07-103586 t
City of Federal Way Electrical Permit #: 07-103586-00-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: VERIZON AT THE COMMONS f.--
Project Address: 2125 S 320TH ST Parcel Number: 762240 0010
Project Description: Installation of L/V voice and data.
Owner Applicant Contractor
STEADFAST COMMONS LLC BLACK BOX NETWORK SERVICES BLACK BOX NETWORK SERVICES
1928 S COMMONS 200 ANDOVER PARK E SUITE 1 DESIGI*002R7 3/14/2009
FEDERAL WAY WA 98003-6013 TUKWILA WA 98188 200 ANDOVER PARK E SUITE 1
TUKWILA WA 98188
Additional Permit Information
Electrical Fixtures
Low Voltage-Other Commercial.,4,457
PERMIT EXPIRES Thursday, June 26, 2008
Permit Issued "Monday,July ,2 �7
I hereby certify that thatthe above in'for'mation ct anu"AL'inet the construction the above�rit pro rty and
the occupancy and the use A be in ac ordanc with the laws,rum and regulations of the�State ofWashington
and the City of Federal Way.
Owner or agent: Date: 7/Z14'
�.
V
\ '�
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-103586-00-EL
Owner: STEADFAST COMMONS LLC
Address: 2125 S 320TH ST
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) ❑ 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
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By 25 Date 7-z5:-.07 By Date 13 .'7
O UFER Ground (4295)
Approved
By Date
•
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
1 RECEIVED
CITY OF JUL 0 2 2007 () - ( . Q 3 5- .0 �:.
Federal way PERMIT
COMMUNITY DEVELOPMENTS - F FEDERA SF MF CO M �L PL DE EN FP
33325 8D AVEWUE SOUTH.PO 1UI ' p LI CATI O N
FEDERAL WAY,WA 98063-9718BUILDING D
253-835-2607•FAX 253-835-2609
unum.cilgoffederalwaq.com
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
l _ • PROPERTY INFORMATION
Z77?
SITE ADDRESS_ /21 &-c.i7_z SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# 7 (P 2-Z (4 0 - 0 d t 0 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) Stogie 4/,c- C:50.,—_-a7-i-
(Attach separate page Jar lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING Cl PLUMBING 0 MECHANICAL
0 DEMOLITION [1Y4ECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
J Nee- 4 DA9-7 9- _ //L
PROJECT NAME(Name of Business or Owner Last Name) V 6e r2c- -r r `" `'� - 1.-i-1
MI PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER VER% z-alV lNq ilee-4. s$ ( ) -
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
F 2,c Men/4(4244 SVe5 gni C-n44:•c/.t# ("2430 576— -/.. ...3
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
2G.Uv A-,.r,)C �•z t.-rut &sT"- 72.4{..-1-..w..--1-,,,44445r1/ (- )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
05- t(D ( TOO -00 ) 2,3 \ —p`7 ( )
COPY of card rogdred CONTRACTOR'S REGISTRATION NUMBER E IRATIO DATE E-MAIL ADDRESS
with each application I=> '` " ` /C-r- /J -
fk'4 ( bel
APPLICANT COMPANY NAME APPLICANT NAM OFFICE PHONE
,
el"ttw ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑Tenant o Agent 0 Other ( ) -
PROJECT NAME r PRIMARY PHONE icy E-MAIL ADDRESS
CONTACT \I)Ne.E i2f�t4` (1/751&03 --?-.V2 o 2-I
LENDER NAME Per RCW 19.27.095:
Lender information is required(f project value exceeds$5,000
MAILING ADDRESS CITY.STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHIdNE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE o PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL •
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY• BID OR ESTIMATE MUST s INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE••OLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSE• HOODS(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG S REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) VS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(toile)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 ih. ty,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. ,L
NAME/TITLE__._.. t-
�
AJr /L�/1DATE G�
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent 0 Contractor ❑Architect 0 Other
FOR OFFICE utut'DIY
❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? ❑YES o NO
PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#100—April 2,2007 Page 2 of 4 k\Handouts\Permit 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-$111.00;Each add'n 500 ft2-$35.50) ❑ 0 to 100 amp $120.50 $74.00
❑ Detached outbuilding or garage U 101-200 amp 149.50 94.50
(Inspected with-service) $47.00 ❑ 201-400 amp 280.00 111.00
❑ Detached outbuilding or garage ❑ 401-600 amp 327.00 131.00
(Inspected separately) $74.00 ❑ 601-800 amp 423.00 179.00
U 801 - 1000 amp 516.50 216.00
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $35.50 ❑ Over 600 volts surcharge $94.50
❑ 201 -400 amp 149.50 74.00 ❑ Mast or meter repair $102.00
❑ 401 600 amp 205.00 102.00 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 262.00 140.50
❑ Over 800 amp 375.50 280.50 Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 280.50
U 601 - 1000 amp 423.00
Service or Feeder ❑ over 1000 amp 471.00
❑ Oto 200 amp $92.50
❑ 201 -600 amp 149.50 ❑ #of circuits to be added/altered
❑ over 600 amp 225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$74.00;Add'n circuits$7.00/ea) $94.50 plus 35%of Permit Fee
U Service- 1.000 amps or greater
❑ Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $65.00
❑ #of service or feeders
(First service/feeder-$74.00;each add'n-$48.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0- 100 amps $74.00
U 101-200 amps 94.50
❑ 201-400 amps 111.00
❑ 401-600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
1rst-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea)
w Voltage ❑ Swimming pool/hot tub $111.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
0 Fire Alarm System ' J ❑ Yard Pole meter loops $74.00
L -t,L{
] ecurityAlarm System t5 I ❑ Additional Plan Review $111.00/hour
oice Cabiing (for modified submittals)
ata Cabling ❑ Automation Fee on all Permits .. $5.00
1st 2500 ft2-$65.00;411'C'''1°
Each add'n 2500 ft2-17.00)•Per WAC 296-46-910(51(bl(I&U)
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Bulletin#100-April 2,2007 Page 3 of 4 k\Handouts\Permit Application