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12-103624 • 111Electrical of Community&Econ.ral Dev.Services Permit #: 12-103624-00-EL 33325 8th Ave S Federal Way,WA 98003 ° Inspection Request Line: (253)835-3050 Ph:(253)835-2807 Fax:(253)835-2609 Project Name: BRENT CHIN,OD,INC PS 11 V Project Address: 32717 1ST AVE S SUITE 6 Parcel Number: 697900 0050 Project Description: ADD 3 NEW CIRCUITS/POWER POLE Owner Applicant Contractor FLOOR COVERING PF RESILIENT FULLER ELECTRIC INC FULLER ELECTRIC(ELECTRICAL) HENRY FRIEDMAN 37107 12TH AVE S FULLEEI027BK (1/12/14) 8803 SE 78TH AVE S FEDERAL WAY WA 98003 37107 12TH AVE S SUITE A-5 MERCER ISLAND WA 98040 FEDERAL WAY WA 98003 Additional Permit information Is Use Educational or Institutional? No Service greater than 999 Amps? No Electrical Fixtures Circuits-Commercial 3 • PERMIT EXPIRES Friday, August 8, 2014 Permit Issued on Wednesday, August 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 an the City of Federal Way. ,}� Owner or agent: v Date: • THIS CARD IS TO MAIN ON-SITE l CITY OFConstruction In ction Record Federal Way INSPECTION REQU TS: (253)835-3050 PERMIT#: 12-103624-00-EL Address: 32717 1ST AVE S SUITE 6 Project: FLOOR COVERING PF RESILIENT FEDERAL WAY, WA 98003-5758 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. UFER Ground(4295) Ei Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date . . . . o Pool Bonding(4195) '❑ Temporary Power(4275) El Service(4235) Approved Approved Approved By Date By Date By Date •Ei Feeders/Sub-panels(4045) El Rough Electrical(4225) ❑ Ceiling Cover(4020) Approved Approved Approved By - - Date -By Date By Date o Final-Electrical(4055) Approved By� , Date --1®-Ni„— , 0 Rough Electrical 0Final Electrical 0 Right of Way Approved Approved Approved By Date By Date By Date ., , .7. o 3 Z4- CITY OF Fede . p ELECTRICAL AUG °8 2012PERMIT APPLICATION CITY OF FEDERAL WAY ' ost electrical permits may be obtained on-line at www.cityo ederalway.com** SITE ADDRESS: 3a--) 1 7 / S'T- Ave_ SUITE/UNIT/SPACE M ASSESSOR'S TAX/PARC � O - � O 5-0# CURRENT/PROPOSED USE PROJECT NAME e � (Tenant or Homeowner Last Name) PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER r `e�.7L CA L2.53 ) 936_ .54/ MAILING ADDRESS E-MAIL 2 7/ ? fs� eve o �` CITY STATE ZIP FAX f e ci-e--cci cJ1 9 b C�3 ( ) _ NAME PRIMARY PHONE , tee'£/e 1/' C ().53 ) 66l= 7/e/ MAILING ADDRESS C,,�[ p E-MAIL ELECTRICAL (Z U -S. -3s6 J/ // j CONTRACTOR CITY STATE ZIP FAX Fee 6. _1C� , t'il- 1CO3 ( Ls?) 66/ - 6X5.6 WA STATE CONTRACTOR'S LI ENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAME ---- PRIMARY PHONE APPLICANT ( ) - MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( ) - PROJECT CONTACT NAME PRIMARY PHONE fir' f� � ; ( ) - 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: V �'��`�1" DATE 3'. PRINT NAME: ea-lir, C 33325 8th Avenue South♦Federal Way♦WA 1 98003-6325♦253-835-2607♦fax:253-835-2609♦www.cityoffederalway.com Bulletin#160—January 1,2011 Page 1 of 2 k:\I-Iandouts\Electrical Permit Application RESIDENTW •MMERCIAL NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL Total Square Feet 1st Service/Feeder Additional Feeders (including attached garage): 3, t l _EDRR Ms3L 88 FEES: First 1 300 ft2-$122.00; 4 2 240 ax tp: =x$164 00 ': c$103.50 Each additional 500 ft2-$39.00 NEW MULTIFAMILY (3 units or more) 4031 $358©(3? = x$143.50 5010 amp 1st Service/Feeder Additional Feeders r l$0Q axxlp-€ ',,r",, ,x 63•,301 a y l $i 96-00 r03. ' 00� A ;�� X. $.39 04 811- 4l0 i a '�?0'.:a x•C 236 5 80*5(1 �._ .:' Y.,... ..._: �,., ,1 . � ., ,,.., „�. 3 �� E 3 mak, S" $153.50 aver 60©volts surclYarge ... x$103.50 Comer€00 ,1 1.. 4 136107 X80, i VO ti ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL 1st Service/Feeder 1st Service/Feeder AdditionalFeeders ..r ita.;Lf z5 Iiin � ®¢ t `, SC ;' >�f,.6«A.r ,.." .a giti 03.50#11 i: 15-23EMN7 Wei 3406' 20�. t30 amp x $164.00 2031 606 p z$307 00 x$12 i 00 Aver, 14 0 amp. -. X51,5,5£3 ': .,i ',,x,$828,50 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 tee Or feederoy x: $'80.50 Plan Review required only for: cattcl fe41 ��F a k8 $d • 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 O Voice/Data Cabling C fs0 3 a-I 1i ,. a IWW.aO3 o Other F 100 l5 $ 80'50 x $.*00 Area to be served by system: 1st 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50 €► "400"am . •$121.00 0:14.'6Q.50 #of Thermostats 4tj0ai�rllj WioVx.i V..*0) First$60.50;each additional$18.50 Over 600'amp. $184 50. z.$92.00 FEE CALCULATIONS Yard Pole/meter loops/pedestal x$ 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 1 www.cityoffederalway.com Bulletin#160—January 1,2011 Page 2 of 2 k:\Handouts\Electrical Permit Application