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
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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