04-104743 City of Federal Way Electrical Permit #: 04 - 104743 - 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) 835-305C
Project Name: FAMOUS FOOTWEAR
Project Address: 1804 S COMMONS Parcel Number: 762240 0010
Project Description: Install low-voltage wiring for three T-stats in connection with tenant improvement.
Owner Applicant Contractor
STEADFAST SEA-TAC I LLC& MERIT MECHANICAL INC MERIT MECHANICAL INC
1928 S SEATAC MALL 9630 153RD AVE NE 9630 153RD AVE NE
FEDERAL WAY WA REDMOND WA 98052 REDMOND WA 98052
98003-6013
Electrical Fixtures
Description Quantity Description Quantity Description 1Quantity
Thermostat 3
PERMIT EXPIRES May 18,2005.
Permit issued on November 19,2004
I hereby certify that the above information is cirrect and that the construction on the above described property nd
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington aid
the City of Federal Way. / /
Owner or agent: C� i 4'i,1 Date: i `1 o T
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THIS CARD IS TO REMAIN ON-SITE
CITY OF A .Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104743-00-EL
Owner:
Address: 1804 S COMMONS
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.
0 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
g� Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
B ,- ] Date/�7 By Date By Date
.❑ Under-slab groundwork(4295)
Approved
By Date
I Cmbr O C51q —
0 3
Federal Way RECEIVED PERMIT — — —21 q —
SF MF CO ME EL PL DE EN FP
COMMUNITY DE VELOPMENT SERVICES
33325 8r"AVENUE SOUTH•PO BOX 9778
25
FEDE3-835-260RAL WAY7•FAX, X 98063253-835-2G09718 I�)o V 1 9 z oA P P L I CATION TD / /
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CITY OF F �, -11\Y
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The following is •16 -YLn incomplete ap.lication will not be accepted. Please .rint legibly(in ink)or type.
I
MI PROPERTY INFORMATION
SITE ADDRESS 18 0 4 S S. CO iwl W►b h,S SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 7 ( ` Z g O - 0 0 1 0 LOT SIZE(sfl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy begat desrnptioc)
■-PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ P)UMBING 0 MECHANICAL
0 DEMOLITION /ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed decription of work included on this permit only)
I 1d cd-A1, 10 `� (33 ---ht,r►no,S4,1-S ( .cu-)- vr) Ln4t 7-
PROJECT NAME(Name of Business or Owner Last Name)
II PEOPLE INFORMATION
PROPERTY NAME
C -*tic
1 PRIMARY PHONE
OWNER 6i- 5t ` 1 /Ic j Lc-Cs ( ) -
MAILING ADDRESS I CITY,STATE,Z P
1928 s. 51M"k4e, WIN c AL I/'A-V / Witt—
CONTRACTOR COMPANY NAME
„ APP NAME OFFICE PHONE
X 61 a— hie Cil MO► c4-L- tc L ULC)/14A-�J ( V 5 3 - 9zz 1'
9MAILING ADDRESSCITY,
/��/ CCIITY,Y jS/TAwT�E,ZIP t CELL PHONE
i '?oTY OF FED RAL WAY BUSINESS LICENSE E N ER •"`J✓/•'rod EXPIRATIONVA91�vs.L(yZsJ 19z -50a 3
TE FAX NUMBER
9_-16-_i ° 5 1 00- B L 12- / 7i las ( 925/ 80 - o 2-
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
(
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
(
RELATIONSHIP TO PROJECT • FAX NUMBER
❑ Architect 0 Tenant ❑Agent 0 Other(Describe)
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
Ciekti
S 1")4L.KelL- (1/2.ng8? - 9Z2-LI
LENDER NAME
Per RCW 19.27.095: Lender information is
fr
required if project value exceeds$5,000 /1 f/G &Oh ` 4/L ' ^/T L- 140104‘,•15 1O(,Jns
MAILING ADDRESS CITY,STATE,ZIP rY f 7
18 01 C -i W n./►itt s'e c,.0 d-e 3700 D u 60. 802-01-
_
0Z01-
.■ DETAILED BUILDING INFORMATION -
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
' WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS • .
i _ . --
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD _
FOURTH
-
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
= : _ _'' _;FIXTURES = --'::_-',..1.-'-----------:-:- _
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing factures 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 M1SC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shoa<rCombo) SHOWERS WATER CLOSETS(toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroomslnks) VACUUM BREAKERS ELECTRIC WATER HEATERS
' DISCLAIDER/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 accuracy of the information supplied to the city as a part of
this application.
-
NAME/TITLE / �w I DATE I / / 6
( I ature) (Title)
RELATIONSHIP TO PROJ T ❑ Owner io -gent ❑ Contractor 0 Architect 0 Other
#
( FOR OFFICE USE ONLY
a NEW a ADDITION o ALTERATION a REPAIR o TENANT IMPROVEMENT
i BUILDING SHELL ONLY? o YES a NO BASIC PLAN? a YES a NO
1 ZONING DESIGNATION CHANGE OF USE? a YES o NO
t NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Rcviscd\Pcrmit Application
'`, ..- ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$87.00, Each add'n 50011.2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage 0 101 -200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201-400 amp 220.50 87.00
❑ Detached outbuilding or garage ❑ 401 -600 ama 256.50 103.00
(Inspected separately) $58.00 ❑ 601 -800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) CI 801 1000 amp 405.50 169.50
Service Feeder 0 Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 ❑ 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 $ 94.50
O 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 0 over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 ❑ #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ # of circuits to be added/altered
(1-4 circuits-$58.00;Add'n circuits$6.00/ca) COMMERCIAL/INDUSTRIAL PLAN REVIEW
$74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 ❑ Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW.
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK LI 0- 100 $58.00 $51.00
❑ # of service or feeders 0 101 -200 74.00 51.00
(First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00 n/a
O 401 -600 117.50 n/a
O over 600 127.00 n/a
F
MISCELLANEOUS SERVICE/EQUIPMENT
N/.3 #of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ca)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System 0 Yard Pole meter loops $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s) 1"2500 112-$51.00;
Each add'n 2500 112-13.50) 'Per WAC 296-46-910(S)(14(&ii)
Bulletin#100-March 30,2004 Page 3 of 4 k\l iandoits-Revised\Permit Application