08-102619 1110
City of Federal Way Electrical Permi> : 08-102.• ' -00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Requ-. 'ne: (25 135-3050
Project Name: GOLDENSTONE
Project Address: 33400 9TH AVE S SUITE 200 el Nu . . 926501 0060
Project Description: Adding/altering(2)circuits to install misc.outlet
,
Owner Applicant C ac °
GOLDEN STONE LLC KIRBY ELEC INC KIRB T C INC.
33400 9TH AVE S 4826 B ST NW S 101 , t• :YE N(1/13/09)
FEDERAL WAY WA AUBURN WA 9 1 q ,6 B ST SUITE 101
98003-2607 :URN WA 98001 '
ition r tigbeN
Service greater than 1000 Amps? No
•
6
cal Fixtures
Circuits-Commercial .„, 2
PE T EXPIRES Tuesday, November 25, 2008 ,
Permit Issued tot Thursday, May 29,2008
hereb ify that the above information is correct and that the cottstruction'on the above described property and
the occup y 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: _i, � r,, Date: ✓ z'1 (r
F/ /(JA
, 16,
THIS CARD IS TO REMAIN ON-SITE
* q ,. x. *Community Developnt Inspection OF Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-102619-00-EL
Owner: GOLDEN STONE LLC
Address: 33400 9TH AVE S SUITE 200
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 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) t
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 ro Date By Date
❑ Final-Electrical(4055)
Approved,
By /1Datc*"6 ,7,-,
•
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
0e.' - 1oz6 / 1
ar IV
feral WaaEC •PERMIT
f •MF COM E. LDEENFP
r COMANI.77YDEVELOPMENT SERVICES
333 FEDERALWAF 063-9718 AY P P LI CATI O N -fp / i
253-835-2607.FAX 253-835-2609
pnew.eluot ederolwnacom
(('''�I F D • AL WAY
The ollowi M•ub'eU Ih o •_ on-an inco •fete a••lication Will not be acce•ted. Please •rint legibf (in ink)or • .
�y MI PROPERTY INFORMATION
SITE ADDRESS -331/
00 -1+ /I/�,`- S SUITE/UNIT# 200
ASSESSOR'S TAX/PARCEL A - _ _ LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (A„.
WWI segenst ePeggta lengthy lege deeoiyoen)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
`
0 DEMOLITION �ELECTRICALii❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
4-ka- J'/ ti-t,3'4-r t-
PROJECT NAME(Name of Business or Owner Last Name) 5 L., '2.-0e.>
is PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE �
OWNER i t V e -1..) `e.5 (2D6 )ZZ -c 1 SZo
MAILING ADDRESS , CITY,STATE,ZIP
32v (OC 'A-vc iVE 1301ev4t ruvi , 9 )4'-
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
K crtsDE e *I t 1 r S p.� (257)351 - z
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
LINO46 `viJJ � O/ by , /41,, ca / LNP6O - ea2 7
CITY OF FEL BUS LICENSE MEIDAFAX NUMBER
1 C- y a- I a 1_ 1 ` 7-B L 12 / -3 i lost (23)8s1 -230
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
. Le .g .02 -27ey t 1 , 3 /07
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
k6ytr
Vle .4ei � ( ) ., -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT • FAX NUMBER
0 Architect 0 Tenant 0 Agent a Other(Describe)' ( ) -
CONTACT NAME ` PRIMARY PHONE
ONPHONEE-MAIL ADDRESS '"
(21,„i,a S L,.+ 53_(� ) LIQ - 60 '7r. vti ezin4,ec>p0i
LENDER '!:.-'17-7;00•1•': . , ' d "` nformation P NAME
' c ..$5
,090
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
WATER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE a TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC)
•
•,
'•••• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING MID PROPOSED -
"NEW HOMES ONLY1e 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.
MECEANICAL
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/Shower Combo( SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroom Sinks) 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,ledge,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 Wag,b ut only where such claim
arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information suppti:ed to the city as a part of
this application.
NAME/TITLE Zmfdaie, DATE 5 Z So
(Signature (Tule(
RELATIONSHIP TO PROJECT U Owner O Agent Contractor 0 Architect 0 Other
( FOR OFFICE USE ONLY
o NEW o ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? a YES o NO
{ ZONING DESIGNATION: CHANGE.OF;USE? c YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
k\Handouts—Revised\Permit Applicat1On
Bulletin#100-March 30,2004 Page 2 of 4
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Bath Add'n
(First 1300 ft2-$115.50;Each add'n 500 ft2-$37.00) ❑ 0 to 100 amp $125.50 $76.50
❑ Detached outbuilding or garage ❑ 101-200 amp 155.50 98.00
(Inspected with service) $48.50 ❑ 201-400 amp 291.00 115.00
❑ Detached outbuilding or garage ❑ 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) ❑ Over 1000 amp 584.50 311.50
Service Feeder
❑ Up to 200 amp $125.50 $37.00 ❑ Over 600 volts surcharge $98.00
❑ 201 -400 amp 155.50 76.50 ❑ Mast or meter repair $106.00
O 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
❑ 0 to 200 amp $125.50
ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 291.00
❑ 601 - 1000 amp 439.00
Service or Feeder ❑ over 1000 amp 489.00
❑ 0 to 200 amp $96.00
❑ 201 -600 amp 155.50 Asi2" #of circuits to be added/altered
❑ 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
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $57.50 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
U Service or feeder only $76.50
❑ Service and feeder $125.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK ResldentiaVMultl-Family $67.50
❑ #of service or feeders •
(First service/feeder-$76.50;each add'n-$50.00) Commercial/Industriai Service or Feeder Ampacity
❑ 0-100 amps $76.50
❑ 101-200 amps 98.00
❑ 201-400 amps 115.00
O 401-600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$57.50;add'n-$17.50/ea) (First sign-$57.50;add'n sign$27.00/ea) '
❑ Low Voltage ❑ Swimming pool/hot tub $115.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System 0 Yard Pole meter loops $76.50
❑ Security Alarm System 0 Additional Plan Review $115.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.50
0
1•'2500 ft2-$67.50;
Each add'n 2500 ft2-$17.50)"per WAC 29646-910(5)(6)6&ii)
Bulletin#100-January 1,2008 Page 3 of 4 k\Handouts\Permit Application