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06-105263
a City of Federal Way Electrical Permit #: 06-105263-00-EL Community Development Services 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: DR BRIAN WILLIAMS Project Address: 32225 PACIFIC HWY S Suite 102 Parcel Number: 150050 0100 Project Description: Install(5)circuits for 21 lights,2 exit signs,2 receptacles,3 HVAC units and one fire alarm system Owner Applicant Contractor , HARSCH INVESTMENT PROPERTIES EVERGREEN ELECTRICAL SERVICES INC EVERGREEN ELECTRICAL SERVICES INC PO BOX 2708 15103 60TH AVE W EVERGES039KF 5/6/07 PORTLAND OR 97208-2708 EDMONDS WA 98026 15103 60TH AVE W EDMONDS WA 98026 Additional Permit Information Electrical Fixtures Circuits-;''Commercial 5 PERMIT EXPIRES Wednesday, April 11, 2007 Permit Issued on Friday, October 13, 2006 I hereby certify that the above information is-correct and that theconstruction on the above described property and the occupancy and the u will be in accordanc ith the Paws, rules and regulations of the State of Washington �,, � a he irederal Way. Owner or agent: C�i1"l �- o�Z Date: /�k/C)� THIS CARD IS TO REMAIN ON-SITE . , _ CITY OFA Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 06-105263-00-EL Owner: HARSCH INVESTMENT PROPERTIES Address: 32225 PACIFIC HWY S Suite 102 FEDERAL WAY, WA 98003-6000 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) ❑ Ditch cover(4030) * ❑ Pool Bonding(4195) Approved to place concrete Approved Approved By Date By Date By Date ❑ Temporary Power(4275) .❑ Service(4235) ❑ Feeders/Sub-panels(4045) Approved Approved Approved ��__� vi7 By Date By e Datel* i e . Byte� Date `O"l,,y ❑ Rough Electrical(4225) .CI Ceiling Cover(4020) . ❑ Final-Electrical(4055) Approved Approved Approved �/ By Date By Date B �� Date IcY�J-"�/ ❑ Under-slab groundwork(4295) Approved By Date 10/13/2006 15:27 425?42E;,3,�41ED EVERGREEN ELEC SVCS PAGE 01 f _ 2 Fe ��I 1 `3 2006 0 - / Q �� Federal"v�ax ,�RMIT c»nuwia�rnsvrLa��Av saRvrcss ERAL SF MF CO ME41.45 PL DE EN FP 333as6TMAVYIMInsDVIIr•ro9pul9n1tC1TY OF FEq PEDBRALWAY,WA•98063.971:. V3U1LDItA LI CATI ON 753435.8607•PAX / / vmtr.dtlo/faderalum m com The olio • is . •aired i ormation-an Inco •late a• •Ucation will not be ace*,ted. Please • nt ler ibi in in or L• . p ( • PROPERTY INFORMATION • SITE ADDRESS 3022..25 P(tCl1'IC //.7.5 sUITE/UNIT e /02 ASSESSOR'S TAX/PARCEL it _ — —. LOT SIZE(s) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) , MI PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION kELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on t hermit only) nsfu / i� suns € 1 �I/ rah ..: 3 C > 't7 G; S / i S F IYl • PROJECT NAME(Name of Business or Owner Last N• -) p f' h.I I I(,p m c MI PEOPLE INFORMATION PROPERTY NAME / OWNER L! I SG PRIMARY PHONE MAILING ADDRESS I CITY,STATE,ZIP ( ) CONTRACTOR COMPANY NAME APPLICANT NAME / OFFICE PHONE 5"vel.ciy'e'e i E ectrtc,,,( Ser-i. -Tile_ 6.7:5,4„r'f ('{2$ 7' .-4.2xx_ MAILING AD6RESS STATE,ZIP 1.5/3 16C2t1L /?V4 t� Edmonds ` L' ,24 (ci0N-7-7.3 -©l1(8' CITY OFF FEDERAL WAY USINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER - - CONTRACTOR'S REGISTRATION NUMBER / / ( ) � ' / E n C (copy of card cognized wit."'amok�pPlie�tlon) EXPIRATION DATE /07 APPLICANT COMPANY NAME APPLICANT NAME - 6OFFICE PHONE MAILING ADDRESS CITY,STATE,ZIP ) CELL PHONE RELATIONSHIP TO PROJECT ( )F 0 Architect ❑ Tenant CI Agent ❑ Other(Describe) ( NUMBER CONTACT PRIM NAME T PRIMARY PHONE �PHONE��o��j _ f - !' e 6J"'/se,l, t�e4I 47°42490I E-MAIL ADDRES4 LENDER ! Dtr, �'S Yel fZONaIi%' '' ,•'Yf 1 .. .. i ... NAM$ v MAILING ADDRESS CITY,STATE,ZIP PHONIC ( ) N DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE W i EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 3asv • / SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE O TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER O LAKEHAVEN 0 HIGHLINE 0 PRIVATE ISEPTICI • 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 NUMBER OF FLOORS smtp reorosso mrN -i **NEWHOIVES 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. MECSAMCAL Value of Mechanical Work $ AIR HANDUNG UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(C.mmad p WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS . FURNACES GAS WATER HEATERS DUCTS OAS PIPE OUTLETS PLUMBING • BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS hoses MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAYS(swum=swa► VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK I cert(fy 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 authorised 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 roll•, of the city,including-cers , • employees,upon the accuracy of the information supplied to the city as a part of this application. • i /("7/47/0 AME/TITLE�i" I 1 .» . �1Aili�L1 DATE / ( ��% %-4 (Signature) Mae) RELATIONSHIP TO PROJECT D e 0 Agent 0 Contractor 0 Architect 0 Other • • • , .. , ; zY: d , rI•. , ce... Y S Rnlietin 01 NI—Tatman/1 7(1(16 Pace 2 of 4 k\I-Iandeuts\Permit Application 10/13/2006 15:27 4257422394 EVERGREEN ELEC SVCS PAGE 02 • ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE IfEW COMMERCIAL/INDUSTRIAL SERVICE ❑ Single Family Square Feet Service or Feeder Each Add'n (First 1300 82-$107.50;Each addle 500 ft2-$34.50) • 0 0 to 100 amp $117.00 $71.50 ❑ Detached outbuilding or garage ❑ 101,-200 amp 145.00 91.50 (Inspected with service) $45.50 0 201-400 amp 272.00 107.50 ❑ Detached outbuilding or garage 0 401 600 amp 317.00 127.00 (Inspected separately) $71.50 0 601-800 amp 410.00 173.50 0 801 -1000.amp 500.50 209.50 NEW MULTIFAMILY(three units or more) 0 Over 1000 amp 546.00 291.00 Service Feeder 0 Up to 200 amp $117.00 $34.50 0 Over 600 volts surcharge $91.50 ❑ 201 -400 amp 145.00 71.50 0 Mast or meter repair $99.00 0 401-600 amp 198.50 99.00 ❑ 601 -800 amp 254.00 136.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ Over 800 amp 364.00 272.00 Service or Feeders ❑ 0 to 200 amp $117.00 ALTERED SINGLE/MULTI FAMILY 0 201-600 amp 272.00 Service or Feeder 0 601 -.1000 amp 410.00 ❑ 0 to 200 amp $89.50 CI 1000 amp 456.50 0 201 -600 amp 145.00 ( S 4 of circuits to be added/altered ❑ over 600 amp 218.50 (1-5 circuits-$91.50;Add'n circuits,$7.00/ea) • ❑ M of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuita-$71.50;Add'n circuits$7.00/ea) $91.50 plus 3596 of Permit Fee ❑ Service- 1,000 amps or greater 0 Mast or meter repair $53.50 0 Medical/Educational/Institutional Facility MOBILE HOMES ❑ Service or feeder only $71.50 0 Service and feeder $117.00 TEMPORARY SERVICE MOBILE HOME/RV PARK Residendal/Muttj.7amily $63.00 ❑ 4 of service or feeders (First service/feeder-$71.50;each addh-$46.50) Commercia;/Industrial Service or.i'eeder Ampacity ❑ 0-100 amps $71.50 ❑ 101-200 amps 91.50 ❑ 201-400 amps 107.50 ❑ 401-600 amps 145.00 ❑ over 600 amps 157.00 MISCELLANEOUS SERVICE/EQUIPMENT ❑ e of Thermostats • ❑ #of Signs (First-$53.50;addb-$16.50/ea) (First sign-$53.50;addb sign.$25.00/ea) ❑ Low Voltage ❑ Swimming pool/hot tub Square Feet to be served by system(s) $107.50 (Includes additional circuit,if required) ❑ Fire Alarm System ❑ Yard Pole meter loops $71.50 ❑ Security Alarm System 0Additional Plaa Review 0 Voice Cabling $107.50/hour 0 Data Cabling (for modified submittals) ❑ ❑ Automation Fee on all Permits .. $5,00 (Per Systems) 1st 2500 ft2-$63.00; Each add'n 2500 ft2 -6.50) •Per WAC 296-469]0(5)(gt s 6) 0 Dem.1 nf4 lekRanrontc\permitAnnlicatinn