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09-104656City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Project Name: NW DENTAL Project Address: 720 S 348TH ST Suite A -1A Project Description: Installation of wiring for voice /data cabling 9 Efedrical Permit #: 09- 104656 -00 -EL Inspection Request Line: (253) 835 -3050 Parcel Number: 233145 0010 Owner Applicant Contractor 720 SOUTH 348TH ST LLC BOYER ELECTRIC BOYER ELECTRIC 11409 GRAVELLY LAKE DR SW 830A N 127TH ST BOYEREC101LE (6/5/10) LAKEWOOD WA 98499 SEATTLE WA 98133 -8030 830A N 127TH ST SEATTLE WA 98133 -8030 Is Use Educational or Institutional?... .................... No Service greater than 1000 Amps ? ...........................No hereby certify th#t the abo a information is correct and that the construction on the above described property and the occupancy r)d the us ance with the laws, rules and regulations of the State of Washington e ity of Federal Way. Owner or agent: 1 Date: ,-c -� Cfff OF Federal Way PERMIT #: 09- 104656 -00 -EL THIS CARD IS TO MAIN ON -SITE Construction I UE ection Record INSPECTION REQTS: (253) 835 -3050 Address: 720 S 348TH ST Suite AAA Owner: 720 SOUTH 348TH ST LLC FEDERAL WAY, WA 98003 -7042 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 (40 0) Final Electrical Approved Slab /Concrete Floor (4255) Service (4235) Approved Approved Date Approved Date Approved to place concrete By Date By Date By Date ❑ Pool Bonding (4195) Approved Temporary Power (4275) Approved Final Electrical Approved 13 Service (4235) Approved By Date By Date By By Date By Date Feeders /Sub - panels (4045) Approved Rough Electrical (4225) Approved Ceiling Cover (4020) Approved By Date By Date By Date i—a —t Ch Final - Electrical (4055) Approved By Date c5 _ ey t1 Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date Cm°f ®!C ERMIT Feder T V G COMM(/M DEVEtOPAZAT SERVICES 253 - 835- 2607 - FAX 253 -83 5 -2609 APPLICATION www.c twffedera,wau.duid l V r 2 5 2 U 1 o o� SF CO ME L L /DE EN FP t NAME PRWARY PHONE PROPERTY OWNER ( ) MAILING ADDRESS, CITY, STATE, ZIP E-MAIL OWNER IS ALSO: CONTRACTOR APPLICANT PROJECT CONTACT NAME a PRIMARY PHONE �y 0-0 167- l MAILING ADDRESS, CITY, STATE, ZIP �/ FAX Nq C TRACTOR ATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY Bjusnu S/S�LICCEN,SrtE M XW lL'"'A" 'c S — (�' �LIri -i NAME PRIMARY PHONE APPLICANT - MAILING ADDRESS, CITY, STATE, ZIP FAX PROJECT CONTACT NAME PRIMARY PRIMARY PHONE (The individual to receive and � J P fir" f j e% r '7 MAILING ADDRESS, CITY, aTilTz, ZIP FAX respond to all correspondence concerning this application) ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL PROJECT FINANCING NAME OWNER - FINANCED Required for projects with MAILING ADDRESS, CITY, STATE, ZIP PRIMARY PHONE value of $5, 000 or more (RCW 19.27.095) I _ I certify under penalty of perjury that Z am the property owner or authorized agent of the property owner. Z cert(jy that to the best of my knowledge, the h1formation submitted in support of this permit application is true and correct. Z certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. Z 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 of such claim), which may be made by any person, including the undersigned, and filed against the city, but only where such laim arises out o reliance of the city, including its officers and employees, upon the accuracy of the Information supplied to city application. SIGNATURE: DATE — j PRINT NAME: r C C rSck / c, 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 151 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) 181 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 $163.001, 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 110 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 $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 ❑ Fire Alarm System 1st Service/Feeder Additional Feeders ❑ S rity Alarm System Voice /Data Cabling 0 - 60 amp x $ 71100 x $ 32.00 ❑ Other 61 - 100 amp x $ 80.00 x $ 39.00 Area to be served by system: l 101- 200 amp x $103.50 x $ 51.00 Pt 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:\Handouts\Permit Application