08-104523A Electrical
City of Federal way Permit #: 08 � 104523 � 00 � E L
Community Development Services
P.O. Box 9718
Federal Way, 9803
F 1 R�5 -15- Ins ection Re uest Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (2553 2609 p Q
w
Project Nam QWEST DSL SITE ,
Project Address. 33 y0d /D SGt� was Parcel Number:
Project Description: Service installation on vacant property adlacen,, atitude Condominiums (map
attached).
182104 9031
Owner
Applicant
Contractor
QWEST
KEN BOBKO ELECTRIC CO INC
KEN BOBKO ELECTRIC CO INC
1005 17TH ST ROOM 1570
PO BOX 7009
KENBOECO66BA ( 111!10)
DENVER CO 80202
TACOMA WA 98406 -0009
PO BOX 7009
TACOMA WA 98406 -0009
Additional Permit information
Service greater than 1000 Amps ? ..........................No
Electrical Fixtures <
New Service/Feeder: 0 - 100 amps 1
PERMIT I
Permit I
I hereby certify that the above inform
the occupancy and tf �e will be in
Owner or agent:
the
th
ember 24, 2009
nber 24, 2008
ruction on the above described property and
and regulations of the Stat p of Was ngton
v
Date:��
z
THIS CARD IS TO MAIN ON -SITE
CITY OF Community Developm t Inspection Record
Federal Way VR INSPECTION REQUEST PHONE # 253 835 -3050
y ��
PERMIT #: 08- 104523 -00 -EL
Owner: FEDERAL WAY PUBLIC SCHOOLS
Address: 33501 10TH PL SW
FEDERAL WAY, WA 98023 -6300
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
Approved
Approved to place concrete
By Date
By
Date O .
By
Date
❑
❑
_
❑ Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
Approved
Approved
Approved
By Date
By
Date
By
Date
❑
❑
Rough Electrical (4225)
❑ Feeders /Sub - panels (4045)
Ceiling Cover (4020)
Approved
Approved
Approved
By Date
By
Date
By
Date
❑ Final - Electrical (4055)
Approved
By & Date 1:
For infector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
� �
crrroF l ,y �� SC�'33 Sr —
1 r BMW�K L- -
SEP 2 4tl PERMIT �- -�� SF MF CO 'EL L DE EN FP
ODMINUm"Dm=PII wmRVICBS
33335 MW AVBNUB ,U1i1 • PO BOX 9718 I C AT I O
ABDERAL WAY, OU 98"3-9718
- PO B
353-8.4s-a607• FAx 4 9 O F E D EA
The following is required in o n - an incomplete application will not be accepted Please print legibly (in ink) or type.
. • •c •
SITE ADDRESS 0��1 ty J% SUITE /UNIT .
ASSESSOR'S TAX /PARCEL # 42, �Z 4 - 9 G 71 LOT SIZE (s)7
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(+fta.hWpWf- WWft lVd
PROJECT •• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT NAME (Name of Business or Owner Last Nanrel
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
PEOPLE INFORMATION
COMPANY NAME 4
1 at -lr
PRIMARY PHONE
W
MAILING ADD RS ^ -
MAILING ADDRESS
► Sr
CITY, STATE, ZIP
e
E -MAIL ADDRESS
o
e e.r
COMPANY NAME 4
1 at -lr
CANT NAME
l<
MAILING ADD RS ^ -
OFFICE PHONE
a�$ ). -
c-11 v C
el .
FAX NUMBER
( -
O ADDRESS
, STATE, ZIP
CELL PHONE
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
TIO
TE
FAX NUMBER
C) �
/•_
% r
-
CO R'S REOISTRATION NOU!RISH
EXPIRA
ON DATE
E-MAIL ADDRESS
eL C�
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADD RS ^ -
CITY, STATE, ZIP
CELL PHONE -
REIATIONSHI O PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
( -
NAME PRIMARY PHONE E MAILADDRESS
NAME
Per RCW 19.27.095.
