07-102401 ,
City of Federal Way Electrical Permit #: 07-102401 -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: LBA FEDERAL WAY OFFICE BUILDING
Project Address: 33405 8TH AVE S "' Parcel Number: 926500 0060
Project Description: Add/alter(12)circuits
Owner Applicant Contractor
LBA REALTY FUND II CO,LLC EVERGREEN POWER SYSTEMS EVERGREEN POWER SYSTEMS
660 SW 39TH ST SUITE 255 3849 1ST AVE S EVERGPS950BE(1/5/09)
RENTON WA 98055 SEATTLE WA 98177 3849 1ST AVE S
SEATTLE WA 98177
•
Additional Permit Information
Electrical Fixtures
Circuits- Commercial 12
PERMIT EXPIRES Monday, October 29, 2007
Permit Issu:• on Wednesday, May 2, 2007
I hereby certify that t - - •ove information i/ orrect and that the construction on the above described property and
the occupancy a • the u e will be in a • •ance wit e laws,rules and regulations of the State of Washington
,nd the C 44 Federal Way.
Owner or agent: . _ AA. Date: 06/`2- `7
. A
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record .
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-102401-00-EL
Owner: LBA REALTY FUND II CO, LLC
Address: 33405 8TH AVE S
FEDERAL WAY, WA 98003-6305
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) 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) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date , By Date
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By G -__ Date 5_3 I-r11 By es Date L_Z q—�f By Date //.d...o7
❑ Under-slab groundwork(4295)
Approved
By Date
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By/✓ Date//• ‘, '6 7
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CRY OF � - 0 O 1 - ' 0 Z O i
Flcderal way ti 1-11 PgRMIT
COMMUNITY DEVELOPMENT SERVICES MPS O SF MF CO MEPL DE EN FP
33325 D AVENUEALWASOUTH•PO 9 9718 LI CATI ON
FEDERAL WAY,WA 98063-9718 '01'
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253-835-2607•FAX 253-835-2609 C7"f r v '�
www.cittlottederalwau.corn �el 50\'�j
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS_ 33L(OS tis I P V 'NUE SUITE/UNIT#-
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sj9
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION(ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
IX-M6t.x111).4 'AN)S -i,L ( ?Li+a) /;A—W-7— TA-i1ii2h'1
•
PROJECT NAME(Name of Business or Owner Last Name) LAA 2 'Tt i — TbO° I ( I
MI PEOPLE INFORMATION
PROPERTY NAME Q y� r , r o CO PRIMARY PHONE
OWNER L3A r� -� b U 1+ .1'W11 ( L(Z5-)Z-n- --o2 60
MAILING ADDRESS C .STATE,ZIP E-MAIL ADDRESS
Ltd Sw 31914 rn T S-r &sc -t'fl i vJA `ie cc
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
EVEI&g4- l FIIVJEll- 5.1.5Firt&S VILF tn.) MAtc.1te9 (-a ) 77-i - I`1tiJ
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
3e9CI (C'r +e✓EJL+E Sa-l )- 5114— VE 1..-r4- t334 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPI' `ON DATE FAX NUMBER
1,41-lei - 1o(,(-467—c73f3L t2/,3� -2-4.11 (2o s)77y I -1O --
COPY of cera required CONTRACTOR'S REGISTRATION NUMBER -EXP TIO DATE E-MAIL ADDRESS
with each application e ,_rI ^S ^o �+D I o k I///J I//// ct
APPLICANT COMPANY NAME � APPLICANT NAME OFFICE PHONE
€1/� 1.•••-1 tit s-,.sem'‘A S (?t.)/(3) "7'->ti- /L1°v
MAILING ADDRESS CITY,STATE.ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant ❑Agent1iOther C• 61/`/0OcckA ( -2- )77 - it--,0
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT t1/41VEY.V. Nrc1CS (?,J ).-7-)t--1 - /14 6Z
LENDER NAME Per RCW 19.27.095:
Lender information is required(f project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE t? ( PROPOSED USE Lei
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ tic: ') L)
SPRINKLERED BUILDING? )<YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES O
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
in PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
• BASEMENT
FIRST
'O 'LLC �C'> �J � sr;I��J
SECONDX1,7 3.:),Z,
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS EXITO soros®
TOTAL
TOTAL=STI GSF TOTAL PROPOSED SF TOTAL SF
2 ► �2(���
"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$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(orTnb/shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSE IS(Toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perj 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 •'•ove premises to perform the work for which the permit application is made. I further agree to hold
harmless the Ci • Federal Way • • any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),wh' h m•: be made by a _ person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out oft relianc• of the city, luding its o ers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE IDj______ (0-0 C< 1` DATE J-2-I)�
signature) V • ` ` (Title)
RELATIONSHIP T• OJECT 0 1 ❑ •_- ,»(C infractor ❑ Architect o Other
FOR OFFtE t l`)NLY
❑NEW o ADDITION o ALTERATION ❑REPAIR o 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 ❑NO UP/SEPA/SU? o YES o NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES o 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
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$111.00;Each add'n 500 ft2-$35.50) ❑ 0 to 100 amp $120.50 $74.00
❑ Detached outbuilding or garage ❑ 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
❑ 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
❑ 601 - 1000 amp 423.00
Service or Feeder
❑ over 1000 amp 471.00
❑ 0 to 200 amp $92.50
❑ 201 -600 amp 149.50 11--- #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
❑ 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
❑ 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
(First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $111.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $74.00
❑ Security Alarm System ❑ Additional Plan Review $111.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
El ❑ Automation Fee on all Permits .. $5.00
1st 2500 ft2-$65.00;
Each add'n 2500 ft2-17.00) 'Per WAC 296-46-910(5)@)(t&ii) •
Bulletin#100-April 2,2007 Page 3 of 4 k\Handouts\Permit Application