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10-102817 CITY OF A — 411111iL.E ill/ V Federal Way ELECTRICAL ' IVED PERMIT APPLICATION JUL* 01 20'0 CI �F FEDFFp itvp,t, **Most electrical permits may be obtained on-line at www.city�ederalway.com PROPERTY INFORMATION Ls SITE ADDRESS: ) (I 1 `/ l .5 �216rl.- SUITE/UNIT/SPACE# A8t3EEBOR'S TAX/PARCEL I CURRENT/PROPOSED USE . " / 2 (j ' 5 ( 0 n _ ) () ? .(' , PROJECT INFORMATION PROJECT NAME - , (Tenant or Homeowner Last Name) 1/(...:'0 ; r/ ( ix, uit (',t 1.)1 ('(' • C -r")1 )9E'e7` Tem lie-cc' I-I' 17190 PROJECT DESCRIPTION ' ' Detailed description of work to 1 !°Iii ✓1� �xr s 77.I•j �'/ PC i i2r be included on this permit only PEOPLE NAME 1 PRIMARY PHONE PROPERTY OWNER ike i"5c' 6 k- ( ) - MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( l ) - . NAME PRIMARY PHONE .' .. 11E ) 1 !�. l ( �/"I ett(Jys5. 1 E'%iS ( ' •5) //%- ` /I MAILING ADDRESS i E-MAII. ELECTRICAL /j( 1 / ,1%4 �' le-et-se-1,15r . /t 7 1,- E e c-s€ VEr,ze,t, r-cr CONTRACTOR CITY STATE ZIP FAX .QC,-7-TI l'Ill ZIP, 77 ( ) _ WA��NTRACTORLICENSE I��,�� EXPIRATION� �'I'E� FEDERAL WAY BUSINESS LICENSE N NAME /(l' (/y('J' l PRIMARY PHONE APPLICANT .I Li /-c/�U I`Z` ( Yj ` -L�`'l �. MAILING ADDRESS E-MAIL CITY STATE ZIP // FAX ZIP ( 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 arty 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: -7 % ' ✓•7` DATE c PRINT NAME: •/fie- c?— �`(:,:?L , (.it7 33325 8ih Avenue South•PO Box 9718•Federal Way•WA♦98063-9718•253-835-2607•fax:253-835-2609•www.cityoffederalway.com Bulletin#160—April 9,2010 Page 1 of 2 k:\Handouts\Electrical Permit Application RESIDENTS GMERCIAL • ' NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL Total Square Feet (including attached garage): 1s Service/Feeder Additional Feeders ....0- 100 amp x$132.50 x$ 80.50 FEES: First 1300 ft 2-$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 Pi 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 ls,Service/Feeder Ise Service/Feeder Additional Feeders 0'= 200'amp x $101.00 ....0- 200 amp x$132.50 x$103.50 201 -600 amp x $164:00 201- 600 amp x,$307.00 x$121.00 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 1s,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: 101 -200 amp x $103.50 x $ 51.00 1.t 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 l 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♦PO Box 9718•Federal Way•WA♦98063-9718♦253-835-2607•fax:253-835-2609•www.cityoffederalway.com Bulletin#160-April 9,2010 Page 2 of 2 k:\Handouts\Electrical Permit Application ` • . Electrical City of Federal Way Community Development Services Permit #: 10-1028.17-00-EL P.O.Box 9718 Federal Way,WA 98063-9718 InS ection Request Line: (253)835-3050 Ph:(253)835-2607 Fax (253)835-2609 „ § p q „Zoos ; r Project Name: CELEBRATION SQUARE- SUITES B 201-202 Project Address: 1414 S 324TH ST UNIT B101&102 Parcel Number: 150050 0080 Project Description: Disconnect and reconnect power for HVAC system replacement. Owner ADalicant Contractor HARSCH INVESTMENT PROPERTIES EVERGREEN ELECTRICAL SERVICES INC EVERGREEN ELECTRICAL SERVICES INC 851 SW 6TH AVE SUITE 550 1900 W NICKERSON ST SUITE 116-9 EVERGES904CH(2/8/12) PORTLAND OR 97204 SEATTLE WA 98119 1900 W NICKERSON ST SUITE 116-9 SEATTLE WA 98119 ea u a� 8 Is Use Educational or Institutional? No Service greater than 999 Amps? No srxi z 1�/'�,:_'"`;ate ms's Int5, W w 1 Circuits-Commercial 1 PERMIT EXPIRES Friday, July 1, 2011 Permit Issued on Thursday, July 1, 2010 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 wi the laws, rules and regulations of the State of Washington an0 the ityof Federal Way. 3 Owner or agent: � 7 _ Date: / /(7 �fi THIS CARD IS TO REMAIN ON-SITE - • ' CITY OF 401111 Construction Inspection Record Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 10-102817-00-EL Address: 1414 S 324TH ST UNIT B101&102 Owner: HARSCH INVESTMENT PROPERTI 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. • 0 UFER Ground (4295) 0 Ditch cover(4030) El Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date 0 Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235) Approved Approved Approved By Date By Date By Date 0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date 0 Final-Electrical(4055) Approved By Date 0 Rough ElectricalEl Final Electrical Right of Way Approved Approved Approved By Date By Date By Date