07-104235�-- niyofFederalWay lectrical Permit #• 07 -104235 -00 -EL
. Community Development Services •
P 0. Box 9718
Federal Way. WA 98063-9718 t
111: (253) 835-2607 Fax: (253) 835-2609 h Inspection Request Line: (253) 835-3050
Project Name: LBA FEDERAL WAY OFFICE BUILDING
Project Address: 33405 8TH AVE S Parcel Number: 926500 0060
Project Description: Changing out parking lot lights which includes altering (5) circuits
Owner
Applicant
Contractor
LBA REALTY FUND II CO, LLC
EVERGREEN POWER SYSTEMS
EVERGREEN POWER SYSTEMS
660 SW 39TH ST SUITE 255
3849 1ST AVE S
EVERGPS950BE (1/5/09)
RENTON WA 98055
SEATTLE WA 98177
3849 1ST AVE S
SEATTLE WA 98177
Additional Permit Information
Electrical Fixtures
Circuits Commercial ................... 5
PERMIT EXPIRES Frida,
Permit Issued on TUesda3
I hereby certify that ve information is'cor and that th
the occupancy a11d the us will be in ac==dan ith the law:
and t City of F e
Owner or agent: ''
)A
July 25, 2008
July 31, 2007
construction on the above described property and
rules and regulations of the State of Washington
al Way.
Dater 3l J
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -104235 -00 -EL
Owner: LBA REALTY FUND II CO, LLC
Address: 33405 8TH AVE S
FEDERAL WAY, WA 98003-6305
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 Ongoing 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 (4275)
❑
Service (4235)
❑
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
Rough Electrical (4225)
❑
Ceiling Cover (4020)
❑
Final - Electrical (4055)
Approved
Approved
Approved
By
Date
By
Date
By
Date • 4 -
❑
UFER Ground (4295)
Approved
By
Date
For inn►ector reference only
O Rough Electrical O FINAL - Electrical
Approved Approved
By Date By Date / l • 6 - e
CITY OF ZQ Z —
0
Federal Way � 31 �P� PERMIT � 1 v �
COMMUNITY DEVELOPMENT SERVICFS� EPP�'L , SF MF CO PL DE EN FP
33325 8m AVENUE SOUTH • PO BOX 9718 P
FEDERAL WAY, WA 98063-9718 0� APPLICATION
253- 07• FAX 253-835 � ` \�\Q
wmaciww.cituoffederalway.cn
The following is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type.
QQPROPERTY INFORMATION
SITE ADDRESS Li 06� �°1 tJ�r�tHC SJu 1 �} SUITE/UNIT #fir t
ASSESSOR'S TAX/PARCEL # _ _ _ _ _ - _ _ _ _ LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) L WA --1
(Attach separate page for lengthy legal de-ripaoN
PROJECT• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION,'ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit onlu)
c ls•t= ". " L XT (.3 L-b'r i_i � rr* S Ar-jo AM (g) bx cAlgi S
C � ` •� Lia � �z�(r � czc�.c�►�'s .
PROJECT NAME (Name of Business or Owner Last Name) L%NA
PEOPLE•• •
PROPERTY
OWNER
CONTRACTOR
COPY of card required
with each application
U'*k [•7`�i! i
PROJECT
CONTACT
LENDER
EXISTING USE
NAME _
PRIMARY PHONE
( -
MAILING ADDRESS 7
CITY, STATE. ZIP
E-MAIL, ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
int J y �i M�
MAILING ADDRESS CITY, STATE, ZIP
(Z.l.) y7Lt - 1413-t
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
.
(" ) -7-)ti - rtio 1
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
E-MAIL ADDRESS
S
J t a a5
COMPANY NAME APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY. STATE, ZIP
MAILING ADDRESS CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT Grey l.t
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent *Other
NAME PRIMARY PHONE E-MAIL ADDRESS
MA -J I ( Lilo) 4 Z'1 - ti7,3
NAME
Per RCW 19.27.095:
Lender iflformation is required if project value exceeds $5,000
MAILING ADDRESS
CITY. STATE, 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 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT •.•
AREA DESCRIPTION
AREAS
EXISTING
SQ. FT.
PROPOSED
S . FT.
TOTAL
89. FT.
BASEMENT
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
FIRST
COMPRESSORS
FURNACES
RANGES
SECOND
GAS LOG SETS
REFRIG. SYSTEMS
THIRD
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
E71gTRM6
PROPOSIO
TOTAL
TOM EXIST a sr
TOTAL PEOPOBm 51r
TOTAL sP
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing futures to remain.
Value of Mechanical Work $ (A COPY OF BID OR ESTHUATE MUST BE INCLUDED W17H APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (Commereiaq
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS (or Tub/shower combo)
LAVS (Bathroom Sinks)
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (Toilet)
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
I cert(fiy under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, 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, jjj//tcccluding the undersigned, and filed against the City of Federal Way, but only where such claim
arises out of the rel* of the city, including/officers and employees, upon the accuracy of the information supplied to the city as a part of
this application. A
NAME/TITLE 1:►`K DATE li.� (/1
(Signature) ('rile)
RELATIONSHIP TO PROJECT C1Owner ❑ Ag >Contractor ❑ Architect ❑ Other
401Yt
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO BASIC PLAN? ❑ YES ❑ NO
ZONING DESIGNATION CHANGE OF USE? ❑ YES ❑ NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO UP/SEPA/SU? a YES ❑ NO
PLATTED LOT? ❑ YES r- NO DEMO PERMIT REQUIRED? ❑ YES ❑ NO
Bulletin #100 — April 2, 2007 Page 2 of 4 k\Handouts\Permit Application
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/WDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2- $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 -FAMILY (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
Ll - 1000 amp 423.00
Service or Feeder
Ll over 1000 amp 471.00
L3 0 to 200 amp $ 92.50
❑ 201 - 600 amp 149.50
L: # 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
❑ # of Thermostats
❑ # of Signs
(First -$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
or modified submittals)
11Data Cabling 13
A13 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)(b)(t & W
Bulletin #100 - April 2, 2007 Page 3 of 4 k\Handouts\Permit Application