12-101098City 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: KING COUNTY AQUATIC CENTER
Project Address: 650 SW CAMPUS DR
i flectocal
Permit #: 12- 101098 -00 -EL
Inspection Request Line: (253) 835 -3050
Parcel Number: 192104 9003
Project Description: Install (1) circuit for temporary portable hot tub to be used for swim meet
Owner
Applican
Contractor
CITY OF FEDERAL WAY
KING COUNTY
KING COUNTY
33325 8TH AVE S
3005 4TH AVE S
3005 4TH AVE S
FEDERAL WAY WA 98023
RENTON WA 98055
RENTON WA 98055
Additional Permit Information
Is Use Educational or Institutional ? ....................... No Service greater than 999 Amps? ............................ No
Electrical Fixtures
Circuits - Commercial. ................... 1
PERMIT EXPIRES Wednesday, September 5, 2012
Permit Issued on Friday, March 9, 2012
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
.,- i . ,, and the City of Federal Way.
Owner or agent: Date: 3 /1? IZo /L
THIS CARD IS TO MAIN ON -SITE
OF'4A Construction I ection Record
Federal Way INSPECTION REQ TS: (253) 835 -3050
PERMIT #: 12- 101098 -00 -EL Address: 650 SW CAMPUS DR
Project: CITY OF FEDERAL WAY FEDERAL WAY, WA 98023 -8425
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)
Final Electrical
Approved
Slab /Concrete Floor (4255)
Service (4235)
Approved
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Temporary Power (4275)
Final Electrical
Approved
Service (4235)
Right of Way
Approved
Approved
Date
Approved
By
Date
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
Rough Electrical
Approved
Final Electrical
Approved
11
Right of Way
Approved
By
Date
By
Date
By
Date
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 a part of this application.
SIGNATURE:
PRINT NAME:
3% 9 /L° /-)-
33325 8'h Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www_cityoffederaiway.com
Bulletin #160 — January 1, 2011 Page I of 2 k:\Handouts \Electrical Permit Application
CITY OF
Federal Way
ELEC'T'RICAL
RECEIVED
PERMIT APPLICATION MAC n 9 f
"Most electrical permits maybe obtained on -line at www.citvo a)Q1FV ERAL WAY
WKCkL.
SITE ADDRESS:
695.0
u5 in'. Fes�ieJw` w a, 0
— 2
SUITE /UNIT /SPACE #
ASSESSOR'S TAX /PARCEL #
j_
CURRENT /PROPOSED USE
h,u,J..Ls e-e-.kc,r•
PROJECT NAME
(Tenant or Homeowner Gast Name)
\A) (� � (, �C C ,A �U
PROJECT DESCRIPTION
�K ( TY. L ` o.r
1
TG.I/� AY ♦ O 1 ,1
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
K:� �o,A �.
( _Z C6 ) bole - 6,&O
MAILING ADDRESS
EMAIL
I- co
ZC'` S wn `. Y
M k
/
itA\ �. DI.
CITY
STATE
ZIP
FAX
Sex, k }(C-
w
( ) -
NAME JL�
PRIMARY PHONE
MAILING ADDRESS
E -MAIL
ELECTRICAL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME .�"'
- AM
PRIMARY PHONE
MAILING ADDRESS
E -MAIL
CITY
STATE
ZIP
FAX
( )
PROJECT CONTACT
NAME
o,t.
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 a part of this application.
SIGNATURE:
PRINT NAME:
3% 9 /L° /-)-
33325 8'h Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www_cityoffederaiway.com
Bulletin #160 — January 1, 2011 Page I 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 - $39.00
NEW MULTIFAMILY (3 units or more)
ALTERED SINGLE or MULTI FAMILY
f' •
NEW COMMERCIAL
1-1 Service /Feeder
Additional Feeders
0 ,' "2Q0 ainp
x'$'132,50
x ,$ 39:00
201 -:400 amp
x $164.00
x $'80.50
401 '= 600 -.,ip
x,,$2 4b6 . "
. x $114'.50
601 - 800 amp.
-- x $287.00
- x $153.50
Over 800 strip a
x ; $4 10 SO -
X .$307:00
ALTERED SINGLE or MULTI FAMILY
f' •
NEW COMMERCIAL
Over 600 volts surcharge' x $103.50
ALTERED COMMERCIAL
151 Service /Feeder
Additional Feeders
Q 1013 amp
I,' Service /Feeder
x $ .8050
101 - 200 amp
x $164.00 `
x $103.50
241 - ",4041 amp ;
" x:$307.00
x $121.00
401 - '600 amp
x $358.00
x $143.50
601 7,800 amp -
x $463:00
x $196.00
801 - 1000 amp
x $565 -00
x $236.50
Over, 1000 amp < °
,X $646:00
X$328.50
Over 600 volts surcharge' x $103.50
ALTERED COMMERCIAL
Added or Altered Circuits
1 -4 circuits $80.50; each additional $8.00
Mast or meter repair $60.50
MANUFACTURED HOMES
Service or feeder only x $ 80.50
Servic,� and feeder . '- `, x" "$13.50
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 /EOUIPMENT I
LOW VOLTAGE
❑ Fire Alarm System
❑ Security Alarm System
❑ Voice/ Data Cabling
❑ Other
Area to be served by system:
1-1 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
1- 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 8" Avenue South 1 Fedefal Way ♦ WA ♦ 98003 -6325 1253 -835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com
Bulletin # 160 - January 1, 2011 Page 2 of 2 k: l-iandoutsUectricai Permit Application
111 Service /Feeder
I,' Service /Feeder
Additional Feeders
0 _ .2QO,artip,
q 1010(3
0 - 200 amp
x:$132.50
x;$103.50
201 - 6QO amp
x $164.00
201- 600 amp
x $307.00
x $121.00
;$24 r $0
001" ,1009 ,, .
x: , QQ, >
t}irer:,1E100 amp -',
x5 50
x-$328:50
Added or Altered Circuits
1 -4 circuits $80.50; each additional $8.00
Mast or meter repair $60.50
MANUFACTURED HOMES
Service or feeder only x $ 80.50
Servic,� and feeder . '- `, x" "$13.50
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 /EOUIPMENT I
LOW VOLTAGE
❑ Fire Alarm System
❑ Security Alarm System
❑ Voice/ Data Cabling
❑ Other
Area to be served by system:
1-1 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
1- 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 8" Avenue South 1 Fedefal Way ♦ WA ♦ 98003 -6325 1253 -835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com
Bulletin # 160 - January 1, 2011 Page 2 of 2 k: l-iandoutsUectricai Permit Application