12-102232 • 1110
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City of Federal Way Permit #: 12-102232-00-EL
Community&Econ.Dev.Services �^-
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
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Project Name: CHEVRON
Project Address: 34727 PACIFIC HWY S Parcel Number: 202104 9133
Project Description: Low-voltage data cable.
Owner Applicant Contractor `
CHEVRON SERVICES CO MASCOTT EQUIPMENT CO INC MASCOTT EQUIPMENT CO INC
PO BOX 285 (ELECTRICAL) (ELECTRICAL)
HOUSTON TX 77001-0285 435 NE HANCOCK ST MASCOEC957C8'(6/5/13)
PORTLAND OR 97212 435 NE HANCOCK ST
PORTLAND OR 97212
•
Additional Permit Information
Is Use Educational or Institutional' No Service greater than 999 Amps No
Electrical Fixtures
Low Voltage-Other(Commercial 1
PERMIT EXPIRES Wednesday, November 14, 2012
Permit Issued on Friday, May 18, 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: '0 - I Date: 5/147//i
Fit, 1 15/tV/IaA
THIS CARD IS TO MAIN ON-SITE _
CITY OF Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-102232-00-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) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) ❑ Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) 0 Rough Electrical(4225) CI Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved
By Date.i c...-- ,....,2,
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
/ 0 A 3 ci
Feder ELECTRICAL
MAy 18 2oti2 PERMIT APPLICATION
of tbl� '-Detrital permits mal, be obtained on-line at vI 6I wI citi offederalwati corn**
a R 1., �,.xr s 3- r 4t 42W � T .I F W1A-' ON ,z . .. _... ...._ �,0i.,e
SITE ADDRESS: V 4.-11-3
- 7 /a, G/ PI L ,)'W y 9t20 63
SUITE/UNIT/SPACE# " ' ASSESSOR'S TAX/PARCEL# �"I CURRENT/PROPOSED USE
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sem,,,- ,,- .,, - ..4 -fin........ s �".'. r 3
PROJECT NAME
(Tenant or Homeowner Last Name)
i C, I-.l�l.4/ U��� � Gl �'J I
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
.,':,,,,,;34 -,•::,:,,,,. NAME � PRIMARY PHONE
PROPERTY OWNER G /,/7 E'V d tivl)9,51i - 6,57C1
MAILING ADDRES E-MAIL
CITY STATE ZIP FAX
NAME / l(4 I _ G V" )/� `• ( ?37) PRIMARY PHONEP/
MAILING ADDRESS ' ,(� (! E-MAIL
ELECTRICAL 44 $ rte MM f f ry_er,r-
CONTRACTOR MC4 19-P 5tE ZIP „ I ' FAX
1- 9 j ( )
WA STATF CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
iti 5CC7 � 9 7 c cF' 6. / 5 /
NAME r} PRIMARY PHONE
APPLICANT M a ' `e q v//) c ' ( ) -
MAILING ADDRESS E-MAIL
_46
CITY STATE ZIP ( FAX
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NAME PRIMARY PHONE
PROJECT CONTACT J C 1� ( Soy) 6'D7 - 5-2.6-
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. y
SIGNATURE: c ice.—I'.;5, �l _ _ DATE /� i "�- `
PRINT NAME: /e / i,'i C ' CIL(J-�
33325 8t 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_AHandouts\Electrical Permit Application
RESIDENTIAL C IMERCIAL . '
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet 1 s'Service/Feeder Additional Feeders
(including attached garage): 0- 100 amp x$132.50x$ 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
1't 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
40: ,600 amp= x $224.00 x $111.50
601 800 arrip x $287.00 x $153.50 Over 600 volts surcharge x$103.50
Over 800 amp,"..1 ` x $410.50 x $307.00
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1st Service/Feeder
1"Seruice/Feeder Additional Feeders
0 '2(3tf amp x $101.00 ..0:- 200 amp , x$132.50 x$103.50
201 600 wing x'$164.00 201 600 amp x$307.00< x$121.00
Over:600 a la "k. x $246.50 601-10110"amp , ',; x$463'.0,0Z,,,, x$196.00
Over.4000 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:
Service'aittd 21"r ' x $132.50 • 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 st
Security Alarm System 1 Service/Feeder Additional Feeders
Voice/Data Cabling ,0-"60 arlap. " x $;71.00'. ..,:-:-.',-,f:,'' x $ 32.00
71?1.--❑ Other :"
Area to be served by system:
61 100 amp X $ 80,50- x $ 39.00
is 2,500 ft2-$71.00;each additional 2,500 ft'$18.50
t0-1!- --,'200 amp' x,$103,50; x'-$ 51.00
201-400.amp . x.$121.00, . x $ 60.50
#of Thermostats
401 .60(1{ 1. , - x3$1.K00 � .,..x. $ 8030
First$60.50;each additional$18.50
Over:600:"anip . 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 8'h 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