09-100453 Electrical
City of Federal Way • Q
Community Development Services Permit #: 09-100453-00-E1.
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: C H ROBINSON
Project Address: 33400 9TH AVE S SUITE 210 Parcel Number: 926501 0060
Project Description: Relocating(3)existing thermostats
Owner Applicant Contractor
GOLDEN STONE LLC UNIVERSAL REFRIGERATION INC UNIVERSAL REFRIGERATION INC
33400 9TH AVE S (ELECTRICAL) (ELECTRICAL)
FEDERAL WAY WA 98003 PO BOX 614 UNIVERI000B0(1/20/2010)
AUBURN WA 98071-0614 PO BOX 614
AUBURN WA 98071-0614
_ -_ H,3 411V.4'4 s AdditionsPermit•in ',.1.......;„';x c '';')4 ,,C ,
Service greater than 1000 Amps? No �4
t �,C /�,s , .Electrical , r y r \ ✓ � s a` N ,k. 6 r.
Thermostat 3
PERMIT EXPIRES Wednesday, February 3, 2010
Permit Issued on Tuesday, February 3, 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 laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: - ./....., _ Al Date: e r t.5
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• THIS CARD IS TIEEMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way y IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 09-100453-00-EL
Owner: GOLDEN STONE LLC
Address: 33400 9TH AVE S SUITE.210
FEDERAL WAY, WA 98003
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) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved �/ Approved
By Date By Date 2 `1 ' By Date
❑ Final-Electrical(4055)
Approved
By 1y Date
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
/ems , Zf'
EAG •
CITY OF
Federal Wa
B Q 3 2009 PERMIT SF MF Co MEL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33325 Sr'AVENUE SOUTH•PO BOX 9718
253835 W Fi1X 3 35210 EDERA� '1► �, I�I CATI®N TD
DS
The following is requtea mformation-an incomplete application will not be accepted. Please print legibly(in ink)or type.
'\ • PROPERTY INFORMATION
SITE ADDRESS 3 yO v G 4r e- ,SDc4 6 t SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# q Z t /
- O 0 LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) G✓e.-r57" C6l44.1jOs c Cr . (IOWA. �/V 7—
(Atta(Attach
ch separate page for fengihy Iegt description)
• PROJECT INFORMATION
TYPE/OF PERMIT 0 BUILDING 0 PLUMBING ❑ MECHANICAL
0 DEMOLITION `NC ELECTRICAL ❑ ENGINEERING ElFIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
/oc- i1'C- d,{ (j?) 2xtc7L!&l¶ -G>env'r 'fo.S�t7.S v-oI,v,
ca 7'h4G/)y, 7 H e-,....0•00 .-, - u. 2-1"/ r 71?ori
f. . r,✓al/ .
PROJECT NAME(Name of Business or Owner Last Name) C__- . /, /` v r'/vi ''''C>P1 4.. i .
MI PEOPLE INFORMATION
PROPERTY NAME ,........ PRIMARY PHONE
OWNER 'o(de 7 bl-Ve LLC ( ) -
MAILING ADDRESS� � � �,� CITY,STATE. W/4
�/�. E-MAIL ADDRESS
y T zo'{ red yW 4 -
CONTRACTOR COMPANY NAME - APPLICANT NAME / OFFICE PHONE
Unh' I( (fie f tgp,✓xf�o�- .ley 4e (fw,�,,.. ("-f,) 7 -1-sv(
MAILING ADDRESS / CITY.ST",ZIP CELL PHONE
141
Pa BoJ� lv/y �7/�p /� ( 4644e4i, w4 1'507/ ( ) - 7,/,2-
CONTRACTOR'S
t�Q CITY FAX NUMBER
/9'-RALF WAY 10 0 LICENSE
v / 7 NUMBER
00-'4^ �Z - (-l79 (2-53)-7, ---- 7 ! 7Z-
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
lil///V6 ?/ /S(if/ 47f--!/^ (Q
APPLICANT COMPANY NAME APPLICANT NAME ( OFFICE PHONE
d
MAILING ADDRESS. 'VegW�V/41e (tIMGtM I� ' (Z-5-CELL ) q<-d - ��(
PfCIE E
_ (20 6)->a -./..y.,
______
RELATIONSHIP TO PROJECT FAX NUMBER
E Architect 0 Tenant X Agent 0 Other ( ) -
PROJECT NAME
CONTACT e-yoc �I at/ PHONE t PRIMARY
VOA ( 4,) C r( 7----,--c / b y 7VuPt/vev'Yj46 .742'j.
