12-102537~ City of Federal Way •
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609 t t
Project Name: FOREST LAKE CONDOM NIUMS
Project Address: 1003 S 308TH ST
R
Electrical
Permit #: 12- 102537 -00 -EL
Inspection Request Line: (253) 835 -3050
Parcel Number: 259590 0000
Project Description: Low - voltage wiring for the installation of fire alarm system per code update requirements.
Owner
Bpnlicant
Contractor
HELEN KUBIK, TREASURER
MOUNTAIN ALARM
KELTIC TECHNOLOGIES LLC
FOREST LAKE HOME OWNERS
5911 ORCHARD ST W
KELTITL923N9 (8/29/12)
ASSOCIATION
TACOMA WA 98467
1628 SUNSET AVE SW
1003 S 308TH ST UNIT 33
SEATTLE WA 98116
FEDERAL WAY, WA 98003
Additional Permit Information
Is Use Educational or Institutional ? .......................No
Electrical Fixtures
Low Voltage - Fire Alarm (Commt 1
Service greater than 999 Amps? .............................No
PERMIT EXPIRES Sunday, December 2, 2012
Per it Issued on Tuesday, June 12, 2012
I hereby certify th t the ove i form n is correct and that the construction on the above descri ed property and
the occupancy a the se wil be in cordance with the laws, rules and regulations of th Stat f Washington
and the City of Federal Way. D`
Owner or agent: Date:
1.
CITY OF VA�
Federal Way
PERMIT #:
Project:
• THIS CARD IS TO rTS:�((253) ON -SITE
Construction In Record `
INSPECTION REQU 835 -3050
12- 102537 -00 -EL Address: 1003 S 308TH ST
HELEN KUBIK, TREASURER FEDERAL WAY, WA 98003 -4752
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 Ground (4295)
Ditch cover (4030)
Temporary Power (4275)
Slab /Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Ceiling Cover (4020)
Rough Electrical (4225)
0
Feeders /Sub - panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By e Date c;�
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal
ey
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ELECTRICAL
PERMIT APPLICATION
be obtained on -line at www.
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PROJECT NAME
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(Tenant or Homeowner Last Name)
will'
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PROJECT
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be on this permit only
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PROPERTY OWNER
MEMO=
ELECTRICAL
CONTRACTOR
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APPLICANT
PROJECT CONTACT
NAM ,\ W1(_
MAILING ADDRESS
CITY
SSA
WA STATE CONTRACTOR'S LICENSE M
NAME \� (
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FAX
FEDERAL WAY BUSINESS
E-MAIL
FAX
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I certify under penalty of perjury that 1 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 cl arises out of the reliance of the city, including its officers and employees, Tn T accuracy of the
information supplied tot city as of is application. SIGNATURE: DATE
PRINT NAME:
M
33325 8t' Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 1 fax: 253- 835 -2609 ♦ www.cityoffederalway.com
Bulletin #160 –January 1, 2011 Page 1 of 2 k: \Handouts \Electrical Permit Application
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)
Is, Service /Feeder Additional Feeders
..3g.10
400 amp . x $164.00, x $ 80.50
601 J 00"100-:r
.iT.X�cwl'Sa,'.�'f'"%
ALTERED SINGLE or MULTI FAMILY
1,t Service /}Feeder
fi,...?t
201_'- 600 arnp x'$164.00
ie OQO artlp , . ,$246.50
Added or Altered Circuits .
1 -4 circuits $80.50; each additional $8.00
Mast or meter repair $60.50
MANUFACTURED HOMES
Service or %cler.only, x $ " 80.50
wry anel feed .' x , °A�13250
NEW COMMERCIAL
Is, Service /Feeder Additional Feeders
a 100'ipi
101 - 200 atop x $164.00 x $103.50
*01,-- 600,amp x-$3!58.00 x $143.50
801 - 1000 amp . , ' x,$565.00 x $236.50
:(}war L 1,000 Apr , ''$
0ver 600 volts surcharge' : ; $103.50 11
ALTERED COMMERCL41
1.1 Service /Feeder Additional Feeders
0, ',OEI pinl>s$ ;:$103:50
201 - 600 amp x $307.00: x $121.00
Over 10430 amp : ', x $51'5.50 x $328.50
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 I
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 ft' -- $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
Is, Service /Feeder Additional Feeders
Fit - 100 amp x $ 80.50 39.00
201 7'7 400 amp .L> x $121.00 $ 60.50
Over 600 ;amp 'zc' $184.50` $ 9 200 .
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 e Avenue South ♦ Federal Way ♦ WA # 98003 -6325 4 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com
Bulletin #160- January 1, 2011 Page 2 oft k: \Handouts\Electrical Permit Application