10-103533 Electrical
City of Federal Way C
Community Development Services Permit #: 10-103533-00-EL
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: WSDOT "TRIANGLE" PROJECT
Project Address: 1808 S 356TH ST Parcel Number: 282104 9113
Project Description: Installation of temporary power for(5)job trailers.
Owner Applicant Contractor
WSDOT SIGNAL ELECTRIC INC SIGNAL ELECTRIC INC
6431 CORSON AVE S PO BOX 6209 SIGNAEI325K8(7/31/11)
SEATTLE WA 98108 KENT WA 98064-6209 PO BOX 6209
KENT WA 98064-6209
� ���� , �� � nip , ..,�
Additid i u
Is Use Educational or Institutional? No Service greater than 999 Amps? No
s V!A 0ka4t }�T+
Temp. Serv.: 101-200 amps(Corn 5
PERMIT EXPIRES Wednesday, August 17, 2011
Permit Issued on Tuesday, August 17, 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 with the laws, rules and regulations of the State of Washington
and the City of Federal Way. �'���r���I�t�
uw
Owner or agent: ,QA . ., Date: hl p
THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 10-103533-00-EL Address: 1808 S 356TH ST
Owner: WSDOT FEDERAL WAY, WA 98003-8305
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) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
•
CI Pool Bonding(4195) '0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Z Date g>.123 ./4 By Date
'0 Feeders/Sub-panels(4045) ' `El Rough Electrical(4225) `� Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
By Date
❑ Rough Electrical El Final Electrical `� Right of Way
Approved Approved Approved
By Date By Date By Date
.
, ,,,, Receive°
4.....„1,0*,.....CITY OF Au b ] 1.i 2O IO L
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Federal Wa�/ FEZ ; �TRICAL
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PERMIT APPLICATION
**Most electrical permits may be obtained on-line at www.cityoffederalway.com** _
PROPERTY INFORMATION
SITE ADDRESS: In S "y- LT 'Fede LJ
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
__, .? S' ak E - y_ 9i / T
PROJECT INFORMATION
PROJECT NAME •
(Tenant or Homeowner Last Name) � 1 e 1 / 'R '� 1 A `1 yyl pr V ;(-5 4-re..-le
?rOcit ie. '+ew pere,.rv� v. k 3' btay.k. �/e✓$
PROJECT DESCRIPTION ��
Detailed description of work to
be included on this permit only
PEOPLE
NAME PRIMARY PHONE
PROPERTY OWNER '11.)' i q� -,,., . A 1 L,i G- &r r,,J,A-.Lc:.. (z6(.)Y-64. - 26 ! 7
MAILING ADDRESS E-MAIL
(/131 dL,-sc),,. ,q e c b.t-s,..>r ,4-.,. ...- j:,:.
CISTATE ZIP FAX
i-C..-.i >4 c- ' 16`�5 (lDc.,) . s??
NAME ` n PRIMARY PHONE
S nL 1 Eleti'1-IC ( 53) v-7,1- 7177
MAILING ADDRESS //�'ti E-MAIL
ELECTRICAL `_O, Nyk l SI't5S,utiele e 0_62)41(.64fn A
CONTRACTOR CITY STATE ZIP FAX
Lik 9-c,y (:.r,3) 315 - O55
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
3i61A AEI,t\aSle 7 '3t III 19-11 - 10)76-0 -ii
NAME PRIMARY PHONE
APPLICANT in %iin CooNrs4'. c,ic, gxyYz11„N' (1-2,-) ,313 - 0212116"
ING ADDRESS E-MAIL
CITY 11 STATE ZIPFAX
ZI
N4 PRIMARY PHONE
PROJECT CONTACT �qercrJ V (21:3(9) ?S3 9.9/‘‘I i/�
1�`atz�:,vc
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 o the reliant- he city, including its officers and employees, upon the accuracy of the
information supplied to the cit o thin.
.,
SIGNATURE:
''''''''' ....0"----•.'"'""-- �L L DATE S.' /. 'w
PRINT N• ,,rpt/C.C. ;o eo1/e1,,,
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 1 of 2 k:AHandouts\Electrical Permit Application
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
(including attached garage): 1st Service/Feeder Additional Feeders
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
15 Service/Feeder 15,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
❑ Security Alarm System 15 Service/Feeder Additional Feeders
0 Voice/Data Cabling 0- 60 amp x $ 71.00 x $ 32.00
O Other 61- 100 ampx $ 80.50 x $ 39.00
Area to be served by system:
101-200 amp , I ix $103.50 _ iLx $ 51.00
1st 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
#of Signs
First$60.50;each additional$28.50 • Fees are determined by the scope of work as indicated.
Yard Pole/meter loops/pedestal x$ 80.50 • A$6.00 Automation Fee will be added to all permits.
• For assistance in calculating fees or completing the
Portable Generator(transfer equipment) x$101.00 application form,contact the Permit Center at
Ditch cover/inspection only x$121.00
253-835-2607
33325 8`"Avenue South♦PO Box 9718♦Federal Way♦WA♦98063-9718♦253-835-2607 4 fax:253-835-2609 1 www.cityoffederalway.com
Bulletin#160-April 9,2010 Page 2 of 2 k:\Handouts\Electrical Permit Application