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08-103675
J. , , ', l 0 r -Is City of Federal Way 0 Community Development Services Electrical Perlt #: 08-103675-00-EL P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050 Project Name: QWEST DSL @ WHISPERING HILLS Ft .. „,,,......_, ,..;, Project Address: 2121 SW 352ND ST , Parcel Number: 176150 0010 • Project Description: Underground service installation located at 2121 SW 352nd St Owner Applicant Contractor MOSAIC USA FEDERAL WAY KEN BOBKO ELECTRIC CO INC KEN BOBKO ELECTRIC CO INC 401 PARKPLACE CTR#311 PO BOX 7009 KENBOEC066BA(1/1/10) KIRKLAND WA TACOMA WA 98406-0009 PO BOX 7009 98033-6200 TACOMA WA 98406-0009 Additional Permit Information Service greater than 1000 Amps? No Electrical Fixtures New Service/Feeder: 0- 100 amps 1: PERMIT EXPIRES Wednesday, August 5, 2009 er . Permit Issued on Tuesda A ust " Q8 'fix ►" K t. I hereby testify that the above information is corre and that the construction i that aboved cri.;f era,e-rty 3 d ,,g the occupancy and t use will -e in --«• ',an;,, with th s rules and nag at ns of the" at-' -` ,, F an. e City ed Owner or agent: 4� 4 ' „1,,----e---2-- Date: f G /'\//ct G > ` , THIS CARDIS TO AIN ON-SITE ., CITY OF Pommuni tY Develop me me t Inspection Record p Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 08-103675-00-EL Owner: MOSAIC USA FEDERAL WAY Address: 2121 SW 352ND ST FEDERAL WAY, WA 98023-3170 This card is part of your required inspection documents. 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) ` 4pproved Approved Approved to place concrete By C v4�... Date$_2q,`o g By C, & Date g.tor...z,c, By Date — ❑ Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235) Approved Approved Approved By Date By Date By Date , ❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date ❑ Final-Electrical(4055) l Approved By Date Z For inspector reference only ❑ Rough Electrical ❑ FINAL-Electrical Approved Approved By Date By Date A __.)4Zr ift\(406 , Cilir _ / 0 ,_,3 6, - --.S--- rewderalWaY PERMIT SF Mcrrr FP COMMUMIYDEVELOPMENT SERVICES 33325 8m AVENUE A77 •PO BOX 9718 FEDERAL WA Y,WA 98063-971 8 APPLICATION 253.835-26076 FAX 253-835.2609 �A U G 0.4 2008 ./ lemstetdolbegum The following is required information—an incomplete application will not be accep /__ • PROPERTY INFORMATION SITE ADDRES� ICJ S2 hd � G SIIITEnnuT# ASSESSOR'S TAX/PARCEL# ) 71p_ / 5 .0 - O O l 0 LOT SIZE(sj L-o DESCRIPTION(e.g.Acme Estates,Lot 1) IN PROJECT INFORMATION TYPE OF PERMIT ❑BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM - • o- •ESCRIPTION • • '•e •= •' d description of work included on ' • L', o . y e. 0 4r.• - r * 1[i 46E10 _ t. A 0.9' PROJECT NAME(Name of Business or Owner Last Name) w`(.(X!i� ',�1It� A i II PEOPLE INFORMATION PROPERTY PRIMARY PHONE OWNER ( ) - 1 ©5 L S t3 t?OIM t o STATE,CITY. a'0.0c So aQ(� E-MAIL ADDRESS CONTRACTOR MP N E a E OFFICE PHONE cr% t:2e rc Cal ( t ifIC-, A, k 5 QS-3)N'75'4 - elq 419J bC D E. oct$9 WIN�q$ �o-oc5d9 ( PINE - tope OF DERAL WA BUSINESS LICENSE NUMBER TION DA E FAX NUMBER r er�lC: �?C) w O g R'8 •1 N NOnIBEH F■ e: ON DATE E-MAIL ADDRESS entg0 c0 � 1 di."cal APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE ( ) - O ADDRESS CITY,STATE,ZIP CELL PHONE ( ) - REIATIO HIP TO PROJECT FAX NUMBER El Ar ct ❑Tenant ❑Agent ❑ Other ( ) - PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT ( ) - LENDER N Per ROW 19.27.095: Lender i{/ere aaun is required i/project value exceeds#5,000, MAILING AD CITY,STATE,ZIP PHONE ( ) • DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO WATER SERVICE PROVIDER D LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND THIRD ADDITIONAL FLOORS(DESCRIBE) • DECK(0 COVERED OR ❑UNCOVERED?) GARAGE ❑ CARPORT 0 • NUMBER OF FLOORS narrow TOTAL - to/Airman/low TOTAL raawoaessr