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04-102448 • t , City of Federal Development Services Way Community Electrical Permit #:04 - 102448 - 00 - EL 33530 1st Way S Federal Way,WA 98003-6210 Ph.253 661 4000 Fax.253.661.4129 Inspection request line: 253.835.3050 Project Name: CHAMPS Project Address: 1920B S CO M MOy1 S Parcel Number: 762240 0010 Project Description: Installing new L/V thermostat Owner Applicant Contractor STEADFAST SEATAC MALL MERIT MECHANICAL INC MERIT MECHANICAL INC 20411 SW BIRCH ST SUITE 200 9630 153RD AVE NE 9630 153RD AVE NE NEWPORT BEACH CA 92660 REDMOND WA 98052 REDMOND WA 98052 Electrical Fixtures Description Quantity Description Quantity Description Quantity Thermostat 1 PERMIT EXPIRES December 18,2004. . Permit issued on June 21,2004 I 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 and the City of Federal Way. aR...ea Owner or agent: a/!'X�GQ Date: ' o? - ©g M THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04-102448-00-EL Owner: MERIT MECHANICAL INC Address: 1920B S SEATAC MALL BLVD 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. O Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195) Approved to place concrete Approved Approved By Date By Date By Date ❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045) Approved Approved Approved By Date By Date By Date ❑ Rough Electrical(4225) 0 Ceiling Cover(4020) 0 Final-Electrical(4055) Approved Approved Approved By Date By Date By Date ❑ Under-slab groundwork(4295) Approved By Date COM•MUNITYO YSLOPNSNTSUYICS A \' 31570 FIRST WAY some•PO SOR 9711 Federal WayRECEIVED�� UAL WAY,WA 9/063•971/ , REQ PERMIT APPLICATION 0.4115.A :Wouccgla9 . 4(4;3 'ill.14;14-*".. — 01111 ��.�� s►'"' liariV467l'A �� The oilow{ •,e.... ', i l uf=4!, '' -an Inco •lets • y•licatlon will not be aces• .• Please • tis• •I or )• • PROPERTY INFORMATION SITE ADDRESS: li Zb T3 3cof 5e-4 7;7 e- /n'ir- '- /"•CDeraL (,.r,+-/ SUITE/APT# 73-at, ASSESSOR'S TAX/PARCEL #: - SQUARE FOOTAGE OF LOT: 7 S'2- i i LEGAL DESCRIPTION (e.g.:Acme Estates, Lot 1) (Attach separate page for lengthy legal description) • PROJECT INFORMATION TYPE OF PERMIT(This application): 0 BUU.DENG 0 PLUMBING 0 MECHANICAL 0 DEMOLITION ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECTR� DESCRIPTION(Provide detailed description of work included on this permit onlil): 4L S�. bn` - jj•e t,..) _ /H+o.s,i,4, 4. / , ,q .1 -z: ,/yt7 i-- ✓C%!-A-GL PROJECT NAME(Name of Business/Owner Last Name): C//Pt"1'7.5 Ork-5 • PEOPLE INFORMATION PROPERTY NAME. ( PRIMARY PHONE. OWNER: 6HI pS 4St r i-s I r2-1Z- ) 77, - 4/16/ MAILING ADDRESS(STREET ADDRESS,): CITY,STATE,ZIP /1 Z 6.,eSf 3q/4 S T ni, YO,-4- i9 - YOr e- /let./Far,e.- / )/2.O CONTRACTOR: I NAME I COMPANYCOjyi OFFICE PHONE Jen`/1I /,, I 1/',FGv/ P /ilea/i ,,c.✓►-v , (W s ) esr 3 -922 y MAILING ADDRESS(STREET ADDRESS.) CITY,STATE.ZIP CE:._ HONE 9630 /53r1' 130a /ZE '*C-g,•...sit t - 9gosz 1 (5'2$ ) yyz -6/30 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE. FAX NUMBER• - - - / / (1(e5 )SG7 -o9& CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE. )copy of card required with each appiicatioal / / 1 LENDER: NAME. DAYTIME PHONE. d Ve (If hepeelae'$6,000) I i ( ) - MAILING ADDRESS(STREET ADDRESS,): CITY,STATE,ZIP APPLICANT: NAME: COMPANY OFFICE PHONE. ( ) MAILING ADDRESS(STREET ADDRESS): CITY,STATE.ZIP EVENING PHONE: ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: 0 Architect ❑ Tenant ❑ Other(Describe): ( ) - CONTACT PERSON FOR THIS PROJECT: ❑ Property Owner 0 Contractor ,bplicant EMAIL ADR • DETAILED BUILDING INFORMATION EXISTING USE: PROPOSED USE: EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $ SPRINKLERED BUILDING? 4.gYES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE a PRIVATE(SEPTIC) • PROJECT FLOOR AREAS . AREA DESCRIPTION EXISTING SQ.PT. PROPOSED SQ.PT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE/CARPORT HOW MANY FLOORS? TOTAL.