08-102138A 16
City of Federal Way
Community Development Services Electrical Peri #: 08- 102138 -00 -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: QWEST DSL SITE
Project Address: 33015 1ST AVE St, " Parcel Number: 182104 9035
Project Description: 100amp service for QWEST DSL site. Site is on the SW corner of 330TH and 1ST Ave S
Owner
Applicant
Contractor
PROMETHEUS REAL ESTATE GROUP
KEN BOBKO ELECTRIC CO INC
KEN BOBKO ELECTRIC CO INC
1900 S NORFOLK ST #150
PO BOX 7009
KENBOECO66BA 1/1/10
SAN MATEO CA
TACOMA WA 98406 -0009
PO BOX 7009
94403 -1161
TACOMA WA 98406 -0009
Additional Permit Information
Service greater than 1000 Amps ? ...........................No
Electrical Fixtures
0 -100 amps - 94 „ A
IT EXPIRES, onday, April 27, 20
hereby de" tti ;above orm2
the occugar'`tL .� " e_use A be in
Owner or
• THIS CARD IS TO AIN ON -SITE ..., .
CITY OF flommunity Developm tt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 102138 -00 -EL
Owner: PROMETHEUS REAL ESTATE GROUP
Address: 33015 1 STAVES
FEDERAL WAY, WA 98003 -6363
This card is part of your required inspection documents. 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 `>' - 7 -CS �'
By
Date
❑
❑
—
❑ Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
Approved
Approved
Approved
By Date
By
Date
By
Date 7"
❑
❑ 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 -T '.'�-" G
For insp ector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
Cffy or
Fem 6 E C V E R M I T SF MF CO ME /� PL DE EN FP
COMMUNTYDEVELOPMENT SERVICES &
33325 8TMW WA SOUTH • PO BOX 97 4 2 2
83 � p p LI C AT I O �T
FBDBRAL WAY, WA 98063 -9718 I
253.5 -2607• FAX 253.835 -2609 AY [D
wuw.dtuo/(r w
The fo Ito wtCCnoll yre q= i �- W jWffiplete application will not be accepted. Please print lel ibty (in ink) or type.
SITE ADDRESS 3 3 O1�N
m
ASSESSOR'S TAX /PARCEL # j— 2 _� (') 4 - ( D 3
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(ASuch -p—ts pVvj1w 1mVft kVd do -*dwy
PROJECT •• •
LOT SIZE (sj)
TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITIONXELECTRICAL ❑ ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Pro ' e detailed scription of work included on this vg" only)
;
100 14k" ry e
SU/ (o►� 0 O e4vt S
PROJECT NAME (Name of Business or Owner
PROPERTY
APPLICANT NAME
N
PRIMARY PHONE
OWNER
,STATE, ZIP
013 X-S
0
-
MAILING ADDRESS
CITY, STATE, ZIP
E -MAIL ADDRESS
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
% OMPANY NAME
1 0
APPLICANT NAME
APPLICANT NAME
O CE PHONE
Z) _o
j INO A DRESS
,STATE, ZIP
CELL PHONE
0
-
CCTV OFF ERAL WAY BUSIN LICENSE NUMBER
TION ATE
FAX NUMBER
NTRACTORW RZOMMATION NUMBER
LItA N DATE
E-MAIL ADDRESS
ken
CO M ANY E
APPLICANT NAME
OFFICE PHONE
MMUNG ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect O Tenant O Agent ❑ Other
FAX NUMBER
( ) -
N E PRIMARY PHONE _ E- MAILADDRESS
NAME
Psr RCW 1 6: 9
bender o is required ffprojoctwfue exceeds $5,000
O
CI Y, ATE, ZIP
PHONE
EXISTING ASSESSED /APPRAISED VA
SPRUOMBRED BUILDING? ❑ YES O NO
WATER SERVICZ PROVIDER O LAKEHAV�W
SEWER SERVICE PROVIDER O LAKEHAVEN
PROPOSED USE
VALUE OF PROPOSED WORK $
SYSTEM PROPOSED /REQUIRED? DYES ONO
• HIGHLINE MA ❑ PRIVATE (WELL)
• HIGHLINE ❑ PRIVATE EPTIC)
AREA DESCRIPTION
EXISTING
-S Q. FT.
