11-103746 14N, 1iec Tical
City of Federal Way 4 ,
Community Development Services LE Per ]Lt : 11-103746-00-E L
P.O.Box 9718
Federal Way,WA 98063-9718 Ins ection Re uest Line: 253 8
Ph:(253)835-2607 Fax:(253)835-2609 Fi
p Q ) 35-3050
Project Name: CHEVRON
Project Address: 34727 PACIFIC HWY S Parcel Number: 202104 9133
Project Description: Adding/altering(1)circuit for video rental kiosk
Owner Applicant Contractor
CHEVRON SERVICES CO ELECTRICAL MAINTAINENCE& ELECTRICAL MAINTAINENCE&
CHEVRON SERVICES CO CONSTRUCTION CO LLC CONSTRUCTION CO LLC
PO BOX 285 2620 48TH ST ELECTMC897JA(4/1/13)
HOUSTON TX FEDERAL WAY WA 98663 2620 48TH ST
77001-0285 FEDERAL WAY WA 98663
Is Use Educational or Institutional? No Service greater than 999 Amps? No
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Circuits-Commercial 1
PERMIT EXPIRES Friday, September 14, 2012
Permit Issued on Thursday, September 15, 2011
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��.�� Date: /�//j'�
• THIS CARD IS T MAIN ON-SITE
CITY OF Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 11-103746-00-EL Address: 34727 PACIFIC HWY S
Project: CHEVRON SERVICES CO 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) 0 Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
o Pool Bonding(4195) 1J Temporary Power(4275) El Service (4235)
Approved Approved Approved
By Date By Date By Date
.❑ Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved
13<-- —
Date— Z 2 H 1
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF
Federalp ELECTRICAL
' PERMIT APPLICATION
SSP ** _�,�,,;/•. r�i�al permits may be obtained on-line at www.cityo ederalway.com**
X36. ,,,az. � 'r" 0 sa n,.
SI ADDRESS•
7
SUITE/UNIT/SPACE# AS5.�'S T�ARC�L# � - CURRENT/PROPOSED USE
„.._ ,.F<„., .�a, �� �yrs,' ='�3;,, �✓�-
PROJECT NAME
(Tenant or Homeowner Last Name) CAAa)'ep,IN)
PROJECT DESCRIPTION A C eu` r coi "Z\c e eNt 1/''i Q
Detailed description of work to �r �`
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP (( FAX
)
NAME PRIMARY PHONE
MAILING ADDRESS E-MAIL
ELECTRICAL 46410 kjE Yr' 54--
CONTRACTORQt0() 17
STATE Z FAX
� 14r- ?SG )750- '�o('
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
14C.Tl`9 C F97 z-k_ `t' I 'i3
NAMEy..3.3 PRIMARY PHONE
``?�/�O
APPLICANT
MAILING ADDRESS t.� -E-OZ'g'—
E-MAIL
CITY STATE ZIP FAX
,' Y tJd-" PRIMARY PHONE
PROJECT CONTACT N-� �� )/i.5.5
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.
G � �f /
SIGNATURE: �""�r cJ�- DATE y/'.
PRINT NAME: ► ' 441111-
33325
.-33325 8th Avenue South•Federal Way•WA•98003-6325♦253-835-2607♦fax:253-835-2609 1 www.cityoffederalway.com
Bulletin#160—January 1,2011 Page 1 of 2 k:\Handouts\Electrical Permit Application
RESIDENT 4110VIMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
(including attached garage): 1 Service/Feeder Additional Feeders
O 100 amp _�<.•... �� �.���`2 5f7-�� ' 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 001 800 amp x$463:00 x$196.00
0 .'200 amp x $112.50., x ;$'39.00 801-1000 amp x$505.00 x$236.50
201"-400 amp ."x $164.00 "` x $ 80.50 ;
641,,,1,069,aixtlra $616.00- '. c$328.50
401-660 airip 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 50 .1367.00
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1st Service/Feeder 1st Service/Feeder Additional Feeders
o,- 2(147. x $101.00 2 ?P.,,'r ?€ 32 50.E... , x,$103.50
201.' 600 amp x $164.00 201- 600 amp x$307.00, x$121.00
000 alit'
601 1000 amp x$46300 t�rp= . ... .,. . -X',:$246.50 x,,$196.00
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:
amd feeder�,� x, x$132:50
• New,or alteration to,service of 1,000 amps or greater
Service
• 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 $105.50/hour
MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
❑ Fire Alarm System 1st Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling El, afj0a1 x,,$,71•(l0„,,,, ,, ix. $ 32.00
❑ Other 61 100 amp x $ 80.50 x $ 39.00
Area to be served by system:
is 2,500 ft2-$71.00;each additional 2,500 ft'--$18.50 101'-200 amp x=$103.50 x $;51.00
201 400 amp x $121.00 _ x $ 60.50
#of Thermostats
443 ' 000 $16�4?(}?n„ $ 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 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:\Handouts\Electrical Permit Application