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08-1058500 Electrical Permit #: 08- 105850 -00 -EL Inspection Request Line: (253) 835 -3050 Project Name: QWEST DAL SITE Project Address: -5' 3zst s _ Project Description: 120/240 UG Service site 3dS S a J► .�L S� Parcel Number: q. 2 (1 C �ero ;(tea Owner , ,City of Federal Way QWEST Community Development Services P.O. Box 9718 1 Federal Way, WA 98063 -9718 PO BOX 7009 Ph: (253) 835 -2607 Fax: (253) 835 -2609 DENVER CO 80202 0 Electrical Permit #: 08- 105850 -00 -EL Inspection Request Line: (253) 835 -3050 Project Name: QWEST DAL SITE Project Address: -5' 3zst s _ Project Description: 120/240 UG Service site 3dS S a J► .�L S� Parcel Number: q. 2 (1 C �ero ;(tea Owner Awlicant Contractor QWEST KEN BOBKO ELECTRIC CO INC KEN BOBKO ELECTRIC CO INC 1005 17TH ST ROOM 1570 PO BOX 7009 KENBOECO66BA ( 1/1/10) DENVER CO 80202 TACOMA WA 98406 -0009 PO BOX 7009 TACOMA WA 98406 -0009 Service greater than 1000 Amps ? ...........................No New Service/Feeder: 0 - 100 amps 1 PERMIT EXPIRES Thursday, December 10, 2009 Permit Issued on Wednesday, December 10, 2008 I hereby certify that the above information is co yrect and that the construction on the above described property and the occupancy and the will be 'n ac d ce wifih a laws, ules and regulations of the State of Washington d the of ral Way. Owner or agent. -� Date: �a i THIS CARD IS TO REMAIN ON -SITE CITY OF fommunity, DevelopmIlt Inspection Record al Fed.e Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 08- 105850 -00 -EL Owner: QWEST 2626 nun wyc C1AI L c5'� Address: 3 �- lD FEDERAL WAY, WA 98023 -5606 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 CA 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) Approved By Date [,] Pool Bonding (4195) Approved By Date ❑ Feeders /Sub - panels (4045) Approved By Date ❑ Final - Electrical (4055) Approved By Date 11 L ❑ Ditch cover (4030) Approved B Date /2 O ❑ Temporary Power (4275) Approved By Date ❑ Rough Electrical (4225) Approved By Date For inspector reference only Slab /Concrete Floor (4255) Approved to place concrete By Date ❑ Service (4235) Approved By Date Z —2-at _ ❑ Ceiling Cover (4020) Approved By Date ❑ Rough Electrical 0 FINAL - Electrical Approved Approved By Date By . Date rnror _EC *Z - / �25`0 'e'' � oE� E RM IT `�' SF MF CO ME L PL DE EN FP coi MN SBRC 93325 Sm AVBNUE SOUi • PO BOX 9718 ° P P L I C AT I O N S I +BDSRAL iYAY, W 9718 953 -835 -4607• F F FEDERAL / The following is required r4m-Gation - an incomplete application will not be accepted. Please print legibly (in ink) or type. G,�ITE ADDRESS 3 ASSESSOR'S TAX /PARCEL # s%'j LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) TYPE OF PERMIT ■ PROJECT INFORAIATION SUITE /UNIT # LOT SIZE (so ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL O DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING D FIRE PREVENTION SYSTEM o�work included on PROJECT NAME (Name of Business or Owner Last Name) PROPERTY OWNER CONTRACTOR APPLICANT PROJECT CONTACT LENDER PEOPLE INFORMATION NAME APPLICANT NAME APPLI NAME PRIMARY PHONE MAILING ADDRE 0 ©< h Od CITY, STATE, ZIP w �{ E -MAIL ADDRESS COMPANY NAME APPLICANT NAME APPLI NAME MAILINO AD OFFICE PHONE CELL PHONE RELATIONSHIP TO PROJECT ❑ Architect ❑ Tenant ❑ Agent ❑ Other ^ "Tz CITY, STATE, Z CELL PHONE IN D C. V p0(� 47 OF FEDERAL WAY BUSINESS LICENSE NUMBER ON TE FAX NUMBER O ' - OR 'S RXGUrnVff10N VUIqZR ' S7CPI1tA O RATE E-MAiL ADDRESS eil ov-c—n (5,013A // / /0 COMPANY N _ APPLICANT NAME OFFICE PHONE c i - MAILINO AD CITY, STATE, ZIP CELL PHONE RELATIONSHIP TO PROJECT ❑ Architect ❑ Tenant ❑ Agent ❑ Other FAX NUMBER ( ) - NAME PRIMARY PHONE E-MAR. ADDRESS ME Per RCW 19.27.095. Lender irtfornuidon is required ifproject aaiae exceeds ;5,000 MA(LiNO REM CITY, STATE, ZIP rPHONE t ) - EXISTING USE PROPOSED USE EXISTING ASSESSED /APPRAISED VALUE � VALUE OF PROPOSED WORK � SPRIIMERED BUE6DING? O YES D NO FIRE. SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑.YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN o HIGHLINE o TACOMA o PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) AREA DESCRIPTION EXISTING S . FT. PROPOSED SO. FT. TOTAL SO. FT. BASEMENT VACUUM BREAKERS DRINKING F O U N T A I N S SHOWERS FIRST ELECTRIC WATER HEATERS SINKS WASHING MACHINES SECOND SUMPS NEW ADDRESS REQUIRED? a YES o NO THIRD UP /SEPA /SU? a YES a NO PLATTED LOT? ADDITIONAL FLOORS (DESCRIBE) DEMO PERMIT REQUIRED? o YES o NO DECK (❑ COVERED OR ❑ UNCOVERED?) GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS =,=a mom,= roreL roans sr 'v'asrxa"°°aD&F rm'.usr "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 MOST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS HOODSIcommdaq COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG. SYSTEMS BATHTUBS (.7Wysha.m, combo) LAVS (Bathroomsb*4 URINALS MISC (Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING F O U N T A I N S SHOWERS W A T E R CLOSETS g u q ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS NEW ADDRESS REQUIRED? I cwtVy under penalty of perjury that I am the property owner or authorised agent of the property owner. I eert(fy that to the best of my knowledge, the irVarmation submitted in support of this permit application is true and correct. I certVy that I will comply with all appllcabte City of inederal Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the issuance of this permit doss not remove the owner's responsibility for eompl a with local, state, or federal laws regulating construction or environmental laws. I further agree to ho harm the City of Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and a f su , eh be made by any person, including the undersigned, and filed against the city, but only where such claim es t of rs of city, inc i ng its and employees, upon the accuracy of the information supplied to the cUy as a oft appl o +� SIGNATURE: J-1 � DATE Property Owner and /or Authorised Agent a NEW o ADDITION o ALTERATION a REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES ti NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? a YES o NO UP /SEPA /SU? a YES a NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO Bulletin #100 —January 1, 2008 Page 2 of 4 k\Handouts\Permit Application RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ Single Family Square Feet (First 1300 ft2- $115.50; Each add'n 500 k2 - $37.00) ❑ Detached outbuilding or garage (Inspected with service) $48.50 ❑ Detached outbuilding or garage (Inspected separately) $76.50 NEW MULTI - FAMILY (three units or more) ALTERED SINGLE /MULTI FAMILY Service Feeder ❑ Up to 200 amp $125.50 $ 37.00 ❑ 201 - 400 amp 155.50 76.50 ❑ 401 - 600 amp 212.50 106.00 ❑ 601 - 800 amp 272.00 145.50 ❑ Over 800 amp 389.50 291.00 ALTERED SINGLE /MULTI FAMILY ❑ # of circuits to be added /altered (1 -4 circuits - $76.50; Add'n circuits $7.50 /ea) ❑ Mast or meter repair $57.50 MANUFACTURED HOMES ❑ Service or feeder only $76.50 ❑ Service and feeder $125.50 0 to 100 amp ❑ 01- 200 amp ❑ 201 - 400 amp ❑ 401- 600 amp ❑ 601- 800 amp ❑ 801 - 1000 amp Over 1000 amp COMMERCIAL Service or Feeder $125.50 155.50 291.00 339.50 439.00 536.50 584.50 Each Add'n $ 76.50 98.00 115.00 136.00 186.00 224.50 311.50 ❑ Over 600 volts surcharge $98.00 ❑ Mast or meter repair $106.00 ALTERED COMMERCIAL /INDUSTRIAL Service or Feeder ❑ 0 to 200 amp $ 96.00 ❑ 201 - 600 amp 155.50 ❑ over 600 amp 234.00 ❑ # of circuits to be added /altered (1 -4 circuits - $76.50; Add'n circuits $7.50 /ea) ❑ Mast or meter repair $57.50 MANUFACTURED HOMES ❑ Service or feeder only $76.50 ❑ Service and feeder $125.50 0 to 100 amp ❑ 01- 200 amp ❑ 201 - 400 amp ❑ 401- 600 amp ❑ 601- 800 amp ❑ 801 - 1000 amp Over 1000 amp COMMERCIAL Service or Feeder $125.50 155.50 291.00 339.50 439.00 536.50 584.50 Each Add'n $ 76.50 98.00 115.00 136.00 186.00 224.50 311.50 ❑ Over 600 volts surcharge $98.00 ❑ Mast or meter repair $106.00 ALTERED COMMERCIAL /INDUSTRIAL ❑ # of circuits to be added/ altered (1 -5 circuits - $98.00; Add'n circuits, $7.50 /ea) COMMERCIALIINDUSTRIAL PLAN REVIEW $98.00 plus 35% of Permit Fee ❑ Service - 1,000 amps or greater ❑ Medical /Educational /Institutional Facility TEMPORARY SERVICE _MOBILB HOME /RV PARK Service or Feeders ❑ 0 to 200 amp $125.50 ❑ 201 - 600 amp 291.00 ❑ 601 - 1000 amp 439.00 ❑ over 1000 amp 489.00 ❑ # of circuits to be added/ altered (1 -5 circuits - $98.00; Add'n circuits, $7.50 /ea) COMMERCIALIINDUSTRIAL PLAN REVIEW $98.00 plus 35% of Permit Fee ❑ Service - 1,000 amps or greater ❑ Medical /Educational /Institutional Facility TEMPORARY SERVICE _MOBILB HOME /RV PARK ResidentiaVMulti- Family $67.50 ❑ # of service or feeders (First service /feeder - $76.50; each add'n - $50.00) Contmerei aWndustrial Service or Feeder Ampacity ❑ 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 (First - $57.50; add'n- $17.50/ea) ❑ Low Voltage Square Feet to be served by system(s) ❑ Fire Alarm System ❑ Security Alarm System ❑ Voice Cabling ❑ Data Cabling iK 2500 R2- $67.50; Each addh 2500 ft2 - $17.50) 'Per WAC296- 46910(5)(6f(i46) ❑ # of Signs (First sign - $57.50; add'a sign $27.00 /ea) ❑ Swimming pool /hot tub ................ (Includes additional circuit, if required) ❑ Yard Pole meter loops ..................... ❑ Additional Plan Review (for modified submittals) ❑ Automation Fee on all Permits .. $115.00 $76.50 $115.00 /hour $5.50 Bulletin #100 -January 1, 2008 Page 3 of 4 k\Handouts\Pemut Application