I PROPOSED
S . FT.
TOTAL
Q. FT.
BASEMENT
WA CLOSETS Iroaaq
SINKS
-S
FIRST
1-4
ZONING DESIGNATION
SECOND
CHANGE OF USE?
o YES
o NO
THIRD
o YES o NO
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
o NO
PLATTED LOT?
OYES ONO
DECK (O COVERED OR O UNCOVERED?) j
DEMO PERMIT REQUIRED?
o YES
o NO
GARAGE O CARPORT O
NUMBER OF FLOORS
suarue
�OT/L
mrecsasrsrosr
rorscrsorossosr
TOTAL Sr
"NEW HOMES ONLY`* NUMBER O BEDROOMS ESTIMATE ELLING PRICE $
Indicate. number of each type of fudure to be installed or relocated as part of this project. Do include existing fo1ures to remain.
MECUAMCAL
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCL ED WITH APPLICATION)
AIR HANDLING UNITS EVAPO VE COOLERS O PE OUTLETS WOODSTOVES
BBQS FANS 8 WATER HEATERS MISC (Describe)
BOILERS FIREPLACE INSE HOODS ecm m i q
COMPRESSORS FURNACES RANGES
DUCTS. GAS LOO SETS REFRIG. SYSTEMS
BATHTUBS (or1Ub /shnaecemb.)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
1AM Mae —
KIrvALS
RAINWATER SYST
VA UUM BREAKERS
SHOWERS
WA CLOSETS Iroaaq
SINKS
WASHI O MACHINES
SUMPS
u NO
MISC (Describe)
I cerft under penalty of perjury that I can the property owner or authorised agent of the property owner. I eert� jg that to the best of mg
knowledge, tho Wormat ion submitted in support qf this permit application is true and correct. I certo that I will comply with all applicable
City of Aderal Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the issuance o this
doss not remove the owner's responsibility jar compliance with loess, state, or federal laws regulating construction or environmental laws.
I farther agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' foes incurred in the
investigation and dgfense of such ataim), w h may be made by any person, including the undersigned, and filed agatnat city, but only
where such c[aim o t of the rslian the city, including is officers and employees, upon the accuracy of the 0 ation
the city as apart pN o supp[tsd to
SIGII<A �_,o
DATE
Owner and /or Authorized Anent
o NEW o ADDITION
o ALTERATION
o REPAIR a. TENANT IMPROVEMENT
BUILDI1tG SHELL ONLY?
o YES o NO
BASIC PLAN?
o. YES
u NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP /SEPA /SU?
o YES
o NO
PLATTED LOT?
