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11-103153City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 F lectrical Permit #: 11- 103153- 00 -EL- Inspection Request Line: (253) 835 -3050 Project Name: SAFEWAY STORE Project Address: 1207 S 320TH ST Parcel Number: 150050 0020 Project Description: Adding /altering (5) circuits for associated tenant improvement Owner Applicant Contractor MGP IX SUNSET SQUARE LLC HANCOCK BUSINESS COMMUNICATIONS HANCOCK BUSINESS COMMUNICATIONS 425 CALIFORNIA ST FLOOR 11TH 11409 SE 230TH PL HANCOBC891BF (1/7/13) SAN FRANCISCO CA 94104 KENT WA 98031 11409 SE 230TH PL KENT WA 98031 Is Use Educational or Institutional ? ....................... No Service greater than 999 Amps? .............................No -�-,.:.4o (raio /n MY Of Federal Way THIS CARD IS TO MAIN ON -SITE . Construction I ection Record INSPECTION REQUE TS: (253) 835 -3050 PERMIT #: 11- 103153 -00 -EL Address: 1207 S 320TH ST Project: MGP IX SUNSET SQUARE LLC FEDERAL WAY, WA 98003 -5339 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. E] Rough Electrical (4225) Approved By Date c� Ceiling Cover (4020) Approved By Date UFER Ground (4295) Ditch cover (4030) Temporary Power (4275) Slab /Concrete Floor (4255) 0 Approved By Approved Approved to place concrete By Date By Date By Date E] Rough Electrical (4225) Approved By Date c� Ceiling Cover (4020) Approved By Date Pool Bonding (4195) Approved Temporary Power (4275) Date 0 Service (4235) By Approved Approved Approved CIO Date By Approved By Date By Date By Date E] Rough Electrical (4225) Approved By Date c� Ceiling Cover (4020) Approved By Date Feeders /Sub - panels (4045) Approved By Date 1:1 Right of Way Approved By Final - Electrical (4055) Approved By CIO Date E] Rough Electrical (4225) Approved By Date c� Ceiling Cover (4020) Approved By Date Rough Electrical Approved Final Electrical Approved 1:1 Right of Way Approved By Date By Date By Date ctry OF Federal Way ELEC'TRICAL PERMIT APPLICATION �� 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 sup li to the city as pe part of this application. SIGNATURE: PRINT NAME: - 1 :U" 33325 8`" Avenue South 1 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 AUG 0 b ZC E1 * *Most electrical ermits may be obtained on -line at www.cityo ederalwa .com ** SITE ADDRESS: o ��Q CDS SUITE /UNIT /SPACE N Q ✓ � G O✓ TA76 # r � - � O v CURRENT /PROPOSED USE PROJECT NAME (Tenant or Homeowner Last Name) PROJECT DESCRIPTION p Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNERS ( ) - MAILING ANDRESS E -MAIL CITY STATE ZIP FAX NAME C PRIMARY PHONE �d� Qus�, s� i'1.^,-_V0tG:i T'G }mil - s ELECTRICAL MAILING ADDRESS Y V S -15F Y- E -MAIL �Pc/ H /1rJ c�C (�Co CONTRACTOR CITY srA,gE ZIP FAx WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE W i� M-09 /1-' f j / l? c> — l NANE PRIMARY PHONE APPLICANT l MAILING ADD s E MAEL CITY STATE ZIP FAX PROJECT CONTACT t r PMV-NOF RIMARY PHONE 53 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 sup li to the city as pe part of this application. SIGNATURE: PRINT NAME: - 1 :U" 33325 8`" Avenue South 1 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 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 151 Service /Feeder 202 600 amp x $164.00 Added or Altered Circuits . 1 -4 circuits $80.50; each additional $8.00 Mast or meter repair $60.50 MANUFACTURED HOMES NEW COMMERCIAL 402 - 600 sing.': x.$358.00 x $143.50 Over 6013 volts 'surcharge , , . ' x $103.50 I, I ALTERED COMMERCIAL ISZ Service /Feeder Additional Feeders t. 1.A;.,4 Y 201 — 6 ©0 Amp &$307:0€3, X$121-00 Over 1000' apipi; .. x $515.50:'. 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 Service or feeder only x,:, $ 80.50 Plan Review required only for: vsce,anicYfeder, ' . , 132.50 • New, or alteration to, service of 1,000 amps or greater • Medical /Educational /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 /EOUIPMENT LOW VOLTAGE ❑ Fire Alarm System ❑ Security Alarm System ❑ Voice /Data Cabling ❑ Other Area to be served by system: I-t 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 1s1 Service /Feeder Additional Feeders $ '8(f:50, r , $ 39.00 40 201 = 400`amp' °tit $121.00 ',$ 60.50 r Over 600 ;'amp i ''[ $184:507:' $ 92.00 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 ♦ WA + 98003 -6325 1253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com Bulletin #160 — January 1, 2011 Page 2 of 2 k:\Handouts \Electrical Permit Application