10-101344 • leltrical
• ' • ty Way
CommunityCiof DevelopmentFederal Services I Permit #: 1 0-101344-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)8354050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: US DEPT OF AGRICULTURE
Project Address: 33400 9TH AVE S SUITE 200 Parcel Number: 926501 0060
Project Description: Low voltage data cabling and adding/altering 10 circuits.
Owner Applicant Contractor
GOLDEN STONE LLC KIRBY ELECTRIC INC KIRBY ELECTRIC INC
33400 9TH AVE S SUITE 204 4826"B"ST NW SUITE 101 KIRBYEI077BN(1/13/11)
FEDERAL WAY,WA 98003-2607 AUBURN WA 98001 4826"B"ST NW SUITE 101
AUBURN WA 98001
�...5 • is
Is Use Educational or Institutional? No Service greater than 1000 Amps? No
Circuits-Commercial 10 Low Voltage-Other(Commercial 1
PERMIT EXPIRES Saturday, April 2, 2011
Permit Issued on Friday, April 2, 2010
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
/ ,�j and the City of FF�ed ral Way.
Owner or agent: 'I f�' ""'" �C 1 v TDate: 4-/g /0
9 /
!NAL0 '
Alik • . Elettrieal
City of Federal Way
Commuhity Development Services Permit #: 1010134400E L
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: USDA AT GOLDENSTONE "' e J
Project Address: 33400 9TH AVE S SUITE 200 Parcel Number: 926501 0060
Project Description: low voltage data cabling and adding/altering 10 circuits.
Owner Applicant Contractor
GOLDEN STONE LLC KIRBY ELECTRIC INC KIRBY ELECTRIC INC
33400 9TH AVE S SUITE 204 4826"B"ST NW SUITE 101 KIRBYEI077BN(1/13/11)
FEDERAL WAY,WA 98003-2607 AUBURN WA 98001 4826"B"ST NW SUITE 101
AUBURN WA 98001
Is Use Educational or Institutional? No Service greater than 1000 Amps9 No
Circuits-Commercial 10 Low Voltage-Other(Commercial 1
PERMIT EXPIRES Saturday, April 2, 2011
Permit Issued on Friday, April 2, 2010
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 C.ty of Federal Way.
Owner or agent: Date: lQ
, • THIS CARD IS TO MAIN ON-SITE Si"
CITY OF { a.
Construction In ction Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 10-101344-00-EL Address: 33400 9TH AVE S SUITE 200
Owner: GOLDEN STONE LLC FEDERAL WAY, WA
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) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
•
,0 Pool Bonding(4195) .❑ Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
1-.P r•4a_. it 1 1�
By Date By Date t _ Bye Date u,�1.,1,I
O Final-El ctrical(4055)
pproved
B > Date .4,Z3� 24 '-v
❑ Rough Electrical El Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
ECEI - 20/ S
�,r„ec� E
Flera!WayRMIT SF MF CO ME 6.1:)PL DE EN FP
APR4 PLICATItJN / 1
COMMUMIY DEVELOPMENTSERVICES
253-8352807•FAX 253 835-2609
www'IIc.<€I nOF FEDERAL WAY
COS PROPERTY
SITE ADDRESS
3 o13 ' Ave,
SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL#
01-U0 ? 2 1, S o 1 _ 000
PROJECT — —NAME OF PROJECT n -n
(Tenant or Homeowner Name) USDA @ Go!AA S+1)v\4_,
0 BUILDING 0 PLUMBING 0 MECHANICAL
TYPE OF PERMIT D DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
PROJECT DESCRIPTION T. fl7U,t Li) 6 -
Detailed description of work to
be included on this permit only
PEOPLE
NAME PHONE
PROPERTY OWNER 6(1A V�✓L- % V`Q-3 l Vi C- (2Oto)22 PRIMARY 9Sao
MAILING ADDRESS.CITY,STATE.ZIP E-MAIL
320 101,7k Avt NE, 3i.11w*e. vJa `19oo"
OWNER IS ALSO: o CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
NAME PRIMARY PHONE
Kwby £ n ., 1 h e (Z53 )941.7 - Zwo
MAILING ADDRESS.CITY,STATE. FAR
Jl
CONTRACTOR t49U0 St Al W SSC /0I ALl h Vet.9 b (z 3) ec, _
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE ffi
NAME '/ ^, PR MARY PHONE
APPLICANT 444 -L (2S3) �'S -2400
MAILING ADDRESS.CITY,STATE.ZIP ( FAX
(cry grew /o f !o / lxt b vra Z ) ti& _ z?
