08-103471City D velopm ntS Electrical PermiO: 08- 103471 -00 -EL
Community Development Services
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: 952 SW CAMPUS DR Parcel Number: 192104 9047
Project Description: Service installation at the corner of SW Campus Dr and entrance into Glen Park at West
Campus
Owner
Applicant
Contractor
BEAR CAPITAL JOINT VENTUR
KEN BOBKO ELECTRIC CO INC
KEN BOBKO ELECTRIC CO INC
QWEST
PO BOX 7009
KENBOECO66BA (1 /1 /l0)
1005 17TH ST ROOM 1570
TACOMA WA 98406 -0009
PO BOX 7009
DENVER CO 80202
TACOMA WA 98406 -0009
Additional hermit Information
Service greater than 1000 Amps ? ...........................No
Electrical Fixtures
New Servi c * eeder: 0 - 100 amps 1
CONDITIONS:
This parcel is located within a Wellhead Protection Area (Capture Zone 1) and must comply with FWCC,
Chapter 22, Article XIV "Critical Areas" and fill out a Hazardous Materials Inventory Statement, if
applicable.
PERMIT EXPIRES Tuesday, July 21, 2009
Permit Issued on Monday, July 21, 2008
I hereby certify that the a informati9p is correct rd that the construction on the above described property and
the occupancy and us ill be in cord e h the 1 s, rules an regulations of the State ash' ton
t City of eral
Owner or agent: Date: f
fin,ALE'
i
0 d
TINS CARD IS TO REMAIN ON -SITE
CITY OF � Vommunity DevelopmAt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 103471 -00 -EL
Owner:
Address: 952 SW CAMPUS DR
FEDERAL WAY, WA 98023 -5056
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
?l L &I �
Approved
Approved to place concrete
By V Date r-*, 2z_
By
Date rl _ O g
By
Date
❑
❑
_
❑ Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
Approved
Approved
Approved
By Date
By
Date
By
Datee7l
❑
❑
❑ Feeders /Sub - panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By Date
By
Date
By
Date
❑ Final - Electrical (4055)
Approved
B Date
i
For inspector reference only _
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date I
I
GIY OF
' CEIIDERMIT
COYAWMI Y AMrVBLOPAI /BM' SBR
3994S V AVRM A SOUI71 • PO BOX 9718
PEDBRAL WAY, WA 98089.9718
453495.2607• PAX 259435.4609 JUL 2 1 P L I C A T I O N
tauna.dtunifedemlmau com
0
*R"'
SF MF CO M ELL DE EN FP
The fo Ito win0j f6f i R A LU, WAW fete application will not be accepted. Please print legibly (in ink j or type.
SITE ADDRESS SUITE /UNIT
ASSESSOR'S TAX /PARCEL 0 — — — — — — — — — LOT SIZE (sjj
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
PROJECT •• •
TYPE OF PERMIT (3 BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION)11�LECTRICAL ❑ ENGINEERING ❑ I= PREVENTION SYSTEM
PROJECTAESCRIPTION-0oWde detailedjdescnption o work &," -d on this permit oniu)
PROJECT NAME (Name of Business or Owner Last Namel ( ovr
PEOPLE •• •
PROPERTY
OWNER
e3t - .
PRIMARY PHONE
( _
OFFICE PHONE
-
MAILING ADD 95t,.,
11
STATE, Zip
e ve< 0'm0%
E -MAN ADDRPM
CONTRACTOR
,y
APPLICANT
PROJECT
CONTACT
LENDER
OMPANY NAME
PLICANT AM
OFFICE PHONE
OFFICE PHONE
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
_WN D
IVO
, STAY ,
_ ` _
(wrnv
CELL PHONE -
UITY F FEDERAL WAY BUSINESS uCENSE NUMBER
RA
N DATE
FAX NUMBER
-0
-
N11tAOTOR'8 RPAIBTRATION NLJMBiR .--
=14tATIM
DATE
F RAIL ADDRzw
$A
-=,�Ola
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
CITY, STATE, ZIP
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect O Tenant O Agent ❑ Other
INAME PRIMARY PHONE - E-MAIL ADDRESS
EXISTING USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE VALUE OF PROPOSED WORK t�
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUD2ED? a YES a NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
Per It= 19.27.0.95.
Lender ir{formation is required;fproject value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
( 1 -
EXISTING USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE VALUE OF PROPOSED WORK t�
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUD2ED? a YES a NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
BASEMENT
EXISTING
8 . FT.
1 PROPOSED
S . FT.
TOTAL
8 . FT.
FIRST
a YES a NO
BASIC PLAN?
SECOND
o NO
ZONING DESIGNATION
THIRD
CHANGE OF USE?
a YES
a NO
ADDITIONAL FLOORS (DESCRIBE)
a YES a NO
UP /SEPA /SU?
DECK (❑ COVERED OR ❑ UNCOVERED ?)
a NO
PLATTED LOT?
a YES a NO
GARAGE ❑ CARPORT ❑
DEMO PERMIT REQUIRED?
a YES
a NO
NUMBER OF FLOORS
°
r"O
"TAL
ror"LSUSm^°.r
Torscrsorossssr
rnretsr
•!NEW HOMES ONLY"' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate. number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS.
