11-104757V I .*
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: MASTER SHON'S TAEKWONDO
Project Address: 1033 S 320TH ST
Project Description: Alteration of circuit for troffers and strip lighting.
9 Electrical
Permit #: 11- 104757 -00 -EL
Inspection Request Line: (253) 835 -3050
Parcel Number: 172104 9081
Ow e
Applicant
Contractor
CJ SHON LLC
EMERALD ELECTRIC NW
EMERALD ELECTRIC NW
4001 36TH ST NE
9830 220TH PL SE
EMERAEN902DT (3/30/12)
TACOMA, WA 98422
SNOHOMISH WA 98296
9830 220TH PL SE
SNOHOMISH WA 98296
Is Use Educational or Institutional ? ....................... NO Service greater than 999 Amps? ............................. No
Circuits - Commercial .................... 1
PERMIT EXPIRES Thursday, November 29, 2012
Permit Issued on Wednesday, November 30, 2011
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
11-� a_Rd the City of Federal Way.
Owner or agent:
Date: 0
J�' :,� I Z,(057/11
CRY OF ViAh_�
Federal Way
THIS CARD IS TO EMAIN ON -SITE
Construction I ection Record
INSPECTION REQUE TS: (253) 835 -3050
IT
PERMIT #: 11- 104757 -00 -EL Address: 1033 S 320TH ST
Project: CJ SHON LLC FEDERAL WAY, WA 98003 -5300
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.
E]
UFER Ground (4295)
0
Ditch cover (4030)
Temporary Power (4275)
Slab /Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
E]
Pool Bonding (4195)
E
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Rough Electrical (4225)
Ceiling Cover (4020)
Feeders /Sub - panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date yt ►_ �l
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
�I11 0 / -f�� �
CITY OF _
Federal Way ELECTRICAL RECEIVED
PERMIT APPLICATION NOV 30 ;
"Most eleclri�ennits may be obtained on-line at www.ei !".0117, rl N
1 J /
SUITE/UNIT/SPACE # I
ASSESSOWS TAX/PARCEL # CURRENT/PROPOSED
PROJECT NAME
(Tenant or Homeowner Last Name) w Gl K0 tom.
PROJECT DESCRIPTION (/ .yc �. o �. , I- c
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
( )
MAILING ADDRESS
E -MAIL
CITY
STATE
I ZIP
// FAX
l � -
ELECTRICAL
CONTRACTOR
NAME
�v, ^r-�l� /�� '(,,, e- A✓c,✓
PRIMARY PHONE
(�Ls y(&- 10o
MAILING ADDRESS
E -MAIL
CITY
1� r'-o40 w
STAT
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE
�6� -e r-a. C' �r 617- p'7'' �j / Z V t
FEDERAL WAY BUSINESS LICENSE M
APPLICANT
NAME
PRIMARY PHONE
(
MAILING ADDRESS
E -MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
PRIMARY PHONE
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 of this application.
SIGNATURE: // DATE
PRINT N @ C OS Tz O
33325 8" Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com
Bulletin #160 — January 1, 2011 Page 1 of 2 k:\Handouts \Electrical Permit Application
.tir,
NEW SINGLE FAMILY RESIDENCE
Total Square Feet
(including attached garage):
FEES: First 1300 ft2 - $122.00;
Each additional 500 ft2 - $39.00
NEW MULTIFAMILY (3 units or more)
ALTERED SINGLE or MULTI FAMILY
1S1 Service /Feeder
1:00
20 i 600 amp - x $164.00
Added or Altered Circuits
1 -4 circuits $80.50; each additional $8.00
Mast or meter repair $60.50
MANUFACTURED HOMES
Service arfeeder.only-, x $ "'80.50
"a`feeclr, s ...$E32.51?
NEW COMMERCIAL
1St Service /Feeder Additional Feeders
101 200 amp x $164,00 x $103.50
401 - 600 arrip, x4358.00 x $1,43.50
X4000
001 - 1.000 arrip; x$565:0(? ' x $236.50
Over 600 volts surchage x $103.50
ALTERED COMMERCIAL
13t Service /Feeder Additional Feeders
.� s15 1E- 103,50
196.
Over 1,E100 amp;!; x:$515:5i?. x $328',5 "()
Added or Altered Circuits
1 -5 circuits $103.50; each additional $8.00
Mast or meter repair $111.50
PLAN REVIEW FEES
Plan Review required only for:
• 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
❑ Fire Alarm System
❑ Security Alarm System
❑ Voice /Data Cabling
❑ Other
Area to be served by system:
1st 2,500 ft2- $71.00; each additional 2,500 ft2 - $18.50
# of Thermostats
First $60.50; each additional $18.50
Yard Pole /meter loops /pedestal x $ 80.50
Portable Generator (transfer equipment) x $101.00
Ditch cover/ inspection only x $121.00
TEMPORARY SERVICE
11t Service /Feeder Additional Feeders
FEE CALCULATIONS
• Fees are determined by the scope of work as indicated.
• A $6.00 Automation Fee will be added to all permits.
• For assistance in calculating fees or completing the
application form, contact the Permit Center at
253- 835 -2607
33325 8h Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 1 fax: 253- 835 -2609 ♦ www.cityoffederalway.com
Bulletin #160 - January 1, 2011 Page 2 of 2 k:\Handouts \Electrical Permit Application .