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12-102169
• Electrical City of Federal Way � r Community&Econ.Dev.Services $ & Permit #: 12-10216§-00-EL 33325 8th Ave S k � Federal Way,WA 98003 Request Line:tion (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Project Name: CHEVRON Project Address: 31204 PACIFIC HWY S Parcel Number: 092104 9164 Project Description: Install low voltage voice and data cabling • Owner Applicant Contractor CHEVRON/TEXACO MASCOTT EQUIPMENT CO INC MASCOTT EQUIPMENT CO INC PO BOX 1392 (ELECTRICAL) (ELECTRICAL) BAKERSFIELD,CA 93302-1392 435 NE HANCOCK ST MASCOEC957C8(6/5/13) PORTLAND OR 97212 435 NE HANCOCK ST PORTLAND OR 97212 Additional Permit Information Is Use Educational or Institutional No Service greater than 999 Amps? No Electrical Fixtures. Low Voltage-Other(Commercial 1 PERMI IRES Monday, November 12, 2012 ermit Iss d on Wednesday, May 16, 2012 I hereby certify that the above informatio is corre• and that the construction on the above described property and the occupancy and the use ill be in - cordan With the laws, rules and regulations of the State of Washington a . title City of Federal Way. Owner or agent: ) �_ Date: J ' / / F11\1_41 ED 5 I P/iz •ITHIS CARD IS TO MAIN ON-SITE CITY of' . Fec9era Wa Construction I ection Record s' y INSPECTION REQUE TS: (253)835-3050 PERMIT#: 12-102169-00-EL Address: 31204 PACIFIC HWY S Project: CHEVRON/TEXACO 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. El UFER Ground (4295) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date ❑ 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 O Final-Electrical(4055) Approved B - Date 5--/r)—/Z. El Rough ElectricalEl Final Electrical Right of Way Approved Approved Approved By Date By Date By Date 9 - ( cZ.. ( 6 CITY OP ral FedeaY ELECTRICAL PERMIT APPLICATION RECEIVED MAY 16 2012 **Most electrical permits may be obtained on-line at www.cityo ederalh!, s. *: . , '',7,F,, � ` ' gra . '✓ :ash,? ,, :„ , , s �rr.�, • z�a;'k :•.x ... ..w�.. z:,', ,Er �.,fi �esr. F,�. ., SITE ADDRESS: 3 ( -Z O L' ?A.C W SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE 0 9. ( C° i — it _I_ 1 ' >.,r,,.»,,,��:.�< H,?z��„%�'i,.,e,��ti- ,�Y .,. ... � .;;d�, E.�xa<N*. � .z :R.' ,:,. .. ��,.��'� ��✓.;.', ✓$id� a��?a..f�;� PROJECT NAME r--- \ (Tenant or Homeowner Last Name) U S I 0 A ) 1.l S-"t W'V 1 PROJECT DESCRIPTION 1 ' , 4� A, 7 U I' (,r- • cro Detailed description of work to ' � � & be included on this permit only Cj I <j S z ' :o`�„s'Z+,l .,; w# a. v4, , ,' „_._., . :,ce,:,N,..a,.....,,,,�,;; . ..,. ,,,,z.,,s ,'F. NAMEPRIMARY PHONE PROPERTY OWNER C � u 1 d �l ( ) - MAILING ADDRESS E-MAIL � ,‘ ..,,A^ ,(J •V ✓1 l CITY STATE ZIP FAX ( ) - NAME PRIMARY PHONE tM SC O Di. c C7 Yom, a?)ais .- .DS S7 MAILING ADDRESS E-MAIL ELECTRICAL g5---5� - E. l c9 e.i ._. CONTRACTOR CTT ZIP FAX ( 0 , '-'6C IJ . 3c- q-- at "Z ( ) - WA STATE CONTRACTOR'S LICEIGSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# rM k46 5 C(> . -0-- q51 � �� 49/ s--"/ L NAME ( PRIMARY PHONE APPLICANT�� ( ) MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( ) NAM1�'""-, PRIMARY PHONE PROJECT CONTACT K�o106 e —S�e12 (551)c.203, — a0 1 -- v a_.. 2--r 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,Cityof ederaI Way as to any claim(including costs, expenses,and attorneys'fees incurred in the investigation and defense of suck claim), which may be made by any person,including the undersigned,and filed against the city, but only where such claim arise* o[,.the r fiance of the city, including its officers and employees, upon the accuracy of the information supplied to the city p�s�p"art of th7pplication. SIGNATURE: !/ �,�' ' DATE 4s -b ( Z II 6 PRINT NAME: A-F D ea.--"-- .�, A-C' k .. 33325 8'"Avenue South♦Federal Way♦WA♦98003-6325♦253-835-2607•fax:253-835-2609♦www.cityoffederalway.com Bulletin#160—January 1,2011 Page 1 of 2 k:\Handouts\Electrical Permit Application RESIDENT& SVIMERCIAL ` NE`w SINGLE FAMILY RESIDENCE NEW COMMERCIAL Total Square Feet 1st Service/Feeder Additional Feeders (including attached garage): k x1;32 SQ :'; x$ 80.50 FEES: First 1300 ft2-$122.00; 101- 200 amp" x$164.00 x$103.50 Each additional 500 ft2-$39.00 201.- 400 any " x`$307.00:. x$121.00 NEW MULTIFAMILY (3 units or more) 401 600 amp x$358.50 x$143.50 1st Service/Feeder Additional Feeders 4.0kg 4.0 k" 800 an1p: x X60,300 _ "' 7 x$196.00 0- 200 ainp - $132.50" x ;$ 39.00 801-1000 amp x$565.00 x$236.50 201 -400 amp x $164.00 x $ 80.50 ver.1000 amp, x$616.00 : x$328:50 401-600 amp x 624 00 _.. : x $111.50 601:-800 amp x $287.00 x $153.50 Over"600 volts surcharge " x$103.50 beer, ©.# amP,...' .,. 1 xu;$410 ',','..,., , x $307.00 ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL 1 t Service/Feeder Additional Feeders 1 t Service/Feeder x $1(3]..00 0 00*i)` „ x,i l32 50 x$ 103.50 .," 201 600 amp x $164.00 20"1- 600 amp x$307.00 x$121.00 601 ,1000 amp i$463.00 x"$196.00 f C�u�r,600"amp 'x;$246.50 Over 1000 amp x.$515.50 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 $111.50 MANUFACTURED HOMES PLAN REVIEW FEES Service or feeder only. x $ 80.50 Plan Review required only for: r ee ttf d-C x $132.50 • New,or alteration to,service of 1,000 amps or greater • 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 1st Service/Feeder Additional Feeders ❑ Security Alarm System ❑ Voice/Data Cabling 60 amp ' $,71 00; _x $"32.00 ❑ Other ' 61 100 amp `x $ 80.50 x $ 39.00 Area to be served by system: 1st 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50 $10$ x $ $1'00 201,=400 amp x $121.00 - $ 60.50 #of Thermostats 401; 6Q0,ampF ."_' $164,00 . _ x $ 80.50 First$60.50;each additional$18.50 Over.600 amp ..=,x $184•.50 x $ 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 8`h 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