04-104509 City of Federal way Electrical Permit #: 04 - 104509 - 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(1)400-amp feeder and(1)200-amp feeder and all associated branch circuit wiring.
Owner Applicant Contractor
STEADFAST SEA-TAC I LLC& PRISM ELECTRIC LLC*JEREMY PORTER* PRISM ELECTRIC LLC*JEREMY PORTER*
1928 S SEATAC MALL 2731 NE 135TH ST 2731 NE 135TH ST
FEDERAL WAY WA SEATTLE WA 98125 SEATTLE WA 98125
98003-6013 (206)362-0827
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Alt.Serv./Feed 201 amps-600 amps- 1 Alt.Serv./Feeder up to 200 amps-Co'. 1
PERMIT EXPIRES May 3,2005.
Permit issued on November 4,2004
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 'f
Owner or agent: Date: �/ "d
4Pe\04
4 •
THIS CARD IS TO REMAIN ON-SITE ,
,T ,
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050'
PERMIT#: 04-104509-00-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.
❑ 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) '❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
In
Rough Electrical(4225) .. ..si
Ceiling Cover(4020) . 0 Final-Electrical(4055)
Approved Approved , Approved
B��5 Date/??/ <------ c> Date/�. 5 U alyi(���` Date � 2 1-6 f,❑ Under-slab groundwork( 295)
Approved
By Date
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CITY OF REGE�VED Y _ /
Federal Way -0 -L - �
4 PERMIT SF MF CO MEelPL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
333$5 8n'AVENUE SOUTH•P3 BOX 9718 '�°AQP P j Ac AT I O N f ,�
FEDERAL WAY,WA 98063-9 718 �
253-835-2607•FAX 253-835-2609 1---
rine w.ciltiolfederativati com CITY OF FEDER
BUILDING DEPT.
The olio , is re' tred ,ormation-an in•, ,lett , -Heation will not be ecce,ted. Please • tit le! ,1. n i or t-1• .
• PROPERTY INFORMATION
SITE ADDRESS 2 001 J' 3020121 Sf- S647440 C. /✓f4 ii SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sfl
LEGAL DESCRIPTION(e.g.Aane Estates,Lot 1) ca.44 064 S A-00 sLIA.1 eQ/-
(Attach sep vuspagefor lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 6i(ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
p.s i 10 je....le -Tie.,14.44 2e..4o L/ O 4. ,C x‘'s:1"7 .1p9 Ce/ ,;-,G/.,�ekn�
(I) tip.*A #tel f and o) .loo i[ , eedo i-, 4 f ...W l/ oU 4 // 4-CSe c.Q L
B/1::WIC.if t"r/'Gy.r4 li()Tr':noc,_
PROJECT NAME(Name of Business or Owner Last Name) FFVV`0uS Foo+uoe, _
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER c fe..4 2-4s+- 6,vi v 44,?..1 CITY STATE,ZIP (9'/9 ivs a -o74,0
MAILING ADDRESS
aoy// Sc)B;rtA SS.o
, 'too l�e p #aecc`i,c 4 95410
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Eve iC�cfir•'e- , 1-c_L ✓G—e j3I'# (e21�b) .36.Q -0g'.??
LING ADDRESS CITY,STATE,ZIP CELL PHONE
2721 A/E /3r£6 J ' se.,,,Lith, 1. 4 9B/-.T (,206) 8s"-4-f'c ,g
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER ,
- - - s L / / (atSc) s'6.2 -ose-78'
CONTRACTOR'S REGISTRATION NUMBER(copy of card requited with each application) EXPIRATION DATE
P ,� e2t 6 1 2 3 ge /al // / tt —
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
r?...S.vl €/ccfr,t t_L. - �ie-, 3r ftp' (.. .96.) 36? - elf?-7
MAILING ADDRESS CITY,STATE,Z CELL PHONE
d73/ A16. /3r4h.571- Se*Alb_,zi>>4 96'/a1-' (lob) tit -8o/8
RELATIONSHIP TO PROJECTFAX NUMBER
0 Architect 0 Tenant 0 Agent Other(Describe) CaN 41'4 G ley" (,106).17. -Ota 9
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
•-'r-viii /For-Frr' (0104.) t 6a - ex?.7 rr:3•Kz1ec i er►/stle-4 -
LENDER Per RCW 19(27.095: Lender information is NAME
required(/project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION //
EXISTING USE PROPOSED USE f�3/4JDN3 /COO„1-,..)ext.-
EXISTING
Je4EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SAO,/9064
SPRINKLERED BUILDING? KIES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
• SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST S'S-0
7g,s—o 7 S°..s—d
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS ensruo PROI OS= TOTAL Tam,MOOTING o TOTAL L PROPOS=er TOTAL er
**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(commeraeq 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(roileq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroomsinke) 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 accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE dk' •ECeGr/>tiN11_,/# 4 DATEi5;22
ignature) (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
o NEW ❑ADDITION ❑ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin#100—August 19,2004 Page 2 of 4 k\Handouts\Permit Application
- ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
U Single Family Square Feet
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00
U Detached outbuilding or garage a 101-200 amp 117.50 (1)74.00,
(Inspected with service) $36.50 201-400 amp (1)220.50 87.00
❑ Detached outbuilding or garage U 401-600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) U 801 - 1000 amp 405.50 169.50
Service Feeder U Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 U Over 600 volts surcharge $74.00
U 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
U 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
U Over 800 amp 294.50 220.50
Service • •eders
ALTERED SINGLE/MULTI FAMILY 0 to 200 amp " 94.50
•A 201 -600 amp 22Q.50 I S D O
Service or Feeder ❑ 601 - 1000 amp .00 2j
❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
U over 600 amp 177.00 ❑ #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
U #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea)
$74.00 plus 3 °. •f Permit Fee
❑ Mast or meter repair $43.50 U Servi.. 1,000 =n ps or greater
❑ Medical :"' onal/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
U Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
U Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK U 0-100 $58.00 $51.00
U #of service or feeders U 101 -200 74.00 51.00
(First service/feeder-$58.00;each add'n-$37.50)
U 201 -400 87.00 n/a
U 401 -600 117.50 n/a
U over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats U #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/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 ❑ Yard Pole meter loops $58.00
❑ Security Alarm System U Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s) 1,v 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 29646-910(5)(b)i&ii)
Bulletin#100-August 19,2004 Page 3 of 4 k\llandouts\Permit Application