Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
08-103472
iv. Yed:+ rtalWay V Pp PERMIT coMMrrx/TYDEVELOPMEIYT SERVICES �3AF MF CO ME,l'L DE EN FP 33325 D AVENUE SOUTH•PO BOX 9718 P P L I C A T I O N FEDERAL WAY,WA 98063-9718 � p WAIN= 253.835-2607•FAX 253-835-2609 ill 21 2Q0 1 www.d tuolTedemlutau.com The followik ` e, i'see -eint *I incomplete application will not be accepted. Please print legibly(in ink)or type. • PROPERTY INFORMATION - SITE ADDRESS 1.---1- 2/, C 1 5.t J1 c---c 3c,1 h Te,c'Ariii SUITE/UNIT#_ ASSESSOR'S TAX/PARCEL# - _— _ LOT SIZE(s) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal description) • PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION NELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT, ESCRIPTIO (Provide et it d descriction of work ' luded on t ispermit on ) 1 ( o U _'r vt C. I €� t� Ir, --i I PROJECT NAME(Name of Business or Owner Last Name) (/A ) f Al 7. .7 �.,C , a / / t1 , C367: IN PEOPLE INFORMATION PROPERTYN PRIMARY PHONE OWNER V,. e-----t / _ MAI O DRESSrr-. CITY,STATE,ZIP E-MAIL ADDRESS /00 5 I (.b` oc ,,15.70 DC(10 e r(.0,&©fin CONTRACTOR COMPA E ir. APPLICANT AMf_A OFFICE PHONE ken tte.c c�leA..�, .r\ K Q53 066 -o9 /L1 CIT�ILINlO ADDRESS/�V _ SITY,STATE, I Vi f CELL PHONE F WAY BUSINESS LICENSE NUMBER )�CCy�A �T ATE �j� FAX NUMBER r1c�"768-©0 1iic oPi ( )RACTOR'a REGISTRATION NUMBER IRATION DATE E-MAIL ADDRESS APPLICANT COMPANY NAME APPLICANT NAMEOFFICE PHONE - �^ 44... p AI /Y-Nr '�' CITY,STATE,ZIP CELL PHONE - RELATIONSHIPELTITO PROJECT FAX NUMBER ❑ Architect 0 Tenant 0 Agent ❑ Other ( ) - PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT n � ) ( ) - LENDER `� _ Per RCW 19.27.095: Lender information is required i(project value exceeds$5,000 MARINO ADDRESS CITY,STATE,ZIP PHONE • ( ) - ■ DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC) TRC) T TRCJCTFLS,... AREA DESCRIPTION EXISTING PROPOSED TOTAL BASEMENT SQ. FT. SQ. FT. SQ. FT. FIRST SECOND THIRD ADDITIONAL FLOORS(DESCRIBE) DECK(0 COVERED OR 0 UNCOVERED?) GARAGE 0 CARPORT 0 NUMBER OF FLOORS =STING PROPOSED TOTAL TOTAL=WINO Br TOTAL PROPOSED SF TOTAL SF **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ • FIXTURES Indicate number of each type of facture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC(Describe) BOILERS FIREPLACE INSERTS HOODS(Commerdaq COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS(or Tub/Shower Combo( LAVS(eathroomsinks) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS(tulles ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS • SIGNATURE 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 toharmless the City of Federa'Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and de of such laim), which may be made by any person, including the undersigned, and filed aga est the c ty, but only where such claim se ut of t reliance of the city,including I officer and employees, upon the accuracy of the'nformati• supplied to the city as a pa f t appli on. ` SIGNATURE:y�tf� /0-2- r/ DATE ...27, 08 perty er and/or Authorized gent OTAlq �,. ,,,.r.. ,.., �, 3 a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO ZONING DESIGNATION CHANGE OF USE? a YES a NO NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? o YES a NO PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? ❑YES a NO Bulletin#100—January I,2008 Page 2 of 4 k\I-Iandouts\Permit Application ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE ❑ Single Family Square Feet Service or Feeder Each Add'n (First 1300 ft2-$115.50;Each add'n 500 ft2-$37.00) 0 to 100 amp $125.50 $76.50 ❑ Detached outbuilding or garage ❑ 101-200 amp 155.50 98.00 (Inspected with service) $48.50 ❑ 201-400 amp 291.00 115.00 ❑ Detached outbuilding or garage ❑ 401-600 amp 339.50 136.00 (Inspected separately) $76.50 ❑ 601-800 amp 439.00 186.00 0 801 - 1000 amp 536.50 224.50 NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 584.50 311.50 Service Feeder ❑ Up to 200 amp $125.50 $37.00 ❑ Over 600 volts surcharge $98.00 ❑ 201 -400 amp 155.50 76.50 ❑ Mast or meter repair $106.00 ❑ 401 - 600 amp 212.50 106.00 ALTERED COMMERCIAL/INDUSTRIAL 0 601 -800 amp 272.00 145.50 ❑ Over 800 amp 389.50 291.00 Service or Feeders ❑ 0 to 200 amp $125.50 ALTERED SINGLE/MULTI FAMILY 0 201 -600 amp 291.00 ❑ 601 - 1000 amp 439.00 Service or Feeder ❑ over 1000 amp 489.00 ❑ 0to200amp $96.00 ❑ 201 -600 amp 155.50 0 #of circuits to be added/altered ❑ over 600 amp 234.00 (1-5 circuits-$98.00;Add'n circuits,$7.50/ea) ❑ _ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits-$76.50;Add'n circuits$7.50/ea) $98.00 plus 35%of Permit Fee ❑ Service- 1,000 amps or greater U Mast or meter repair $57.50 ❑ Medical/Educational/Institutional Facility MANUFACTURED HOMES ❑ Service or feeder only $76.50 ❑ Service and feeder $125.50 TEMPORARY SERVICE MOBILE HOME/RV PARK Residential/Multi-Family $67.50 ❑ #of service or feeders (First service/feeder-$76.50;each add'n-$50.00) Commercial/Industrial Service or Feeder Ampacity ❑ 0-100 amps $76.50 ❑ 101-200 amps 98.00 ❑ 201-400 amps 115.00 ❑ 401-600 amps 155.50 ❑ over 600 amps 168.00 MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Thermostats ❑ #of Signs (First-$57.50;add'n-$17.50/ea) (First sign-$57.50;add'n sign$27.00/ea) . ❑ Low Voltage ❑ Swimming pool/hot tub $115.00 Square Feet to be served by system(s) (Includes additional circuit,if required) ❑ Fire Alarm System ❑ Yard Pole meter loops $76.50 ❑ Security Alarm System 0 Additional Plan Review $115.00/hour ❑ Voice Cabling (for modified submittals) ❑ Data Cabling0 ❑ Automation Fee on all Permits .. $5.50 let 2500 ft2-$67.50; Each add'n 2500 ft2-$17.50) "Per WAC 296.46-910(5)(b)(ii&ii) r' Bulletin#100-January 1,2008 Page 3 of 4 k\Handouts\Permit Application a • City of Federal Way Electrical Peri #: 08-103472-00-EL Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 Ph (253)835-2607 Fax (253)835-2609 "I,aI , l. \3 Inspection Request Line: (253)835-3050 : : Project Name: QWEST DSL CABINET @ TWIN LAKES Project Address: 33636 25TH PL SW Bldg All 4 c l_ rcel Number: 147225 0005 Project Description: Installation of underground electrical service for DSL site. Owner Applicant Contractor QWEST KEN BOBKO ELECTRIC CO INC KEN BOBKO ELECTRIC CO INC 1005 17Th ST ROOM 1570 PO BOX 7009 KENBOEC066BA( 1/1/I0) DENVER CO 80202 TACOMA WA 98406-0009 PO BOX 7009 TACOMA WA 98406-0009 Additional Permit Information Service greater than 1000 Amps? No Electrical Fixtures New Service/Feeder: 0- 100 amps 1 PERMIT EXPIRES Tuesday, July 21, 2009 Permit,Issued on Monday, July 21, 2008 I hereby certify that the above information is correc :nd that the construction on the above describe property and the occupancy and th • a ill be i acco *an ith th ws, rule regulations of the Stat f W ington �andi.- City ede a Owner or agent. .l • Date: 629 L THIS CARD IS TO WAIN ON-SITE , CITY OF Community Developm t Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 08-103472-00-EL Owner: QWEST Address: 33636 25TH PL SW Bldg All FEDERAL WAY, WA 98023-7772 This card is part of your required inspection documents. 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) ElDitch cover(4030) •❑ Slab/Concrete Floor(4255) c)‘. `pproad Approved Approved to place concrete By 0._ ,, Datecl_ 4 ._.,34t By n , Date 9_1,%,pct By Date _ ❑ Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235) Approved Approved Approved I By Date By Date By0 Date` -7 . <20 0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) Cl Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date 0 Final-Electrical(4055) Approved ___.w....) By Date g' - �`- For inspector reference only _ ___________ ___ 0 Rough Electrical 0 FINAL-Electrical Approved Approved By Date By Date