09-104081Electrical
City of Federal Way t Permit • .{.� c +
Community Development Services #: 09 -1 04081
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: COMMUNITY CENTER
Project Address: 876 S 333RD ST Parcel Number: 172104 9138
Project Description: Add (2) circuits for DStar equipment.
Owner
Applicant
Contractor
CITY OF FEDERAL WAY
RAY GROSS
FOY INDUSTRIAL ELECTRIC CORP
PO BOX 9718
CITY OF FEDERAL WAY
FOYINECO15CH (2/7/11)
FEDERAL WAY WA 98063 -9718
PO BOX 9718
2400 NW 80TH ST
FEDERAL WAY WA 98063 -9718
SEATTLE WA 98107
Is Use Educational or Institutional ? ....................... No
Service greater than 1000 Amps ? ...........................No
1= 1$ctr1l�
IR
Circuits Commercial .................... 2
PERMIT EXPIRES Saturday, October 16, 2010
I hereby t
the occu
Owner or agent:
above lnrormation is correct ar
use will be in accordance with
and the'Cit!
day, October 16, 2009
I that the construction on the above described' property and
he laws, rules and regulations of the State of Washington
of Federal Way.
Date: 10-16 _ O 9
THIS CARD IS TO AIN ON -SITE
CITY OF qrjw 10 Construction Ins ction Record
Federal Way INSPECTION REQUE TS: (253) 835 -3050
PERMIT #:
09- 104081 -00 -EL
Address: 876 S 333RD ST
Owner: CITY OF FEDERAL WAY 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.
EJ
UFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)
Slab /Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
EJ
Pool Bonding (4195)
El
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Feeders /Sub - panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By
Date `
EJ
Rough Electrical
Approved
El
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
Federa Eivt PERMIT
ccr, 2t 07 A 253,,sE2 l 16 20 �APPLI CATI O N
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BITE ADDRESS (`
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SUITE /URIT iF ZONING � ASSESSOR'S
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NAME OF PROJECT
(Tenant or Homeoumer Name) L 0 /it w M C r 7 G t c r- - IV
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION JI.ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
OWNER IS ALSO:
,ZO 1/04
NAME
MAILING ADDRESS, CITY, STATE, ZIP
CONTRACTOR
NAME
CONTRACTOR MAILING ADDRESS, CITY, STATE, ZIP
2Y00 wW .20 rz,- Sf
WA STATE CONTRACTOR'S LICENSE i
APPLICANT
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
concerning this application)
NAME
h"ci:i L-r ( Sl
MAILING ADDIUM ATE, ZIP
NAME
MAILING ADDRESS, CITY, STATE, ZIP
ALTERNATE CONTACT NAME:
A" A-
bt//"
0
,C—C, 2t
98r /T
wR-
EXPIRATION DATE
10-2 ID7 ///
W,
PRIMARY PHONE
I -
PRIMARY PHONE
( )
E -MAIL
PROJECT CONTACT
(204
PRIMARY PHONE
) 9TH - 6 /.rc
(it
FAX
) 9�2S-- 1/6-3
FEDERAL WAY BUSINESS LICENSE N
20 -02 - /0y0.S -6
53)�-L-d7%A
PRIMARY PHONE
FAX
1 )
PRIMARY PHONE
FAX
E-MAIL
PROJECT FINANCING NAME
Required for projects with OWNER- FINANCED
value of $5, 000 or more MAILING ADDRESS, CITY, STATE, zip PRIMARY PHONE
(RCW 19.27095)
l 1 _
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certVy that to the
best of my knowledge, the my formation 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 apart of this application.
SIGNATURE: �vy G-'�c DATE !!i "i` O
PRINT NAME: I�!'J/t '0
Bulletin #100 - 4/17/2009 Page 1 of 4 k:\Handouts\Permit Application
• ELECTRICAL •
RESIDENTIAL
COMMERCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet
(including attached garage):
1St Service /Feeder Additional Feeders
0- 100 amp x $131.50 x; $ 80.00
FEES: First 1300 ft2 - $121.00;
101- 200 amp x $163.00 x $103.00
Each additional 500 ft2 - $39.00
201 - 400 amp x $305.50 x $120.50
NEW MULTIFAMILY (3 units or more)
401 - 600 amp x $356.00 x $142.50
151 Service /Feeder Additional Feeders
601- 800 amp: x $460.50 x $195.00
0 - 200 amp x $131.50 x $ 39.00
801- 1000 amp x $562.50 x $235.50
201 - 400 amp x $163.00 - x $ 80.00
Over 1000 amp _ x $613.00 x $327.00
401 - 600 amp x $223.00 '` x $111.00
601 - 800 amp x $285.50 x $152.50
Over 600 volts surcharge x $103.00
Over 800 amp x $408.50 x $305.50
ALTERED SINGLE or MULTI FAMILY
ALTERED COMMERCIAL
1st Service /Feeder Additional Feeders
1St Service /Feeder Additional Feeders
0 - 200 amp x $131.50 x $103.00
0 - 200 amp x $100.50 x $ 39.00
201 - 600 amp x $163.00 x $ 80.00
201 - 600 amp x $305.50 x $142.50
Over 600 amp x $245.50 x $111.00
601 - 1000 amp x $460.50 x $235.50
Over 1000 amp x $513.00 -- x $327.00
Added or Altered Circuits
1 -4 circuits $80.00; each additional $8.00
Added or Altered Circuits �-
1-5 circuits $103.00; each additional $8.00
Mast or meter repair $60.50
Mast or meter repair $111.00
MANUFACTURED HOMES
PLAN REVIEW FEES
Service or feeder only x $` 80.00
u
$103.00 plus 35/0 of Permit Fee; Plan Review required for:
Service and feeder x $131.50
❑ New, or alteration to, service of 1,000 amps or greater
❑ Medical /Educational /Institutional Facility
Plan review for modified submittals $120.50 /hour
MISCELLANEOUS
SERVICE/ EQUIPMENT
LOW VOLTAGE
TEMPORARY SERVICE
❑ Fire Alarm System
❑
1st Service /Feeder Additional Feeders
Security Alarm System
❑ Voice /Data Cabling
0 - 60 amp `; x $ 71.00 - >x $ 32.00
❑ Other
61 - 100 amp x $ 80.00 x $ 39.00
Area to be served by system:
lat 2,500 ft2- $71.00; each additional 2,500 ft2 - $18.50
101 - 200 amp x $103.50 x $ 51.00
201 - 400 amp x $120.00 = x $ 60,50
# of Thermostats
401- 600 amp x $163.50 x $ 80.00
First $60.50; each additional $18.50
Over 600 amp x $183.00 x $ ' 92.00
# of signs
**NOTE: an automation fee of $6.00 will be charged
First $60.50; each additional $28.50
On all permits**
Yard Pole /meter loops /pedestal x $ 80.00
Portable Generator (transfer equipment) x $100.50
For fixtures or fees not listed contact the Permit Center at
Ditch cover /inspection only x $120.50
253 -835 -2607
Bulletin #100 - 4/21/2009 Page 3 of 4 k:\Handouts\Permit Application