09-1022350
ELECTRICAL
Is
RESIDENTIAL
COMMERCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet
Is' Service /Feeder Additional Feeders
(including attached garage):
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
401 - 600 amp x $356.00 x $142.50
NEW MULTIFAMILY (3 units or more)
111 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
111 Service /Feeder Additional Feeders
151 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
$103.00 plus 35% 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
la Fire Alarm System
Is' 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:
_
101 - 200 amp x $103.50 x $ 51.00
lay 2,500 ft2- $71.00; each additional 2,500 ft2 - $18.50
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:Wandouts\Permit Application
THIS CARD IS TO MAIN ON -SITE r
CITY Of kommunity Develop nt Inspection tRecord
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3051
PERMIT #: 09- 102235 -00 -EL
Owner: ILAHIE HOLDINGS, -INC.
Address: 32001 32ND AVE S SUITE 200
FEDERAL WAY, WA 98001
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 By Date
❑
Pool Bonding (4195)
Approved
By
Date
By
Date
❑
Feeders /Sub - panels (4045)
Approved
By
Date
Approved
❑
Final - Electrical (4055)
Date
Approved
By
Dat
❑
Temporary Power (4275)
Approved
By
Date
By
Date
❑
Rough Electrical (4225)
Approved
By
Date
❑
Service (4235)
Approved
By
Date
❑
Ceiling Cover (4020)
Approved
By
Date
For ins ctor reference only
0 Rough Electrical O FINAL - Electrical
Approved Approved
By Date By Date
C(fY °F AECEIVEP PERMIT
Federal Way
JUN 16 z00AP I CATI O N
COMMUMTY DEVELOPMENT SERVICES
253 - 835 -2607• FAX 253- 835 -2609 �i'J'� T
wwwxiluoffederalwai .co
,-.V- ,s: FEDERAL
- l nZZ
SF MF CO ME G7 DE EN FP
Ic::-,P / / sSV*P
y a <✓// � ifr
6§77
21 a:, -,,,,
SITE ADDRESS
zqx::)i AJO
SUITE /UNIT # ZONING
ASSESSOR'S TAX /PARCEL #
t., r
NAME OF PROJECT
(Tenant or Homeowner Name)
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION �ICELECTRICAL C3 ENGINEERING ❑FIRE PREVENTION
PROJECT DESCRIPTION
Detailed description of work to
Rt4- O CAT -C A
be included on this permit only
77�
NAME PRIMARY PHONE
PROPERTY OWNER
11.41i e
MAILING ADDRESS. CITY, STATE, ZIP E-MAIL
1 151 FAA NQ I OW vE 1.3 • S hit -I LE W4
CONTRACTOR APPLICANT El PROJECT CONTACT
OWNER IS ALSO:
NAME
FVLE SYS-i'OA S (OerS
PRIMARY PHONE
(X57 )g3S - ,ZyB
MAILING ADDRESS, CITY, STATE, ZIP
Z06 J1✓LCkJrA4 E 12GAD W #C- F1 uJA
FAX
(L 5'3) 73 S - o f t
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
F1►'L<SW s-
b / H
!9 -g1 -C Loam
NAME
PRIMARY PHONE
APPLICANT
{
1✓ I ft C YS T��ti►1 S W �S r
( ) -
MAILING ADDRESS. CITY, STATE, ZIP
FAX
PROJECT CONTACT
r e individual to receive and
NAME
Frv&N c PET Nor z
PRIMARY PHONE
(2 ) i 3 - 101
MAILING ADDRESS, CITY. STATE, ZIP
FAX
respond to all correspondence
concerning this application)
Z O C-ft T Q 4 C PACA F! L
(Z ) 7 3 - 0113
ALTERNATE CONTACT NAME:
PRIMARY PHONE
E-MAIL
( ) -
F"bNor- Q40 Poe S iel4
PROJECT FINANCING
NAME
OWNER- FINANCED
Required for projects with
value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PRIMARY PHONE
(RCW ) 9.27.095)
! )
1Owner.
I certify under penalty of perjury that I am the property owner or authorized agent of the property I certify that to the
best of my knowledge, the irtformation 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 4f such claim), which may be made by any person, including the undersigned, and filed iled against the
city, but only where such claim aril of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to th par this application.
SIGNATURE: DATE y 115 i sm
PRINT NAME: ��� T -�= ���'
Bulletin #100 - 4/21/2009 Page 1 of 4 k:\Handouts\Permit Application
rar.cc f
MECHANICAL FIXTURES
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type offlxture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (Commcrotaq
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL
PLUMBING
FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (orThb /Shower Combo)
LAVS (fiend Stnks)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (wtchen /utatty)
WATER HEATERS (Ete mo
HOSE BIBBS
SUMPS
WASHING MACHINES TOTAL Fl%TURES
GENERAL
INFORMATION
PROJECT VALUATION
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
$ IWO
Additional Information
NEW claw NG'
$
EXISTING /PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
ADDITION
y� Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
... ............................... ... ............... ._........ ........ _ ........................ _ .................. _ ... ......... ....
BASEMENT
_. ... � .................. .........._......._............ _ ...... _._.._._.......__._. ......
FIRST FLOOR (or Mobile Home)
............. .I....... _ ...... .... _ . ..... ....... ............... ... .. _.. _. _ . _ _ ............. ........ _. _. _... _ _ . _ .............
,.. _...
SECOND'FLOOR
....................... ............................... _ ..... _.. ...... _.. _. _........ _. _.............. ......... _ .......... _.. _..... _. _... _....
COVERED ENTRY
........ ............ ........................ ....................... ....._............................................................. _._...................................
DECK
GARAGE ❑ CARPORT ❑
............. . . . . ................. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . .
OTHER (describe)
ExtsrnvD PROPOSED 'rornt.
Area Totals
**NEW HOMES ONLY"
ESTIMATED SELLING PRICE $ # OF BEDROOMS
COMMERCIAL-
NEW/ADDITTON
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
NEW claw NG'
ADDITION
COMMERCIAL
- REMODEUTENANT IMPROVEMENTS
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
# of
Stories
Additional Information
TOTAL B,, IN
TENANT AREA ONLY
PRO.IEcT AREA ONLY
Bulletin #100 - 4/21/2009 Page 2 of 4 k:\Handouts\Permit Application