12-103958 0 S -- Electrical
rCtty of Federalay
Commun ty&33325 Econ8th.DevAveS Services Permit #: 12-103958-00-EL
�edera!Way,WA 98003 Ins ection Request Line: (2
53)835-3050(253)835-2607 Fax (253)835-2609 g r, c,.1
Project Name: FEDERAL WAY CITY LL 7-31
Project Address: 33325 8TH AVE S Parcel Number: 926500 0290
Project Description: Alteration of(4)circuits to add receptacles and relocate motion sensors.
Owner Applicant Contractor
CITY OF FEDERAL WAY J G M TECHNICAL SERVICES J G M TECHNICAL SERVICES
33325 8TH AVE S 4742 42ND AVE SW SUITE 169 JGMTETS956KJ(5/15/13)
FEDERAL WAY WA 98003 SEATTLE WA 98116 4742 42ND AVE SW SUITE 169
SEATTLE WA 98116
Additional Permit Information
Is Use Educational or Institutional9 No Service greater than 999 Amps? No
Electrical Fixtures
Circuits-CommerciaL 4
PERMIT EXPIRES Saturday, February 23, 2013
Permit Issued on Monday, August 27, 2012
I hereby certify that the above infor a�,i correct and that the construction on the above described property and
the occupancy and the use, ill , nd.nce with the I- : ., - :nd regulations of the State of Washington
//1 i ./, - i , • "f=ral Way.
Owner or agent: Date: �� ?a
NVt°
ifilhlo C t Z(9/IX
• THIS CARD IS TO MAIN ON-SITE
CITY OF � -�.-
Construction In ection Record
Federal Ways INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-103958-00-EL Address: 33325 8TH AVE S
Project: CITY OF FEDERAL WAY FEDERAL WAY, WA 98003-6325
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) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
.0 Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
By Date 9—/"/ a
•
El Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
...... 4 •i� - X03 � s
CITYOF ��
�
Feder '� = ELECTRICAL
01,11 'ERMIT APPLICATION
ckPA-
'7'43 :::•-ctricalpermits may be obtained on-line at www.cityo ederalway.com**
SITE ADDRESS: L'6-'W'a'r' G,/r Z ( ,i--'c- ?9a
SUITE/UNIT/SPACE# ! ASSESSOR'S T /PARCEL# CURRENT/PROPOSED USE
,d.._.:i e,,._Ys 1, s� ,es....a.� ..�_,..fi.b ,,.,,...�. �s .,,,vv,�,<; �......: ..;a s.✓,. ;,; ,•_. ,7:._,,,. ,... ,„ _, ?.. ,...a t;:. ,,,, ,., _..._,,.'. ,,, ,,.,,.�' ,,,,_,,,.•.;�' ,,,�,„.,,..,_....
PROJECT NAME
(Tenant or Homeowner Last Name) p4[)!t �;I • / I
/// 7 _ / . I✓1 /MO �r
PROJECT DESCRIPTION B 4. b r.o•
Detailed description of work to
be included on this permit only ,/4/,1 reePVS /rtfd mit% „Sp_
NAME PRIMARY PHONE
PROPERTY OWNER Cr jC' so AtL jv - ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
PRIMARY PHONE
( Z0 ) - e
INNILIMEIPAMMII
MAILING ADDRESS
ELECTRICAL ,iv ,Sec> t /t ” MEM!
CONTRACTOR CITY STATE ZIP FAX
Qf/ f ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/
NAME PRIMARY PHONE
APPLICANT ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
PROJECT CONTACT
A,X/ (Zo ) 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 ci• J `e,• /the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied t• ;�� thiss
t a
SIGNATURE: 41111LW DATE 24:V.&
PRINT NAME: K'C / 1
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
RESIDENT. •MMERCIAL
r
NEW-SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet Service/Feeder Additional Feeders
(including attached garage): f
FEES: First 1300 ft2-$122.00; 101 2f)O amp $ 600 x$103,50
Each additional 500 ft2
NEW MULTIFAMILY (3 units or more)
411--"6()Q.*1 p1 .....- . ' x$35:8:0V. x$143.59
1 t Service/Feeder Additional Feeders '� $90 iill4Ei $4 3,00`3 AF rn x: -tO ,
. :. e N _5 ..< i8;3900
801,yH 0 am $5fa5>0(k,•,� - $236:50
P
201 40€1 amp x $164 00 x : $ 80.50 owittowENFNa vrY
6111 800 2c $2F 00 x $153.50 •
_.... =''
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
Jsf Service/Feeder _ is Service/Feeder A onal Feeders
Additional
�.� il" U _ $ lfN ��� �: , �.�`. . .� � .;rte g '..�,.....°', u.� e,�. X4103>59
201,,. 60O 46ii,` .. 4 ;x:$307;00 . . :::.x$121:60
$320.40
Added or Altered Circuits
1-4 circuits$80.50;each additional$8.00 Added or Altered Circuits
1-5 circuits$103.50;each additi al$8.00
Mast or meter repair $60.50
Mast or meter repair $111.50
MANUFACTURED HOMES PLAN REVIEW FEES
`,3ervi orf ez on11r x -$- 80.50 Plan Review required only for:
;',1W/4741.401t'gniZeingimit $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
1 Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling
i0
��.� �,��...,,,.. at„� �� .� _. - ,t0� _-
❑ Other 61' 100?inp $ 80'50 $ 39 09
Area to be served by system:
1st 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50
;41.04C:.$12;1;,00 ' ,- x,$-.6(7.50
#of Thermostats ; tl 3°
First$60.50;each additional$18.50 60f7 a113 a 1®�"` -" $800
OVr 64(1,amp x $184:50 $ 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 1 Federal Way 1 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