09-102376 •
Electricals
CommCityunity ofDevelopFederaml WaentServices y Permit #: 09-102376-00-E L
P.O.Box 9718
Federal Way,WA 98063-9718 /1\96(5 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609 a pecq
Project Name: CELEBRATION PARK MAINTENANCE BUILDING
Project Address: 32713 13TH PL S Parcel Number: 172104 9014
Project Description: Completing electrical work for maintainance building
Owner Applicant Contractor
CITY OF FEDERAL WAY STEVE IKERD FORTE ELECTRIC LLC
33325 8TH AVE S CITY OF FEDERAL WAY-PARKS FORTEEL935DF(3/6/11)
FEDERAL WAY WA 98003 33325 8TH AVE S 28226 241ST AVE SE
FEDERAL WAY WA 98023 MAPLE VALLEY WA 98038
Additional Permit Information
Is Use Educational or Institutional9 No Service greater than 1000 Amps? No
Electrical Fixtures
New Service: 101-200 amps(Con 1
PERMIT EXPIRES Thursday, June 24, 2010
Permit Issued on Wednesday, June 24, 2009
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
•-t e Ity of Federal Way.
Owner or agent: Date: C ��
FINALED a(tfvf
THIS CARD IS TO EMAIN ON-SITE
CITY OF ...- • Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 09-102376-00-EL Address: 32713 13TH PL S
Owner: CITY OF FEDERAL WAY 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.
UFER Ground (4295) Ditch cover(4030) Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
•
o Pool Bonding(4195) Temporary Power(4275) Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) Rough Electrical (4225) Ceiling Cover(4020)
— Approved Approved Approved
By Date By Date By Date
Final-Electrical(4055)
Approved
Date ( -0
•
•
For inspector reference only
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
CIS OFeq _ ( 0 23 /&'
Federal) , EIV PI PERMIT — —
COMMUNITY DEVELOPMENT SERVICES SF MF CO ME DE EN FP
3332APPLICATION TD
253.835-2607•FAX 253-835-2609 / /
unww.at uoffedemJwau.com
Y
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
.
MI PROPERTY INFORMATION
• y2�!
SITE ADDRESS (3 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
I (Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING ❑/PLUMBING 0 MECHANICAL
0 DEMOLITIONELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit oniu)
J 'Ad.7174 —L A.cc": , 5 i- c_i+ION Ce= 0Z) fh.,Mfr ± /(7) CX-i-, 51(/O> Ct./14
I OurLF�TS.
•
PROJECT NAME(Name of Business or Owner Last Name) (-t L :r ¢-) O �,-171>�(�
• PEOPLE INFORMATION
PROPERTY NAME ( j PRIMARY PHONE -
OWNER Ci ( )
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
-----11FoMAILINaADERE&E 4_1-Etc> , i L KIC ,Th F-012-7E- (-.c ) t [5 -2(e7 Z
CITY,STATE,ZIP CELL PHONE
0Z-2 kt3r Zoe C7.- 44l-;-Za 4F p)l�c.E �,-kiE;6(AA- 98Q. ( (c) 9C - Zer2-
l CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( -ZS) 6 4/ - `7 2_
qr
CONTRACTOR'S REGISTRATION NUMBER DATE E-MAIL ADDRESS
FCC �L /.3�( 34, I) .4,I_.r, . -f r ( heti 4,l,c
APPLICANT COMPANyIAMEAPPLICANT NAME OFFICE PHONE
_7 Y OF (-a' :a-c� (..SA-Y D Ic.1u.0Sp.- (. ;.y ) .j)'5 -496(
MAILING ADDRESS CITY,STATE, CELL PHONE
3i1 .; . -254-17-\.Ave- 5- ie f ( ,S ( '25;) •q6( - 3.295
REIATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant 0 Agent,p-Other ( ) r_7C - 56 '
PROJECT NAME 1 PRIMARY PHONE E-MAIL ADDRESS CONTACT `.11 �'le fr.; J9r�/t c.4_,.,-7- ( ) _
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED h;TILDING INFORMATION
EXISTING USE / - ROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE F. POSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS.
