09-104515 � � " Electrical
City of Federal Way � (�
CommunityDevelopmentServices Permit #: 0�7-104515�oo-EL
� 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: FEDERAL WAY MARKETPLACE BUILDING N-5
Project Address: 34512 16TH AVE S Parcel Number: 250090 0050
Project Description: Adding/altering(4)thermostats
wner Apulicant Contractor
FEDERAL WAY MARKETPLACE EVERGREEN REFRIGERATION LLC EVERGREEN REFRIGERATION LLC
INVESTORS LLC (ELECTRICAL) (ELECTRICAL)
3700 BEAZER RD 727 S KENYON ST EVERGRL957R9(6/12/1 I)
BELLINGHAM WA 98226 SEATTLE WA 98108 72'7 S KENYON ST
SEATTLE WA 98108
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Is Use Educational or Institutional?.......................No Service greater than 1000 Amps?...........................No
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Thermostat..................................... 4
PERMIT EXPIRES Thursday, November 18, 2010
Permit Issued on Wednesday, No�rember 18, 2009
I hereby certify that the above information is correct and that the car�struction 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
_ and the Ci Federal Way.
Owner or a Date: (�' � D `��' �
�,,�a �'� � l t� Oq
�������
• •` THIS CARD IS TO REMAIN ON-SITE �
���F '"� � Construction I�ection Record
Federal Wa nvSPECTION RE uE'�Ts: 2
y Q ( 53)835-3050
PERMIT#: 09-104515-00-EL Address: 34512 16TH AVE S
Owner: FEDERAL WAY MARKETPLACE IN 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.
� UFER Ground (4295) � Ditch cover(4030) � Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
� Pool Bonding(4195) � Temporary Power(4275) � Service(4235)
Approved Approved Approved
By Date By Date By Date
� Feeders/Sub-panels(4045) � Rough Electrical (4225) � Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
� Final-Electrical(4055)
Approved
By � � Date/,�- Zl—�' 7
� Rough Electrical � Final Electrical � Right of Way
Approved Approved Approved
By Date By Date By Date
� ' ��°E_ �� - � a ¢5���
. ��ry�� ��� PERMIT SF MF CO M EL L DE EN FP
Federal Way
COMMUNl7'3'DEVELOPMENT�b�12VIC6b `�' �O n G Ap '�LI CAT I O N ��� / �� � /
253-835-2607•FAX 253-835-2609
, u�ww.cihwffederalu�au.crn*i `-,�`„ �
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3ITE�ADDRE98
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3UITE/iJNIT il ZONING SES80R'S TA%/PARCEL M
2 S v O � o - c� � � a
.�, � �
NAME OF PROJECT __I 1 +
(Tenant or Homeowner Name) �CJ'�.(�cti l ll�,. �1,{� PIG� �"
❑BUII.DING ❑ PLUMBING ❑ MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION '�ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
�G:.., �,��� �--� 1� r�-,� �-�,.�-
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit oniy
F3 „ , .. . ,. , -, ,
,;S � �S._�� j':. ,�5 3
N� PRIMARY PHONE
PROPERTY OWNER 1'C�{�, I`�o�,(�. 1� �!`�_(� ( � '
MAII.ING ADDRESS,CITY,9TATE.ZIP ��Q,
`7it3 �o c l�V`t #k 2t(� w�e,i{�'lq,�,c. V�«�tc
OWNER IS ALSO: � CONTRACTOR � APPLICANT � PROJECT CONTACT
NAMI; PRIMARY PHONE
� t�e.rc�r`e e �e-����` rn-�-� (�U6) �76 3- r'�7 ul'�-�
CONTRACTOR �II'ING ADDRESB,CITY.9TATE,ZIP FAR
7z�7 S ,�,.. c,�-, �e.�.. N�.� w� ��I� B � � _
WA 3TATE CONTRACTOR'S LICENSE M � ERPIRATION DATE FEDERAI,WAY BUSINE88 LICENSE M
Eu�R�t��q t l.�� G i� z �zG��
NAMI:� � n PR�ARY PHONE
APPLICANT ��'e, ^�.e� �e.ar, ..c�����b ( ) -
MAII.ING ADDRF.38,CITY,STATE,ZIP FA1C
l � -
PROJECT CONTACT NAME ? PRIMARY PHONE
(77�e indiuiduai to recetue and '�J�(`�'tr-� l.-�� -I� (Za G) `767- ��4 k��7
respond to all correspondence �Lmta annxess,crrr,STATE,zs Fwg
concemfng thls applicatiDn) � � _