BATHTUBS (erT+b /sh~Combo(
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOO SETS
LAVS (aoebreom wwA
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GAS PIPE OUTLETS WOODSTOVES
GAS WATER HEATERS MISC (Describe)
HOODS (comm.,aq
RANGES •
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS trou&4
WASHING MACHINES ,
MISC (Describe)
I cerft underpenauJl ofperla'D that I am the property owner or authorised agent of tho property owner. I eerto that to the best 4/ my
knowtodge, the information submitted in support of this permit application is true and eorreoL !
City of Federal Way regulations eerie,( that I will comps/ with ail his permit
pertaining to the work authorised by the issuance q f a permiA I understand that the issuances o f this permit
doss not remove the owner's responsibility for compliance with local, state, or federal laws regalatbW construction or environmental laws.
I further agree to less the City of Federal Way as to any claim (including costs, expenses, and attornegsr Jess incurred in the
investigation and dof s such claim), whi��y�may be by any person* including the undersigned, and jiled city, but only
where t ch claim as apipi at/u�slia�ojiyu ctty�ng� f jjiesrs and employees, upon the accuracy of fe{forr tion supplied to
the ci as a art t ttbfi /�
a NEW a ADDITION
a ALTERATION
a REPAIR a• TENANT IMPROVEMENT
BUILDING SSELL ONLY?
a YES a NO
BASIC PLAN?
a.YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
a NO
NEW ADDRESS REQUIRED?
a YES a NO
UP /SEPA /SU?
a YES
a NO
PLATTED LOT?
a YES a NO
f
DEMO PERMIT REQUIRED?
a YES
a NO
Bulletin #100 — January 1, 2008 Page 2 of4 MandoutslPermit Application
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
LAW COMMERCIAL/INDUSTRUL SERVICE
❑ Single Family Square Feet
Service or Feeder Bach Add%
(First 1300 ft'+- $ 115-50; Mach add% 500 ftl - $37.00)
❑
0 to 100 amp $1 $ 76.50
Detached outbuilding or garage
❑ 1- 200 amp 1 50 98.00
(Inspected with service) $48.50 ,
❑ 2 - 400 amp 291.00 115.00
❑ Detached outbuilding or garage
❑ 401 - 600 amp 339.50 136.00
(Inspected separately) $76.50
❑ 601 - 800 amp 439.00 186.00
❑ 801 - 1000 amp 536.50 224.50
NW MULTI- FAMILY (three units or more)
Q. Over 1000 amp 584.50 311.50
Service Feeder
❑ Up to 200 amp $125.50 $ 37.00
❑ Over 600 volts surcharge $98.00
❑ 201 - 400 amp 155.50 76.50
❑ Mast or meter repair $106.00
❑ 401 - 600 amp 212.50 106.00
❑ 601 - 800 amp 272.00 145.50
ALTERED COMMERmazi DUSTRW.
❑ Over 800 amp 389:50 291.00
Service or Feeders
❑ 0 to 200 amp $125.50
ALTERED SINGLE /MULTI FAMILY
❑ 201 - 600 amp 291.00
Service or Feeder
❑ 601- 1000 amp 439.00
❑ 0 to 200 amp $ 96.00
❑ over 1000 amp 489.00
❑ 201 - 600 amp 155.50
❑
❑ over "600 amp 234.00
# of circuits to be added /altered
. (1 -5 circuits - $98.00; Add% circuits, $7.50 /ea)
❑ # of circuits to be added /altered
COMMERCIAL /nmUSTRIAL PLAN REVIEW
(1 -4 circuits - $76.50; Add% circuits $7.50 /ea)
$98.00 plus 35% of Permit Fee
❑
❑ Service - 1,000 amps or greater
Mast or meter repair $57.50
❑ Medical /Educational /Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ Service and feeder $125.50
TEMPORARY SERVICE
MOBILE HOME /RV PARK
❑
ResidentiaWkIff- Family $67.50
# of service or feeders
(First service/ feeder -$76.50; each add% - $50.001
Commemia&gndustrial Service or Feeder Ampaeity
❑ 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
❑ M of Thermostats
❑ # of Signs
(First - $57.50; add % - $17.50 /ea)
(First sign - $57.50; add n sign $27.00 /ea)
❑ LOW Voltage
❑ Swimming pool /hot tub ................ $115.00
Square Feet to be served by system(s)
(Includes additional circuit, if required)
❑ Fire Alarm system
❑ Yard Pole meter loops ..................... $76.50
❑ security Alum system
❑ voice cabling
❑ Addition Plan Review $115.00 /hour
❑ Data Cabling
(for modified submittals)
❑
❑ Automation Fee on all Permits .. $5.50
lot 2500 fie- $67.50;
Each add 'n 2500 W - $17.50) • Per wAe 2964rv- 91op)(b)g a ai
Bulletin #100 - January 1, 2008 Page 3 of 4 MandoutsTermit Application