08-104630 Electric• al
City of Federal Way • Q
Community Development Services '?-' ` ""'`ti •Permit #: 08-104630-00-E L
P.O.Box 9718 r
Federal Way,WA 98063-9718 '
Ph:(253)835-2607 Fax:(253)835-2609 .,. ,-Yr Inspection Request Line: (253)835-3050
Project Name: QWEST DSL SITE
Project Address: Parcel Number: CITY WIDE
Project Description: New 120/240 UG service -site at corner of SW 353rd Sreet and 13th Way SW in Madrona
Meadows
Owner Applicant Contractor
QWEST KEN BOBKO ELECTRIC CO INC KEN BOBKO ELECTRIC CO INC
1005 17TH ST ROOM 1570 PO BOX 7009 KEN D C066BA(1/1/10)
DENVER CO 80202 TACOMA WA 98406-0009 PO BOX 7009
TACOMA WA 98406-0009
' ,;•,,,,.",,,', °
� ,, s � .. Wi ...A , A.,';-
Service greater than 1000 Amps? No
�....,.Ati..�C.-:'e.... � , • ,..:,.'.','''. .A4,-:',-''''''''' r �F a.4I 4' 3m,,_ _ "�a k,4 v„t.
New Service/Feeder:0- 100 amps 1
PERMIT EXPIRES Thursday, October 1, 2009
Permit Issued on Wednesday, October 1, 2008
I hereby certify that the a e information is corr-ct and that the construction on the above described property and
the occupancy and th us will be •• acc• dan,- with th ws, ru -s • ±ulations of the State of ashington
7 a % the City e r. 'A,F y ;
Owner or agent: / A-
i-/?1' Date: (.
THIS CARD IS TO gEMAIN ON-SITE .
CITY OF 4itommunity Developm t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-104630-00-EL
Owner: QWEST
Address:
FEDERAL WAY, WA
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.
O LIFER Ground(4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date BY5 Date/0—. ._pe) By Date
- 0 Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
By `6/ Date ic) /15 e
For inspector reference only _ _ _
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
A,
sT - .
un,er 5 } -v-s e 1 '� • - �� (p LSL
��u�y PERMIT
coNNUMTYDBVBLOPNSNTSBRVICBS SF MF CO ME EL PL DE EN FP
0149
93345 8a AVBNUB SOUTH•PO IBX 9718 �
FBDBRAL WAY,WA 98063.9718 ,(sem A P P L I C A T • 1 TD
253.8354607•FAX 2538 35.4603°kVS( / /
Iuww.dtwBederalwau.am '-' ' 1\1
The following is required info tion-an incomplete application will not be accepted. Please print legibly(in ink)or type.
//'++ • PROPERTY INFORMATION
SITE ADDRESS�(7'I tAT I,i, l O Y NW'O"I S LO 3535 + 13 W a1 51A)SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# - __ __ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desotptlon)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION XELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT D CRIPTION(Pro • a detailed description of work included on thispermit o
/AO � '-/ o U6 .S ev-v) c_-e.. Q LQ��t ,U 5 G, 5'i+'6,
'It /AC)4- ' .
PROJECT NAME(Name of Business or Owner Last Name) F
II PEOPLE INFORMATION
PROPERTY NAM
„__4......, PRIMARY PHONE
OWNER Ure.S \ ( ) -
MAILIN ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
10a5 1'7hh ST Reorn 1570estver- C®,$C"4a;L.
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
kC"16(:,l k0 Q1ectr► Zn tih o� O (t i3 05S , -o9 l9
MAILING ADD 3 STAT ,ZIP CELL PHONE
'PO.1104 .X.-7 IACoi16141►3b98.y �( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPI TION TE FAX NUMBER
°G-�f$f 6 &-Qo /, ?73 i o ( ) -
CONTRACTOR' REGISTRATION NUMBER ON DATE
B E-MAIL ADDRESS
4.n C 00 EA I ETJ .oicy
APPLICANT COMPANYYNNAME
� APPLICANT NAME OFFICE PHONE
( )
--INQ ADDRESS' CITY,STATE,ZIP CELL PHONE -
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant ❑Agent ❑ Other ( ) -
PROJECT N PRIMARY PHONE _ E-MAIL ADDRESS
CONTACT � �� i
� e ( )
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ❑ NO
WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE a 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 0 UNCOVERED?)
GARAGE 0 CARPORT 0
•
NUMBER OF FLOORS EXISTING PROPOSED TOTAL Toni sasrtaa Al TOTAL PRaP0810 Sr TOTAL AT
""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(commends
COMPRESSORS FURNACES RANGES
DUCTS. • GAS LOG SETS REFRIG.SYSTEMS
PLUMBING •
BATHTUBS(or Tab/Shover Combo) LAVS(Bathroom 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 am 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 Wag regulations pertaining to the work authorised 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 rel of the city,in u its officers and employees, upon the accuracy of the information supplied to
. the city as a part oft pli o
SIGNATURE: DATE
Property er and/or Authorized Agent
z�;
a NEW o ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a 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—January 1,2008 Page 2 of 4 k\HandoutsTermit Application
fa
4110 / ®
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) 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
0 601-800 amp 439.00 186.00
0 801 - 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
U 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
❑ 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
•
0 #of service or feeders Residential/Multi-Family $67.50
(First service/feeder-$76.50;each add'n-$50.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $76.50
❑ 101-200 amps 98.00
O 201-400 amps 115.00
❑ 401-600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$57.50;addh-$17.50/ea) (First sign-$57.50;addh 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 Cl Yard Pole meter loops $76.50
❑ Security Alarm System ❑ Additional Plan Review $115.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.50
0
1a 2500 ft2-$67.50;
Each add'n 2500 ft2-$17.50) *Per WAC 29646.910(5)(bm(i&
Bulletin#100-January 1,2008 Page 3 of 4 k\I-Iandouts\Pern it Application