07-104853i
r ,3iityDevFederal
lopmentS Electrical Permit #• 07 -104853 -00 -FL
Community Development Services •
P.O. Box 9718
Federai Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: CENTER BANK
Project Address: 31217 PACIFIC HWY S Suite A-101 - Parcel Number: 082104 9181
Project Description: Install (1) t -stat
Additional Permit Information
Service greater than 1000 Amps? .......................... No
ElectricalFixtures
Thermostat ..................................... 1
PERMIT EXPIRES Friday, August 29, 2008
Permit Issued on Tuesday, September 4, 2007
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 in accordance with the laws, rules and regulations of the State of Washington
nd he City of Federal Way.
Owner or agent: Date: o
Owner
Applicant
Contractor
PAVILION CENTER ASSOCIATES
NARROWS HEATING/AIR CNDTNG,INC
NARROWS HEATING/AIR CNDTNG,INC
3650 131ST AVE SE #205
5121 S BURLINGTON WAY
NARROI*216J3 4/5/08
BELLEVUE WA
TACOMA WA 98409
5121 S BURLINGTON WAY
98006-1334
TACOMA WA 98409
Additional Permit Information
Service greater than 1000 Amps? .......................... No
ElectricalFixtures
Thermostat ..................................... 1
PERMIT EXPIRES Friday, August 29, 2008
Permit Issued on Tuesday, September 4, 2007
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 in accordance with the laws, rules and regulations of the State of Washington
nd he City of Federal Way.
Owner or agent: Date: o
` THIS CARD IS TO REMAIN ON-SITE
I
CITY OF 4A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -104853 -00 -EL
Owner: PAVILION CENTER ASSOCIATES
Address: 31217 PACIFIC HWY S Suite A-101
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.
❑ Slab/Concrete Floor (4255) ❑ Ditch cover (4030) ❑ Pool Bonding (4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power (4 275)
Approved
By Date
❑
Service (4235)
Approved
By
Date
❑ Feeders/Sub-panels (4045)
Approved
By Date
] Rough Electrical (4225) ❑ Ceiling Cover (4020) ❑ Final - Electrical (4055)
Approved Approved Approved
By Date _5_07By Date`v a6 ..&IBy Date/6 . 36 - a
] UFER Ground (4295)
Approved
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date fp, d , 0
SEP 0 d?
CC'" OF
Federal Way ]'AWRMIT
COMMUNITY DEVELOPMENT SERVICES Y OF ��pERAI-
3332FEDERAVENUE AY.IVASOUTH •POBOX 971Y+1"Ti WO►LICATION
FEDERAL IVAY. IVA 98063.9718 V ,Lp�
253-835-2607• FAX 253.835-2609
.IV ln;u,dllff.Iferigngtuxiy. ,!nil
Q -L - IQ4153
SF MF CO ME EL PL DE EN FP
The following is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type.
ASSESSOR'S TAX/PARCEL # Q U L j— N- -
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal d—riptim,
PROJECT• •
SUITE/UNIT # ') 1
LOT SIZE (sn 210i 141
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul „
PROJECT NAME (Name of Business or Owner Last Name) C LtV (� • / i
PEOPLEI • •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
N
4t) w�
•7CITY.
PRIMARY PHONE -
MAILING ADDRESS
CT STATp,1� t04.401
/W/\
ELL PHONE151
1FAX
STATE. ZIP
E-MAIL ADDRESS
N04 -00S PiG' ANY NAME
APPLICANT NAME {.o� "
OFFICE PHONEbbl
t`
- 754
MAILING2,1 R _ . 1 to , �A
CT STATp,1� t04.401
/W/\
ELL PHONE151
1FAX
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
RATION DATE
NUMBER
(2-S3) SQL
-1-lit
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
E-MAIL ADDRESS
�� I�I�O.z � Zl 6S
w1C�l�ow1
f K
COMPANY NAME
A tT$ 4bove
APPLICANT NAME
OFFICE PHONE
( ) -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT/'
Tenant Agent CbhjrG�g ov-
FAX NUMBER
Ci Architect ❑ ❑ )(Other
/1 _ PRIMARY PHONE E-MAIL ADDRESS
(�%��`/"�{,I J55) 6n -M5 1wcajkwy%e44oe-A r1 t'
NAME
Per RCW 19.27.095:
Lender information is required (fproject value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINB7.ERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
FIRST
COMPRESSORS
FURNACES
RANGES
SECOND
GAS LOG SETS
REFRIG. SYSTEMS
CHANGE OF USE?
