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11-101141City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 � � =ALE electrical Permit #: 11- 101141 -00 -EL Inspection Request Line: (253) 835 -3050 Project Name: RHODODENDRON SPECIES FOUNDATION Project Address: 2525 S 336TH ST Project Description: Alteration of (4) circuits for kitchen /break room area. Parcel Number: 212104 9002 Owner Applicant Contractor RHODODENDRON SPECIES FOUNDATION RHODODENDRON SPECIES FOUNDATION RHODODENDRON SPECIES FOUNDATION 2525 S 336TH ST 2525 S 336TH ST 2525 S 336TH ST FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 Is Use Educational or Institutional ? .......................No Service greater than 999 Amps? .............................No Circuits - Commercial .................... 4 PERMIT EXPIRES Tuesday, Mardh 27, 2012 Permit Issued on Monday, March 28, 2011 . hereby certify that the above. inform the occupancy and the use will.be in Owner or agent: Date -�-- !"V�o q1e&10 •'� THIS CARD IS TO MAIN ON -SITE •. crry of 0 Construction In ection Record Federal Way INSPECTION REQUE TS: (253) 835 -3050 PERMIT #: 11- 101141 -00 -EL Address: 2525 S 336TH ST Project: RHODODENDRON SPECIES FOUN 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. UFER Ground (4295) Ditch cover (4030) 0 Slab /Concrete Floor (4255) Service (4235) Approved Approved Approved Approved Approved to place concrete By Date By Date By Date Pool Bonding (4195) Temporary Power (4275) Final Electrical Approved Service (4235) Right of Way Approved Approved Date Approved By Date Approved By Date By Date By Date Rough Electrical (4225) Ceiling Cover (4020) Feeders /Sub - panels (4045) Approved Approved Approved By Date By Date — �1--�► By Date Final - Electrical (4055) Approved By Date <�t _c Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date 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 filed 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 suppled to the city as apart of this application. SIGNATURE: PRINT NAME: 33325 8h Avenue South 1 Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 # fax: 253 -835 -2609 # www.cityotlederalway.com Bulletin #160 —January 1, 2011 Page 1 of 2 kMandouts \Electrical Permit Application CITY OF Federal Way ELECTRICAL RECEIVED PERMIT APPLICATION MAC' 2�8 Xa "Most electrical permits may be obtained on -line at vvww. citvo�jdT /ctv.FAPERAL WAY SITE ADDRESS: 33 5 SUITE /UNIT /SPACE # ASSESSOR'S TAX /PARCEL # CURRENT /PROPOSED USE Az PROJECT NAME (Tenant or Homeowner Last Name) r PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER p p — ,v r✓ o� A77dv (A., -3 )87? MAILING ADDRESS E -MAIL lD, TOX 3 711 CITY STATE ZIP FAX NAME PRIMARY PHONE 1 MAILING ADDRESS E -MAIL ELECTRICAL CONTRACTOR CITY STATE ZIP FAX 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 -b C– L EIL PRIMARY PHONE 1 ) °a�S3 )v V- L16 U N 1.5 m 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 filed 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 suppled to the city as apart of this application. SIGNATURE: PRINT NAME: 33325 8h Avenue South 1 Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 # fax: 253 -835 -2609 # www.cityotlederalway.com Bulletin #160 —January 1, 2011 Page 1 of 2 kMandouts \Electrical Permit Application , s. NEW SINGLE FAMILY RESIDENCE Total Square Feet (including attached garage): f FEES: First 1300 ft2 - $122.00; Each additional 500 ftz $39.00 NEW MULTIFAMILY (3 units or more) 151 Service /Feeder Additional Feeders 0 - 200 at mp x $132.50. x $ 39.€10 201 -:400 amp x $164.00 x $ ;80.50 401 600 amp x $224.00 " x $111:50 601 - 800 amp x $287.00 x $153:50 Over 800 amp, , x$410.50 x, .$307;00 ALTERED SINGLE or MULTI FAMILY P' Service /Feeder 0 - '2010 amp;, x $101.00 201 - 600 amp, x $164.00 Over 600 'amp Added or Altered Circuits 1 -4 circuits $80.50; each additional $8.00 Mast or meter repair $60.50 MANUFACTURED HOMES Service or feeder only x $ 80:50 Service; and feeder x ' $132.50 NEW COMMERCIAL Over 600 volts surcharge x $103.50 ALTERED COMMERCIAL I,' Service /Feeder Additional Feeders x$132.50` "x $103.50 201 - 600 amp x•$307.00 x $121.00 6q1 -1060 p ,. x X463 (ifl ... :x $>�C' Over: 10(30 amps...= x -$535 50 x.$328.50 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 / EQUIPMENT LOW VOLTAGE ❑ Fire Alarm System ❑ Security Alarm System ❑ Voice /Data Cabling ❑ Other Area to be served by system: P, 2,500 ft2- $71.00; each additional 2,500 ft'- - $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 111 Service /Feeder Additional Feeders I,' Service /Feeder Additional Feeders .. $ 39.00 "$102.50 201 - 400 'a r P 101 - 200 amp x $164.00 x $103.50 92.00 401 - 600 amp x$358.00 x $143.50 601 �- 'A'800 amp ? x x. $463:00 x $196.00 801 - 1000 amp x $565.00 x $236.50 Ovei 1000 amp.= x$328:50 Over 600 volts surcharge x $103.50 ALTERED COMMERCIAL I,' Service /Feeder Additional Feeders x$132.50` "x $103.50 201 - 600 amp x•$307.00 x $121.00 6q1 -1060 p ,. x X463 (ifl ... :x $>�C' Over: 10(30 amps...= x -$535 50 x.$328.50 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 / EQUIPMENT LOW VOLTAGE ❑ Fire Alarm System ❑ Security Alarm System ❑ Voice /Data Cabling ❑ Other Area to be served by system: P, 2,500 ft2- $71.00; each additional 2,500 ft'- - $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 111 Service /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 1 Federal Way 1 WA ♦ 98003 -6325 1 253 -835 -2607 ♦ fax: 253 -835 -2609 ♦ www.cityoffederalway.com Bulletin # 160 -January 1, 2011 Page 2 of 2 k:\Handouts \Electrical Permit Application E` lc. $. 3!400 61 - 100 amps $,80.5 ©. .. $ 39.00 201 - 400 'a r P A6 o Over .600 'Amp 92.00 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 1 Federal Way 1 WA ♦ 98003 -6325 1 253 -835 -2607 ♦ fax: 253 -835 -2609 ♦ www.cityoffederalway.com Bulletin # 160 -January 1, 2011 Page 2 of 2 k:\Handouts \Electrical Permit Application