OYES ONO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin #100 — January 1, 2008 Page 2 of 4 k\Handouts\Permit Application
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ Single Family Square Feet
(First 1300 ft2- $115.50; Each addh 500 ft2- $37.00)
❑ Detached outbuilding or garage
(Inspected with service) $48.50
❑ Detached outbuilding or garage
(inspected separately) $76.50
NEW MULTI- FAMILY (three units or more)
ALTERED SINGLE /MULTI FAMILY
Service
Feeder
❑ Up to 200 amp
$125.50
$ 37.00
❑ 201 - 400 amp
155.50
76.50
❑ 401 - 600 amp
212.50
106.00
❑ 601 - 800 amp
272.00
145.50
❑ Over 800 amp
389:50
291.00
ALTERED SINGLE /MULTI FAMILY
❑ # of circuits to be added /altered
(1 -4 circuits- $76.50; Add'n circuits $7.50 /ea)
❑ Mast or meter repair $57.50
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ Service and feeder $125.50
COMMERCIAL
NEW COMMERCIAL /INDUSTRIAL SERVICE
Service or Feeder Each Add %
to 100 amp $125.50 $ 76.50
❑ 101- 200 amp 155.50 98.00
❑ 201- 400 amp 291.00 115.00
❑ 401- 600 amp 339.50 136.00
❑ 601 - 800 amp 439.00 186.00
❑ 801 - 1000 amp 536.50 224.50
❑ Over 1000 amp 584.50 311.50
❑ Over 600 volts surcharge $98.00
❑ Mast or meter repair $106.00
ALTERED COMMERCIAL/ INDUSTRIAL
Service or Feeders
❑ 0 to 200 amp $125.50
❑ 201 - 600 amp 291.00
❑ 601- 1000 amp 439.00
❑ over 1000 amp 489.00
❑ # of circuits to be added /altered
(1 -5 circuits - $98.00; Addh circuits, $7.50 /ea)
COMMERCUlWINDUSTRIAL PLAN REVIEW
$98.00 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Medical /Educational /Institutional Facility
TEMPORARY SERVICE
MOBILE HOMEIRV PARK
Service or Feeder
❑ 0 to 200 amp
$ 96.00
❑ 201 - 600 amp
155.50
❑ over 600 amp
234.00
❑ # of circuits to be added /altered
(1 -4 circuits- $76.50; Add'n circuits $7.50 /ea)
❑ Mast or meter repair $57.50
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ Service and feeder $125.50
COMMERCIAL
NEW COMMERCIAL /INDUSTRIAL SERVICE
Service or Feeder Each Add %
to 100 amp $125.50 $ 76.50
❑ 101- 200 amp 155.50 98.00
❑ 201- 400 amp 291.00 115.00
❑ 401- 600 amp 339.50 136.00
❑ 601 - 800 amp 439.00 186.00
❑ 801 - 1000 amp 536.50 224.50
❑ Over 1000 amp 584.50 311.50
❑ Over 600 volts surcharge $98.00
❑ Mast or meter repair $106.00
ALTERED COMMERCIAL/ INDUSTRIAL
Service or Feeders
❑ 0 to 200 amp $125.50
❑ 201 - 600 amp 291.00
❑ 601- 1000 amp 439.00
❑ over 1000 amp 489.00
❑ # of circuits to be added /altered
(1 -5 circuits - $98.00; Addh circuits, $7.50 /ea)
COMMERCUlWINDUSTRIAL PLAN REVIEW
$98.00 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Medical /Educational /Institutional Facility
TEMPORARY SERVICE
MOBILE HOMEIRV PARK
ResidenttctWuitl- Family
$67.50
❑ # of service or feeders
(First service /feeder- $76.50; each addh - $50.00)
ContmereiaWndustrial Service or Feeder AnUnwity
❑ 0 -100 amps
$ 76.50
❑ 101- 200 amps
98.00
❑ 201 - 400 amps
115.00
❑ 401 - 600 amps
155.50
❑ over 600 amps
168.00
MISCELLANEOUS SERVICE /EQUIPMENT
❑ # of Thermostats
(First - $57.50; add'n- $17.50/ea)
❑ Low Voltage
Square Feet to be served by system(e)
❑ Fire Alarm system
❑ security Alarm system
❑ Voice Cabling
❑ Data Cabling
1N 2500 it2- $67.50;
Each addh 2500 ft2 - $17.50) • Per WAc 296646-97oRb)# & ii)
❑ # of signs
(First sign- $57.50; add'n sign $27.00 /ea)
❑ Swimming pool /hot tub ................
(Includes additional circuit, if required)
❑ Yard Pole meter loops .....................
❑ Additional Plan Review
(for modified submittals)
❑ Automation Fee on all Permits ..
$115.00
$76.50
$115.00 /hour
$5.50
Bulletin #100 - January 1, 2008 Page 3 of 4 WiandoutsTermit Application