09-101360 Electica1
• City of Federal ay •
Community DeveopmentServices ;7 Permit #: 09-101360-00-EL
P.O.Box 9718 Oij)
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
.
Project Name: QWEST DSL SITE a
Project Address: 4202 SW 320TH ST Parcel Number: 873198 3090
Project Description: 100-amp underground service for DSL installation.
Owner Applicant Contractor
QWEST KEN BOBKO ELECTRIC CO INC KEN BOBKO ELECTRIC CO INC
1005 17TH ST ROOM 1570 PO BOX 7009 KENBOEC066BA(1/1/10)
DENVER CO 80202 TACOMA WA 98406-0009 PO BOX 7009
TACOMA WA 98406-0009
Is Use Educational or Institutional? No Service greater than 1000 Amps? No
s `f let & 'alr+
;?a �.. l.r' ��,.��,I`�.Sr,., x... ',�a,. s"r .,<, „ ..,. . .....° �y, ,A. k,,,i..s•.. 5,.., S.:° f .� f...
New Service:0- 100 amps(Comm 1
PERMIT EXPIRES Saturday, April 10, 2010
Permit Issued on Friday,April 10, 2009
I hereby certify that the above information correct and that the construction on the above described property and
the occupancy and t se wit e in - ••rdanc- = ith the law les and regulations of the State • Was gton
and ty,% , raI Way.
Owner or agent: , / Date: / Q /
FINALED
—
• THIS CARD IST EMAIN ON-SITE • -`
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-1013.60-00-EL
Owner: QWEST
Address: 4202 SW 320TH ST
FEDERAL WAY, WA 98023
This card is part of your required inspection documents. 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.
O UFER Ground (4295) 0 Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By e-1.4,-L,Q Date 4 _��_c:s0( By uott Date til_a t_oc By Date
- 0 Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
0 Approved
Date 6 ./2 'v,
•
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
} TAEVIVED . AI/ / 0 3 6 a
— —
Fe��Way RM IT
0"2i !� SF MF COM 'L DE EN FP
cowman DEVELOPMENT SERVICES A P R Z U G. 1
33325 dw RAL NUE SOUTH•63 BOX 9718 O1\ .FEDERAL WAYWA 98084-9718 CITY ®METIkAlLecA16
4J % I
( /---------
www.citunfkdemhnau.com ��^''••Y���cc
The following is required information CID5complete application will not be accepted Please print legibly(in ink)or type.
^ n . PROPERTY(' INFORMATION
SITE ADDRESSLPO .L. Si : 'ic- e` `-c-A ex u.L.V)41 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - —_ __ LOT SIZE(s,)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
tithe*eeparate lageJor length!!Il
• PROJECT INFORMATION
TYPE-OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION XELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPT ON(Provide detailed description of work include on this ermit onl g�
2c'�1.. 1),CK 1A,.r'7 rvv C w 'PS D5 ►T'
/t-)Q AIN- p
PROJECT NAME(Name of Business or Owner Last Name) (-1- U0e"4----
Ls(----
• PEOPLE INFORMATION
PROPERTY �}..' PRIMARY PHONE
OWNER �.�)l1J•�.s b ( ) -
MAILfNO AD9RESS CITY,STATE,ZIP E-MAIL ADDRESS
(bc 1"?'"STiZooti.. )5 70 D -YlNi - (,Q, c,2..o 5.-
CONTRACTOR
CONTRACTOR COMPANY NAME , NAME OFFICE PHONE
ke `vN13Kh(,1e=Ctetc C.o,�.r+c Kccr, 3e, aka ( 53) '7 .4.- e94/5/
LINO ADDRESS CITY,STATE, CELL PHONE
Tpcorks4 D( Q 01 ( ) _
CITWOF RDERAL JAFBaNESS LICENSE NUMBER TION DATE FAX NUMBER
9 'CC1?6 ACI n ,j 2 . / O ( . ) -
CO R'S REO (
TION NUMBER - TION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME,i APPLICANT NAME OFFICE PHONE
-.i''� ( ) -
MAILING AD ( v CITY,STATE.ZIP CELL PHONE -
RELATIONS OJ FAX NUMBER
❑ Architect 0 Tenant ❑Agent ❑ Other _ ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT __-_-.---' ( -) -
LENDER NAMEper RCW 19.27.095:
~m — Lender in formation is required if project value exceeds$5,000
MAILING ADD'' CITY,STATE,ZIP PHONE
( ) -
® DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑NO
WATER SERVICE PROVIDER ❑LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
i PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST •
SECOND •
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
•
NUMBER OF FLOORS =STING PROPOSED TOTAL TOTAL MUST=SF TOTAL PROPOSED 1ST TOTAL SF
•
•
"'NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL .
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commad.p
COMPRESSORS FURNACES RANGES
DUCTS. • GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(orresishove Combo) LAVS(Babroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS Rolfes
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS 1
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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 ag•; the city, but only
where such claim arises o the reli o the ci n2j"
o
�employees, upon the accuracy of the o •,'on supplied to
the city as a part oft tion.
/>� 0
SIGNATURE: ��/ (eG'`` DATE
• .perty Owner and/or AuthoAgent
a NEW a ADDITION a ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Pennit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$115.50;Each add'n 500 ft2-$37.00) I to 100 amp $125.50 $76.50
❑ Detached outbuilding or garage ❑ 1 i 1-200 amp 155.50 98.00
(Inspected with service) $48.50 ❑ 201-400 amp 291.00 115.00
❑ Detached outbuilding or garage U 401-600 amp 339.50 136.00
(Inspected separately) $76.50 ❑ 601-800 amp 439.00 186.00
O 801 - 1000 amp 536.50 224.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 584.50 311.50
Service Feeder
U Up to 200 amp $125.50 $37.00 ❑ Over 600 volts surcharge $98.00
U 201-400 amp 155.50 76.50 ❑ Mast or meter repair $106.00
❑ 401 -600 amp 212.50 106.00 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 272.00 145.50
❑ Over 800 amp 389.50 291.00 Service or Feeders
❑ 0 to 200 amp $125.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 291.00
❑ 601 - 1000 amp 439.00
Service or Feeder ❑ over 1000 amp 489.00
U 0 to 200 amp $96.00
❑ 201 -600 amp 155.50 ❑ #of circuits to be added/altered
❑ over 600 amp 234.00 (1-5 circuits-$98.00;Add'n circuits,$7.50/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$76.50;Add'n circuits$7.50/ea) $98.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $57.50 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ Service and feeder $125.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK ResidentlaVMuiN-Family $67.50
❑ #of service or feeders
(First service/feeder-$76.50;each add'n-$50.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $76.50
O 101-200 amps 98.00
❑ 201-400 amps 115.00
❑ 401-600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE/EQUIPMENT
U #of Thermostats ❑ #of Signs
(First-$57.50;add'n-$17.50/ea) (First sign-$57.50;add'n sign$27.00/ea) •
❑ Low Voltage ❑ Swimming pool/hot tub $115.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $76.50
❑ Security Alarm System ❑ Additional Plan Review $115.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
El ❑ Automation Fee on all Permits .. $5.50
1•,2500 ft2-$67.50;
Each add'n 2500 ft2-$17.50)•Per WAC 29646.910(5)(b)(i&ii)
Bulletin#100-January 1,2008 Page 3 of 4 k\Handouts\Permit Application