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09-103918
1. �-4, 0 ' 2-03 -72 0 E1e,trical City of Federal Way Community Development Services rx r" " Permit #. 09-103918-00-EL P.O.Box 9718 Federal Way,WA 98063-9718 / Ph:(253)835-2607 Fax (253)835-2609 „„ „ , Inspection Request Line: 1��J3� 835-3050 Project Name: QWEST DSL SITE Project Address: CITY-WIDE Parcel Number: CITY WIDE Project Description: 120/240 service LOCATION-close to 1st P1 S& S 341st PL Owner Applicant Contractor QWEST KEN BOBKO ELECTRIC CO INC KEN BOBKO ELECTRIC CO INC 1005 17TH ST ROOM 1570 PO BOX 7009 KENBOEC066BA(1/1/10) DENVER CO 80202 TACOMA WA 98406-0009 PO BOX 7009 TACOMA WA 98406-0009 ''*"'i'''''''4*CkfitiOt141 Pet ni ' Oei4t qii 0 Is Use Educational or Institutional? No Service greater than 1000 Amps? No , Electrical Eltttcrres . two r New Service:0- 100 amps(Comm ! 1 PERMIT EXPIRES Thuraday, October 7, 2010 Permit Issued on Wednesday, October 7, 2009 I hereby certify that the above information is c ect and the c struction on the above described rproand the occupancy and th e will b in ord ce with a aws es and regulations of the State 'f Wa ington dt eCi Eye lWay. .✓-- /(ii, 7,Z: -2,,,/`- Owner or agent: 4 Date: I o is. °7 *,...„, • THIS CARD IST EMAIN ON-SITE CITY OF .' '. Construction I ection Record Federal Way INSPECTION REQUE TS: (253) 835-3050 PERMIT #: 09-103918-00-EL Address: CITY-WIDE Owner: QWEST FEDERAL WAY, WA 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. LIFER Ground (4295) El Ditch cover(4030) D Slab/Concrete Floor(4255) Approved Approved Approved to place concrete 'By"'(S Date (O-&ol B5 CS Date (0-- Q�. By Date + El Pool Bonding`(4195) 0 Temporary Power(4275) ElService(4235) Approved Approved Approved By Date By Date By C'\itu,1 Date 14-1 Tr-tel, ' Feeders/Sub-panels(4045) El Rough Electrical(4225) Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date ID Final-Electrical(4055) Approved By C 1 Date kfl•1S--4 Q El Rough Electrical El Final Electrical D Right of Way Approved Approved Approved By Date By Date By Date ar.of 2tLiL( 1 COMMUNI7YDEVELOPMENTs ERMIT SF MF CO M �'L DE EN FP 33325 5Th AVENUE 5011771•PO BOX 9718 A 'P L C AT I O N FEDERAL WAY,WA r T TD / / 253-836-2607'FAX 27373726098 4s www.dtualredemlwau.am ok P‘kp w� The following ;f 0 • • -an incomplete application will not be accepted. Please print legibly(in ink)or type. III //`` • PROPERTY INFORMATION SITE ADDRESS l-:i. Ll.)to AP SUITE/UNIT 9 ASSESSOR'S TAX/PARCEL 9 ,,_- __ _— LOT SIZE(sj) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach aeporatepage lbr lengthy legal desa+Pdn) ■ PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM • -OJECT 'ESCRIPTION • •vide detailed description of work included on ' .ermit onl4 in { P L oca do s.e -Jo 15 T PL S -f- S - 3 cgs 7- 'L PROJECT NAME(Name of Business or Owner Last Name) l 1.)-PS.4- -. c S 1 NI PEOPLE INFORMATION PROPERTYE PRIMARY PHONE OWNER W -St ( ) - MAI NGD CITY,STATE,ZIP E-MAIL ADDRESS 1005- �7 RvyNpv,>t57a Den ve.rCfnS©gQ CONTRACTOR COMPANY NAME CANT NAME OFFICE PHONE Ftrmi kt, g.ieti—r��aQ0t rc l� Anacit • c1 ( Z2)7s - ,9 L► ii .,-,,,A.02 S CITY,STATE,ZIP" Q CELL PHONE rt c,X7ac�q Tcor.,a 984106.'0°o j ( 1 - CITY OFRAL WAY BUSINESS LICENSE NUMBEREXPIRATION DATE FAX NUMBER cli 3-jilcUO,Ac-)c, / .f3 / 1 .2c,/Q ( ) R'S REGISTRATION NUMBER TION DATE E-MAIL ADDRESS icr o Roe. On b(;)13.. 1 /iTi 0 APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE ( ) - MAILING ADDRESSCITY.STATE,ZIP CELL PHONE "..- 14(.7V-",,,-..... ---C-?-,____ ( ) - RELATIONSHIP TO PR FAX NUMBER a Architect ❑Tenant ❑Agent ❑ Other ( ) - PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT ( ) - LENDER NAME •�V",../-v -rer RCW 19.27.095: Lender in/ormation is required If project value exceeds$5,000 MAILING ADDRS..*‘*.'(;)1 CITY,STATE,ZIP PHONE . ( ) ■ DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO WATER SERVICE PROVIDER ❑ LAKEHAVEN a HIGHLINE a TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) • i 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 sEISTRsa PROPOSE TOTAL. TOTAL SMIT°ar TOTAL PROPOSED Cr TOTAL 8r • **NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ II 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. a 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(Commad q COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS(or Tub/shower Combe LAYS(RRothrmm sisis4 URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Tom) 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 Way 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 + - City of Federal Way as to any c ; • (including costs, expenses, and attorneys'fees incurred in the investigation and defense of such ci• / , w , be made by • p Yon, including the undersigned, and filed ag••nst tcity, but only where such claim arts t of the the ty,into• ,, its • • and employees,upon the accuracy of the ' orm••fon supplied to the city as a part of plicati• ArAIIVP4a Ir'. SIGNATURE: i1i+ I` DATE it/v A• r and/or Authorized Agent /Of. 710 o NEW a ADDITION o ALTERATION o 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? a YES a NO PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? a YES a NO Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit 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 fti-$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) $48.500 201-400 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 O 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 0 Over 600 volts surcharge $98.00 ❑ 201 -400 amp 155.50 76.50 0 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 ❑ 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 ResidentlaVMuiti-Family $67.50 ❑ #of service or feeders (First service/feeder-$76.50;each add'n-$50.00) Commercial/industrial Service or Feeder Ampacity O 0-100 amps $76.50 O 101-200 amps 98.00 ❑ 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;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 Alarm System ❑ Additional Plan Review $115.00/hour ❑ Voice Cabling (for modified submittals) ❑ Data Cabling ElLlAutomation Fee on all Permits .. $5.50 In 2500 ft2-$67.50, Each add'n 2500 ft2-$17.50) •Per WAC 29646-910(5)(bJ(i&5) Bulletin#100-January 1,2008 Page 3 of 4 k\Handouts\Permit Application