10-101724 • Electrical
City of Federal Way •
Community Development Services Permit #: 1 0-101724-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph (253)835-2607 Fax:(253)835-2609
Project Name: US DEPT OF AGRICU
Project Address: 33400 9TH AVE S SUI LE Parcel Number: 926501 0060
Project Description: Adding/altering(6)circuits for furniture hook-up
Owner Applicant Contractor
GOLDEN STONE LLC KIRBY ELECTRIC INC KIRBY ELECTRIC INC
33400 9TH AVE S 4826"B"ST NW SUITE 101 KIRBYEI077BN(1/13/11)
FEDERAL WAY WA 98003 AUBURN WA 98001 4826"B"ST NW SUITE 101
AUBURN WA 98001
Is Use Educational or Institutional? No Service greater than 1000 Amps? No
0
A ..
Circuits Commercial 6
PERMIT EXPIRES Thursday, April 28, 2011
Permit Issued on Wednesday, April 28, 2010
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy andtt se wiU be •. accor•an with the laws, rules and regulations of the State of Washington
f 1 J - e City of Federal Way.
r /
Owner or agent: Date:
AD
'111LCID / /jo
THIS CARD IS TO REMAIN ON-SITE
CITY OF . Construction In ction Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 10-101724-00-EL Address: 33400 9TH AVE S SUITE 200
Owner: GOLDEN STONE LLC FEDERAL WAY, WA
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) El Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
. .
o Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) El Rough Electrical(4225) E Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
, •
El Final-Electrical(4055)
Approved
Rip Datec.,12' 7,0(V
0 Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
• Vo _ / 0 / 72.-
r atn� PERMIT — —
Federal Way SF SMF CO ME(E)PL DE EN FP
.4 COMMUNITY DEVELOPMENT SERVICES APPLI Viii I Oi\ ji,�\EC
253-8352607•FAX 253-835-2609 `� D,rD
PROPERTY APR 2 8 0'E,
SITE ADDRESS 3L10 0 s
qf� A/� +CITY OF FEDERAL WAY
SULTE/UNIT# 2- ZONING AS SSOR'S TAR/p G C)' 7
/ CY 9�
PROJIa.,c, . l/C/„
NAME OF PROJECT
(Tenant or Homeowner Name) /i-
❑ BUILDING 0 PLUMBING 0 MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION XELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
PROJECT DESCRIPTION F tkieN 1Tlit4e6 "
Detailed description of work to /-6
be included on this permit only
NAMEr/ ,I ,... PRIMARYHHONE
PROPERTY OWNER StI�/I,Y�J�c V P,In,4 (e S vat, ) 692. - '70,5-7-
MAILING
eS7-
MAIL NG ADDRESS,CITY,STATE,ZIP E-MAIL
?jZO /(1l t4 Alit, NE 2-OI �8N-
OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
NAMEKi
r-, PRIMARY PHONE
)✓I @-f,-wl -J �- ( 3)moi-z(
¢ONTRACTOR MAILING ADDRESS iCITY.STATE,ZIP FAX
yVico Bs
r Nw s - /OD (13 ) 9 -236s3
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
gal' rt erri#713 t4
PRIMARY PHONE 3j" rN i (l ✓) W- 704APPLICANT
- -
MAILING ADDRESS,CITY,STATE.ZIP FAX
BS' N W s4C 1 ot �w.6AA4t uJ&. (?S3 ) i- ZSt°3
PROJECT CONTACT --- .471-- PRIMARY PHONE
(The individual to receive and � � S (22. ) _ lo93S
respond to all correspondence MAILING�,�pADDRESS),CITY,STAGE,ZIP L
concerning this application) <-O 7 $'Y N v.) S.1k- 1 FAx
-0347S
ALTERNATE CONT,4,CT NAMES PRDtAPHONE E-MAIL
i �(G/(/'�'�fj^G-t dr ( Z>) �(J - 7S9`I S ec�to1 edea k� .or...,
PROJECT FINANCING NAME
._1-U �lA > g OWNER-FINANCED
Required for projects with dvalue of v �
ONE
(CW 1927.095)0 or more MAILING ADDRESS.2,0 lot, II-- /f,Zip #06) (� _ _n6 ( (2 )zp - ;���
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 harm -. the Ci.r of ' al Way as to any claim(including costs,expenses,and attorneys'fees incurred
in the investigation and defense . « c . m), whicmay be made by any person, including the undersigned,and filed against the
city,but only where s c •. .ut of the reli' of the city, including its officers and employees, upon t = , .cy of the
information supplied , the city . ,, .f this appl cation. /
SIGNATURE: W OF DATE ;0 i D
PRINT NAME:
111
Bulletin#100-4/21/2009 Page 1 of 4 k:lHandouts\Perinit Application
• ELECTRICAL .