=MO TOTAL.PROPOS= TOTAL ntmswO ASO nrorwts 1**NEW HOMES ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: S • FIXTURES Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(commerru/ WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Descnbe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/Shafer Combo) SHOWERS WATER CLOSETS cro.i MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYS WASHING MACHINES URINALS HOSE BIBBS LAVS IBarhroom Sulk 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, 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 Way,but only where such claim arises out of the reliance of the city, including its officers and employees,upon the • f the information supplied to the city as a part of this application. NAME/TITLE: A id' ?"ede`"Pi /11-144462&r-t—DATE: to 7 7?47 fsnature) ` (Title) RELATIONSHIP TO PRO T: 0 Property Owner 0 Applicant EtContractor 0 Architect 0 FO1O a NEW o ADDITION:: :k, a ALTERATION .,;,:t ; irREPAIIir'3i-;. -„ aTENANTALPROVEMENE.43 BUILDING SHELLONLY? :, • =:a•YES a NO =: -,,,` ..:i4BASIC PLAN? tgc.0 ,: '`� bTE.4,i• a1 a ZONING DESIGNATION: - CHANGE OF.USE?*",--:.;:' ' `` 'trYEIr: '4 NQ'; "I NEW ADDRESS REQUIRED? •c YES a NO • UP/SEPA/SU? - a YES a NO PLATTED LOT? ••. -..:; ptxYES -a NO -''":_w:,;' • -•,.DEMO PERMIT REWIRED? .;• a YES "<.a NO Bulletin#100—January 13,2004 Page 2 of 4 k:Wandouts—Revised\Pemtit Application ■ ELECTRICAL PERMIT INFORMATION w RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICs 0 Single Family Square Feet: Service or Feeder Each Add'n (First 1300(tp-$87.00;Each add'n 500 ft2-S28.00) ❑ 0 to 100 amp S 94.50 S 58.00 ❑ Detached outbuilding or garage ❑ 101 -200 amp 117.50 74.00 (Inspected with service) $36.50 ❑ 201 -400 amp 220.50 87.00 O Detached outbuilding or garage 0 401 -600 amp 256.50 103.00 (Inspected separately) S 58.00 ❑ 601 -800 amp 332.00 140.50 NEW MULTI-FAMILY(three units or more) ❑ 801 1000 amp 405.50 169.50 Service Feeder ❑ Over 1000 amp 442.00 236.00 ❑ Up to 200 amp $ 94.50 S 28.00 ❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00 O 401 -600 amp 161.00 80.00 0 Mast or meter repair $80.00 ❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ Over 800 amp 294.50 220.50 Service or Feeders ALTERED SINGLE/MULTI FAMILY 0 0 to 200 amp S 94.50 (Inspected separately from service) 0 201 -600 amp 220.50 Service or Feeder ❑ 601 - 1000 amp 332.00 O 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50 ❑ 201 -600 amp 117.50 ❑ over 600 amp 177.00 ❑ #of circuits to be added/altered (IS circuits-$74.00;Add'n circuits.56.00/ea) ❑ #of circuits to be added/altered 1 (1-4 circuits-$58.00:Add'n circuits S6.00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW ❑ Service over 200 amps ❑ Mast or meter repair $43.50 0 Medical/Educational/Institutional Facility $74.00 plus 35%of Permit Fee SINGLE/MULTI FAMILY PLAN REVIEW ❑ Service Over 400 amps $74.00 plus 35%of Permit Fee MOBILE HOMES TEMPORARY SERVICE ❑ Service or feeder only $58.00 ❑ Service and feeder $94.50 Commercial Residential ❑ 0- 100 $58.00 $51.00 MOBILE HOME/RV PARK ❑ 101 - 200 74.00 51.00 ❑ # of service or feeders 0 201 -400 87.00 n/a (First service/feeder-$58.00;each add'n-$37.50) 0 401 -600 117.50 n/a ❑ over 600 127.00 n/a MISCELLANEOUS SERVICE/EQUIPMENT #of Thermostats ❑ #of Signs ( irst-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea) ❑ Low Voltage ❑ Swimming pool/hot tub $87.00 Square Feet to be served by system(s): (Includes additional circuit.if required) ❑ Fire Alarm System ❑ Yard Pole meter loops $58.00 ❑ Secunty Alarm System " ❑ Additional Plan Review $87.00/hour ❑ Voice Cabling (for modified submittals) ❑ Data Cabling 0 (Per System(s): 1"2500(t2-$51.00; Each add'n 2500 ft2-13.50) •Per WAC 29646910f5jfb$&ii) Bulletin#100-January 13,2004 Page 3 of 4 k:\Handouts-Revised\Permit Application