TOTALS? - **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ • FIXTURES Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL • • Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC(Describe) • BOILERS FIREPLACE INSERTS HOODS(commard s COMPRESSORS FURNACES RANGES DUCTS • GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS(arms/shower cameo) LAVS mauve=Sinks) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS crones • ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS • SIGNATURE • I certify under penalty of perjury that I mn the property owner or authorised 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 co •lianas wi •cal,state,or federal laws regulating construction or environmental laws. I further agree to hold harmless the City Federal W411 as to any claim(including costs, expenses, and attorneys' ees incurred in the investigation and def of su / lain), w may be by any on, including the undersigned, and filed the city, but only where such claim • . e out of • • re• ••- o city, i - g its o t-c employees,upon the accuracy of ormation supplied to . the city as apart t .< appli2 reik SIGNA ' = f' 1 ! /,:I DATE S © ' / t •'fie!' Owner an.'or Authorized Agent • o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? a YES a NO ZONING DESIGNATION CHANGE OF USE? o YES a NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO PLATTED LOT? o YES p NO DEMO PERMIT REQUIRED? a YES o NO Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Pennit Application ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE ❑ Single Family Square Feet � Service or Feeder Each Add'n (First 1300 ft2-$115.50;Each add'n 500 ft2-$37.00) eV 0 to 100 amp $125.50 $76.50 ❑ Detached outbuilding or garage ❑ 101-200 amp 155.50 98.00 (Inspected with service) $48.50 ❑ 201-400 amp 291.00 115.00 ❑ Detached outbuilding or garage ❑ 401-600 amp 339.50 136.00 (Inspected separately) $76.50 ❑ 601-800 amp 439.00 186.00 ❑ 801 - 1000 amp 536.50 224.50 NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 584.50 311.50 Service Feeder ❑ Up to 200 amp $125.50 $37.00 ❑ Over 600 volts surcharge $98.00 ❑ 201-400 amp 155.50 76.50 ❑ Mast or meter repair $106.00 ❑ 401-600 amp 212.50 106.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ 601-800 amp 272.00 145.50 ❑ Over 800 amp 389.50 291.00 Service or Feeders ❑ 0 to 200 amp $125.50 ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 291.00 ❑ 601- 1000 amp 439.00 Service or Feeder ❑ over 1000 amp 489.00 ❑ 0 to 200 amp $96.00 ❑ 201-600 amp 155.50 ❑ #of circuits to be added/altered ❑ over 600 amp 234.00 (1-5 circuits-$98.00;Add'n circuits,$7.50/ea) ❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits-$76.50;Add'n circuits$7.50/ea) $98.00 plus 35%of Permit Fee 1 ❑ Service- 1,000 amps or greater ❑ Mast or meter repair $57.50 ❑ Medical/Educational/Institutional Facility MANUFACTURED HOMES ❑ Service or feeder only $76.50 ❑ Service and feeder $125.50 TEMPORARY SERVICE MOBILE HOME/RV PARK Residentia//Multi-Family $67.50 ❑ #of service or feeders (First service/feeder-$76.50;each add'n-$50.00) Commerciai/Industrial Service or Feeder Ampacity ❑ 0-100 amps $76.50 ❑ 101-200 amps 98.00 ❑ 201-400 amps 115.00 ❑ 401-600 amps 155.50 1 ❑ over 600 amps 168.00 MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Thermostats ❑ #of Signs (First-$57.50;add'n-$17.50/ea) (First sign-$57.50;add'n sign$27.00/ea) ❑ Low Voltage ❑ Swimming pool/hot tub $115.00 Square Feet to be served by system(s) (Includes additional circuit,if required) ❑ Fire Alarm System ❑ Yard Pole meter loops $76.50 ❑ Security Mann System ❑ Additional Plan Review $115.00/hour ❑ Voice Cabling (for modified submittals) ❑ Data Cabling CI Automation Fee on all Permits .. $5.50 la 2500 R2-$67.50; Each add'n 2500 ft2-$17.50) •Per WAC 29646.910(5x6)fi&5) k ,r Bulletin#100-January 1,2008 Page 3 of 4 k\Handouts\Permit Application