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
sxi
NUMBER OF FLOORS STING s ®orosTarAL TOTAL EXISTING Sr TOTAL PROPOSED Sr TOTAL Sr
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES •
Indicate number of each type of fixture 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 COOLERSGAS PIPE OUTLETS WOODSTOVES
BBQS FANS N GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS GODS(Comma eiaq
COMPRESSORS FURNACES ES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS.(einb/Shower Combo) LAVS(eam.00msinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS
(rose)
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 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. l� C�
SIGNATURE: / � �— DATE •��✓ /
Property Owner and/or Authorized Agent ff
/7k _ .
a NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
.
BUILDING SHELL ONLY? o YES o NO BASIC PLAN?
❑YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? ❑YES a NO IIP/SEPA/SU? o YES 0 NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January I,2009 Page 2 of 4 k\Handouts\Pem►it Application
• 41111
. r
ELECTRICAL PERMIT INFORMATION
*NOTE: an automation fee of$6.00 will be charged for all permits.
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
ElSingle Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2-$121.00;Each add'n 500 ft,-$39.00) ❑ 0 to 100 amp $131.50 $80.00
O 101-200 amp 163.00 103.00
❑ Detached outbuilding or garage(w/service) $51.00 ❑ 201-400 amp 305.50 120.50
❑ Detached outbuilding or garage(inspected separately) $80.00
❑ 401-600 amp 356.00 142.50
❑ Swimming pool(w/service) $80.00
0 601-800.amp 460.50 195.00
❑ Swimming pool(inspected separately) $120.50
0 801 - 1000 amp 562.50 235.50
❑ Hot tub/spa/sauna(w/service) $51.00
❑ Over 1000 amp 613.00 327.00
❑ Hot tub/spa/sauna(inspected separately) $80.00
❑ Septic pumping system(w/service) $51.00 ❑ Over 600 volts surcharge $103.00
❑ Septic pumping system(inspected separately) $80.00 ❑ Mast or meter repair $111.00
ALTERED COMMERCIAL/INDUSTRIAL
NEW MULTI-FAMILY(three units or more)
(Does not include circuits.)
Service Feeder
Service or Feeders
❑ Up to 200 amp $131.50 $39.00
❑ 0to200amp $131.50
0 201 -400 amp 163.00 80.00 0 201 -600 amp 305.50
0 401-600 amp 223.00 111.00 ❑ 601 - 1000 amp 460.50
❑ 601 -800 amp 285.50 152.50 ❑ over 1000 amp 513.00
❑ Over 800 amp 408.50 305.50
❑ #of circuits to be added/altered
ALTERED SINGLE/MULTI FAMILY (1-5 circuits-$103.00;Add'n circuits,$8.00/ea)
Service or Feeder COMMERCIAL/INDUSTRIAL PLAN REVIEW
❑ 0 to 200 amp $100.50 $103.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ 201 -600 amp 163.00
❑ over 600 amp 245.50 ❑ Medical/Educational/Institutional Facility
❑ Additional plan review for
❑ #of circuits to be added/altered
modified submittals $115.00/per hour
(1-4 circuits-$80.00;Add'n circuits$8.00/ea)
❑ Mast or meter repair $60.50 TEMPORARY SERVICE
Service or Feeder Each Add'n
MANUFACTURED HOMES ❑ 0 to 60 amp $ 71.00 $32.00
❑ Service or feeder only $80.00 ❑ 61-100 amp 80.00 39.00
❑ Service and feeder $131.50 ❑ 101-200 amp 103.50 51.00
O 201-400 amp 120.00 60.50
MOBILE HOME/RV PARK ❑ 401-600 amp 163.50 80.00
❑ #of service or feeders ❑ Over 600 amp 183.00 92.00
(First service/feeder-$80.00;each add'n-$52.50)
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats
(First-$60.50;add'n-$18.50/ea) ❑ #of Signs
❑ Low Voltage (First sign-$60.50;add'n sign$28.50/ea)
Square Feet to be served by system(s) ❑ Yard Pole/meter loops/pedestal $80.00
❑ Fire Alarm System ❑ Portable Generator(transfer equipment) $100.50
❑ Security Alarm System ❑ Ditch cover/inspection only $120.50
❑ Voice Cabling
❑ Data Cabling
0
For fees not listed,contact the Permit Center at
1•t 2500 ft2-$71.00; `
Each add'n 2500 ft2-$18.50) 253-835-2607
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Bulletin#100-January 1,2009 Page 3 of 4 k\Handouts\Permit Application