08-106091City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: ORION
Project Address: 1717 S 341ST ST Suite A
Project Description: Install (4) t -stats
Electrical
Permit #: 08 -106091 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 390380 0020
Owner
Aaalicant
Contractor
GARY L & NORMA S DAWSON
EVERGREEN REFRIGERATION LLC
EVERGREEN REFRIGERATION LLC
17087 10TH AVE NW
(GENERAL)
(ELECTRICAL)
SEATTLE WA
727 S KENYON ST
EVERGRL957R9 (1115110)
98177-3708
SEATTLE WA 98108
727 S KENYON ST
SEATTLE WA 98108
Service greater than 1000 Amps?...........................No
PERMIT` EXPIRES Thursday, December 31, 2009
Permit Issued on Wednesday, December 31 2008
1 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 n accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:
FINALED
THIS CARD IS TO REMAIN ON-SITE
CITY OF kommunify Developrnt Inspection Record
Federal Wav IVR INSPECTION REQUEST PHONE # (253) 835-3050
Aff
PERMIT #: 08-106091-00-EL
Owner: GARY L & NORMA S DAWSON
Address: 1717 S 341ST ST Suite A
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.
❑
LIFER 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
❑
Feeders/Sub-panels (4045)
❑
Rough Electrical (4225)
❑
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By C
Date 69By
/ o�
Date
❑
Final - Electrical (4055)
Approved
By
Date 2 •lZ
j
❑ Rough Electrical
Approved
By Date
For inspector reference only
❑ FINAL - Electrical
Approved
By Date
R C I&A D
Federal Way DEC 31 ,,^ PERMIT
COMMUNITY DEVELOPMENT SERVICES e U i
33325 8m AVENUE SOU7N p9. 718
FEDERAL WAY, WA 98Q63 7� C: p r PPLI CATI O N
253-835.2807• FAX 253-835-2808
you xitimffedenn[u!uu,C �' AL ':OI F J(
•chs A ilmninn Is required info"n - an incomplete application will not b
/-
SF MF COM"LPLDEENFP
faA: Pf�nrinf lo_nihIn fin inid or torr.
SITE ADDRESS 1141
5 .
3414
DA G i
SUITE/UNIT
ASSESSOR'S TAE/PARCEL M
LGti
$ 0 3
- `�
LOT SIZE (s,1)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
iAaMh wparnai ~f- kMft W9W dea ON -0
PROJECT•.
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING ❑ MECHANICAL
. ❑ DEMOLITION L°f ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM[
PROJECT DESCRIPTION (Provide detailed descr(Ption RT work included On this permit onlul
Tofte I ) t4 T- f+' 4 S
PROJECT NAME (Name of Business or Owner Last Name) W, an
PEOPLE•• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
PRIMARY PHONE
NAME &* 4- ( ) -
MAILING ADDRESS Cri'Y. STATE, ZIP
1103-7 ov #7 T -►
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
APPLICANT NAME
OFFICE PHONE
Evc- i"'Col
LGti
Cmr, STAT9. ZIP
"— Tv�.�t
( uAe) z (1011:5 - h`/t-1
MAILING ADDRESS
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
( ) -
CnY, STATE. ZIP
CELL PHONE
-I Ll S•
lae-lorl f4•
P "A- "ii- 1�
( ) -
CrrY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DAW--FAX
NUMBER
(W/o) 7(03 -
CONTRACTOR'S REGISTRATION NUMBER (copy of cad r•qulnd withemm application)
EXPIRATION DATE
F v l(-
� ELqr 2
1z"
t/1r /f
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
1-f k—
MAILING ADDRESS
( ) -
MAILING ADDRESS
Cmr, STAT9. ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
( ) -
NAME P PHONE E-MAl DRESS
y.tv
-T& vv --e— t )ly') (7(fWoWvie'--ime"►HI,#(,/a
Per RCW 19.27.098: Lender igformation (s
NAME
required (f Project value exceeds $5.0006
MAILING ADDRESS
CHY, SLATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
. FT.
PROPOSED
89. FT.
TOTAL
SO. FT.
BASEMENT
o NEW o ADDITION
o ALTERATION
o REPAIR n TENANT IMPROVEMENT
FIRST
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
SECOND
FANS
HOODS (commeromq
WOODSTOVES
THIRD
FIREPLACE INSERTS
RANGES
MISC (Describe)
FOURTH
FURNACES
GAS WATER HEATERS
DEMO PERMIT REQUIRED?
ADDITIONAL FLOORS (DESCRIBE)
GAS PIPE OUTLETS
DECK (COVERED?)
