10-103513 '. 'Electrical
City of Federal Way
Community Development Services Permit TT/�
. 10403513-00-EL
P.O.Box 9718 FILE,
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 p Ins ection Request Line: (253) 835-3050
Project Name: H&R BLOCK
Project Address: 31721 PACIFIC HWY S Suite A Parcel Number: 082104 9078
Project Description: Add/alter up to(4)circuits for tenant improvements.
Owner Applicant Contractor
H&R BLOCK D RIDDING ELECTRIC D RIDDING ELECTRIC
31721 PACIFIC HWY S 104 148TH PL SW DRIDDE*061B7(1/27/12)
FEDERAL WAY WA 98003 LYNNWOOD WA 98087 104 148TH PL SW
LYNNWOOD WA 98087
a
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Circuits-Commercial 4
PERMIT EXPIRES Tuesday, August 16, 2011
Permit Issued on Monday,August 16, 2010
I hereby certify that the a•=,- ' form- ,<is correct and that the construction on the above described property and
the occupancy and th -- ill b--,,,'-'corda ice with the laws, rules and regulations of the State of Washington
/ - d the City of Federal Way. ,�ryry t
Owner or agent: / L/Date: S Yd''ge,(0
t
'4(' '' ''.3 q/tc. (to
` 0 THIS CARD IS TO EMAIN ON-SITE
CITY OF •
Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 10-103513-00-EL Address: 31721 PACIFIC HWY S Suite A
Owner: H & R BLOCK 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) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) El Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved / Approved
By Date By Date g 'lf�J' '/D By Date? V3—k)
0 Final-Electrical(4055)
Approved
BST/ .� Dat _7 /-a
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OFA ® – / 0 3 5/ 3
Fed ,1 EDELECTRICAL
AUG 16 2v "'ERMIT APPLICATION
FRAL cjr( OF*Frann ri al permits may be obtained on-line at www.cityoffederalway.com**&
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SITE ADDRESS: ��! P4IF/c //W y'S.
SUITE/UNIT/SPACE/ ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
OF (9> toY - ' 0 7. e
.,. # P,a i. <r.z, .. .a£ ..a . ,'..._., ..a. gS J CTI or:it, A O : kg n t .. .�'s'.♦ .. 1 -.i. .. . ..r .„..
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PROJECT NAME
(Tenant or Homeowner Last Name) 1/`1'1 , A-d�J�
PROJECT DESCRIPTION /72"ov /i/r —411Pg 6/14 -N ECsi g&.E -AeLe
Detailed description of work to J
be included on this permit only ' ,31J/ rcVES
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F'^y ..x f/e_, iPEOPLEtm s x ,.
NAME PRIMARY PHONE
PROPERTY OWNER j- / c/� ( ) -
MAILING ADDRESS / (1 4,.. E-MAIL
CITY ---lifST E ZIP FAX
NAME . '`fJD/N G j E1C.®/721 (gZS ) 77`6 PRIMARY PHONE
MAILLIINNGGrAADDDDRT�IR .ESS E-MAIL
EL r - /i� CAI, 7Of /Vf(f /4 /,"/�L S'&J .
CO +' , OR CITY . STATE ZIP ,� FAX
Igor
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FED WA BQSDIES LICENSE
D/2jDDEit 06 (°7 d(i -7//7._ f`WA eri /60
NAME 'PRIMARY PHONE
APPLICANT epee/IN- f2 2D/NG ( ) —
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
N _PRI Y PHONE
PROJECT CONTACT -6 j //J� (`f�) ) 7 j2r-/06 r/'
I certify under penalty of per,jury 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 • - n less the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation • - of suc• •m),which may be made by any person,including the undersigned,and filed against the city,
010but only where artsof the reliance of the city, including its officers and employees, upon the accuracy of the
information - ci .'• parto application.
4
SIGNATURE:
j� DATE4001111° di
( � �D
PRINT NAME: t257- r Q.0f/Vcr
33325 8th Avenue South•PO Box 9718•Federal Way•WA•98063-9718•253-835-2607•fax:253-835-2609•www.cityoffederalway.com
Bulletin#160—April 9,2010 Page 1 of 2 k:\Handouts\Electrical Permit Application
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RESIDENT itMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
1st Service/Feeder Additional Feeders
(including attached garage): 0- 100 amp x$132.50 x$ 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 amp x$307.00 x$121.00
NEW MULTIFAMILY (3 units or more) 401- 600 amp x$358.00 x$143.50
1st Service/Feeder Additional Feeders 601- 800 amp x$463.00 x$196.00
0- 200 amp x $132.50 x $ 39.00 801-1000 amp x$565.00 x$236.50
201 -400 amp x $164.00 x $ 80.50 Over 1000 amp x$616.00 x$328.50
401 -600 amp x $224.00 x $111.50
601 800 amp x $287.00 x $153.50 Over 600 volts surcharge x$103.50
Over 800 amp x $410.50 x $307.00
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1st Service/Feeder 1st Service/Feeder Additional Feeders
0- 200 amp x $101.00 0- 200 amp x$132.50 x$103.50
201 -600 amp x $164.00 201- 600 amp x$307.00 x$121.00
Over 600 amp x $246.50 601-1000 amp x$463.00 x$196.00
4/7------
� _ Over 1000 amp x$515.50 x$328.50
Added or Altered Circuits
1-4 circuits$80.50;each additional$8.00 A.. : • ' tered Circuits '
1-5 circuits '. •-. e; .c 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:
Service and feeder x $132.50' . `�-.- • New,or alteration to, service of 1,000 amps or greater
00 ,
• Medical/Educational/Institutional Facility
$103.50 plus 35%of Permit Fee
✓'i `�} (Permit Fee x 35%= +$103.50=Plan Review Fee)
C ! �I 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 0- 60 amp x $ 71.00 x $ 32.00
❑ Other 61- 100 amp x $ 80.50 x $ 39.00
Area to be served by system:
101-200 amp x $103.50 x $ 51.00
1st 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50
201-400 amp x $121.00 x $ 60.50
#of Thermostats 401-600 amp x $164.00 x $ 80.50
First$60.50;each additional$18.50
Over 600 amp x $184.50 x $ 92.00
FEE CALCULATIONS
#of Signs
First$60.50;each additional$28.50 • Fees are determined by the scope of work as indicated.
Yard Pole/meter loops/pedestal x$ 80.50 • A$6.00 Automation Fee will be added to all permits.
• For assistance in calculating fees or completing the
Portable Generator(transfer equipment) x$101.00 application form,contact the Permit Center at
Ditch cover/inspection only x$121.00 253-835-2607
33325 8ih Avenue South•PO Box 9718•Federal Way•WA•98063-9718♦253-835-2607•fax:253-835-2609•www.cityoffederalway.com
Bulletin#160-April 9,2010 Page 2 of 2 k:\Handouts\Electrical Permit Application