THIRD
❑ NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP/SEPA/SU?
ADDITIONAL FLOORS (DESCRIBE)
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
DECK (❑ COVERED OR ❑ UNCOVERED?)
❑ NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
EX]STING
PROPOSED
TOTAL
TOTAL EXISTING SF
TOTAL PROPOSED SF
TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type offtxture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work
(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 (commerota )
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
PLUMBING
BATHTUBS (or Tub/Shower Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
LAVS (Bathroom Sinks)
URINALS MISC (Describe)
RAINWATER SYST
VACUUM BREAKERS
SHOWERS
WATER CLOSETS rrouea
SINKS
WASHING MACHINES
SUMPS
BUILDING SHELL ONLY? ❑ YES ❑ NO
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, orfederal laws regulating construction or environmental laws.
Ifurther 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 apart of this application.
SIGNATURE: Ii G y `I DATE
1-3aA 1
Property Owner and/or Authorized Agent
FOR OFFICE USE ONLY
o NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
BASIC PLAN?
❑ YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP/SEPA/SU?
❑ YES
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
o YES
❑ NO
Bulletin #100 - August 16, 2007 Page 2 of 4 k\Handouts\Permit Application
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ftz- $111.00; Each add'n 500 ft2 - $35.50)
❑ 0 to 100 amp $120.50 $ 74.00
❑ Detached outbuilding or garage
❑ 101 - 200 amp 149.50 94.50
(Inspected with service) $47.00
❑ 201 - 400 amp 280.00 111.00
❑ Detached outbuilding or garage
❑ 401 - 600 amp 327.00 131.00
(Inspected separately) $74.00
❑ 601 - 800 amp 423.00 179.00
❑ 801 - 1000 amp 516.50 216.00
NEW MULTI-FAPAMY (three units or more)
❑ Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $ 35.50
❑ Over 600 volts surcharge $94.50
❑ 201 - 400 amp 149.50 74.00
❑ Mast or meter repair $102.00
❑ 401 - 600 amp 205.00 102.00
0 601 - 800 amp 262.00 140.50
ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 375.50 280.50
Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY
❑ 201 - 600 amp 280.50
LJ601 - 1000 amp 423.00
Service or Feeder
over 1000 amp 471.00
❑
Ll 0 to 200 amp $ 92.50
❑ 201 - 600 amp 149.50
❑ # of circuits to be added/altered
❑ over 600 amp 225.50
(1-5 circuits - $94.50; Add'n circuits, $7.00/ea)
❑ # of circuits to be added/altered
COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits -$74.00; Add'n circuits $7.00/ea)
$94.50 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Mast or meter repair $55.00
❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK
Residential/Multi-Family $65.00
❑ # of service or feeders
(First service/feeder-$74.00; each add'n -$48.00)
Commercial/Industrial Service or Feeder Ampacity
❑ 0 - 100 amps $ 74.00
❑ 101 - 200 amps 94.50
❑ 201 - 400 amps 111.00
❑ 401 - 600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
-k# of Thermostats
❑ # of Signs
(lrst -$55.00; add'n-$17.00/ea)
(First sign -$55.00; add'n sign $26.00/ea)
❑ Low Voltage
❑ Swimming pool/hot tub ................ $111.00
Square Feet to be served by system(s)
(Includes additional circuit, if required)
❑ Fire Alarm System
❑ Yard Pole meter loops ..................... $74.00
❑ Security Alarm System
❑ Additional Plan Review $111.00/hour
❑ voice Cabling
(for modified submittals)
❑ Data Cabling
LJ Automation Fee on all Permits $5.00
❑
..
Pt 2500 ft2-$65.00;
Each add'n 2500 ft2-17.00) • Per WAC 296-46-910(5)fb1(i & iO
Bulletin #100 -August 16, 2007 Page 3 of 4 k\Handouts\Permit Application