Lender irifonnation is required ifproject value exceeds ;8,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK S
SPRINRLERED BUILDIIFG? ❑ YES O NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES D NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 13 HIGHLINE 13 PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
8 . FT.
TOTAL
S . FT.
BASEMENT
HOODS I9
FURNACES
RANGES
FIRST
o NO
ZONING DESIGNATION
SECOND
CHANGE OF USE?
a YES
o NO
THIRD
a YES o NO
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
a NO
PLATTED LOT?
a YES a NO
DECK (❑ COVERED OR ❑ UNCOVERED ?)
DEMO PERMIT REQUIRED?
o YES
a NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
swsruo
rsoroa>a
TOTAL.
TWAL Zr ernes ar
TOTAL PROPOSED sr
TOM BF
"*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 R iCLUDED WITH APPLICATION)
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS („T„b /sho.eroom6�
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
FANS
(SAS WATER HEATERS MISC (Describe)
FIREPLACE INSERTS
HOODS I9
FURNACES
RANGES
GAS LOG SETS REFRIG. SYSTEMS
LAVS (B.th --SWO
URINALS
RAINWATER SYST
VACUUM BREAKERS
SHOWERS
WATER CLOSETS Ira&&
SINKS
WASHING MACHINES .
SUMPS
o NO
MISC (Describe)
I certVy under penalty of perjury that ! am the property owner or authorised agent of the property owner. I certVy that to the best of my
knowledge, the ir} formation submitted in support of this permit application is true and correct. I certVy that 1 will comply with all applicable
City of Federal Way regulations pertaining to the work authorised by the issuance of a perm t. 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 jfurther agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attornegse 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
wham such claim arises out of the reliance o the city, including its qfflcers and employees, upon the accuracy of ir{fo supplied to
the city as a part of p on. ,
SIGNATURE: DATE _;X, 3
party Owner /or Authorized Agent
a NEW a ADDITION
a ALTERATION
o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
a YES a NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
o NO
NEW ADDRESS REQUIRED?
a YES o NO
UP /SEPA /SU?
a YES
a NO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED?
o YES
a NO
Bulletin #100 —January 1, 2008 Page 2 of 4 k\IandoutslPermit Application
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL /INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Eacit Add'n
(First 1300 ft2- $115.50; Each add'n 500 ftl - $37.00)
0 to 100 amp $125.50 $ 76.50
❑ Detached outbuilding or garage
❑ 101- 200 amp 155.50 98.00
(Inspected with service) $48.50
❑ 201 - 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
NEW MULTI- FAMILY (three units or more)
❑ 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 COMMERCIAL/INDUSTRIAL
❑ 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
❑ 601 - 1000 amp 439.00
Service or Feeder
❑ 0 to 200 amp $ 96.00
over 1000 amp 489.00
❑ 201 - 600 amp 155.50
❑ # of circuits to be added /altered
❑ over 600 amp 234.00
(1 -5 circuits - $98.00; Addh circuits, $7.50 /ea)
❑ # of circuits to be added /altered
COMMERCIAL /INDUSTRIAL PLAN REVIEW
(1 -4 circuits - $76.50; Add'n 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
ResidentiaVMuHi- Fandbj $67.50
❑ # of service or feeders
(First service /feeder - $76.50; each add'n - $50.00)
Commerciat4ndustrial Service or Feeder Angmaity
❑ 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
❑ # of Thermostats
❑ # of Signs
(First - $57.50; add'n- $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 Alarm System
❑ Additional Man Review $115.00 /hour
❑ voice Cabling
(for modified submittals)
❑ Data Cabling
❑ Automation Fee on all Permits .. $5.50
1•t 2500 ft2- $67.50;
Each add'n 2500 ft2 - $17.50) "Per WAC 296.96.910(5)(b) ft & u)
Bulletin #100 - January 1, 2008 Page 3 of 4 k\Iandouts\Permit Application