11-104323City of Federal Way
Community & "Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: MIRROR LAKE ELEMENTARY - 20 O
Project Address: 625 S 314TH ST
electrical
Permit #: 11- 104323 -00 -EL
Inspection Request Line: (253) 8354050
Project Description: Feeder for installation of portable classroom (pre - wired).
Parcel Number: 082104 9035
Owner
Aimlicant
Contractor
FEDERAL WAY PUBLIC SCHOOLS
TONY MATIATOS
SCOTT'S ELECTRIC SERVICE LLC
31405 18TH AVE S
GREENE GASAWAY ARCHITECTS
SCOTTES969RA (2/20/13)
FEDERAL WAY WA 98003 -5433
PO BOX 4158
23811 SR 2
FEDERAL WAY WA 98063 -4158
MONROE WA 98272
Is Use Educational or Institutional ? .......................Yes Service greater than 999 Amps? ............................. Yes
Alt. Srvc /Feeder 0 to 200 amps (C 1
PERMIT EXPIRES Thursday, December 13, 2012
Permit Issued on Wednesday, December 14, 2011
i hereby certify that the abo infor tion i orrect and that the construction on the above described property and
the occupancy and the u ill b i acc9oance with the laws, rules and regulations of the State of Washington.
and the City of Federal Way.
Owner or agent: Date: z ' e./ I t
F; Ne"^ "'D 131 /1Z.
THIS CARD IS TO MAIN ON -SITE
CITY r;F - s
Construction I ection Record '
Federal Way INSPECTION REQU TS: (253) 835 -3050 r
PERMIT #: 11- 104323 -00 -EL Address: 625 S 314TH ST
Project: FEDERAL WAY PUBLIC SCHOOLS FEDERAL WAY, WA 98003 -5214
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
ByTC Date 2 — `� — 11
B GS Date' _ 1
By Date
El
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
Right of Way
Approved
Approved
Date
Approved
Date
Approved
By
Date
By
Date
By Date
E]
Feeders /Sub - panels (4045)
Rough Electrical (4225)
❑ Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By,( S Date l -9 —
Final - Electrical (4055)
Approved
By
G Date 1 ,L
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way c�.JECTRICAL
PERMIT APPLICATION
"Most electrical hermits may be obtained on -line at www.citvoffederalway.com"
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner. I certVg that to the beat
of my knowledge, the igformation submitted in support of this permit application is true and correct. I cert(fy 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 cl aim (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, andf filed against the city,
but only where such claim arises out of the reliance of the city, including its gQicers and employees, upon the accuracy of the
information supplied toihe city as a part ofAhis application.
PRINT NAME:
33325 8h Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 4 www.cityoffederalway.com
Bulletin #160 —January 1, 2011 Page 1 of 2 kAHandoutsTlectrical Permit Application
9
PROPERTY INFORMATION
..
SITE ADDRESS: (,Pa* vc- b e F_Ar L. W AY I
wR gg�Iy�
SUITS /UNIT /SPACE #
ASSESSOR'S TAX/PARCEL #
CURRENT /PROPOSED USE
PROJECT INFORMATION
PROTECT NAME
(Tenant or Homeowner Last Name)
m i P. X1z F. LA Kc a (.-G JM E N rA F- f -- ?o jvrA o LE -Loll
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
12.
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PEOPLE
PROPERTY OWNER
NAME Ir..Op...
FeV6VAL �J WAq EVOG14,
PRIMARY PHONE
( 2.13 r7
MAILING ADDRESS
E-MAIL
CITY
F* 0C -P'+L w
STATE
�N�
ZIP
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FA$
(?hj -- !;.I 5�!
ELRCTRIM
CONTRACTOR
NAME
PRIMARY PHONE
MAILING ADDRESS
E-MAH.
CITY 7STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EBPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
aAely Td"i M w ri XT 5 j
CPA G
PRDYART PHONE
(2 ) -
MAILING "DREW fj�
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CITY
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I STATE
WA
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FAX
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PROJECT CONTACT
NAME
_rV 1j
PRIMARY PHONE
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner. I certVg that to the beat
of my knowledge, the igformation submitted in support of this permit application is true and correct. I cert(fy 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 cl aim (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, andf filed against the city,
but only where such claim arises out of the reliance of the city, including its gQicers and employees, upon the accuracy of the
information supplied toihe city as a part ofAhis application.
PRINT NAME:
33325 8h Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 4 www.cityoffederalway.com
Bulletin #160 —January 1, 2011 Page 1 of 2 kAHandoutsTlectrical Permit Application
9
RESIDENTIAL
COMMERCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet
(including attached garage):
IS` Service /Feeder Additional Feeders
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
NEW MULTIFAMILY (3 units or more)
401 - 600 amp x $358.00 x $143.50
lst 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
15` Service /Feeder
s` rvice /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% = + $103.5 R Fee)
132. W X aSO)o- (0 .5 - _
Plan review for modified submittals $105.50 /hour
MISCELLANEOUS
SERVICE/ PQ! MENT
LOW VOLTAGE
TEMPORARY SERVICE
❑ Fire Alarm System
w 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:
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 $121.00 x $ 60.50
# of Thermostats
401 - 600 amp x $164.00 x $ 80.50
First $60.50; each additional $18.50
Over 600 amp x $184.50 x $ 92.00
FEE CALCULATIONS
Yard Pole /meter loops /pedestal x $ 80.50
• Fees are determined by the scope of work as indicated.
Portable Generator (transfer equipment) x $101.00
• A $6.00 Automation Fee will be added to all permits.
Ditch cover /inspection only x$121.00
• For assistance in calculating fees or completing the
application form, contact the Permit Center at
253 - 835 -2607
33325 8' Avenue South 4 Federal Way ♦ WA 198003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com
Bulletin #160 -January 1, 2011 Page 2 of 2 k:\Iandouts\Electrical Permit Application