GARAGE O CARPORT O
SHOWERS
WATER CLOSETS nb0eq
MISC (Describe)
NUMBER OF FLOORS
s>nrnLe
enororsa
roan
MAL ei
TOOL �►
tbr�tee -
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
number of each type
as part of this pro
remain.
MECHANICAL
Value of Mechanical Work $
o NEW o ADDITION
o ALTERATION
o REPAIR n TENANT IMPROVEMENT
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BB9.R
FANS
HOODS (commeromq
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES
GAS WATER HEATERS
DEMO PERMIT REQUIRED?
DUCES
GAS PIPE OUTLETS
PLUM MG
BATHTUBS )or Tub/Shower Combo)
SHOWERS
WATER CLOSETS nb0eq
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS (sahmom smw
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I cerft under penalty of perjury that the inJbrrnation furnished by me Is true and correct to the best of my knowledge, and JLrther, 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 dtvense of
such claim), which may be made by any person, including the undersigned, and filed against the City of rederal Way, but only where such claim
arises out of the reliance qj the city, including its goUvrs and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE I DATE Q Z'
gnuturelMoe)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent Contractor ❑ Architect ❑ Other
FOR OFFICE USII: ONLY
o NEW o ADDITION
o ALTERATION
o REPAIR n TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES ❑ NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
o NO
NEW ADDRESS REQUIRED? a YES a NO
UP/SEPA/SU?
❑ YES
o NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
o YES
❑ NO
Bulletin #100 - January I, 2006 Page 2 of 4 k\Handouts\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVIC&
NEW COMMERCIAL/DYDUSTRIAL SERVICISr
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 fts- $107.50: Each add'n 500 fts - $34.50)
❑ 0 to 100 amp $117.00 $ 71.50
❑ Detached outbuilding or garage
❑ 101 - 200 amp 145.00 91.50
(Inspected with service) $45.50
❑ 201 - 400 amp 272.00 107.50
❑ Detached outbuilding or garage
❑ 401 - 600 amp 317.00 127.00
(Inspected separately) $71.50
❑ 601 - 800 amp 410.00 173.50
❑ 801 - 1000 amp 500.50 209.50
NEW MULTI -FAMILY (three units or more)
❑ Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $ 34.50
❑ Over 600 volts surcharge $91.50
❑ 201 - 400 amp 145.00 71.50
❑ Mast or meter repair $99.00
401 - 600 amp 198.50 99.00
ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 - 800 amp 254.00 136.00
Over 800 amp 364.00 272.00
Service or Feeders
❑ 0 to 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY
❑ 201 - 600 amp 272.00
❑ 601 - 1000 amp 410.00
Service or Feeder
❑ over 1000 amp 456.50
❑ 0 to 200 amp $ 89.50
❑ 201 - 600 amp 145.00
❑ # of circuits W be added/altered
❑ over 600 amp 218.50
(1-5 circuits - $91.50; Add'n circuits, $7.00/ea)
❑ # of circuits to be added/altered
COMMERCIALMMUSTRIAL PLAN REVIEW
$91.50 plus 3595 of Permit Fee
(1-4 circuits -$71.50; Add'n circuits $7.00/ea)
❑ Service - 1,000 amps or greater
❑ Mast or meter repair $53.50
❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $71.50
❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARR
Residential/Muld-Family $63.00
❑ # of service or feeders
(First service/feeder-$71.50; each add'n -$46.50)
CommerciaWhilustrlai Service or Feeder Ampacitg
❑ 0 - 100 amps $ 71.50
❑ 101 - 200 amps 91.50
❑ 201 - 400 amps 107.50
❑ 401 - 600 amps 145.00
❑ over 600 amps 157.00
MISCELLANEOUS SERVICE/EQUIPMENT
'r # of Thermostats
❑ # of Signs
(First -$53.50; add'n-$16.50/ea)
(First sign -$53.50; add'n sign $25.00/ea)
❑ Low Voltage
❑ Swimming pool/hot tub ................ $107.50
Square Feet to be served by system(s)
(Includes additional circuit, if required)
❑ Fire Alarm System
❑ Yard Pole meter loops ..................... $71.50
❑ Security Alarm System
❑ Additional Plan Review $107.50/hour
❑ Voice Cabling
(for modified submittals)
❑ Data Cabling
❑ Automation Fee on all Permits .. $5.00
13
(Per System(s) 1+1 2500 ft2-$63.00:
Each add'n 2500 ft2-16.50) ' Per WAC 296-469101 100 a (V
Bulletin #100 - January 1, 2006 Page 3 of 4 k\HandoutslPermit Application