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12-104856 1zg �� CITY OF -Federal WayELECTRICAL RECEIVD OCT 2 4 2012 PERMIT APPLICATION raG• r� :rst electrical permits may be obtained on-line at www cityoffederalway corn** -' itiattYt..: atti- �.e,,, :at SITE ADDRESS: 3 3 / .l 5 1 vv SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE PROJECT NAME _ (Tenant or Homeowner Last Name) Ce4 y �„(4,,, v'j- rt(4 , PROJECT DESCRIPTION Detailed description of work to be included on this permit only .^".. "�L��'..` ,�` •..� �'y`c� 5 •”" ,< 3 P�, ? tiA •J.'F+y,6� '.'"k$" 3.'. NAME ., ,.•, _,.., T o. -° E J PRIMARY PHONE PROPERTY OWNER C 1J p GL 41 (� U GSL i(�) Va ( Q, J )2 O7 97 ( ) — MAILING ADDRESS 1 E-MAIL 591 e ,M1V l2 iv , I• el CITY ZIP FAX b � 5 /1� 1 STATE I s37C � ( ) - NAME PRIMARY PHONE t'� �� r� (11Zc)8 - 3zy7 MAILING ADDRESS E-MAIL ELECTRICAL f-d i v'� ) t,� j, �y �. ? r CONTRACTOR city STATE �l ` y ZIP FAX A �� h' X "i' " C4' h4 ; 114 14,m (15 )333 - 6516 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# �e4 7T c d©oy:D NAME PRIMARY PHONE APPLICANT C�`�' ' b.)thn ( ) MAILING ADDRESS E-MAIL CITY STATE ZIP FAX NAME 411, l ( ) PRIMARY PHONE PROJECT CONTACT -0. (kt,)S) 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 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 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 of the city, including its officers and employees, upon the accuracy of the information supplied to the 'ty as a part of this application. SIGNATURE: �`� DATE /OA'C/7/1 .-- PRINT NAME: 33325 8th Avenue South♦Federal Way♦WA•98003-6325♦253-835-2607♦fax:253-835-2609♦www.cityoffederalway.com Bulletin/1160—January 1,2011 Page 1 of 2 k:\Handouts\Electrical Permit Application RESIDENTIAL COMMERCIAL NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL Total Square Feet 1"Service/Feeder Additional Feeders (including attached garage): n ° „' ffi x$ 80.50 FEES: First 1300 ft2-$122.00; r. s' , rly x$103.50 Each additional 500 ft2 -$39.00 -�t� '�� ` ' �s '" x$121.(1fl NEW MULTIFAMILY (3 units or more) 00, x$143.50 In Service/Feeder Additional Feeders :; :>w"' F°�: ` :41.2,` 'i-+ " x$196.00 ;a t • 1. �' " - Wil„ 000u8 ;g 4 :00 x$236.50 ¢ •x`., $# r==, '..'�','� �'; " '; r "r. .. .,iVP.e ,Ss°. ' .." `.'F4._-.. • 'X;,$328.50 �,._ o,#ts�fl�tS ., 41 .:a x"$103.50 ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL 1 Service/Feeder I"Service/Feeder Additional Feeders r �.7 .71% a,:!';41,4101;.• X$103.50 X 121.00 `�f}1 �.HI a 91t �:_� � � �� _ x $16400 � 0 3" la'- 4ws.. � x$196.00 thre4' -+ ,. ��__ ,�x.,. _..� _�.��-;., . ,. 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 $11 1.50 MANUFACTURED HOMES PLAN REVIEW FEES Served or fcei- ;;"- x $ 80.50 Plan Review required only for: _ � ".; • New,or alteration to,service of 1,000 amps or greater Sergi; x $132.50 • Medical/Educational/Institutional Facility $103.50 plus 35%of Permit Fee (Permit Fee x 35%= +$103.50=Plan Review Fee) Plan review for modified submittals $105.50/hour MISCELLANEOUS SERVICE/EQUIPMENT LOW VOLTAGE TEMPORARY SERVICE ❑ Fire Alarm System lir Service/Feeder Additional Feeders ❑ Security Alarm System ❑ Voice/Data Cabling .f - <r D7' x $ 71 00.K `.''H .x $ 32.00 ❑ Other x $ 80_50 $ 39.00 Area to be served by system: l' 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50 $.51.00 201- 4( imp x;$12"1 f ? VL $;60.50 #of Thermostatst g .4 t F r'3°!` w ` $0.50 First$60.50;each additional$18.50 P- x . 1 * M ,;$",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 8i°Avenue South•Federal Way♦ WA •98003-6325♦253-835-2607♦fax:253-835-2609♦www.cityoffederalway.com Bulletin#160-January 1,2011 Page 2 of 2 k:\Handouts\Electrical Permit Application • Electrical City of Federal D Way Permit #: 12-104856-00-EL Community&Econev.Services 33325 8th Ave S Federal Way,WA 98003 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050 Project Name: MYERS-POWELL,OD Project Address: 33915 1ST WAY S Unit 116 Parcel Number: 926504 0150 Project Description: Installation of(8)Thermostats wn r Applicant Contractor ESM BUILDING,LLC HEATTRANSFER CO(GENERAL) HEA 1"TRANSFER CO(ELECTRICAL) 320 106TH AVE NE SUITE 100 PO BOX 1268 HEATTC*009DA(5/30/14) BELLEVUE WA 98004 CARNATION WA 98014 PO BOX 1268 CARNATION WA 98014 Additional Permit Information Is Use Educational or Institutional? No Service greater than 999 Amps? No Electrical Fixtures Thermostat 8 PERMIT EXPIRES Monday, April 22, 2013 Permit Issued on Wednesday, October 24, 2012 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: a Date: /v r: :.: .i )67"--- le il3 THIS CARD IS TO MAIN ON-SITE CITY OF • Construction In ection Record Federal WayINSPECTION REQUE TS: (253)835-3050 PERMIT#: 12-104856-00-EL Address: 33915 1ST WAY S Unit 116 Project: ESM BUILDING,LLC FEDERAL WAY, WA 98003 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) 0Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date O Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235) Approved Approved Approved By Date 1 By Date By Date o Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020) Approved Approved Approved BY Date BL-\C S Date I t _' 7 By A.,,I _ Date Sa •31-1a 0 Final-Electrical(4055) Approved dr Date ' -0 ye ti Rough Electrical ❑ Approved Final Electrical Right of Way Approved ❑ Approved By Date 1 1 By Date BY Date