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet 1st Service/Feeder Additional Feeders
(including attached garage):
0- 100 amp x$131.50 __x$ 80.00
FEES: First 1300 ft2-$121.00; 101 - 200 amp x$163.00 ____x$103.00
Each additional 500 ft2-$39.00 201 400 amp x$305.50 x$120.50
NEW MULTIFAMILY (3 units or more)
401 - 600 amp x$356.00 _v x$142.50
1st Service/Feeder Additional Feeders 601- 800 amp it$460.50 x$195.00
0- 200 amp x $131.50 x $ 39.00 801-1000 amp x$562.50 __x$235.50
201 -400 amp x $163.00 x $ 80,00 Over 1000 amp x$613.00 x$327.00
401 -600 amp x $223.00 x $111.00
601 -800 amp x $285.50 x $152.50 Over 600 volts surcharge x$103.00
Over 800 amp x $408.50 x $305.50
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1st Service/Feeder Additional Feeders 1st Service/Feeder Additional Feeders
0-'200 amp x $100.50 x $ 39.00 0-- 200 amp x$131.50 x`$103.00
201 -600 amp _x $163.00 x $ 80.00 201 600 amp x$305.50 x$142.50
Over 600 amp x $245,50 x $111.00 601-1000 amp __x-$460.50 x$235.50
Over 1000 amp x$513.00 ___x$327.00
Added or Altered Circuits
-
1-4 circuits$80.00;each additional$8.00 Added or Altered Circuits 6.
1-5 circuits$103.00;each additional$8.00
Mast or meter repair $60.50
Mast or meter repair $111.00
MANUFACTURED HOMES PLAN REVIEW FEES
Service or feeder only x $ 80.00
$103.00 plus 35%of Permit Fee:Plan Review required for:
Service and feeder x $131.50
❑ New.or alteration to,service of 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
Plan review for modified submittals $120.50/hour
MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
❑ Fire Alarm System 1St Service/Feeder Additional Feeders
0 Security Alarm System
❑ Voice/Data Cabling 0-'60 amp x $ 71.00 x $ 32.00
❑ Other 61-100 amp x $ 80.00 x $ 39.00
Area to be served by system:
iat 2.500 ft2-$71.00;each additional 2.500 ft2-$18.50 101-200 amp x $103.50 X $ 51.00
201-400 amp x $120.00 x $ 60.50
#of Thermostats 401 -600 amp x $163.50 x $ 80.00
First$60.50:each additional$18.50
Over 600 amp x $183.00 x $ 92.00
#of Signs **NOTE: an automation fee of$6.00 will be charged
First$60.50;each additional$28.50 on all permits**
Yard Pole/meter loops/pedestal x$ 80.00
Portable Generator(transfer equipment) x$100.50 For fixtures or fees not listed contact the Permit Center at
Ditch cover/inspection only x$120.50 253-835-2607
Bulletin#100-4/21/2009 Page 3 of 4 k:\Handouts\Permit Application