ALTERNATE CONTACT NAME: PRIMARY PHONE E�MAII,
l � -
PROJECT FINANCING N^�� � OWNER-FINANCED
Requtredforprojects wtth �� r��� �'r�L2-C�-����"�
ualue of$5,000 or more �INa�Dx�ss,crrr,BTATE,z� PRIb1ARY PHONE
(RCW 19.27.095) /
l � -
I cerc4jy under penalty of perjury that I am the property owner or authorized agent oj the property owner.I cert�'y that to the
best of my knowledge, the iq/'ormation submitted in support of this permit application is true and correct.I cert4}y that I will comply
with all applicable City of Federal Way regulations pertaQning to the work authorized 6y the issuance of a permit.I understand that
the issuance oj this permit does not r+emove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or envtronmental Laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred
in the investigation and defense of such cicum), which may be made 6g any person, including the undersigned, and filed against the
city, but onig where such c(aim arises out of the reliance oj the city, including its o„(�"icers and emplogees, upon the accuracy of the
iq/'ormation supplied t ��iart of this application.
SIGNATURE: � DATE l�-r���`T
PRINT NAME• �< <�+-1 2 c-Z�ci ��
�
Bulletin#100—4/21/2009 Page 1 of 4 k:\Handouts�Permit Application
,
• ME��E�1�3I'(�t�i.L� F'+���'I�T ' ��
Value o Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
. Indicate number of each type of fi�r[ure to be installed or reiocated as part of this project. Do not inciude existing,jixtures to rema6i.
AIR HANDLING UNI1'S FANS GAS PIPE OCJTLEI'S OTHER(Descrtbe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commemtal�
BOILERS FURNACES HOT WATER TANKS�casl
COMPRESSORS GAS IAG SETS REFR[GERATION SYST
DUCTING GAS PIPING WOODSTOVES
M;�...
'���.J�ll�IA.T ��l����?` 5 # ., s
�. .,_. ..
Indicate number of each type of fixture to be tnstalled or relocated as part of this pro,jecL Do not include extsring fuctures to remaln.
BATHT'UBS�o��n,n/snowe�comnoJ LAVS�Ha„a smksl TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINAi.S O'I'HER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINHING FOUNTAINS SINKS[[citchen/uttuty) WATER HEATERS(elecmc)
HOSE BIBBS SUMPS WASHING MACHINES 'TOTAL FI7CTURES
�El�TERAL INF(�RM�TIQN
PROJECT VALUATION �WATER PURVEYOR � SEWER PURVEYOR � VALUE OF E%19TING IbIPROVEmENTB�
�` /����V. �
ERI9TING/PREVIOUS USE LOT SIZE(In Squue Feet) EffiSTIN6 FIRE 9PRINKLER 9Y9TEM? PROPOSED FIRE Si1PPRF.S9ION 3Y3TEM7
❑Yes ❑ No ❑Yes ❑ No
'' �'�►�����r����l�.r '
� _- _, - � : »_:,� - ,.�,.
AREA DESCRIPTION(in aquare feet) EXI3TING PROPOSED TOTAL
FOR OFFICE USE
_ _......................................_....................................................................................................................................
BASEMEIVT
... ..... .................. ....... . ... . _........ ......�...
FIRST FLOOR(or Mobile Home)
SECOND�'LO�R ............... .. .......... .. .
,v.
_.... ..... _.... .. .............._........................... .. ...... ..... ..
COVERED ENTRY
_. _ ........ ... .._............ _. . ............ .....__........................
DE�K
GARAGE ❑ CARPORT ❑
_ __ _ _ _ ...._...... ......_�.. ....... ..... .............._...._............---.._............_..._...........................
C,STHER(desCrtbe�'
. ... .. ... .. ......... ..... ................... ....... ......._.........�.....................
.. BZISTIN6 PROP08��... TOTAL
Area Totals
»«NERf'HOMES'ONLY"' '
ESI'IMATED SELLING PRICE$ #OF BEDROOMS
'l..F�������.rltll_i i���������'�i..I��'��.
