12-101075 ,� • 0 Electrical
City of FeWay Permit #: 12-101075-00-EL
Community&Econ.n.Dev.Services
33325 8th Ave S
Federal way,wA t, C .=; Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(:583°)735-2609 p q
Project Name: MCMILLIN BUILDING B
Project Address: 33110 PACIFIC HWY S SUITE 5 Parcel Number: 797880 0200
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
nd the i raf Way.
Owner or agent:oz .,, Date: 3, --,sr- Z.
4- `
3/e t// .
THIS CARD IS TO MAIN ON-SITE
CIT •Y OF Construction I ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 12-101075-00-EL Address: 33110 PACIFIC HWY S SUITE 5
Project: BRIAN EDWARD MCMILLIN FEDERAL WAY, WA 98003-6444
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 Ditch cover(4030) El Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
El Rough Electrical(4225) 0 Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date
El Rough ElectricalEl Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date
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Fe• eral ay�,,, ELECTRICAL
art
OF
�E®ERPLFIT APPLICATION
*most electrical .ermits may be obtained on-line at www.cityoj ederalway.com**
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SITE ADDRESS: 1 3 I ( 0 (7 t..j•`�i G. 6,14,„. 24,„1-1.--
SUITE/UNIT/SPACE S ASSESSOR'S TAX/PARCEL S CURRENT/PROPOSED USE
PROJECT NAME if 1
(Tenant or Homeowner Last Name) L A1 f I I U or „._, S
PROJECT DESCRIPTION c oo D $'r 1-/Z it:-
Detailed description of work to
be included on this permit only IIMEINIWINIIIIMBEINIMIIIIIIIIIIIIIIIIIIM
NAME IIIn PRIMARY PHONE
PROPERTY OWNER I�,�'con 674 W Z V ►' `CN4 l I Ur? ( ) -
MAILING ADDRESS E-MAIL
t DD P. & ,s .
CITY, STATE ZIP FAX
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NAME PRIMARY�/ PHONE
PIA erwW £(�e- i ! ( 4/t'') -' 4 (<00
MAILING
MAILING ADDRESS E-MAIL
ELECTRICAL `[8" 'Z, z crri— ( SW
CONTRACTOR cSTAJ ZIP FAX
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( ) -
WA STATE CONTRACTOR'S LICENSE S EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE S
g E /v 9'O Z Dr- , //O /Zofl,
NAME PRIMARY PHONE
APPLICANTMAILING D s i "riff )' ( ) E-MAIL
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
PROJECT CONTACT s C,90/0/C ( V Zf i/V6- /if 03
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 - 7---/ -2----
.
PRINT
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PRINT E: `2 o c J C 0 s T C-(.65
33325 8t Avenue South 1 Federal Way 1 WA 198003-6325 1253-835-2607 1 fax:253-835-2609 1 www.cityoffederalway.com
Bulletin#160—January 1,2011 Page 1 of 2 k:\Handouts\Electrical Permit Application
RESIDENIL SMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet .lst.Service/Feeder Additional Feeders
(including attached garage): �'' • � .0 .. '.'.7(
FEES: First 1300 ft2-$122.00; 7 a ; .r : . `` ':.g �tfiwoloo
Each additional 500 ft2-$39.00
NEW MULTIFAMILY (3 units or more)
Ise Service/Feeder Additional Feeders �� •, ,. . �„z �1 �
, 4 - his gtr + ;:
v^ ,3r Q„ .z n��� a. s t
..
4 ,
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1st Service/Feeder Additional Feeders
1st Service/Feeder
;tea, r...>y5'€,,a-. „.w � �f. �,§. � - o s
;�e� a age saa. .� u?a 3 9mx
6 �.�.,?„aaa,�� ��,, ,}.�� 'i.�.%.��.,1�",”.� :�,.,��'� re';einiAta ("a,j 4_
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:
i ° : „vim . • 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 1s,Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling .rAf .. t
❑
Other
Area to be served by system:
lit 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50
2 Ir .44W,49.017-'1115AWS6
#of Thermostats �� � � 2 i
First$60.50;each additional$18.50
FEE CALCULATIONS
Yard Pole/meter loops/pedestal x$ 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 8ih 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