07-106853■
' I~`• City of Federal Way Electrical Permit #: 07-106853-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: H & R BLOCK Parcel Number: 189880 0010
Project Address: 1638 SW DASH POINT RD Suite A
Project Description: Installing a circuit between panel & existing j-box for new sign.
Applicant Contractor
Owner DENNIS WEBB ELECTRIC INC
H&R BLOCK DENNIS WEBB ELECTRIC INC
702 220TH SW DENNIWE031C4 2/24/09
W DASH POINT BOTHELL WA 98003 702 220TH SW
FEEDD ERRAL WAY WA 980022 3 BOTHELL WA 98003
Additional Permit Information
Service greater than 1000 Amps'? No
Electrical Fixtures
Circuits- Commercial I
PERMIT EXPIRES Sunday, December 14, 2008
Permit Issued on Thursday, December 20, 2007
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the $e will be in accordance with the laws, rules Way and regulations of the State of Washington
d the City
44 yLJ "�i. Date: /2 - -m/
Fits . :60 9".D
Owner or agent:
. ,
THIS CARD IS TO REMAIN ON-SITE
CITY OF Communi ty Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-106853-00-EL
Owner: H & R BLOCK
Address: 1638 SW DASH POINT RD Suite A
FEDERAL WAY, WA 98003
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.
•❑ Slab/Concrete Floor(4255) ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
— ❑ Temporary Power(4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final -Electrical(4055)
Approved Approved Approved
By Date By Date Date Z—Z�•
❑ UFER Ground (4295)
Approved
By Date
•
For inspector reference only
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved
•
By Date By Date
r'ederal 3>,ta PEFpi�IT �-� 2
SF MF CO M
COMMUNITY DEVELOPMENT SERVICES EL PL DE EN FP
33325-D AVE
-DE 200 APPLICATION
FEDERAL WAY,WA 98063-9718 "� Q TD - / /
I 253-435.2607•FAX 253E3E2609
wunadtuo fedemhPn
,i,u.con3F FEDEFiAL1'
The following igshilieR4AWorination—an incomplete application will not be accepted. Please print legibly(In ink)or type.
■ PROPERTY INFORMATION
SITE ADDRESS 1630 Q 5 iv f'A5 t( PT- &d J YPd eve.( Wy.! W lF/ SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# __ _— _ _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach M!e<e PeOefer Ia,g1AY legal daoipffo,4
■ PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION O ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onto)
Ci/) / P0.2`Px.: /2-4?
PROJECT NAME(Name of Business or Owner Last Name) H- vi- -- Nock__
U PEOPLE INFORMATION
PROPERTY NAME
�`0 ] �� I //� // PRIMARY PHONE
OWNER QYII')�-I/Vy—I/V l iSOLI pro,erT 15 ( '
MAILING ADDRESS / CITY,STATE,ZIP E-MAIL ADDRESS
(; . Lam' ' d" d 4 e11e,ii�e 3
CON - - •,il •• PANT NAME APPLICANT NAME OFFICE PHONE
•L 1 1, -� oe�r�✓r �i��b fE1,��n1 (q, 5) k3/ - 9 f
' ,STATE.ZIP CELL PxoNE
t\ I o
of i, 2/�p '� &)fGIe_L wN-9�/ (206) 3.4l -°("9j.
CITY OF L AY BUSINESS LICENSE NUMBER EXPIRATION DATE ' FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
AP CANT COMPANxNAME h i 3 vvQ - `� APPLICANT NAME OFFICE PHONE
MAILING ADDRESS ,lVl'_]1/ - CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑Tenant ❑Agent CI Other ( )
PROJECT NAME PRIMARY PHONE E
CONTACT - MAIL ADDRESS
LENDER NAME Per RCW 79.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP - PHONE
. (
a DETAILED BUILDING INFORMATION , -
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? O YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO •
WATER SERVICE PROVIDER ❑ LAKEHAVEN o 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 t
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE CARPORT ❑
IWUTINO nom= I TOTAL TOTAL=MHO Sr TOTAL flOPOSED er TOTAL It
NUMBER OF FLOORS
•
"NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type offixture 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 WOODSTOYES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS p.m.')
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/ShoworCombo) LAYS(Bathroom5Wc24 URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS - SUMPS
SIGNATURE
•
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 it
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 Iocal,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 city, eluding its officers and employees,upon the accuracy of the information supplied to
the city as a part of this application � /
SIGNATURE:��il� �6 L� �- g DATE / 2/77 �P7
wnerend A ent
•
•
a NEW a ADDITION o ALTERATION o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100=August 16,2007 Page 2 of 4 . k\Handouts\Permit Application
ELECTRICAT PERMIT INFORMATION •
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$111.00;Each add'n 500 ft2-$35.50) ❑ 0 to 100 amp $120.50. $74.00
❑ Detached outbuilding or garage ❑ 101-200 amp 149.50 94.50
(Inspected with service) $47.00 ❑ 201-400 amp 280.00 111.00
❑ Detached outbuilding or garage ❑ 401-600 amp 327.00 131.00
(Inspected separately) $74.00 ❑ 601-800 amp 423.00 179.00
❑ 801 - 1000 amp 516.50 216.00
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $35.50 ❑ Over 600 volts surcharge $94.50
❑ 201 -400 amp 149.50 74.00 ❑ Mast or meter repair $102.00
❑ 401 -600 amp 205.00 102.00
❑ 601 -800 amp 262.00 140.50 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 375.50 280.50 Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 280.50
Service or Feeder
❑ 601 - 1000 amp 423.00
❑ 0 to 200 amp $92.50 0 over 1000 amp 471.00
❑ 201 -600 amp 149.50 ❑ f #of circuits to be added/altered
❑ over 600 amp 225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
❑ 4 of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$74.00;Add'n circuits$7.00/ea) $94.50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residentia(/Muifi-Famliy $65.00
❑ #of service or feeders
(First service/feeder-$74.00;each add'n-$48.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0- 100 amps $74,00
❑ 101-200 amps 94.50
❑ 201-400 amps 111.00
❑ 401 -600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats 6011&-#of Signs
(First-$55:00;add'n-$17.00/ea) sign-$55.00;add'n sign$26.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub. $111.00
Square Feet to be served by systems) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $74.00
❑ Security Alarm System ❑ Additional Plan Review $111.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0 ❑ Automation Fee on all Permits .. $5.00
1.12500 ft2-$65.00;
Each add'n 2500 ft2-17.00) •Per WAC296-46-910(5)M A ii) -
Bulletin#100-August 16,2007 Page 3 of 4 kl 1andoutsWermit Application