12-104966M
City 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: BECU ATM KIOSK
Project Address: 35009 ENCHANTED PKWY S
Project Description: Installing L/V wiring for security camera in ATM
.Electrical
Permit #: 12- 104966 -00 -EL
Inspection Request Line: (253) 835 -3050
Parcel Number. 185295 0010
Owner
ARRlican
Contractor
OPUS NORTHWEST LLC
DIEBOLD INC
DIEBOLD INC
915 118TH AVE SE SUITE 300
3315 S 116TH ST SUITE 149
DIEBOI* 17975 (7/2/14)
BELLEVUE WA 98005
SEATTLE WA 98168
3315 S 116TH ST SUITE 149
SEATTLE WA 98168
Is Use Educational or Institutional ? ....................... No
Low Voltage - Other (Commercial 1
Service greater than 999 Amps? .............................No
PERMIT EXPIRES Monday, April 29, 2013
Permit Issued on Wednesday, October 31, 2012
I hereby certify that the above information is c an at the construction on the above described property and
the occupancy and the use will be in accords with th laws, rules and regulations of the State of Washington
and the City Federal Way. /
Owner or agent: Date: [ " 3
I /it /M
f THIS CARD IS TO MAIN ON -SITE
Federal V1/a Construction In ection Record
INSPECTION REQU TS: (253) 835 -3050
PERMIT #: 12- 104966 -00 -EL Address: 35009 ENCHANTED PKWY S
Project: OPUS NORTHWEST LLC FEDERAL WAY, WA 98003
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.
❑ Final - Electrical (4055)
Approved
�y� Date t'— (— ( Z
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF
Fed E�
R
oCj '� 12012
0
ELECTRICAL
PERMIT APPLICATION
w��
FE0 electrical permits may be obtained on -line at www.cityoffederalway.com"
SITE ADDRESS: 33—o 0
SUITE /UNIT /SPACE #
ASSESSOR'S TAR /PARCEL #t
CURRENT /PROPOSED USE
PROJECT NAME
�• £ C u
(Tenant or Homeowner Last Name)
•
PROJECT DESCRIPTION
�;,�
Detailed description of work to
be included on this permit only
t� �n L • I4
NAME
PRIMARY PHONE
PROPERTY OWNER
( ) -
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
/ FAX
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NAME
221
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PRIMARY PHONE
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ELECTRICAL
MAIL G ADDRESS
E -MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
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WA STATE CONTRACTOR'S LICENSE 8
IRATION DATE
FEDERAL WAY BUSINESS LICENSE #
iebo7 of 129,Ts-
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PRIMARY PHONE
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-470 - /Z
APPLICANT
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MAILING ADDRESS �K
E -MAIL
A Qe4(,p &P. e
CITY
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STATE
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ZIP
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FAX
PROJECT CONTACT
NAME
S eV
PRIMARY PHONE
('IAr) S^OS
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 gh a part of this p Ic tion.
SIGNATURE:
PRINT NAME:
/O -.7/ - /Z
33325 8" Avenue South ♦ Federal Way 1 WA 198003 -6325 ♦ 253- 835 -2607 1 fax: 253- 835 -2609 1 www.cityoffederalway.com
Bulletin #160 — January 1, 2011 Page 1 of 2 k :\HandoutslElectrical Permit Application
RESIDENTIAL
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)
151 Service/Feeder Additional Feeders
NEW COMMERCIAL
Added or Altered Circuits...
1 -4 circuits $80.50; each additional $8.00
Mast or meter repair $60.50
MANUFACTURED HOMES
se %eetie 00 a :max: $ % °80SfJ
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/EducatiorrW /Institutional Facility
$103.50 plus 351/6 of Permit Fee
(Permit Fee x 35% _ + $103.50 = Plan Review Fee)
Plan review for modified submittals $105.50 /hour
MISCELLANEOUS SERVICE/ EQUIPMENT
LOW VOLTAGE
❑ e Alarm System
Security Alarm System C.40"44 • - fxer jra
❑ Voice /Data Cabling
❑ Other
Area to be served by system:
I-� 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
1st 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
33325 8" Avenue South 1 Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 1 www.cityoffederalway.com
Bulletin # 160 —January 1, 2011 Page 2 of 2 k:\Iiandouts\Electrical Permit Application