12-100539at; of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Electrical
• Perit #: 12- 100539 -00 -EL
D�0 Inspection Request Line: (253) 835 -3050
Project Name: WEIGHT WATCHERS
Project Address: 1706 S 320TH ST Unit H
Project Description: Installation of low - voltage voice & data cable.
Parcel Number: 092104 9208
Own r
Applicant
Contractor
WEIGHT WATCHERS
JT BATTERSON
CEDAR GROVE ELECTRIC INC
1706 S 320TH ST UNIT H
CEDAR GROVE ELECTRIC INC
CEDARGE955BC (1/21/13)
FEDERAL WAY WA 98003
16825 230TH AVE SE
16825 230TH AVE SE
MAPLE VALLEY WA 98038
MAPLE VALLEY WA 98038
Is Use Educational or Institutional ? .....................:.No
Service greater than 999 Amps? .............................No
yam., e > tr's�Z,
• • (Commercial' I
PERMIT EXPIRES Wednesday, August 1, 2012
Permit Issued on Friday, February 3, 2012
I 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
and the City of Federal Way.
Owner or agent: Date: 2 3 " N
�A�
*Z/40112M
-t
CITY OF
Federal Way
PERMIT #:
12- 100539 -00 -EL
THIS CARD IS TO REMAIN ON -SITE
Construction I ection Record
INSPECTION REQUE TS: (253) 835 -3050
Address: 1706 S 320TH ST Unit H
Project: WEIGHT WATCHERS 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.
0
UFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)
Slab /Concrete Floor (4255)
❑
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By` (- <_ Date _ tl _/
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date 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)
0
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By` (- <_ Date _ tl _/
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
1
0 fz_
CITY OF PbA'M'�F_
ELEC'T'RICAL
F5R 0 a 'K�l PERMIT APPLICATION
CITY OF FED Wp
�Ropt
e ectrical
permits maybe obtained on -line at www. city o ederalway.
com
SITE ADDRESS: j 7 0 t�
1
SUITE /UNIT /SPACE #
ASSESSOR'S TAX /PARCEL #
CURRENT /PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
( ) —
MAILING ADDRESS
E -MAIL
CITY
STATE
ZIP
l PAX
NAME
Cox >.t`c2 - 6 Kt r :' l.F [ bl
PRIMARY PHONE
ELECTRICAL
MAILING ADDRESS
( 8'2x 2 3 t l�\ v g L'—
E -MAIL
f
CONTRACTOR
CITY
STATE
ZIP
FAX
wk-,
%
yLS) 42-i -- �k
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E -MAIL
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 flied 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.
SIGNATURE: � `t "� c ` DATE ?
f
PRINT NAME ]til v 1 C Rath
33325 8h 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
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)
1 t Serutce /Feeder Additional Feeders
V.
20i; 400;amp„ x.5164 UO',,, x $ 80.50
k s i3E3tOd
ALTERED SINGLE or MULTI FAMILY
1 It Service /Feeder
x,, ; $164.00
Added or Altered Circuits-
1-4 circuits $80.50; each additional $8.00
Mast or meter repair $60.50
MANUFACTURED HOMES
�� o „� feeder eiy :� . � :• zs: ':: $' 80.s0
NEW COMMERCIAL
1St Service /Feeder Additional Feeders
WWI
101 X00 auip... . . .. ?d$1,0�' _ x'$103,5.Q
8Q1 •_ 1(7!00 atnp� ..�� =,x;��r5.00; . .' , `ic:$23fi.5E}
ALTERED COMMERCIAL
1st Service /Feeder Additional Feeders
201< "���6��O..a�1? ... . , . • `; � °'$3i1? �1(f l ' ..: ,,,... , $121-.Ot7
Over ,_1,t140,amg . 3 _.. X $515 to
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 r
Area to be served by system: 1 '7'
1st 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
1stSeruice /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 8" Avenue South ♦ 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:\Handouts \Electrical Permit Application