater
❑ Mast or meter repair $57.50 0 Medical/Educational/Institutional Facility
MANUFACTURED HOMES
O Service or feeder only $76.50
O Service and feeder $125.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK ResidentiaVMulti-Family $67.50
O #of service or feeders •
(First service/feeder-$76.50;each add%-$50.00) ConemerciaVIndustrtal Service or Feeder Ampacity
O 0-100 amps $76.50
O 101-200 amps 98.00
O 201-400 amps 115.00
O 401-600 amps 155.50
O over 600 amps 168.00
MISCELLANEOUS SERVICE/EQUIPMENT
U #of Thermostats 0 #of Signs
•
(First-$57.50;add'n-$17.50/ea) (First sign-$57.50;add'nsign$27.00/ea)
O Low Voltage 0 Swimming pool/hot tub $115.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
O Fire Alarm System 0 Yard Pole meter loops $76.50
O Security Alarm System 0 Additional Plan Review $115.00/hour
O Voice Cabling; (for modified submittals)
O Data Cabling
O 0 Automation Fee on all Permits .. $5.50
1.'2500 ft2-$67.50;
Each.add'n 2500fes-$17.50)leer WAC 29646910(4W&5)
,
Bulletin#100-January 1,2008 Page 3 of 4 k\iandouts\Pennit Application