12-102113ri M •
Electrical
City of Federal Way
Community & Econ. Dev. Services Permit #: 12-102113-00-EL
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Q
Project Name: WORLD VISION - SUITE 200
Project Address: 3455 S 344TH ST Suite 200 Parcel Number: 222104 9006
Project Description: Low voltage wiring for adding & relocating notification devices.
Owner
A121211can
Contractor
WORLD VISION BLDG II EC LE
FIRE SYSTEMS WEST INC (ELECTRICAL)
FIRE SYSTEMS WEST INC (ELECTRICAL)
20415 72ND AVE S SUITE 210
206 FRONTAGE RD N
FIRESWI055LW (6/16/13)
KENT WA 98032
PACIFIC WA 98047 -1023
206 FRONTAGE RD N
PACIFIC WA 98047 -1023
Additional Permit Information'
Is Use Educational or Institutional ? .......................No Service greater than 999 Amps? ............................. No
Electrical Fixtures
Low Voltage - Fire Alarm (Comm( 1
PERMIT EXPIRES Saturday, November 10, 2012
Permit Issued on Monday, May 14, 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
re—City of Federal Way. ��-
Owner or agent: Date:
4*
cmr of
Federal ay
PERMIT #:
Project:
THIS CARD IS TO MAIN ON -SITE
Construction IM Record
INSPECTION REQUE TS: (253) 835 -3050
12- 102113 -00 -EL Address: 3455 S 344TH ST Suite 200
WORLD VISION BLDG II EC LE FEDERAL WAY, WA 98001
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)
Approved
0
Ditch cover (4030)
Final Electrical
Slab /Concrete Floor (4255)
Temporary Power (4275)
0
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Final Electrical
Temporary Power (4275)
0
Service (4235)
Approved
Approved
Approved
Approved
By
Date
By
Date
By
Date
Date
Feeders /Sub - panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
CS Date 6— 13 '7_
B
C Date L _ �3_ 7_
Final - Electrical (4055)
Approved
By
t� .Date
Rough Electrical
Approved
Final Electrical
Right of Way
Approved
Approved
By
Date
By
Date
By
Date
S. 4
DECEIVED
CITY OF MAY 1420'%
Federal Way CITw& ���A I,
PERMI��APTPL CATION
* *Most electrical permits may be obtained on -line at www.cityoffederalway.com **
SITE ADDRESS-3 [/S - S 3 y 7 F Z41
SUITE /UNIT /SPACE #
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ASSESSOR'S TAR /PARCEL # CURRENT /PROPOSED USE
PROJECT NAME „ J
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION
Detailed description of work to
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be included on this permit only
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PROPERTY OWNER
NAME
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PRIMARY PHONE
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MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
NAME r
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
ELECTRICAL
CONTRACTOR
c r
STATE
ZIP
Ax
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
12j 1 /iz
FEDERAL W BUSINESS LICENSE #
APPLICANT
NAME
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PRIMARY PHONE
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MAILING ADDRESS
E -MAIL
CITY
STATE
FAX
PROJECT CONTACT
NAME
PRIMARY PHONE
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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 suppl' o the cI s a par of this application.
SIGNATURE: DATE T— 2_
PRINT NAME:
33325 8" Avenue South ♦ PO Box 9718 ♦ Federal Way 1 WA 1 98063 -9718 ♦ 253 -835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com
Bulletin #160 — April 9, 2010 Page 1 of 2 kAHandoutsElectrical Permit Application
0
RESIDENTIAL
COMMERCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet 1
1 st Service /Feeder Additional Feeders
(including attached garage): 1
0 - 100 amp -, x $132.50 x $ 80.50
FEES: First 1300 ft2 - $122.00;
101 - 200 amp x $164.00 x $103.50
Each additional 500 ft2 - $39.00
201 - 400 amp x $307.00 x $121.00
401 - 600 amp _ x $358.00 x $143.50
NEW MULTIFAMILY (3 units or more)
111 Service /Feeder Additional Feeders
601 - 800 amp x $463.00 x $196.00
0 - 200 amp x $132.50 x $ 39.00
801 - ,1000 amp _ x $565.00 x $236.50
201 - 400 amp x $164.00 x $ 80.50
Over 1000 amp x $616.00 x $328.50
401 - 600 amp x $224.00 x :$111.50
601 - 800 amp x $287.00 x $153.50
Over 600 volts surcharge x $103.50
Over 800 amp x $410.50 x '$307.00
ALTERED SINGLE or MULTI FAMILY
ALTERED COMMERCIAL
Is' Service /Feeder
Is' Service /Feeder Additional Feeders
0 - 200 amp x $,101.00
0 - 200 amp. _ x $132.50 x !$103.50
201 - 600 amp x $164.00
201 - 600 amp _ x $307.00 x $121.00
Over 600 amp x $246.50
601 - 1000 amp x $463.00 x $196.00
Over 1000 amp x $515.50 x $328.50
Added or Altered Circuits
1 -4 circuits $80.50; each additional $8.00
Added or Altered Circuits
1 -5 circuits $103.50; each additional $8.00
Mast or meter repair $60.50
Mast or meter repair $111.50
MANUFACTURED HOMES
PLAN REVIEW FEES
Service or feeder only x $ 80.50
Plan Review required only for:
Service and feeder x $132.50
• 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
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 $ 80.50 _ x $ 39.00
Area to be served by system:
-
101 - 200 amp x $103.50 x $ 51400
1st 2,500 ft2- $71.00; each additional 2,500 ft2 - $18.50
201 - 400 amp x $121.00 x $ 60.50
# of Thermostats /
401 - 600 amp x $164.00 x $ 80.50
/�
First $60.50; each additional $18.50 V '{ b
(ll
Over 600 amp x $184.50 x $ 92.00
FEE CALCULATIONS
# of Signs
First $60.50; each additional $28.50
• Fees are determined by the scope of work as indicated.
Yard Pole /meter loops /pedestal x $ 80.50
• A $6.00 Automation Fee will be added to all permits.
• For assistance in calculating fees or completing the
Portable Generator (transfer equipment)_ x $101.00
application form, contact the Permit Center at
Ditch cover /inspection only x $121.00
253- 835 -2607
33325 8" Avenue South ♦ PO Box 9718 1 Federal Way ♦ WA ♦ 98063 -9718 1253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com
Bulletin #160 - April 9, 2010 Page 2 of 2 k :\Handouts\Electrical Permit Application