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12-103906 -- - ReceIve° CITY OF 2 3 212 ( Z o 3 9 0 0. Federal Wa�'UG EOERELECT rte, ELECTRICAL r PERMIT APPLICATION **Mast electrical termits m. be obtained on-line at www.cityo�iederalw. .com** • SITE ADDRESS: s �W d eti ScmrE MITiAPAca s AsaasaoR�a TAX/PARCEL 0 CURRE1IT�rRQPO Zt7 LIME PROJECT NAME {Tenant or HomeownerLast Name) �d9 56( i'rif 1-1 S PROJECT DESCRIPTION Detailed description of work to be included on Vas permit only .2 VO L L d- ar, S .... _... RAYL .. PRIkARY PROEM.. ... . PROPERTY OWNER ( )RAILING ADDRL86 MAL L. CITY STATE I ZIP j }} FAX l f PR $ 1<AY8 / MARY PHON ,ICC' 1 ��tG (253 ) 115-----lY YAIUNGADDRSYB , �,,,,a, ELECTRICAL `�C/ 41//.. 51:4-2 CONTRACTOR p'i'g ` sTATIC ZIP FAX -AW W.��c trscronns ,� Az o f YRD�A� WAT S, DAl@ APPLICANT � ',24)175- ( )yds- / u 1 1 YAILIRD ADDRESn re i72 6 t soPRIMARY PHONE h �Y111f_ STATE 2TP PAK KAI[L `/� l J� OPRIMARY?NORM PROJECT CONTACT 3,19 D .!l(il <f (z6-3 ) 4 f I certify under penalty of perjury that I am the property owner or authorised agentofthe property owner.I P perfy certify that to the best of my knowledge,the information submitted in support of this permit application is true and correct.I certify that 7 atilt comply with all applicable City of Federal Way regulations pertaining to the n,ork authorised by the irstsmsce 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 taws regulating construction or environmental[sus_ t farther agree to hold harmless the City of Federal Way as to any claim(including costs, expenses,and attorneys'fees intoned in the investigation and defense of such claiinj,which may be made by any person,including the undersigned,and flied against the city, but only where such claim colors out of the reliance of the ci •, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. • SIGNATURE: � ` DATE 2 Z ^/ PRINT NAM)!~ 4- h ! L 33325 S' Avenue South•Federal Way♦WA♦98003-6325+253-835-2607 r fax:253.835-26o9♦www.ciiyuffcderalway.com Bulletin OHO January 1,2011 Pagc 1 of2 k:Uiandouts\Elcctrical Permit Application •d 921-1-1.178-E5Z pe q d00:EQ Zl ZZ 0nd • • RESIDENTIAL COMMERCIAL NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL Total Square Feet 1.'Service/Feeder Additional Feeders (including attached garage): . a[ '.;-A2.4- <'- 2--5©" '1:'., =- �`.-40 FEES: First 1300 ft2-$122.0(,. 101- 200 amp x$164.00 x$103.50 Each additional 500 ftp $39.00 0r=+:;? tr,7.1,,,Y75:41:44. 7 `"• )• _7:;:- .,.:i: .0 NEW MULTIFAMILY [3 units ar more) 401. 600 asap x$358.00 ii$34350 lst Service/Feeder. Additional Feeders •-__,._.... - -- ).-.•:2 tmz v.:.. _nom 15 .``:;,_ ;c.: ;,:. .3%50 803-1000 amp x$565.00 x.$236.50 201-400-amp- x $.164.00 x $ 80.50 __._...._..�.. _; i_: .._... -�. --- pyo' -tis-� -�;�_ isoo 601-800 amp . x 628L0e- : .. $ 63.5n a•'cs oolisaiirchatge s,$103.50 j ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL ! 1"Service/Feeder 1 Service/Feeder _ Ad_di_tional Feeders isrixr 1 2D1-500 amp x $164.00 201- 600 anrp x$307.00 - is$121,00 OVer.1(40-any :. x$515.50 $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 Seeder only . r-. $ 80.50 Plan Review required only for. $ -_:..<'; . _:_ �'It • 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 $I05.50/hour MISCELLANEOUS SERVICE/EQUIPMENT . LOW VOLTAGE TEMPORARY SERVICE ❑ Fire Alarm System 1"'Service/Feeder Additional Feeders Secunty Alarm system VoiceJData Cabling -0r 'bl--(1; •:.6-0--k ii ,--. .,. -:-...,,,,x--.41,71:1)1)-- X:...! i( Other -• C d bl- 100 amp . x $ 80.50 Y-: :: $ 39.00 Area to be served b5'system: , 1. 2,500112-$71_00:each additioni 4:571) f 1'-:3Q0srap:` .:x`.` .5C3' - ]C:`.+; .- D 201-400 amp �i $121.00 -- =;x $ 60.50 0 of Thermostats1401 ' - . .. ---:=-:-:.: .. . _-$_AL2-.6Q „., 6 ain{ t�is4 f '.-ire First$60.50; each addi5onal$18.50 Over 600 amp :."1- -_____27,1,7X ::: $ 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 f • For assistance in calculating fees or completing the application form,contact the Permit Center at 253-835-2607 33325 8•'Avenue South•Federal Way•WA•98003-6325•253-835-2607•fax:253-835-2609•www.cityoffedcralway.com Bulletin 4 160-January 1,2011 Page 2 of 2 k:\Handouts\Electrical Permit Application •d 9866-078-C9Z peAci d00:�0 Zl ZZ Ont' • Electrical City of Federal Way Community&E8 Services ' #: 33325 8thth AveeF E - Permit 12-103906-00-EL S Federal Way,WA 98003 Inspection Request Line. (2 53)(253)835-2607 Fax:(253)835 2609 p q ( 53)835-3050 Project Name: 7-ELEVEN Project Address: 4615 SW 320TH ST Parcel Number: 142103 9095 Project Description: Low voltage voice and data drops,cctv runs and security runs Owner Applicant Contractor TRIMARK-HOYT ROAD LLC ACCEL ELECTRIC LLC ACCEL ELECTRIC LLC 420 ELLINGSON RD UNIT 200 802 4TH AVE SW ACCELEL982RE(12/14/12) PACIFIC WA 98047 PUYALLUP WA 98371 802 4TH AVE SW PUYALLUP WA 98371 Additional Permit Information Is Use Educational or Institutional? No Service greater than 999 Amps No Electrical Fixtures Low Voltage-Other(Commercial 1 PERMIT EXPIRES Tuesday, February 19, 2013 Permit Issued on Thursday,August 23, 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 Nd t iEderal Way. Owner or agent: Date: 0 THIS CARD IS TO MAIN ON-SITE , CITY OF Construction In ection Record Federal WayINSPECTION REQUE TS: (253)835-3050 PERMIT#: 12-103906-00-EL Address: 4615 SW 320TH ST Project: TRIMARK-HOYT ROAD LLC FEDERAL WAY, WA 98023 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) El Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date O Pool Bonding(4195) ❑ Temporary Power(4275) 0 Service(4235) ' Approved Approved Approved By Date By Date By Date 'El Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020) Approved Approved Approved By Date By Date By C Date g i, -12 . ❑ Final-Electrical(4055) Approved (4.--r-z____ B .�- 4 '? X� DateCt .„ , . FILE ❑ Rough ElectricalCI Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date