07-102565 -Ng
City of Federal Way Electrical Permit #: 07-102565-00-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: ROUND TABLE @ FEDERAL WAY MARKETPLACE
Project Address: 34410 16TH AVE S Suite 101 Parcel Number: 250090 0040
Project Description: Installation of LN for sound,data and voice.
Owner Applicant Contractor
FEDERAL WAY MARKETPLACE OLYMPIC TELEPHONE INC OLYMPIC TELEPHONE INC
INVESTORS LLC 2803 29Th AVE SW OLYMPITI0063H 06/08/2008
3700 BEAZER RD TUMWATER WA 98512 2803 29TH AVE SW
BELLINGHAM WA 98226 TUMWATER WA 98512
Additional Permit Information
Electrical Fixtures
Low Voltage-Other Commercial. 3,900
PERMIT EXPIRES Tuesday, November 6, 2007
PermitIssued on Thursday, May 10, 2007
I hereby certify me that the above information is correct and that the construction on the above described property and
the occupancy and the use wi11 be in accordance with the laws rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: �' / /` � Date: _07
FINALED
THIS CARD IS TO REMAIN ON-SITE .. • •
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-102565-00-EL
Owner: FEDERAL WAY MARKETPLACE INVESTORS LLC
Address: 34410 16TH AVE S Suite 101
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.
O Slab/Concrete Floor(4255) ❑ Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) ❑ Service(4235) 0 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
Byte-re- Date - By Date Date "7--
0
7—❑ Under-slab groundwork(4295)
Approved
By Date
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
41114k a 7 - 1 d 2- s-- I s
crcr of
Federal way RECEIVED PERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF CO ME PL DE EN FP
33325 87"AVENUE SOUTH•PO BOX 9718
Y
253
FEDERALJ5- WAY•FAX 2
WA 98063-927 — l 0 2007A P P L I C AT I O N TO
8 2607 _ -,�
ann a 1.ri t tlo ffe de m t u'a tt.co m
The following is)reek TIVL•It . n-an ytAy incom incomplete application will not be accepted. Pleaseprint legibly(in ink)or type.
P PP P 9 tJ
0 PROPERTY INFORMATION
SITE ADDRESS_ C /C,) I c (i.g..t S' SI)_ tie /c ( SUITE/UNIT# (°/
ASSESSOR'S TAX/PARCEL# a, S 6 C) 9 Cj - V V Cj LOT SIZE (sJ)
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 SCELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
P( 1 A, K. , (C Le-c, '. \ r:T• -e Cr ( t-C cr Pet-TY,. Cc ce1Tlc
7\' Cct I e 4- LI Sip 'c'l tC C/S -CC f CC UA:
PROJECT NAME(Name of Business or Owner Last Name) (Pr(,)'*\,'c 7C6�� I e IP
t ,,,,,,..
• PEOPLE INFORMATION
PROPERTY NnpaE flctz Atce PRIMARY HONE -
OWNER 17e'_ �,'}�^�(L _ WGLC� 2
MAILING ADDRESS / CITY,STATE,ZIP E-MAIL ADDRESS
•
CONTRACTOR COMPANY
4�t .� 1 cc. �C(2 p �L APPLICANT NAME OFFICE PHONE
4L.,I^n�;t, i►.,er .rr•:y�._ s► , �iC. - ( ( 36o) 3S-7 - `f(7(
MAILING ADDRE S j CITY,STATE,ZIP CELL PHONE
1=9 SQ'-) oQC ti e 1P e--CEJ (c1.�tCU611�-?!' 161'g5(2 ( 3 ) -(os - (v2.0
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
O(, L 0 35-gs -cc ( �.--3( -0 -7 C?60)75C( -/S.70
COPY o(eard required CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
with each appIIooUon ►—> 0l Y h P yr o o 3 N 6/0 &(aQo A 3 'cr -v-ralytt iee4o&
APPLICANT COMPANY/F NAME APPLICANT NAME OFFICE PHONE pyr ��
MAI 1 I�� (� - — If 06ll.L L - c__ -- ' , ( C ]5) l ( ?
ESS 41 y CITY,STATE, IP S(Z CELL PHONE
.1 --. a c (((����\\(f , �SCt.: 7_7''LI1`'&T-07,L L.L�1. (( )1) yC� 3- ('1Z c
RELATI NSHIPTO PROJECT FAX NUMBER
❑ Architect ❑ Tenant 0 Agent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACTt ( ) -
LENDER NAME Per RCW 19.27.095:
Lender •rmation is required if project value exceeds$5,000
MAILING ADDRESS 1100,, ATE,ZIP PHONE
I DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ N 'ALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES 0 NO FI PPRES ` • SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
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
•
NUMBER OF FLOORS EXISTING PROPOSED TOT ` TOTAL EXISTING SF TOTAL PROPOSED Sr TOTAL Sr
"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 S WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INS -4 S OODS(commer lsl)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/shower Combo) LAV.S : "room Sinks) URINALS MISC(Describe)
DISHWASHERS WATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS prone)
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 of the city,including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE - H. C`_�Lit/� v f ( DATE <5
- 1 v
lgnature) (Title)
RELATIONS} • • PROJECT 0 ex r 0 Agent Contractor ❑ Architect 0 Other
o NEW o ADDITION o ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO . BASIC PLAN? o YES n NO
ZONING DESIGNATION CHANGE OF.USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—April 2,2007 Page 2 of 4 k\Handouts\Permit Application
1
'7'7, 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 ❑ 101-200 amp 149.50 94.50
(Inspected with service) $47.00 0 201-400 amp 280.00 111.00
❑ Detached outbuilding or garage ❑ 401-600 amp '327.00 131.00
t (Inspected separately) $74.00 0 601-800 amp 423.00 179.00
O 801 - 1000 amp 516.50 216.00
NEW MULTI-FAMILY(three units or more) 0 Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $35.50 ❑ Over 600 volts surcharge $94.50
O 201 -400 amp 149.50 74.00 ❑ Mast or meter repair $102.00
O 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 0 201 -600 amp 280.50
❑ 601 - 1000 amp 423.00
Service or Feeder
❑ 0 to 200 amp $92.50 ❑ over 1000 amp 471.00
❑ 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
❑ Service- 1,000 amps or greater
I ❑ •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
O 101-200 amps 94.50
O 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) J 67..--6C (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $74.00
❑ Security Alarm System 0 Additional Plan Review $111.00/hour
Voice Cabling
Data Cabling (for modified submittals)
• K 5` 0 Automation Fee on all Permits .. $5.00
1•"2500 ft2-$65.00;
Each add'n.2500 ft2-.]7.00) •Per WAC 296-46-9)o(5)(b)(i&ii)
Bulletin#l00--April 2,2007 Page 3 of 4 k\Handouts\Permit Application