PROJECT CONTACTNAME _2 FR>MARY PHONE
(The individual to receive and )n 4._
(Lc3) • -Z(Ao
respond to all correspondence MAILING ADDRESS.CITY•STATE.ZIP FAX
concerning this application) Sle 2,0 6 Sr NIA) S /6/ /Its Li leA WGi yrcb/ ( 7-c )a7..2343
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
V144,ty �otskV& ( i 3) qoS'- (vZio scctPJ K;%dataevh.2. tom
PROJECT FINANCING NAME e / ` 1,U.-�\ _ C, )(OWNER-FINANCED
Required for projects with t,.�C \J '�(�/� �"`
value of$5,000 or more MAIL NG ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
IRCW 19.27.095) 37014(o-rL /kV. 106 S 10° •eve-tA (2(. )123 - 9
�'f �
b
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the
best of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned,and filed against the
city,but only where such claim arises out oft = reliance of the city,including its officers and employees, upon the accuracy of the
information supplied to the - a .plication.
SIGNATURE: / ,5tArec Jen DATE Y7z-1/76
PRINT NAME: tt
Bulletin#100-4/212009 Page 1 of 4 k:\Handouts\Permit Application
• •
MECHANICAL FIXTURES
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLI.Ib OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(cas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks] TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Eketrie)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$ $
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
3, .1 ( ❑Yes o No ❑Yes KNo
RESIDENTIAL
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT ______..... ........__..._.._...__..____.. ...__...._._..____.__..__.._.._..__........._
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE 0 CARPORT 0
OTHER(describe)
Rxmxnvc PROPOSED mnw
Area Totals
**NEW HOMES ONLY`•
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL -NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
TOTAL BUILDING [� , IiL ^
�
TENANT AREA ONLY 1//I //CD'L�.
PROJECT AREA ONLY 1)y"" „(
11 J
Bulletin#100-4/21/2009 Page 2 of 4 k:\Handouts\Permit Application
ELECTRICAL •
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet 1st Service/Feeder Additional Feeders
(including attached garage): 0 100 amp x$131.50 x$ 80.00
FEES: First 1300 ft2-$121.00; 101- 200 amp __x$163.00 x$103.00
Each additional 500 ft2-$39.00 201- 400 amp x$305.50 x$120.50
NEW MULTIFAMILY 0 units or more) 401 - 600 amp x$356.00 x$142.50
1st Service/Feeder Additional Feeders 601 800 amp x$460.50 x$195.00
0- 200 amp x $131.50 x $_39.00 801-1000 amp x$562.50 x$235.50
201 400 amp x $163.00 x $ 80.00
Over 1000 amp x$613.00 x$327.00
401 -600 amp x $223.00 x '$111.00
601 -800 amp - x $285.50 x $152.50
Over 600 volts surcharge x$103.00
Over 800 amp -x $408.50 x $305.50
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1st Service/Feeder Additional Feeders 1st Service/Feeder Additional Feeders
0- 200 amp x $100.50 x $ 39:00 0 200 amp x$131.50 x$103.00
201 -600 amp x $163.00 x $ 80.00 201- 600 amp x$305.50` x$142.50
Over 600 amp x $245.50 x $111.00 601 -1000 amp x$460.50 x$235.50
Over 1000 amp x$513.00 x$327.00
Added or Altered Circuits ��
1-4 circuits$80.00;each additional$8.00 Added or Altered Circuits
1-5 circuits$103.00;each additional$8.00
Mast or meter repair $60.50
Mast or meter repair $111.00
MANUFACTURED HOMES PLAN REVIEW FEES
Service or feeder only x $ 80.00
$103.00 plus 35%of Permit Fee;Plan Review required for:
Service and feeder x $131.50
❑ New.or alteration to,service of 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
Plan review for modified submittals $120.50/hour
MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
❑ Fire Alarm System 1st Service/Feeder Additional Feeders
O Security Alarm System
Voice/Data Cabling 0- 60 amp x $ 71.00 x $ 32.00
❑ Other 61- 100 amp x $ 80.00 x $-39.00
Area to be served by system: v7/
Pt 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50 101-200 amp X $103.50 X $ 51.00
201 -400 amp x $120.00 x $ 60.50
#of Thermostats 401 -600 amp -x $163.50 x $ 80.00
First$60.50;each additional$18.50
Over 600 amp x $183.00 x $ 92.00
_,�#of Ss **NOTE: an automation fee of$6.00 will be charged
`first$60.50;ach additional$28.50 on all permits**
Yard Pole/meter loops/pedestal x$ 80.00
Portable Generator(transfer equipmen x$100.50 For fixtures or fees not listed contact the Permit Center at
Ditch cover/inspection only /x$120.50 253-835-2607
Bulletin#100-4/21/2009 Page 3 of 4 k:Handouts\Permit Application