12-100568 City of Federal Way • I)a cf ical
Community&Econ.Dev.Services Permit #: 12-100568-00-EL
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax (253)835-2609 m Inspection Request Line: (253)835-3050
Project Name: GO WIRELESS AT FEDEV ARKETPLACE
Project Address: 34512 16TH AVE S Unit B Parcel Number: 250090 0050
Project Description: Installation of(1)thermostat for associated tenant improvement
•
Owner Applicant Contractor
FEDWAY MARKETPLACE WEST do EVERGREEN REFRIGERATION LLC EVERGREEN REFRIGERATION LLC
MICHAEL JOHN KLEIN,CPA (GENERAL) (GENERAL)
5743 CORSA AVE SUITE 216 727 S KENYON ST EVERGRL954R2(1/6/14)
WESTLAKE VILLAGE CA 91362 SEATTLE WA 98108 727 S KENYON ST
SEATTLE WA 98108
d$ t � } is
Is Use Educational or Institutional? No Service greater than 999 Amps' No
e ;::,f44,!, wE. Y =g vi exittel '
Thermostat 1
PERMIT EXPIRES Sunday, August 5, 2012
Permit Issued on Tuesday, February 7, 2012
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
i
and the City of Federal Way.
QOwner or agent: l'` 'r Date: '2-11/12
- tfis/ti
THIS CARD IS TO EMAIN ON-SITE r
ciimmile.....&ttOs
°F� Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT #: 12-100568-00-EL Address: 34512 16TH AVE S Unit B
Project: FEDWAY MARKETPLACE WEST C FEDERAL WAY, WA 98003
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) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) Ei Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) 0 Rough Electrical(4225) EI Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
•
0 Final-Electrical (4055)
Approved
By Date t,,),,"_\
CI Rough Electrical Final Electrical IEI Right of Way
Approved Approved Approved
By Date By Date By Date
116. _ _ Ido ' -6
ELECTRICAL
PER' 0 7 ?D1? PERMIT APPLICATION
CITY OF FED ' '*1Glost efe trical sermits may be obtained on-line at www.cityoffederalway.com**
SITE ADDRESS: ", i S [2- !G*, 4 v- S . t K 3
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
2- 5 0a v _ v 5 Re
PROJECT NAME /- �
(Tenant or Homeowner Last Name) lTD J L
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME fop PRIMARY PHONE
PROPERTY OWNER ICGA-tr. ,Mai-tCvtpiswc Wzit— LI()itzsi tS.h,0 t'( ) -
MAILING ADDRESS E-MAIL
57 ) Com%, , -v-4 ?i16
STATE ZIP FAX
2NAMEt,/k 62—
NAME
PRIMARY PHONE
, ' V `11-N'A ( 'Z 6) 7C3-- 17(414
MAILING ADDRESS E-MAIL
ELECTRICAL '724 ?i'�'•
CONTRACTOR CITY STATE ZIP FAX
tic
VA- '$I0g ( 20 ) X63 -238'7
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
iU'IL116rZ-L(1S106X1 -Cb-43L
NAME PRIMARY PHONE
APPLICANT / to( rtllnu ' (1G7)1.6'3 - i Z u c,�f 21/
MAILING ADDRESS E-MAIL
-72.`? 5 V• 4164bee ' ru-hvAt
.
STATE ZIP FAX
tri 6t (og (UG )263 - 2,36 ct.
NAME PRIMARY PHONE
PROJECT CONTACT ,; t — (1,a6 )�>43 _�.�r� €0A- . 7
A
I certify under penalty of perjury that I am the property owner or authorized agent of theproperty owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
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. /SIGNATURE: G w l�' DATE2'(-7 ( 12.
PRINT
2-
PRINT NAME: A le4- 13ui`k
33325 81°Avenue South♦Federal Way 1 WA♦98003-6325♦253-835-2607•fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160-January 1,2011 Page 1 of 2 k:\Handouts\Electrical Permit Application
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
(including attached garage): 1st Service/Feeder Additional Feeders
0- 100 amp x$132.50 x$ 80.50
FEES: First 1300 ft2-$122.00; 101- 200 amp x$164.00 x$103.50
Each additional 500 ft2 $39.00 201- 400 amp x$307.00 x$121.00
NEW MULTIFAMILY (3 units or more) 401- 600 amp x$358.00 x$143.50
1st Service/Feeder Additional Feeders 601- 800 amp x$463.00 x$196.00
0- 200 amp x $132.50 x $ 39.00 801- 1000 amp x$565.00 x$236.50
201 -400 amp x $164.00 x $ 80.50 Over 1000 amp x$616.00 x$328.50
401 -600 amp x $224.00 x $111.50
601 -800 amp x $287.00 x $153.50 Over 600 volts surcharge x$103.50
Over 800 amp x $410.50 x $307.00
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1stSeruice/Feeder 1st Service/Feeder Additional Feeders
0- 200 amp x $101.00 0- 200 amp x$132.50 x$103.50
201 -600 amp x $164.00 201- 600 amp x$307.00 x$121.00
Over 600 amp x $246.50 601- 1000 amp x$463.00 x$196.00
Over 1000 amp x$515.50 x$328.50
Added or Altered Circuits
1-4 circuits$80.50;each additional$8.00 Added or Altered Circuits
1-5 circuits$103.50;each additional$8.00
Mast or meter repair $60.50
Mast or meter repair $111.50
MANUFACTURED HOMES PLAN REVIEW FEES
Service or feeder only x $ 80.50 Plan Review required only for:
Service and feeder x $132.50 • New,or alteration to,service of 1,000 amps or greater
• Medical/Educational/Institutional Facility
$103.50 plus 35%of Permit Fee
(Permit Fee x 35%= +$103.50=Plan Review Fee)
Plan review for modified submittals $105.50/hour
MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
❑ Fire Alarm System 1st Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling 0- 60 amp x $ 71.00 x $ 32.00
❑ Other 61- 100 amp x $ 80.50 x $ 39.00
Area to be served by system:
1at 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50 101-200 amp x $103.50 x $ 51.00
201-400 amp x $121.00 x $ 60.50
#of Thermostats 401-600 amp x $164.00 x $ 80.50
First$60.50;each additional$18.50
Over 600 amp x $184.50 x $ 92.00
FEE CALCULATIONS
Yard Pole/meter loops/pedestal x$ 80.50 • Fees are determined by the scope of work as indicated.
Portable Generator(transfer equipment) x$101.00 • A$6.00 Automation Fee will be added to all permits.
Ditch cover/inspection only x$121.00 • For assistance in calculating fees or completing the
application form,contact the Permit Center at
253-835-2607
33325 8'"Avenue South•Federal Way•WA•98003-6325♦253-835-2607♦fax:253-835-2609 1 www.cityoffederalway.com
Bulletin#160-January 1,2011 Page 2 of 2 k:\Handouts\Electrical Permit Application