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12-100803
411• • -� Electrical Federal Way Community&Econ.Devv..Services Permit #: 12-100803-00-EL 33325 8th Ave S FILE Federal Way,WA 98003 Inspection Request Line: 253 835-3050 Ph:(253)835-2607 Fax:(253)835-2609 p Project Name: DB SQUARED Project Address: 33320 9TH AVE S Suite 200 Parcel Number: 926501 0045 Project Description: Low voltage thermostat wiring. Owner Applicant Contractor HAZELETT FAMILY LLC III NORTHWEST AIRE SERVICES NORTHWEST AIRE SERVICES 14258 SE 270TH PL (ELECTRICAL) (ELECTRICAL) KENT,WA 98042-8001 PO BOX 66070 NORTHAS96324(5/24/12) SEATTLE WA 98166 PO BOX 66070 SEATTLE WA 98166 Additional Permit Information Is Use Educational or Institutional? No Service greater than 999 Amps? No Electrical Fixtures Thermostat 1 PERMIT EXPIRES Sunday, August 19, 2012 Permit Issued on Tuesday, February 21, 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 a + the City of Federal Way. Owner or agent: 1-14"X '/ / Date: 2—.2 1—7Z. -- 3 1s IZ a THIS CARD IS TO REMAIN ON-SITE Federa� llla • Construction I ection Record- INSPECTION REQUE TS: (253)835-3050 PERMIT#: 12-100803-00-EL Address: 33320 9TH AVE S Suite 200 Project: HAZELETT FAMILY LLC III FEDERAL WAY, WA 98003-6391 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 0 ❑ ( ) ❑ Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date ` ❑ Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235) Approved Approved Approved By Date By Date By Date ❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) Approved Approved Approved By Date By Date By C `.a` Date cl__ `1 1.�)....... ❑ Final-Electrical(4055) Approved By° t%...—, Date .vi �� ❑ Rough Electrical ID Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date CITY OF Federal Way ELECTRICAL RECEIVED PERMIT APPLICATION 4-_B 2 4141Lst electrical permits may be obtained on-line at www.cityo ederalway.com** � A �� ,�x � �`�� z, ��ca'a•: �/mi'e�.ry -a' �� r / � f' ,t 8s,'$� �' '�� '* SITE ADDRWSS: 3332o q-/ 4L/ c r SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# •3O CURRENT/PROPOSED USE nd PROJECT NAME (Tenant or Homeowner Last Name) LE ar4;,�,q» I/ © /i- '7 £-k-1-- i - oe.0 PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE, ., PROPERTY OWNER 1-442 1L-t-f- t->c c ( ) - MAILING ADDRESS ./ E-MAIL 14.258 6E 0276 P2- CITY ,,>> STATE ZIP FAX ( ) - NAME PRIMARY PHONE Y-l� IN — /�l2� U'/C� d ( z1 - v2los7 MAILING ADDRESS E-MAIL ELECTRICAL PZ? -231aX (6'401070 R4 Lv/(Jco AigE- e(f, , CONTRACTOR CITY STATE ZIP FAX -> l r= t: i / 4 (2OL)i -2'?/ WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# d be AS%.,5024 S%4 1/a_ ©-D7_103.27!cep- L NAME PRIMARY PHONE APPLICANT /44- 4l d21J'-. (z 24/ -a!� 1-7 MAILING ADDRESS E-MAIL tic -k 67® CITY STATE ZIP FAX 'IS! (2194-1 24/ -of PROJECT CONTACT NAME PRIMARY PHONE 4L 44.6,7Zz (.7a3)2.23`- /ia?b 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 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: G,EJG l C� DATE o?/a2 NAME: .411/'& Z, 410r1/4. 33325 8`h Avenue South•Federal Way♦WA♦98003-6325•253-835-2607♦fax:253-835-2609♦www.cityoffederalway.com Bulletin#160-January 1,2011 Page 1 of 2 k:\Handouts\Electrical Permit Application RESIDEN'1�L •MMERCIAL ' NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL Total Square Feet 1st Service/Feeder Additional Feeders (including attached garage): b >- FEES: First 1300 ft2-$122.00; 101.= 200 amp" x"$164.00;• x$103.50 Each additional 500 ft2-$39.00 NEW MULTIFAMILY (3 units or more) 401 ., ? 35 0Q, x$143.50 1st Service/Feeder Additional Feeders 601 '"$£ 7a iil .'--'_. a x$236,5"0 X4:7•400axnj3 . ; x"$164,d0-. "' " "1. x $ 00.54 $153.50 ��ia� (7;iei-60(3;volts,sur�harge x':$>:""03.5f;! Ari ti,,`. ,x',-!R 011:0 ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL 1st Service/Feeder Additional Feeders 1st Service/Feeder E t � r d �, �_ 0-.3•5t)! 2(3t....6t?O,am ".-... .. ." - x""$:164.00 2(31 .:fi0t},axnp.'• .. x.$30 00"- x$121.00 6v MSI, � 34 l ' Elves„1000"amp"" .... x°$ 1550” : x.$32s;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: • 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 $105.50/hour MISCELLANEOUS SERVICE/EQUIPMENT LOW VOLTAGE TEMPORARY SERVICE ❑ Fire Alarm System 1st Service/Feeder Additional Feeders ❑ Security Alarm System ❑ Voice/Data Cabling g Other 7$�ca`' 61 100 amp Sol 50 ` $ 39.00 Area to be served by system: of Sn 1st 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50 $121 0 4ftE~anip 00 $ 60.50 #of Thermostats First$60.50;each additional$18.50 f3crer X00,,amp r :x"$184.50' ." :', .$"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 1 Federal Way♦WA•98003-6325♦253-835-2607♦fax:253-835-2609•www.cityoffederalway.com Bulletin#160—January 1,2011 Page 2 of 2 k:\Handouts\Electrical Permit Application