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12-101077
• Electrical City of Federal Way "I ' 73""11,, • Community 3&Econ.Dev.25 8th Ave SServicesPermit #: 12-101077-00-EL Federal Way,WA 98003 J Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax (253)835-2609 p q Project Name: MCMILLIN BUILDING D Project Address: 33130 PACIFIC HWY S Parcel Number: 797880 0250 Project Description: Altering up to 5 circuits to retrofit 10-8 foot T12 fixtures to 4-lamp T8 retro kits. Owner Applicant Contractor BRIAN EDWARD MCMILLIN EMERALD ELECTRIC NW EMERALD ELECTRIC NW 33100 PACIFIC HWY S UNIT 12 9830 220TH PL SE EMERAEN902DT(3/30/12) FEDERAL WAY WA 98003 SNOHOMISH WA 98296 9830 220TH PL SE SNOHOMISH WA 98296 Additional Permit information Is Use Educational or Institutional? No Service greater than 999 Amps? No Electrical Fixtures Circuits-Commercial 5 PERMIT EXPIRES Tuesday, September 4, 2012 Permit Issued on Thursday, March 8, 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: r sfrs //a THIS CARD IS TO MAIN ON-SITE f. "SOF~' • Construction I ection Record + Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 12-101077-00-EL Address: 33130 PACIFIC HWY S Project: BRIAN EDWARD MCMILLIN 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. 0 Ditch cover(4030) 0Service(4235) El Feeders/Sub-panels(4045) Approved Approved Approved By Date By Date By Date ❑ Rough Electrical(4225) Ceiling Cover(4020) ❑ Final-Electrical(4055) Approved Approved Approved By Date By Date By Date 3 ,_.1_P-r2_, 0 Rough Electrical Final Electrical ❑ Right of Way Approved Approved Approved By Date By Date By Date • 10 ) .. -tia (1) 1) .7 .-7--- CITY OF v E Fed" =' ' ELECTRICAL MaR O 8 :-.CIIERMIT APPLICATION �.I" OFF DERPL\NAY of` -lectrical permits may be obtained on-line at www.cityojederalway.com** f ' SITE ADDRESS: 3 I ?r c7 p_c..1-,‘(L 6it..„-,<- So-T c-- SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE 4- t - -- 3 3 o - o o PROJECT NAME G. 3 (Tenant or Homeowner Last Name) /" G 1 f 1(1 r �j t.c f r ri S PROJECT DESCRIPTION Rt ,.o fl4) $.r 17L Ii r: if L.....y. 7'g Detailed description of work to be included on this permit only R I 'r le.z 1CS NAME ,.4..... fin PRIMARY PHONE PROPERTY OWNER I,V 1 C-V (U✓ a V ►` -��r!l'h ( ) - MAILING ADDRESS E-MAIL L OO P. & -s - (?2-- Cr, `S,�TtATE ZIP O O FAX "V ( ) NAME /' PRIMARY/ PHONE a r,t.(cf t(e (.-r-`t Pit/ ( 1 f) it 7 G �(c120% MAILING ADDRESS E-MAIL ELECTRICAL C!ri 0 Z ?��- " $ CONTRACTOR sTA ZIP FAX a©ko� /S - L' $ Z96 ( ) - WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE Y gllL/'A.AIv 4'o z- /7T 3 /7o /ZorL NAME PRIMARY PHONE APPLICANT ( ) MAILING DDjt$SS �/��`�y�yad V EMAIL CITY STATE't STATE ZIP FAX ( ) - NAME PRIMARY PHONE PROJECT CONTACT •3-0..,e2 Ca 5/-0-(::, ( 1/Zf V",‘- /40.7 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 city as a part of this application. SIGNATURE. DATE 7 ~ r i PRINT E: "2d c j Cos J- - `-( 10 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 RESIDENAL 110DMMERCIAL * NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL Total Square Feet 1st Service/Feeder Additional Feeders (including attached garage): .1-373K '25Y- FEES: First 1300 ft2-$122.00; "; _ i'f : ' .,,.- A. _§ - 4M4 4.150 Each additional 500 ft2-$39.00 NEW MULTIFAMILY (3 units or more) . . ;;. 1st Service/Feeder Additional Feeders "� x.,--% >>. °'101, £ m1 X 50 9v ."� • �� .. ALTERED SINGLE or MULTI FAMILY s ALTERED COMMERCIAL 1st Service/Feeder 1st Service/Feeder Additional Feeders a ,max ,r+ ig V 3 a ri 4 3 i v' A xr .i,i _ s� ,a � r:: � ;Yza � a: <''a'p `�. �3.'��, sFYe L�. � :'�" .z,.R.�..7r,. ,5.'. e,>.��,r ar „r�,�..,,-4.re 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 Plan_Review required only for: • 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 55,:zOn';,74,:n5a5,11,f o Other Ara: Area to be served by system: la 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50 g l 4 , #of Thermostats First$60.50;each additional$18.50 fir ,",,..,.. . ..... 57-00500k44-APE::- FEE ..,., r_7.,r ..,. FEE CALCULATIONS Yard Pole/meter loops/pedestal x$ 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 8th Avenue South 1 Federal Way♦WA♦98003-6325♦253-835-2607♦fax:253-835-2609 1 www.cityoffederalway.com Bulletin#160—January 1,2011 Page 2 of 2 k:\I-Iandouts'Electrical Permit Application