12-104866 -a
CITY OF • a �` -
Feder ay ELECTRICAL
OCT 2 4 2012 PERMIT APPLICATION
CITY OF FEDERAWAAlectrical permits may he obtained on-line at www.cityoffederalway.com**
CDS PROPERTY INFORMATION
SITE ADDRESS: '1862.0 jACIPIC 4 i'j S.) FEDERAL OwPC(, WA 9$0173
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
S1/4311-DIN C 'Z 0 - O 4- `' 0.Es VT1AL—MULTI IilltAnG
PROJECT.INFORMATIOIT
PROJECT NAME
(Tenant or Homeowner Last Name) L A M ADEFook A?A$Z I MEN"'S
NST1h1-L.1)+TION OF F rizE Ncs-'nFtcATION 51s- Y'
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PEOPLE
NAME PRIMARY PHONE
PROPERTY OWNER LA PAP DER.A PirA 1Z-r MENT S ('1-S3) SI() - SS 60
MAILING ADDRESS E-MAIL
28 6Lc ) 1PACIT-1C N.►y Sb\f I,)
CITY STATE ZIP FAX
FEDERAL v./Ay w A 18003 (2 S.1) 4)39 -
NAME PRIMARY PHONE
AL-L Jnr I�1c ( 2.06) 43S - 6100
MAILING ADDRESS E-MAIL
ELECTRICAL 3c) '34+ 5\ C14gg,1.5ST0wN s T .1E MIANibAttAisil ascr-ot-<<
CONTRACTOR CITY STATE ZIP FAX
5 eSt r )_ w A gS t26 (Z-6 )43S -6\M
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Wr. 1'WS1CK O'),- 29, /1013 2.Q-1)-I023Sq-00-81-
NAME PRIMARY PHONE
APPLICANT P L FIs KE- E L�c ,—R6 C (206 )9'35 - 610 6
MAILING ADDRESS E-MAIL
O'34 S J G\-tPiRASSTpW N S`) JErEMIAN@t. A1.LWIttEEL TI.K.
CITY STATE ZIP FAX c.C)M
SPITL \JA 1S\2 (2_06) 93s - 4- ZO
NAME PRIMARY PHONE
PROJECT CONTACT 3gi(. ...Mits, \ isIZPSV N 57E1 N ( 206) `73s' 610 C)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental 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 claim),which may be made by any person,including the undersigned,and filed against the city,
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.
SIGNATURE: KSS DATE O/2,V)26 t Z.
PRINT NAME: 1.1\Ki S L\) C 1 S
33325 86 Avenue South•Federal Way 1 WA•98003-6325•253-835-2607♦fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160—January 1,2011 Page 1 of 2 k:AHandouts\Electrical Permit Application
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet I°t Service/Feeder Additional Feeders
(including attached garage): 0- 100 amp x$132.50 x$ 80.50
FEES: First 1300 ft2-$122.00; 101- 200 amp x$164.00 x$103.50
Each additional 500 ft2-$39.00
NEW MULTIFAMILY (3 units or more) 401- 600 amp x$358.00 x$143.50
1 Service/Feeder Additional Feeders
201- 400 amp x$307.00 x$121.00
601- 800 amp x$463.00 x$196.00
0- 200 amp x $132.50 -x $ 39.00 801-1000 amp x$565.00 x$236.50
201 -400 amp -x $164.00 x $ 80.50 Over 1000 amp x$616.00 x$328.50
401 -600 amp x $224.00 x $111.50
601 -800 amp x $287.00 x $153.50 Over 600 volts surcharge x$103.50
Over 800 amp x $410.50 x $307.00
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
l' Service/Feeder 14,Service/Feeder Additional Feeders
0- 200 amp x $101.00 0- 200 amp x$132.50 x$103.50
201 -600 amp x $164.00 201- 600 amp x$307.00 x$121.00
Over 600 amp x $246.50 601- 1000 amp x$463.00 x$196.00
Over 1000 amp x$515.50 x$328.50
Added or Altered Circuits
1-4 circuits$80.50;each additional$8.00 Added or Altered Circuits
1-5 circuits$103.50;each additional$8.00
Mast or meter repair $60.50
Mast or meter repair $111.50
MANUFACTURED HOMES PLAN REVIEW FEES
Service or feeder only x $ 80.50 Plan Review required only for:
Service and feeder x $132.50 • New,or alteration to,service of 1,000 amps or greater
• Medical/Educational/Institutional Facility
$103.50 plus 35%of Permit Fee
(Permit Fee x 35%= +$103.50=Plan Review Fee)
Plan review for modified submittals $105.50/hour
MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
.Fire Alarm System
1s,Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling 0- 60 amp x $ 71.00 x $ 32.00
❑ Other 61- 100 amp x $ 80.50 x $ 39.00
Area to be served by system: )4,000 5p
I.2.500 ft2-$71.00;each additional 2.500 ft2-$18.50 101-200 amp x $103.50 x $ 51.00
201-400 amp x $121.00 x $ 60.50
#of Thermostats 401-600 amp x $164.00 x $ 80.50
First$60.50;each additional$18.50
Over 600 amp x $184.50 x $ 92.00
FEE CALCULATIONS
Yard Pole/meter loops/pedestal x$ 80.50
• Fees are determined by the scope of work as indicated.
Portable Generator(transfer equipment) x$101.00 • A$6.00 Automation Fee will be added to all permits.
Ditch cover/inspection only x$121.00 • For assistance in calculating fees or completing the
application form,contact the Permit Center at
253-835-2607
33325 8'"Avenue South•Federal Way•WA♦98003-6325•253-835-2607•fax:253-835-2609•www.cityoffederalway.com
Bulletin#160-January I,2011 Page 2 of 2 k:\Handouts\Electrical Permit Application
111 Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 12-104866-00-EL
33325 8th Ave(2:583)735
S
Federal Way,WA 98003 Inspection Request Line: 253
Ph:(253)835-2607 Fax:(253)835-2609 p q � )835-3050
Project Name: LA MADERA APARTMENTS
Project Address: 28620 PACIFIC HWY S Bldg C Parcel Number: 332204 9042
Project Description: Installation of fire notification alarm system
Owner Applicant Contractor
INSITE LA MADERA LLC ALL WIRE ELECTRIC ALL WIRE ELECTRIC
1316 CAMINO RIO VERDE 3034 SW CHARLESTOWN ALLWIWE961CK(2/12/14)
SANTA BARBARA CA 93111 SEATTLE WA 98126 3034 SW CHARLESTOWN
SEATTLE WA 98126
Additional Permit Informator
ion
Is Use Educational or Institutional No Service greater than 999 Amps? No
Electrical Fixtures
Low Voltage-Fire Alarm(Comm( 1
PERMIT EXPIRES Monday, April 22, 2013
Permit Issued on Wednesday, October 24, 2012
I hereby certify that the above information is correct and that the construction 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 City of Federal Way.
� .. I fl/. /1z
Owner or agent: �I�V��. Date:
THIS CARD IS TO REMAIN ON-SITE
CITY OF
.. -,. ..:. Construction I ection Record s
Federal Way �
INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-104866-00-EL Address: 28620 PACIFIC HWY S Bldg C
Project: INSITE LA MADERA LLC FEDERAL WAY, WA 98003-9231
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 UFER Ground4295
( ) ❑ Ditch cover(4030). 0 Slab/Concrete Floor(4255)
Approved Approved
Approved to place concrete
By Date By Date
By Date
❑ Pool Bonding(4195)
o
Temprary Power(4275)
Approved El Service(4235)
Approved
0 Approved
By Date By Date
BY Date
❑ Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved
Approved
By Date By Date
By Date
❑ Final-Electrical(4055)
Approved
Date
By L' -- C1—ki,-t,L
El Rough Electrical
Approved ElFinal Electrical 11 ElRight of Way
Approved
Approved
By Date By Date
BY Date