AREA DESCRIPTION Area Coastructioa #of
in uare Feet Occupancy Group(s) e Storles `�d'tional Information
NEw Bo�[.ninc�>
ADDITION
��?MM�R�I.r�L - R��t�D�L,ITEN�1�1�IMP�C{?�EMEINTS� . �';
AREA DESCRIPTION Area Construction #of :
in uare Feet Occupaacy Group(s) e Stories �ditional Information
'!'O'FAL BuTLDnvCi
TENANT AREA ONLY
PROJ,�CT ARF.A ONLY
Bulletin#100—4/21/2009 Page 2 of 4 k:�-Iandouts�Permit Application
ELECTRICAL
� RESIDENTIAL CONiMERCIAL
NEW SINGLE FAMII.Y RESIDENCE NEW COMMERCIAL
Total Square Feet
(including attached garage): 15�Seruice/Feeder Addittonal Feeders
0- 100 amg x$13i.5Q '' x$'80.Od
FEFS: First 1300 ft2-$121.00; 101- 200 amg x$163.00 ' x$103.00
Each addiUona1500 ft2-$39.00 2�1� 400 amp x$305.50 ' x$12Q.5�
NEW MULTIFAMILY (3 untts or more) 4oi- soo�P X�s5s.00 x�i4a.5o
15�Seruice/Feeder Additional Feeders 601- SOU amp x$460.50 x$195.OQ
" d- 200 amp'' x $131.50 x ,$ 39.Od g01- 1000 amp _x$562,50 x$235.50
201 -400 amp ' ',x $163.00 , x $ 50.00 puer 100�amp x$6I3.00 , x$327.00
4Q1 -��0 amp ' x $223:00 x ',$11I.0�
601 -800 amp ;, x> $285:50 x $152.50 p�er 600 volts surcharge x�103.00
Over SOQ.amP x $408.50 x ;$305.50
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
lst Seruice/Feeder Addilinnal Feeders ls�Serutce/Feeder Addttional Feeders
0- 200 amp , x $100.50 x '$ 39.00 0- 200 amg x$13 L50 ',, x$103.00
201 -600 amp x $163.00 x ,$ 80.OQ 201- 600 amp x$305.50 x$142.50
Over 600'amp x $245.5U x $111.00 601-1'OOU amp x�460.50 x$235.50
Over 1000 amp ' x$513.00 x$327.00
Added or Altered Circuits
1-4 circuits$80.00;each additional$8.00 Added or Altered Circuits
1-5 circuits$103.00;each additional$8.00
Mast or meter repair $60.50
Mast or meter repair $111.00
MANUFACTURED HOMES PLAN REVIEW FEES
Service or feeder only x $ 80.00 0
$103.00 plus 35 r6 of Permit Fee;Plan Review required for:
Service and feeder x $13I.50
❑ New,or alteration to,service of 1,000 amps or greater
❑ Medical/Educational/InsUtutional Facility
Plan review for modified submittals $120.50/hour
MISCELLANEOUS SERVICE/E UIPMENT
LOW VOLTAGE TEMPORARY SERVICE
❑ F1re Alarm System 15�Seruice/Feeder Additional Feeders
❑ Securlty Alarm System
❑ Voice/Data Cabllng ' fl- 60'amp ' x $ 71.d0 X $ 32A0
❑ Other 61- 100 amp 'x $ 80.00 ' x $ 39.00
Area to be served by system:
1(I1-200 amp ' x $1Q3.50 ' x $ 51.00
Ig�2,500 ft2-$71.00;each additional 2,500 ft%-$18.50
201-400 amp x $120.00 ' x $ 60.50
�#of Thermostats 40i-600 amp 'x $163.5� x $ 80.00
First$60.50;each additional$18.50
Over 600 amp x $183.00, x $ 92.00
#of Signs **NOTE: an automation fee of$6.00 will be charged
Flrst$60.50:each additional$28.50 on all permits**
Yard Pole/meter loops/pedestal x$ 80.00
Portable Geaerator(transfer equipment) X�ioo.5o For fixtures or fees not listed contact the Pernut Center at
Ditch cover/inspection only x$120.50 253-835-2607
Bulletin#100-4/21/2009 Page 3 of 4 k:\Handouts�Permit Application �