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09-100230 f Electrical City of Federal Way • • Q Community Development Services Permit #: 09-100230-00-EL P.O.Box 9718 Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax (253)835-2609 $c Project Name: EVERGREEN BANK Project Address: 31433 PACIFIC HWY S Parcel Number: 082104 9013 Project Description: Installation of low voltage voice&data cabling Owner Applicant Contractor EVERGREEN BANK INTEGRATED TECHNOLOGIES GROUP INC INTEGRATED TECHNOLOGIES GROUP INC 1111 THIRD AVE SUITE 100 22906 2ND AVE SE INTEG**932L1 (6/21/09) SEATTLE WA 98101 BOTHELL WA 98021 22906 2ND AVE SE BOTHELL WA 98021 • ��.. 4.a..„A,.t�,c a� ar, ..i.�Z.� ., sz a,t;i, a.�z r,. .•.`za. 4.A,\ _ /. .�..3...�•.*e h!,'�i� .,,. $";..„ � .<' � a�' Service greater than 1000 Amps? No Wiz%$ \u'Yc-a •auk,:x nary _ a Low Voltage-Other(Commercial' 1 PERMIT EXPIRES Wednesday, January 20, 2010 Permit Issued on Tuesday,January 20,2009 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 taws, rules and regulations of the State of Washington See Apt5IiietttitoraY. Owner or agent: Date: JAN 2 0 2009 FINALED \01 r 41/4 THIS CARD IS TO MAIN ON-SITE if CITY OF Pommunit3' pm Develo t Inspection Record p Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 09-100230-00-EL Owner: EVERGREEN BANK 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. ❑ UFER Ground (4295) 0 Ditch cover(4030) ❑ Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date ❑ Pool Bonding(095) ❑ Temporary.Power(4275) ❑ Service(4235) Approved Approved 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 ; `t.1 Date ❑ Final-Electrical(4055) Approved c� By 0. Date 3°Z • For inspector reference only 0 Rough Electrical 0 FINAL-Electrical Approved Approved By Date By Date Jan 16 09 02:09p The IT Group ,5-951-0670 p,1 a�oP A 07 /00 223 0 Federal Way JAN 2 0 2009 PERMIT SF MF CO ME EL PL DE EN FP CONEWL`Nt Y DEVELOPMENT SERVICES 'l cy'l3 ti,/AVENUE Q DO>:9714 P ,k,I A'TI OT FL'UERAL 4YAYN'Ar'JJ F FEDE� s53-835.26Qi• '!r .6%-2 I / 1 6 / 09 i Pi VW.ertyl.weitcrrturrcl.JTil CDS The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type. ,/ 1I PROPERTY INF.OR_MpATIO�Nr [�� SITE ADDRESS_3 14 3 3 Pat 1;i i.. P1 1 w 0. S t rat W� T J2 63 SUITE/UNIT I ASSESSOR'S TAX/PARCEL# 0 �' a. ) 0 - - 9 0-- 1 G LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot I) eVmCe separate Page To,kno Wy kga1 yesq p I rd • PROJECT IXVFORMATION TYPE OF PERMIT ❑BUILDING ❑PLUMBING ❑ MECHANICAL ❑ DEMOLITION ELECTRICAL 0 ENGINEERING L7 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Proutde detailed description of work incl)tried on this permit Pala) l iia 11•e 0t+ (Cxb 1 PROJECT NAME(dame of Business or Owner Last Name) c.....-1,1e r5 r'erIA 660,14. al PEOPLE INFORMATION PROPERTYPRIMARY PHONE OWNER IIIIV I 1 I6 ,I L -6{ ASS O C(O,6.S ( ) - MAILING STATE, E-MAILADDRESS ADDRESS Day-I-orSc DQCITY. �G CIS0.a,o Pitir CONTRACTOR COMPANY NAME 6 re,4„pl."( APPLICANT.NM E OFFICE PHONE -t'k¢ r�:gr.- -TM 6u. 1 ucKeSt Etc )•5/D -(Y 76 NRAILING ALE) CDT,STATE,ZIP CELL PHONE 1906 a cwe 5e r30 e it wA- 9 ,21 ((b6 )s i o -0s78 CITY OF FEDERAL 'lY DANESS LICENSE NUMUE^.R MX1'IRA.TTON DALE VAX NUMBER u . / -�:.0 -07 (.1a5)951 -0670 C TirTRA'CION NUMDFdt EYPDtATION DATE (-NTMI{ADD APPLICANT COMPANY NAME APPLICANT NAME; OFFICE PHONE ( ) MAILING ADDRESS CITY,STATE.ZIP CELL PHONE - RELATIONSHIP TO PROJECT- 1AX NUMBER ❑Architect ❑Tenant ❑Agent y3 Other G41\"a,C 4 r ( ) - PROJECTPRIMARY PHONE E-MAIL ADDRESS CONTACT c`e Y l Bj(0. - 0-0G )7119 VctleV UE.Va442 LENDER NAME Per IICW 19.27.095; L V j I"iI' t €,01 .a r G pYr\ Lender information is required if project value exceeds$5,000 MAILING ADDRESS Crit,STATE_ZIP PHONE ( ) - II DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ SPRIPIELERED BUILDING? ❑YES CI NO FIRE SUPPRESSION SYSTEM PROPOSED/REWIRED? ❑YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGIUJRE C TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER ❑LAKEHAVEN ❑HIGHLINE o PRIVATE(SEPTIC) Jan 16 09 02:09p The IT Group 05-951-0670 p.2 • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED I TOTAL SA.FT. SQ.FT- SCS FT. BASEMENT FIRST 5n:cOOND — THIRD ADDITIONAL FLOORS(DESCRIBE) DECK(LI COVERED OR 0 UNCOVERED?) GARAGE U CARPORT 0 NUMBER OF FLOORS goat. "OPOBw TOTAL TOT'u'�'u1OHP 10rALJ 'm $' TOTAL SP **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ • FIXTURES Indicate number of each type of fixture to be installed or reed as part of this project Do not inclri dp tnjfxtwes Lu remain. MECHANICAL Value of Mechanical Work$ (A COPY OF BID OR ESTIMA'IE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING uNrrs EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBgS FANS GAS WATER HEATERS MISC(Describe) BOILERS FIREPLACE INSERTS HOODS(cam. oawi COMPRESSORS FURNACES RANGES DUCTS GAS LOG SITS REFRIG,SYSTEMS PLUMBING BATT ITUBS(o,T.,tv showt,r.,mmg LAYS frff:.evoom51rlml URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINLSJNG FOUNTAINS SHOWERS WATER CLOSETS rrolkti ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS SIGNATURE I certify under penalty of perjury that J am the property owner or authorized agent of the property owner.I certify that to the best of my knowledge, the irlfornwtion 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 arty 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 th ' �ion. SIGNATURE!. DATE 11/64 q Property Owner and/or Authorized Agent FOR OFFICE USE ONLY o NEW o ADDITION o ALTERATION n REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? n YES a NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? n YES o NO IDP/SEPAJSU? o YES o NO PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? o YES a NO Bulletin#!00—January I,2009 Page 2 of 4 k\Hmrnaloutc\Permit Application Jan 16 09 02:10p The IT Group 05-951-0670 p.3 411 ELECTRICAL PERMIT INFORMATION *NOTE: an automation fee of$6.00 will be charged for all permits. RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW.NEW commenGIAL/WDUSTRIAll.S1E IivxcE_ 0 Single Family Square Feet Bernice or 1'ceder 1%ash I1 dd'n iFtrst 130011,-5121.00:Foch add'n S00 ft,-530.001 ❑ 0 to 100 amp $$131.550 $80-DO I ❑ 101 -200 amp 163.00 103.00 ❑ Detached outbuilding or garage(w/service) $51.00 ❑ 201 400 amp 305.50 120.50 ❑ Detached outbuilding or garage(inspected separately) $80.00 ❑ 401-600 amp 356.00 142.50 O Swimming pool(w/service) $80.00 ❑ 601 -800 amp 460.50 195.00 ❑ Swimming pool(inspected separately) $120.50 ❑ 801 - 1000 amp 562.50 235.50 ❑ Hot tub/spa/sauna(w/service) $51.00 © Over 1000 amp 613.00 327.00 ❑ lint tub/spa/sauna(inspected separately) $80.00 ❑ Septic pumping system(w/service) 551.00 ❑ Over 600 volts surcharge $103.00 ❑ Septic pumping system(Insprrtcd separately) 880.00 ❑ Mast or meter repair $111.00 NEW MULTI-FAMILY(three units or more) ALTERED COMMERCIAL/INDUSTRIAL Service Feeder (Does not include circuits,) Se LI Up to 200 amp $131.50 $39.00 S 13or Feeders 1. ❑ 0to200amg S131.50 LI 201 -400 amp 163.00 80.00 0 201. -600 amp 305.50 ❑ 401 - 600 amp 223.00 11.1.00 0 601 -1000 amp 460.50 LI 601 - 800 amp 285.50 152.50 ❑ over 1000 amp 513.00 ❑ Over BOO amp 408.50 305.50 ❑ it of circuits to be added/altered ALTERED SINGLE/MULTI FAMILY [1-5 circuits-$103.00:Add'n circuits,823.00/cal Service or Feeder COMMERCIAL/INDUSTRIAL PSI REVIEW CI Oto 200 amp $100.50 $1.03.00 plus 35%of Permit Fee LI 201 600 snip 163.00 L:1 Service- 1.000 amps or greater © over 600 amp 245.50 1=1Medical/Educational/Institutional Facility ❑ Additional plan review for ❑ ft of circuits to be added/altered modified submittals $115.00/per hour (1-4 circuits-$80.00:Add'n circuits 58.00/ea) ❑ Mast or meter repair $60.50 TEMPORARY SERVICE Service or Feeder Each Add'n MANUFACTURED HOMES ❑ 0 to 60 amp $ 71.00 $32.00 ❑ Service or feeder only $80.00 ❑ 61-100 amp 80.00 39.00 ❑ Service and feeder $131.50 ❑ 101-200 amp 103.50 51.00 Q 201-400 amp 120.00 60.50 MOBILE HOME/RV PARK ❑ 401 -600 amp 163.50 80.00 ❑ 5 of service or feeders ❑ Over 600 amp 183.00 92.00 (First service/feeler-$80.00:each add'n-$52.50) MISCELLANEOUS SERVICE/EQUIPMENT ❑ 4 of Thermostats • (First-$60.50;add'n-$18.50/ca) ❑ _ 4 of Signs ❑ Low Voltage /� (First sign-$60.50;add'n sign$28.50/ea) Square Feet to be served by system(s) ASCC3 ❑ Yard Pole/meter loops/pedestal $80.00 ❑ Fire Alarm System ❑ Portable Generator(transfer equipment) $100.50 ❑ Security Alarm System ❑ Ditch cover/inspection only $120.50 ,r❑ voice Cabling c,-.ata CabIm8 ❑ For fees not listed,contact the Permit Center at L. 2500 fi2-$71.00;.. Each add'n 2500 112-$18.50) 253-835-2607 Bulletin 4100-January 1.2009 Page 3 of 4 k\ilandouts\Pcrmit Application