11-101077 t 1
- E71 ectrical00-EL
City of Federal Way '
1111
Community Development Services Permit #: 11-101 07 -
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: EVERGREEN CORPORATE CENTER
Project Address: 33405 8TH AVE S Parcel Number: 926500 0060
Project Description: JOB#2913-TI OF THE 1ST&2ND FLR CORE AREAS. ADD/ALTER LIGHTING AND
FIRE ALARM DEVICES
,
wn Anolicant Contractor
r
LBA REALTY DREW MACKEY EVERGREEN POWER SYSTEMS
660 SW 39TH ST SUITE 255 EVERGREEN POWER SYSTEMS,INC EVERGPS950BE(1/5/13)
RENTON,WA 98057 3623 E MARGINAL WAY S 3623 E MARGINAL WAY S
SEATTLE WA 98134 SEATTLE WA 98134
•
Is Use Educational or Institutional No Service greater than 999 Amps9 No
4.4
Circuits-Commercial 2 Low Voltage-Fire Alarm(Comm( 5,00C
PERMIT EXPIRES Wednesday, March 21, 2012
Permit Issued on Tuesday, March 221 2011
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: �e Date: 3 -ZZ `
Wii
THIS CARD IS TO REMAIN ON-SITE
CITY OF ��NO�
• Construction Lection Record
Federal WayINSPECTION RE (253)UESTS: 835-3050
Q
PERMIT#: 11-101077-00-EL Address: 33405 8TH AVE S
Project: LBA REALTY FEDERAL WAY, WA 98003-6305
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 UFER Ground (4295) El Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) Temporary Power(4275) ID Service(4235)
Approved Approved Approved
By Date By Date By Date
.0 Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
.CI Final-Electrical(4055)
Approved
By 0 Date ,s_2;3_� I
.,- , k , 1.4 r -_
O Rough ElectricalEl Final Electrical Cl Right of Way
Approved Approved Approved
By Date By Date By Date
DATE INSPECTOR . AREA AND TYPE OF SPECTION
_cr.... (-1 ,
A-77--( ( -r-, C3/
4-- -77--‘ ( )-e`-''' r- ‹,vile' ?zm___LA) t (,. ( L7 lc—_.....
J'- I 1 - I I ►J z;1 : e b.....% -...._ " wA. r.) ci...- .J_
G_ 1 CONSTRU•ON PERMIT APPLICATION
APPLICATION NUMBER: 6 ( - I O!S L_ - FP
uvFIY
APPLICATION NUMBER: — -
APPLICATION"NUMBER;
**The following is required informationn[ -Please print(in ink)or type**
Please note: Electrical,Fire PreventiofI'S1st ss and n ineerin
g g permits may require a separate application.
H 7r P.PEITV XNFORMATION
SITE ADDRESS: ASSESSOR'S TAX/PARCEL#: -
33X 05 sr+ Ave, s.
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
t/JG4E ulAEsJSln U.)CS
- ■ PROTECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
El ELECTRICAL ❑ ENGINEERING% FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): PQzcajtOC U L 1 e c tett LAo Tr) Etc t S nivC-1
fCtrLt4 ,., t-001 Shs ` 5 s rG••7
UL 300 �rtweo vJG-r Sys tet• 2 �L,!> 5
PROJECT NAME: 1N./ /1 h(/l,eibt e:.?A.
■ PEOPLE INFORMATION
PROPERTY OWNER: NA : DAYTIME PHONE:
WMEE 64,144eusGIL (u'9 )9'W -`1;t '
MAILIN ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
33t46.3 t,J e ryuAEtisc-a, tam s w Cho ►t.- tA114,1. td/A- 700-5
CONTRACTOR: NAME: DAYTIME PHONE:
S12E R1.0 er -1 (L53 ) 731 -2-Zoo
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
I Z20 31 4`. 1,11,1 5vvTE< tote itot;urL.,i wA gsaot ( ) -
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
1 L D 4 S - c{4-°610- (,263)13/ ' 23x1
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(Copy oT card requite) G -E -zN u E? 1-31 E I Z / -2.1 / 0%
APPLICANT: TAME: DAYTIME PHONE:
CIr-(�,R �2EEtL (.253) -27A6
MAILING ADDRESS STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
1220 S/ 5. LIU] 0/oto A oeo jzto,141A g9cx ( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT OTHER(DESCRIBE): (2-53) /3/ -236
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER APPLICANT ❑ CONTRACTOR
In DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ -I-12
SPRINKLERED BUILDING? YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:.YES El NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN El HIGHLINE ❑ TACOMA El PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN El HIGHLINE El PRIVATE(SEPTIC)
ill • ,
11111111
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST _
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
-
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS) EVAPORATIVE COOLERS) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( .. )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC CI GAS
i
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC CI GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
■ 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 daim(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such claim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information sup lied to the ci as a part of this application.
NAME/TITLE: 7 /lipDATE: ` 'Z5'01
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
_...._.._......_........__
FOR OFFICE USE ONLY:.3
..........._........................
.❑,REPAIR
t°HEWN :. .:�ADDITION ' ❑•'ALTERATION . - "TENANT IMPROVEMENT
CENSUS.CODE.' .. . :. LOTSIZE ..
ZONING DESIGNATION. BUILDING SHELL,ONLY? ,_.❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑YES" ❑''NO'
SECTION- .-TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
.PLATTED LOT? ❑YES ❑ NO CHANGE OF USE?., ❑YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129