05-100905 i
rte . . ,
`City of Federal Way Electrical Permit #: 05 - 100905 - 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: Low-voltage wiring for fire alarm system.
Owner Applicant Contractor
KIMCO REALTY CO. EVERGREEN ELECTRICAL SERVICES INC EVERGREEN ELECTRICAL SERVICES INC
39104 FREMONT HUB 15103 60TH AVE W 15103 60TH AVE W
FREMONT CA 94538 EDMONDS WA 98026 EDMONDS WA 98026
(425)742-4200
Electrical Fixtures
Description Quantity r Description Quantity Description Quantity
Low Voltage Fire Alarm-Commercia 14515
PERMIT EXPIRES August 31,2005.
Permit issued on March 4,2005
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.
Owner or agent: ADate: g tf-el-- -
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,syco ,
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440
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THIS CARD IS TO REMAIN ON-SITE
J
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-100905-00-EL
Owner: KIMCO REALTY CO.
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.
0 Slab/Concrete Floor(4255) 0 Ditch cover(4030) ❑ 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) ❑ Ceiling Cover(4020) ai Final-Electrical(4055)
Approved Approved Approved
['By j� Date zte e< By Date By 'VAT Date 4 Zia �j
#❑ Under-slab groundwork(4295)
Approved
By Date
...___
s Fede vilay O - f 0a Fo --
PERMIT IECEIV, MF CO ME EL L DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33325 8^t AVENUE SOUTH. BOX 9718 A P P LI C AT I O - ,( To
FEDERAL WAY,WA 9806363-9718
253-835-2607•FAX 253-835-2609 ) 5 2 0 t 5 / /
www.c tyoflederalway.cam ____I
The ollouri • is re•uired in ormation-an Moo •lete • ••licatgk11'illtii.6E -y,,-;,. Please •rint le•ibi (in in or • .
■ PROPERTY INFORM:V r7%0 /� J /
SITE ADDRESS S/It/ r•. G i `r3r/ e . . SUITE/UNIT# / V /i
ASSESSOR'S TAX/PARCEL# O • 0--- / a 1 - 1 / Fc / LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Aaad•separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION cli'ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PRI ) T r ESCRIPT19N(Pr. e • .i:ed description of work include. .n this 'A-rmit onl
C ' 1--4 • .� GAP �' - , ►lllimmilw_ec-e, ` c/C L, e >
/ A . - -Ce' e_`7iMiL�-civ AW % )Li ' , J-1 v t7
Z . l r _ �/
i
PROJECT NAME(Name of Business or Owner Last Name) 60 4 `r-s" (-,,,_J 6/11.1
N PEOPLE INFORMATION
PROPERTY NAME I ^ Q PRIMARY PHONE
OWNER 11 N`�'.-Q --PLa-II ( ) -
MAILING ADDRESS rr,A CITY, AT ,ZIP
3333 A/9 «o(iz
COMPANY NAME
CONTRACTOR APPLICANT NAME OFFICE PHONE
F'der' reen (a(Prf,Stuc�s Yoqt, -(:.Se_bc.) (-- -C ( 2s-fi --ir zoo
MAILING AD _/ f p UJ '`
ATE,Z CELL PHONE
CI / c)VI r. (.tJ cj /A ('Q 1 73 CJ V/ T
CITI S /6. r _6-0OF FEDERAL-WAY AY BUSIN SES�LICENSE NUMBER EXPIRATION DATE FAX NUMBER
2-P-Q -_i 0 3 - B L I L/ 3( /0 5 (i/261 72 -23 7 L
CONTRACTOR'S RISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
� Q � � C1- 031L. F 6-/ 6 / 6s
APPLICANT COMP NAME APPLICANT NAME OFFICE PHONE
om 'e ( ) -
MAILING ADDRESS CITY,STATE,ZIP — CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent ❑ Other(Describe) ( ) -
CONTACT NAME ,� i i1:7 PRIMARY( PHONE
) - E-MAIL ADDRESS
- �.1 1 • !
'
LENDER '; 9 t. n o o NAME
' r»,--'1,71.4t:Fee 5.•d r'
MAILING ADDRESS CITY,STATE,ZIP
11 DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ ,
SPRINKI.ERED BUILDING? o YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES ❑ NO
WATER SERVICE PROVIDER O LAKEBAVEN ❑HIGHLINE 0 TACOMA ❑ PRIVATE(WELL) -
SEWER SERVICE PROVIDER ❑ LAKEHAVEN O EIGHLINE 0 PRIVATE(SEPTIC)
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
EXISTING PROPOSED TOTAL TOTAL EXISTRIG SF TOTAL'PROPOSED SF
NUMBER OF FLOORS
**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.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/ShouerCombo) SHOWERS WATER CLOSETS irouot) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Siaka) 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 e undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the relia of the city,including i cers Ind employees,upon the accuracy of the information supplie to the city as a part of
this application.
NAME/TITLE .4 f, A LvOj DATE
(Signature) _ (Title)
RELATIONSHIP TO PROJEC ❑ 0 , er ❑ Agent 0 Contractor 0 Architect ❑ Other
E � ® fie •
alb • •I IONS�q n ITERATION. . p REPAIR . y EMANT IMPI20 EMENT
: e i c o t NUY? [ES o NO '';BASIC PLAN? o YES• ANO' Vii:
�7• U i o.I�NATION `'
4 CHANGE OFUSE? a YES O yr
!D, •UIRED?i1 `, p� • NO a� UP/SEPA/SU? `,, �` a 440 YES tr ,.NO
V2-02° .,I) • � ®AYES Q...,. .DEMO(PERMIT RRFQUIRED? y , a YES F • O n .
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts'Permit Application
ELECTRICAL PE NFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑
Service or Feeder Each Add'n
Single Family Square Feet
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50
❑ 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
❑ 801 - 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00
Service Feeder
❑ 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
0 601 -800 amp 247.00 132.00
❑ 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 ❑ over 1000 amp 443.50
❑ Oto 200 amp $87.00
❑ 201 -600 amp 141.00 ❑ #of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
❑ #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 •
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial/industrial Service or Feeder Ampacity
❑ 0- 100 amps _ $69.50
❑ 101-200 amps - 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps 141.00
❑ over 600 amps 152.50
(
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
.ow Vo ge ❑ Swimming pool/hot tub $87.00
( et to be served by systemS
s) �` � (Includes additional circuit,if required)
ire Alarm System 1 ❑ Yard Pole meter loops $104.50
❑ Security Alarm System ❑ Additional Plan Review $104.50/hour
0 Voice Cabling (for modified submittals)
❑ Data Cabling
❑ ❑ Automation Fee on all Permits .. $5.00
(Per System(s) 1•"2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) •Per WAC 29646-910(5)(b#&ii) 1_
Bulletin#100-January 7,2005 Page 3 of 4 k\liandouts\Permit Application