12-101154City 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: DENNIS J RAHN, DDS INC PS
Project Address: 1500 S DASH POINT RD
0 Electrical
Permit #: 12- 101154 -00 -EL
Inspection Request Line: (253) 835 -3050
Project Description: Adding/altering (5) circuits for building repair from car damage
Parcel Number: 052104 9027
Owner
AR12lican
Contractor
DENNIS J HAHN
AUBURN ELECTRICAL SERVICE
AUBURN ELECTRICAL SERVICE
1500 S DASH POINT RD
29410 110TH AVE SE
AUBURES953LT (06/30/13)
FEDERAL WAY, WA 98023
AUBURN WA 98092
29410 110TH AVE SE
AUBURN WA 98092
Additional Permit information
Is Use Educational or Institutiona l ? .......................No
Electrical Fixtures
Circuits - Commercial .................... 5
Service greater than 999 Amps? .............................NO
PERMIT EXPIRES Saturday, September 8, 2012
Permit Issued on Monday, March 12, 2012
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
nd th City of Federal Way. 2
Owner or agent: Rte`-'-. Date: 63 % 2--) Z
'7jis�l2
w
CITY OF `
IW
Federa ay
THIS CARD IS TO ON -SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835 -3050
PERMIT #: 12- 101154 -00 -EL Address: 1500 S DASH POINT RD
Project: DENNIS J HAHN FEDERAL WAY, WA 98003 -3753
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.
Feeders /Sub - panels (4045) Rough Electric
Approved Approved
By Date y Datee
0 Final - Electrical (4055)
Approved
.Aar 4 Date 7— 40
—2 ! UBy
Approved
Date
UFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)
Slab /Concrete Floor (4255)
iBY
Approved
By
Approved
Approved to place concrete
Approved
Date
By
Date
By
Date �' _V1_
Feeders /Sub - panels (4045) Rough Electric
Approved Approved
By Date y Datee
0 Final - Electrical (4055)
Approved
.Aar 4 Date 7— 40
—2 ! UBy
Approved
Date
Pool Bonding (4195)
0
Temporary Power (4275)
0
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Feeders /Sub - panels (4045) Rough Electric
Approved Approved
By Date y Datee
0 Final - Electrical (4055)
Approved
.Aar 4 Date 7— 40
—2 ! UBy
Approved
Date
Rough Electrical
Approved
IJ
Final Electrical
Approved
0
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF ,
:�%
Federal Way ELEC'T'RICAL RECEIVED
PERMIT APPLICA'T'ION MAR
PROJECT NAME
/Tenant or Homeowner Last
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
L i r-2 C12C,-1.1 1 -S
NAME
MAILING ADDRESS
b [> S INS- F's
PRIMARY PHONE
)
EMAIL
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.
SIGNATi7R&r7:'P, DATE
PRINT NAME:--5 l �Ll & `l ��
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
CITY
STATE
ZIP
FAX
( )
NAME
PRIMARY PHONE
MAILING ADDRESS
z�Z-II D //O /h J? S/Z_-
E-MAIL
�1U6L)QjQ eL.>=-C ccoCi'-5
ELECTRICAL
CITY
STATE
ZIP
� i Z
FAX
(Zs3) 3 s�
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE
. 6L -) P,
FEDERAL WAY BUSINESS LICENSE M
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
EMAIL
splRE'i i
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 a part of this application.
SIGNATi7R&r7:'P, DATE
PRINT NAME:--5 l �Ll & `l ��
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
i a imir m"rd' lY 1 lWffJ
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
1sz Service/Feeder
Added or Altered Circuits-
1-4 circuits $80.50; each additional $8.00
Mast or meter repair $60.50
MANUFACTURED HOMES
Aw 56,
NEW COMMERCIAL
1,1 Service /Feeder Additional Feeders
l01 .1 i€;1i4,110, x$1'03.50
f1r 600 tuvltsurcliage .. , ,s. ;:$'103.5.E)
ALTERED COMMERCIAL
1st Service /Feeder Additional Feeders
$12100
t
V
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
LOW VOLTAGE
❑ Fire Alarm System
❑ Security Alarm System
❑ Voice /Data Cabling
❑ Other
Area to be served by system:
Pt 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
111 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 1 WA ♦ 98003 -6325 1253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com
Bulletin #160 — January 1, 2011 Page 2 of 2 k:\i-Iandouts\Electrical Permit Application