07-104244T 4
C, of Federal Way Electrical Permit #• 07 -104244 -00 -EL
Community .Development Services •
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: INTA JUICE
Project Address: 2004 S COMMONS C-6 P'
Parcel Number: 762240 0010
Project Description: Installing anew 100 -amp 120/208,3 -phase panel
Owner
Applicant
Contractor
STEADFAST COMMONS LLC
EVERGREEN ELECTRICAL SERVICES INC
EVERGREEN ELECTRICAL SERVICES INC
1928 S COMMONS
15103 60TH AVE W
EVERGES039KF 5/6/09
FEDERAL WAY WA 98003-6013
EDMONDS WA 98026
15103 60TH AVE W
EDMONDS WA 98026
I hereby certify
the occupancy
Owner or agent:
Additional Permit Information
Electrical Fixtures
0-100 amps - Con 1
PERMIT EXPIRES Friday, July 25, 2008
Permit Issued as Tuesday, July 31, 2007
that the above Information is correct and that the construction on the above described pro
anti the use be in accordance with the lawtral
rules and regulations of the State of Was
and th it of Fed Way.
Date:
)erty and
Kington
CITY OF _q4%� Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -104244 -00 -EL
Owner: STEADFAST COMMONS LLC
Address: 2004 S COMMONS C-6
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)
Approved to place concrete
By Date
❑ Ditch cover (4030)
.Approved
By Date
❑ Pool Bonding (4195)
Approved
By Date
❑
Temporary Power (4275)
❑
Service (4235)
❑
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date 8 7 '
By
Date
❑
Rough Electrical (4225)
❑
Ceiling Cover (4020)
❑
Final - Electrical (4055)
Approved
Approved
Approved
By
Date
%By
Date
By
Date ' 7
❑ UFER Ground (4295)
Approved
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
tan of
Federal Wa�U j_ 3 12007 PERMIT
commumnDEVELOpm" SERV/CES
3 58M AVENUEFEDERAL WA wA,;r ,,b NG oF-pT AP P LI CATI O N
" 253.835-26p7• FAX Z5�
yww,at1AlffedBIal my,m .
is
will not be
- 1 4 z q �.
SF MF COM DELPL DE EN FP
rted. Please print legibly /in ink) or type.
SITE ADDRESS _ "� LUST J L�-S SUITE/UNIT #
ASSESSOR'S TAX/PARCEL _ _ _ _ _ - — _ LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) I -Yl e— C.pm ►nOn5 (S ec. Tar NA -c, I I,
. /Attach eeperate page fur lwgfhY kSW d--pdwq
PROJECT• ' •
TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION P(ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Prowde detailed description of work included on this permit only)
I td 0--,v17--C> l zoo 3 V h e�.� c- (o
PROJECT NAME (Name of Business or Owner Last Name) SJ 1 f A 1 V LC
PEOPLE•- •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
NAME PRIMARY PHONE
5+ cid..-�"S+ o its LL,LC. ( ) -
MAILING ADDRESS CITY, STATE, ZIP
q900 -
WATER
900
COMPANY NAME
5�R-4e resf
APPLICANT NAME
APPLICANT NAME
Qal IAC Q�v 2-
OFFICE PHONE
MAILING � O RES3 �
, STATE, ZIP
4E-J-'-0v1-L0 't"46
CELL PHONE
(4Z5
-
Z
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
o0 -B
EXPIRATION DATE
L
FAX NUMBER
CONTRACTOQR�S, �REGISTRATION NUMBER (copy of card required with each appneation)
SEXPIRATION DATE q
COMPANY NAME
APPLICANT NAME
OFFICE PHONE '
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE'
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent her (Describe) e(ee in a
FAX NUMBER
CONTACT NAME
LENDER
EXISTING USE
\1JtL1—
NAME
MAILING ADDRESS CITY, STATE, ZIP PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSEWREQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . 0 HIGHLINE ❑ PRIVATE (SEPTIC)
AV
AREA DESCRIPTION
EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
EVAPORATIVE COOLERS
SECOND
FANS
THIRD
FIREPLACE INSERTS
FOURTH
FURNACES
ADDITIONAL FLOORS (DESCRIBE)
GAS PIPE OUTLETS
DECK(COVERED7)
GARAGE O CARPORT ❑
NUMBER OF FLOORS s:osneo Pxorossn TOTAL
**NEWHOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to
MECHAWCAL
Value of Mechanical Work $
AIR HANDLING UNITS
EVAPORATIVE COOLERS
BBQS
FANS
BOILERS
FIREPLACE INSERTS
COMPRESSORS
FURNACES
DUCTS
GAS PIPE OUTLETS
BATHTUBS for T b/Shower Combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (Bathroom swop
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS (Communal)
RANGES
GAS WATER HEATERS
WATER CLOSETS Irollaq _
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certify 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 authorised 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 filen against the City of Federal Way, 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 application.
NAME/TITLE 1'AA out-, ?rte�r�_DATE
(Signature) ` (nue)
RELATIONSHIP TO PROJECT Q Owner ❑ Agent C[-ontractor ❑ Architect O Other
.. .. .. n. nn • - . nnni __ _. __._ __ _. r_._ n _r I __._.. _. - 1.\v.._.7....a..\D..�...:a A..«I:...a..«
ELECTRICAL PERMI'P INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAWINDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ftz $107.50; Each addn 500 ft2- $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
0 601 - 800 amp 254.00 136.00
ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 364.00 272.00
Service or Feeders
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 to be added/ altered
❑ over 600 amp 218.50
(1-5 circuits - $91.50; Addn circuits, $7.00/ea)
❑ # of circuits to be added/altered
COMMERCIAL/INDUSTRUL PLAN REVIEW
(1-4 circuits -$71.50; Add'n circuits $7.00/ea)
$91.50 plus 351/6 of Permit Fee
❑ 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
MOBME HOME/RV PARK
Residentiai/Multl-Family $63.00
❑ # of service or feeders
(First service/feeder-$71.50; each add n -$46.50)
Commerciai/lndustrial Service or Feeder Ampacity
❑ 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
❑ # of Thermostats
❑ # of Signs
(First -$53.50; addh-$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
❑
..
(Per Systeni(s) In 2500 ft2-$63.00;
Each add'n 2500 ft2-16.50) • Per WAC 296-46.910(5)(6)(1 & ii)
Tl„1l._a•_ L1nn T_.____._. � nnni T � n • ..--. ... ... ••