07-102712 City of Federal Way 1110
Community Development Services Electrical Perm#: 07-102712-00-EL
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: THE COMMONS SPACE B-30
Project Address: 2001 S 320TH ST Parcel Number: 762240 0010
Project Description: Disconnect and reconnect RTU.
Owner Applicant Contractor
STEADFAST COMMONS LLC EVERGREEN ELECTRICAL SERVICES INC EVERGREEN ELECTRICAL SERVICES INC
1928 S COMMONS 15103 60TH AVE W EVERGES039KF 5/6/09
FEDERAL WAY WA 98003-6013 EDMONDS WA 98026 15103 60TH AVE W
EDMONDS WA 98026
Additional Permit Information
Electrical Fixtures
Circuits- Commercial 1
PERMIT EXPIRES Tuesday, November 13, 2007
Permit Issued on Thursday, May 17, 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 ' • accordance with the laws, rules and regulations of the State of Washington
Owner or agent:
and the City of Federal Way.
Date: �� C/D
� (7� L
FIUALED
,4146, THIS CARD IS TO EMAIN Old-S fE
CITY OF ommunity°ILDevelopVint Inspection Record
p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-102712-00-EL
Owner: STEADFAST COMMONS LLC
Address: 2001 S 320TH ST
FEDERAL WAY, WA
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 Slab/Concrete Floor(4255) 0 Ditch cover(4030) e❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power (4275) ❑ Service (4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By12, Date S--"7--S :"/"---
❑ Under-slab groundwork(4295)
Approved
By Date
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
41
Approved Approved
By Date By Date
unor` RECEIAlt I..-7 I \J t_ `-C ( �..
Federal Way PERMIT - — —
COMMUNITY DEVELOPMENT SERVICES SF MF CO ME EL PL DE EN FP
33325 STM AVENUE SOUTH•PO BOX 9718MAY 17 h
FEDERAL WAY,WA 98063-9718 APPLICATION TD / /
253-835-2607•FAX 253-835-2609
www.cityoffederalwau.com nITY OFt1FEDERALRWAY
The ollowin• is re.uir �ffic Paccig r'an inco .lete a••lication will not be acce.ted. Please .rint le.ibl (in in or .•.
c�.?2—C-)alPROPERTY INFORMATION
SITE ADDRES 21Y° I ^S .?2—C-)/ LL . {-"' SUITE/UNIT# �- -
-�`.
� /
ASSESSOR'S AX/PARCEL# , a 2---Y® - C) ( O LOT SIZE(sJ)
LEGAL DESC PTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
- - ■ PROJECT INFORMATION
TYPE OF PE• IT ❑BUILDING D PLUMBING 0 MECHANICAL
0 DEMOLITION 6 ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlq)
d.sc- KW+/ rC. c�nZck v v 1,1 cT (Li w-IL-cot" I..i l',-,—)
PROJECT NAME(Name of Business or Owner Last Name) -111-.12,r CalsA.Inx-S S PC1C e, B 3 c)
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER Sfetitd ( ) -
MAILING ADDRESS CITY,STATE,ZIP
CONTRACTOR COMPANY NAME / APPLICANT NAME OFFICE PHONE
�
M, y DRQ °frl eAv( CI l l t� ✓(,ZIP <<t(Z- `z )7 s,t—�` - �-2-c
CELL PHONE
151,o3 .t •Vv W 5 LAS V+ C1'°7''' (¢2s ) 773 - D-77
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
2 o-oc - . u2 0 - B L /3 t 1p"7 ( )
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
,�v .6L� a . F E(4,10.1Q4., ,__-,
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
a-ver�j r eiu}n,c, ( )
-
MAILING ADDRESS CITY,STATE,ZIP — CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACT NAME rl PRIMARY PHONEMAIL ADDRESS
j' -Li( Li_ t r L_ (L12-5) 7`Yz- -it'2W faJ 1 . es Co 0(2--rizo/n i
LENDER t Per RCW 19 27 09 rider d omationaa NAME A42-.4—
required'if project vatu cee 5,000
MAILING ADDRESS CITY,STATE,ZIP
. • DETAILED BUILDING INFORMATION •.
EXISTING US PROPOSED USE
EXISTING ESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERS BUILDING? ❑YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SER CE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) •
SEWER SER CE PROVIDER ❑ LAKEILAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
{ PROJECT FLOOR AREAS
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 TOTAL : TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES. •
Indicate number of each type o ixture to be installed or relocated aspart o th j... ..._. include •� �� factures e- ��em n.
f yp f f f this project. Do not existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
'
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Show-ercombo) SHOWERS WATER CLOSETS troae) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sulks) 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 0.<}( 12DATE 5)11)07
(Signature) (Title)
RELATIONSHIP TO PROJECT a Owner a Agent contractor 0 Architect 0 Other
•E••FFI E TISE ONLY
0ITEW aAD.v, ..
DITION a ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING;SHELL ONLY? a YES o NO '' BASIC PLAN? a YES a NO
�.9NINGESIGNATION CHANGE OF USE?- a YES a NO
EAWiM PRESS REQUIRED? ❑YES a NO UP/SEPA/SU? t: a'YES a NO
fiTED�I,OT?� - s a YES o NO DEMO PERMIT REQUIRED? . a YES n'NO
t9
Bulletin 11100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
• i+LECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
LISingle Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50
LI Detached outbuilding or garage LI 101 -200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00
LI Detached outbuilding or garage LI 401-600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 601 -800 amp 398.50 168.50
❑ 801 - 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) LI Over 1000 amp 530.50 283.00
Service Feeder
❑ Up to 200 amp $113.50 $33.50 LI Over 600 volts surcharge $89.00
❑ 201 -400 amp 141.00 69.50 LI Mast or meter repair $96.00
LI 401 -600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
LI 601 -800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50
LI 601 - 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
LI 0 to 200 amp $87.00
LI 201 -600 amp 141.00 V #of circuits to be added/altered
LI over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
� d
# of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 LI Medical/Educational/Institutional Facility
MOBILE HOMES
LI Service or feeder only $69.50
LI Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0- 100 amps _ $69.50
LI 101-200 amps 89.00
LI 201-400 amps 104.50
❑ 401 -600 amps 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats ❑ # of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $104.50
❑ Security Alarm System ❑ Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
❑ ❑ Automation Fee on all Permits .. $5.00
(Per System(s) 1•,2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) `Per WAC29646-91o(5)(b)(i&ii)
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application