LENDER NAME Per RCW 19.27.095: �.ALH
Lender information is required if project 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 o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL ----'7
Value of Mechanical Work$ / / 7 7 (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 � MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Cornmercla(( �`10Ct4(-4(. ,t 5eArj
COMPRESSORS FURNACES RANGES
'^ DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSEIS(toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 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 a lication.
`�/'/ / -
SIGNATURE. !N -.....e,
DATE -�
7 / Property Owner and/or Authorized Agent
/ (J
FOR OFFICE USE ONLY
❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? ❑YES a NO DEMO PERMIT REQUIRED? a YES ❑NO
Bulletin#100—January 1,2009 Page 2 of 4 k'Handouts\Permit Application
41111 III
ELECTRICAL PERMIT INFORMATION
*NOTE: an automation fee of$6.00 will be charged for all permits.
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$121.00;Each add'n 500 ft2-$39.00) ❑ 0 to 100 amp $131.50 $80.00
O 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
❑ 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
❑ Hot tub/spa/sauna(inspected separately) $80.00
a Septic pumping system(w/service) $51.00 ❑ Over 600 volts surcharge $103.00
❑ Septic pumping system(inspected separately) $80.00 ❑ Mast or meter repair $111.00
ALTERED COMMERCIAL/INDUSTRIAL
NEW MULTI-FAMILY(three units or more)
Service Feeder (Does not include circuits.)
Service or Feeders
❑ Up to 200 amp $131.50 $39.00 ❑ 0 to 200 amp $131.50
O 201 -400 amp 163.00 80.00 0 201 -600 amp 305.50
O 401 -600 amp 223.00 111.00 0 601 - 1000 amp 460.50
❑ 601 -800 amp 285.50 152.50 ❑ over 1000 amp 513.00
❑ Over 800 amp 408.50 305.50
❑ #of circuits to be added/altered
ALTERED SINGLE/MULTI FAMILY (1-5 circuits-$103.00;Add'n circuits,$8.00/ea)
Service or Feeder COMMERCIAL/INDUSTRIAL PLAN REVIEW
❑ 0 to 200 amp $100.50 $103.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ 201 -600 amp 163.00
❑ over 600 amp 245.50 ❑ Medical/Educational/Institutional Facility
❑ Additional plan review for
❑ #of circuits to be added/altered modified submittals $115.00/per hour
(1-4 circuits-$80.00;Add'n circuits$8.00/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
O 201-400 amp 120.00 60.50
MOBILE HOME/RV PARK U 401-600 amp 163.50 80.00
❑ #of service or feeders ❑ Over 600 amp 183.00 92.00
(First service/feeder-$80.00;each add'n-$52.50)
MISCELLANEOUS SERVICE/EQUIPMENT
❑ 2 #of Thermostats ((/vt.0 V
(First-$60.50;add'n-$18.50/ea) ❑ #of Signs
7 Low Voltage /yr:, (First sign-$60.50;add'n sign$28.50/ea)
Square Feet to be served by system(s) aol ❑ Yard Pole/meter loops/pedestal $80.00
❑ Fire Alarm system U Portable Generator(transfer equipment) $100.50
❑ Security Alarm System ❑ Ditch cover/inspection only $120.50
❑ Voice Cabling
❑ Data Cabling
❑ For fees not listed,contact the Permit Center at
1st 2500 ft2-$71.00;
Each add'n 2500 ft2-$18.50) 253-835-2607
Bulletin#100-January 1,2009 Page 3 of 4 k\I-Iandouts\Permit Application