10-105186City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Electi-ical
Permit #: 10-105186-00-EL
Inspection Request Line: (253) 835-3050
Project Name: 1ST AVENUE S @ PANTHER LAKE ELEMENTARY- PHOTO ENFORCEMENT
Project Address: Parcel Number: CITY WIDE
Project Description: Rerouting of some U/G conduit and wiring for photo enforcement cameras in school zone.
Owner
Applicant
Contractor
CITY RIGHT-OF-WAY
SIGNAL ELECTRIC INC
SIGNAL ELECTRIC INC
PO BOX 6209
SIGNAEI325K8 (7/31/11)
KENT WA 98064-6209
PO BOX 6209
KENT WA 98064-6209
Additional Permit Information
Is Use Educational or Institutional? ....................... No Service greater than 999 Amps? ............... .............. No
Electrical Fixtures
Circuits - Commercial.... .... ........... 1
PERMIT EXPIRES Wednesday, December 14, 2011
Permit Issued on Tuesday, December 14, 2010
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.
Owner or agent: ����'VJ�� i'��,��-- Date: I.; AL ;.l
CITY Of
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Ins fiction Record
INSPECTION REQUATS: (253) 835-3050
PERMIT #:
Project:
10-105186-00-EL Address:
CITY RIGHT-OF-WAY FEDERAL WAY, WA
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)
Rough Electrical (4225)
Approved
Approved
Approved
By Date
By Date
By Date
_k 5 rt
Final - Electrical (4055)
Approved
By c, Date 2 y
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
1:1Approved
By
Date
By
Date
By Date
CITY OF
FG' \/ED
ELECTRICAL
nFC 4'OPERMIT APPLICATION
DEPAL "Al
* lectrical permits may be obtained on-line atwww.cit n ederalway.com**
PROPERTY IN FORMATION
SITE ADDRESS: I A -\I F '5 (93 P n n! ER LA �4,E Fu E M F- JT RF,1
SUITE/UNIT/SPACE #
ASSESSOR'S TAR/PARCEL #
CURRENT/PROPOSED USE
PROJECT INFORMATION
PROJECT NAME
(Tenant or Homeowner Last Name)
}} n /�
1y� A,VE c-;' ("Tr+F (V - TG INr{�
P! j- , :— _ zo C
( f r r7Q N 1 r , �- f?�-p{} C i
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
F— 0 F &RICINIrIfXtkCONDU
1 i M" V- -
f }5T(N6 CCUT-
PEOPLE
PROPERTY OWNER
NAME y n
C I I" P i CT'�' l— Q F-
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
CITY STATE
ZIP
FAX
NAME
PRIMARY PHONE
ELECTRICAL
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
7 l C17NA ET") , l� ?/ 3) If I
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
_
PRIMARY PHONE
?�) �4rc - 7Y7 %
MAILING ADDRESS
Pn
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
/� CG IkYI' i A
PRIMARY PHONE
;=��� �r� - 7177
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 apart of this application.
SIGNATURE: ��1-� r fr ry BATE 1
PRINT NAME:
33325 81h Avenue South ♦ PO Box 9718 ♦ Federal Way ♦ WA ♦ 98063-9718 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin # 160 — April 9, 2010 Page 1 of 2 k:\Handouts\Electrical Permit Application
RESIDENTIAi.
COMMERCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL,
Total Square Feet
(including attached garage):
111 Service/Feeder Additional Feeders
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
201 - 400 amp x $307.00 x $121.00
NEW MULTIFAMILY (3 units or more)
401 - 600 amp x $358.00 x $143.50
1st Service/Feeder Additional Feeders
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 COMMERCIAL
ALTERED SINGLE or MULTI FAMILY
111 Service/Feeder
1st 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
❑ Security Alarm System
1st Service/Feeder Additional Feeders
❑ Voice/Data Cabling
0 - 60 amp x $ 71.00 x $ 32.00
❑ Other
Area to be served by system:
61 - 100 amp x $ 80.50 x $ 39.00
lst 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
First $60.50; each additional $18.50
401 - 600 amp x $164.00 x $ 80.50
Over 600 amp x $184.50 x $ 92.00
FEE CALCULATIONS
# of Signs
First $60.50; each additional $28.50
. Fees are determined by the scope of work as indicated.
Yard Pole/meter loops/pedestal x $ 80.50
• A $6.00 Automation Fee will be added to all permits.
Portable Generator (transfer equipment) x $101.00
• For assistance in calculating fees or completing the
application form, contact the Permit Center at
Ditch cover/inspection only x $121.00
253-835-2607
33325 8'h Avenue South ♦ PO Box 9718 ♦ Federal Way ♦ WA ♦ 98063-9718 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin # 160 - April 9, 2010 Page 2 of 2 k:\Handouts\Electrical Permit Application