11-104147 ii► . -y
•
City of FederalWay • Permit #: 11 -104147-00-EL
Community Development ;;lectrical
Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: EDUCATIONAL SERVICE CENTER-FEDWAY SCHOOL DISTRICT#210
Project Address: 33330 8TH AVE S Parcel Number: 926500 0120
Project Description: Low voltage data cabling.
Owner Applicant Contractor
FEDERAL WAY SCHOOL DISTRICT 210 CONVERGENT TECHNOLOGY SYSTEMS CONVERGENT TECHNOLOGY SYSTEMS
33330 8TH AVE S 2720 S ASH ST CONVETS907BL (1/13/12)
FEDERAL WAY WA 98003 TACOMA WA 98409 2720 S ASH ST
TACOMA WA 98409
Additional.Per mit Information
Is Use Educational or Institutionah No Service greater than 999 Amps? No
rElact rical F xture
Low Voltage-Other(Commercial 1
PERMIT EXPIRES Thursday, October 11, 2012
Permit Issued on Wednesday, October 12, 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: 4 ____....,la
� Date: /.0 - /Z — //'
f
....._. .___ C. A,(e.,.c \.0 I t/r/
i
DATE INSPECTOR( ` AREA AND TYPE O' -NSPECTION`-
11-i G - Cits: `z`• A -t,��.
• 6, THIS CARD IS TO REMAIN ON-SITE * 4
CITY OF
'' • Construction Iriection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 11-104147-00-EL Address: 33330 8TH AVE S
Project: FEDERAL WAY SCHOOL DISTRIC' FEDERAL WAY, WA 98003-6392
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) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
.El Feeders/Sub-panels(4045) ' 0 Rough Electrical(4225) ' El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
GA.,- Date
1 —A.Tr—t i
Final-Electrical (4055)
Approved
By Date i a+ -at_i 1 ,
O Rough Electrical111 Final Electrical 111 Right of Way
Approved Approved Approved
By Date By Date By Date
RESEIVE, 17)
CITY OF . �E ' A4.WAY - ® L l I .�
Federal Way '.ITY c JECTRICAL
PERMIT APPLICATION
**Most electrical permits may be obtained on-line at www.cityoffederalway.com**
PROPERTY INFORMATION
SITE ADDRESS: J 33 3 D of
8 Acle 17ue 3o +h
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
I S 0 n
PROJECT INFORMATION
PROJECT NAME
(Tenant or Homeowner Inst Name) �Pe{�c�j a D ` ' -k 6. ��(�Fi i �9
.l�`Siekti -41c'in 6-c'c �Ga «b\1rq -Cyr )1 IL)C/,_4,(-)(1`3 /
PROJECT DESCRIPTION 6 '16 (6 b�`) 10 Lt.) "U(Aiek 1 ,
Detailed description of work to G
be included on this permit only
PEOPLE
NAME PRIMARY PHONE
PROPERTY OWNER e61 gra I ({J�� S cha D,6-tri ct ( ) -
MAILING ADDRESS f E-MAIL
1u(,l' :�61}: h 3)O f +
CITY STATE ZIP FAX
r��1P�� i Ly U)! 9Jee)3 ( ) -
NAME PRIMARY PHONE
(uOUeCCA Nn+ 1("Z.ki(\doe y 6 ftoI (1 ( w6) CA, -:. U
MAILING ADDRESS (--"' EMAIL
ELECTRICAL )-3O 3" . 4`7 - +1e.e4-
CONTRACTOR CITY STATE ZIP
'1{y�ie�C�f�1 c I,vcr l,evr,
FAX
lut�iMa �} `��i'�/t 7 CV6 )LAX -deV(.)
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
L01•1 VtT5(7t' 7 L / 1 > / )r, 'i/ ~li°JO 4 y> ;. 1'3
NAME PRIMARY PHONE
APPLICANT -).(1-i-n- Yl F= (•,k.S c: \Oc;-, ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT
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: !!__ (--7e DATE i t./13i/l
PRINT NAME: 1 (Yl 1l 1( ('G` 1 &c)l(A(? 1 , n e i u'I HAina e,---
33325
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 1 of 2 k:\Handouts\Electrical Permit Application
• •
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet Is,Service/Feeder Additional Feeders
(including attached garage): 0- 100 amp x$132.50 x$ 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 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
401 -600 amp 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 $410.50 x $307.00
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
Is Service/Feeder 1s`Service/Feeder Additional Feeders
x $101.00 0- 200 amp x$132.50 x$103.50
0- 200 amp 201- 600 amp x$307.00 x$121.00
201 -600 amp x $164.00
Over 600 amp x $246.50 601-1000 amp x$463.00 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:
Service and feeder 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 Is'Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling 0- 60 amp x $ 71.00 x $ 32.00
❑ Other 61-100 amp x $ 80.50 x $ 39.00
Area to be served by system: 3 C,,6(00
101-200 amp X $103.50 x $ 51.00
1.,2,500 ft2-$71.00;each additional 2,500 ft2-$18.50
201-400 amp x $121.00 x $ 60.50
#of Thermostats 401-600 amp x $164.00 x $ 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•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