10-104554City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Ele,itrieal
Pert -nit #: 10-104554-00-EL
Inspection Request Line: (253) 835-3050
7°Y7
Project Name: 1ST AVENUE S @ PANTHER LAKE ELEMENTARY- PHOTO ENFORCEMENT
Project Address: Parcel Number: CITY WIDE
Project Description: Installation of photo enforcement cameras in school zone. Install cameras, wire, conduit, 2
camera poles and loops.
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
CONDITIONS:
* *UL SPEC LISTING TO BE ON SITE AT TIME OF INSPECTION*
PERMIT EXPIRES Thursday, October 27, 2011
Permit Issued on Wednesday, October 27, 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: I Date:
FINALED 11 /IF /10
CITY OF
Federal Way
PERMIT #:
Project:
-� THIS CARD IS TO RVI�AIN ON -SITE
Construction Ins ection. Record
INSPECTION REQULSTS: (253) 835-3050
10-104554-00-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.
LIFER Ground (4295)
Ditch cover (4030)
Slabl oncrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
(;4,:d Date I /,-� 1v
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 f�
❑
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
DATE INSPECTOR" AREA AND TYPE OFTINSPECTION
//I All Av
'A CITY OF
Federal Way ELECTRICAL RECEIVE®
PERMIT APPLICATION OCT 2 7 Z010
*Most electrical pennits n2a}> be obtained on-line at www.i iVffe40fR1fVERER-AL WAY
PROPERTY INFORMATIONCDs—
_
SITE ADDRESS: / i /EIS 43
1 -5—'V c S . AT-
SUITE/UNIT/SPACE # ASSESSOR'S TAX/PARCEL
,^#
1 ` � /
CURRENT/PROPOSED USE
Y V
PROJECT INFORMATION
PROJECT NAME
(Tenant or Homeowner Last Name)
[W CAA1
INS I—L- 2— C'
r C S'27E7
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
mo 5
PEOPLE
NAME
PRIMARY PHONE
PROPERTY OWNER
AU}.H C 5 s7Z
(Z3 3) 93S- 27 LS
MAULING ADDRESS
91", Avc S.
E-MAIL
3332
FAX
CITY STATE I ZIP
NAME
PRIMARY PHONE
MAILING ADDRESS
(o o ( 3 r? o) ✓ c S . � B U� (� ZO67
E-MAIL
ELECTRICAL
J.
CONTRACTOR
CITY
&/V %
STATE
I W 14 .
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
GNA E I Zip$ 7 131 / /1
FEDERAL WAY BUSINESS LICENSE #
11-
-SI
f- U 7 2 2 ELr-,
NAME
❑
PLC C
rA-
PRIMARY PHONE
(2�-3)Q %2 - 7/
APPLICANT
MAILING ADDRESS
5
E-MAIL
toot 3
U li . P6 2 d 1
PicCis/r_.-� ,ffz
CITY
t
STATE I ZIP
14VA
I.
(2-0) 34S - 6 SS- 6
PROJECT CONTACT
NAME
l C— Ax-i 4
PRIMARY PHONE
(25-3 ),P 72 7
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:
PRINT NAME:
DATE / O ^Z% ' 6J 0
3L
33325 8" 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:\Iandouts\Electrical Permit Application
RESIDENTIAL
COMMERCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet
(including attached garage):
1s' 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
111 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 SINGLE or MULTI FAMILY
ALTERED COMMERCIAL
is' Service/Feeder
is' 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
SERVICEIE UIPMENT
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:
1-t 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
# 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" Avenue South ♦ PO Box 9718 ♦ Federal Way ♦ WA ♦ 98063-9718 ♦ 253-835-2607 ♦ fax: 253-835-2609 1 www.cityoffederalway.com
Bulletin #160 - April 9, 2010 Page 2 of 2 Ul-landoutsTlectrical Permit Application