05-100959 I
s
City of Federal Way Electrical Permit #: 05 - 100959 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: BOATERS WORLD
Project Address: 31319 PACIFIC S Parcel Number: 082104 9181
Project Description: Alter(6)circuits for tenant improvements.
Owner Applicant Contractor
ALEXANDER HAAGEN OPERATIN EVERGREEN ELECTRICAL SERVICES INC EVERGREEN ELECTRICAL SERVICES INC
3500 N SEPULVEDA BLVD 15103 60TH AVE W 15103 60TH AVE W
MANHATTAN BEACH CA EDMONDS WA 98026 EDMONDS WA 98026
90266-3638 (425)742-4200
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits- Commercial 6
PERMIT EXPIRES August 28,2005.
Permit issued on March 1,2005
I hereby certify that the above information is correct and that the construction on the above described property: nd
the occupancy and the use will be in accord. e with th laws,rules and regulations of the State of W..hingtott and
the City of Federal Way.% I
Owner or agent: =_..�' I &J !! .i Date: _ 10
THIS CARD IS TO REMAIN ON-SITE ,
Alik
CITY OF01/111%ftlemosio° Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-100959-00-EL
Owner:
Address: 31319 PACIFIC HWY S
FEDERAL WAY, WA 98003-5427
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.
Ix Slab/Concrete Floor(4255) .❑ Ditch cover(4030) ‘ 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
t \
By 04 'I Date 3 3 l tac": By Date By Date
.❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
,17:1 Rough Electrical(4225) ❑ Ceiling Cover(4020) Efil Final-Electrical(4055)
Approved Approved Approved 1By'� Date \At< By Date By`�t1 Date
4\A\tc, _
.❑ Under-slab groundwork(4295)
Approved
By Date
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WY OF
A,.` RECEIVE[ Q 5-- I O O ctS j'
Federal Way PERMIT
SF MF CO MEELpLDEENFP
COMMUNITY DEVELOPMENT SERVICES /
3332FEDERAL WA58TMAVENUwAESOUY,WAT98N.063-97]8Po�X9718MAR o 1 APPLICATION
TD / /
253-835-2607•FAX 253-835-2609 ..
www.cittp/Ietieralway.cam CITY OF,' FEDERAL WAY
The ollowi • is • ir+ ik e.AQUI?'an Inco •lete a.•lication will not be acce•ted. Please •rint le•ibi (in or • .
IN PROPERTY INFORMATION
SITE ADDRESS 3'"I t 3 v 0,c, I lp
i SUITE/UNIT# 11
ASSESSOR'S TAX/PARCEL# - _ _ _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION If ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROAECT ESCRIPTIO (Pro e Beta- description of work included this .;G it .t l ,
i _
,+� ce, ,. o XtuCe$ ':e ec fi�i�
s l� ` - • ♦ i
y, su - : X10 rCL� ��.� /
%/1 tij 04" _ (`t.. •4. m S
C( C ,-5cc,:ce ,%'
PROJECT NAME(Name of Business or Owner Last Name) Bo +e..('5 LC)r) Ol LCA`,
is PEOPLE INFORMATION
PROPERTY
NA U3 b � Ck PRIMARY PHONE
OWNER � i �, ( ) -
MAILING L1l` Pe9)C °1‘). ' 5, t7-e e-cR.ZIP I_ LA)C
CONTRACTOR COMPANY NAME APPLICANT NAM / OFFICE PHONE
ee4r1 g-/ecf-IAcc/( ()or_ (YZ51751o2,-VVZoa
kig ADDd` CITY, ATE, CELL PHONE
15 0 f' -6°th #Ve- I,t) 6.4 9 024 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATEa FAX NUMBER
1.C__-6V-/ C 23 2- k- B L /2_./31 /cc" ( )
CONTRACTOR'S REGISTRATION NUMBER(copy of card requir with each application) EXPIRATION DATE
4E ti E. Cx , G 3 1. 1.4.- 7—/ � ' °c
APPLICANT COMPA f1AMEL APPLICANT NAME OFFICE PHONE
a(,I,,•1 C� _ ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant o Agent ❑ Other(Describe) ( ) -
CONTACT NAMCT^ PRIMARY PHONE E-MAIL ADDRESS
C., ,'ae by r ` (tisl 7 -4(2.U
LENDER ,rYnadio NAME
i L t :-
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
A SPRINKLERED BUILDING? a YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO %
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC) f
PROJECT FLOOR AREAS •
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
-BASEMENT
FIRST
SECOND
THIRD
FOURTH ' . .
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL=STING Sr TOTAL PROPOSED Sr TOTAL ar
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MEC IANICAL
Value of Mechanical Work $
•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commerciai) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS gone) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) 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 it officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
• /
/
NAME/TITL 1 G•, DATE
(Signatu ., (Title)
RELATIONSHIP TO PROJ rig Owner o Agent 0 Contractor 0 Architect 0 Other
" " o a ITION i LTERATION n REPAIR TEN'.AYIT RO MENT P
e i e t IiFI i eNL a *NO BASICPAN?"." i,M 'i O.YES NO .
:!!' ESIGNATION £ ' a ff } GHANGEOFUSRs AYES p0`
95, ESSSREQUIRED? -'; NO 10 UP/SEPA/SU?, ' lrES.t itf?2,----
DE11IUpERMIT •UIRED? ti YES ; a O
tl
44
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
U Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) U 0 to 100 amp $113.50 $69.50
U Detached outbuilding or garage ❑ 101-200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 601-800 amp 398.50 168.50
U 801 - 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) U Over 1000 amp 530.50 283.00
Service Feeder
U Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
❑ 401 -600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
U 601 -800 amp 247.00 132.00
U Over 800 amp 353.50 264.50 Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder
U over 1000 amp 443.50
U 0 to 200 amp $87.00
❑ 201 -600 amp 141.00 ❑ #of circ 'ts tube added/altered,-
Liover 600 amp 212.50 circuits-$89.00;Add'n circuits;$7.00/ea)
i
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee
U Service- 1,000 amps or greater
U Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility L>
MOBILE HOMES (O ( 6) 1..)
❑ Service or feeder only $69.50
U Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $61.00
U #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity
U 0- 100 amps _ $69.50
❑ 101-200 amps 89.00
U 201-400 amps 104.50
❑ 401-600 amps 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats U #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
U Low Voltage U Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $104.50
❑ Security Alarm System U Additional Plan Review $104.50/hour
❑ Voice Cabling or modified submittals)
g
Q Data Cabling
omation Fee on all Permits .. ($5.00;)
(Per Systems) 1•t 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) `Per WAC 296-96-910(5)(W&ii)
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application: