11-104407 City of Federal Way Electrical
Perrlt #: 11 -104407-00-E L
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718 ', V
Ph:(253)835-2607 Fax (253)835-2609 '' Inspection Request Line: (253) 835-3050
Project Name: HUMANA CONTRACTING OFFICE
Project Address: 32125 32ND AVE S Suite 250 Parcel Number: 215465 0050
Project Description: Adding/altering(40)circuits associated for tenant improvement
Owner Applicant Contractor
32125 NORTH LLC HAGGARD ELECTRICAL CONTRACTORS HAGGARD ELECTRICAL CONTRACTORS
32125 32ND AVE S 16702 65TH AVE SE HAGGAEC960DA (3/1/12)
FEDERAL WAY WA 98003 SNOHOMISH WA 98296 16702 65TH AVE SE
SNOHOMISH WA 98296
' Additional Permit_Information, 'A,,, - ' '-‘, -P.,a'
Is Use Educational or Institutional? No Service greater than 999 Amps9 No
s.. .' F;; Electrical Fixtures , ,
Circuits-Commercial 40
PERMIT EXPIRES Wednesday, October 31, 2012
Permit Issued on Tuesday, November 1, 2011
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.
Owner or agent: -- Date: fill f
DATE INSPECTOR'S ' AREA AND TYPE 0' INSPECTION
---i `l N 0- ,2,-..0 �9.6 G r4- -, 20 --L, ‘
• -'1**k‘ THIS CARD IS TO MAIN ON-SITE
CITY OF ''' .. • Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 11-104407-00-EL Address: 32125 32ND AVE S Suite 250
Project: 32125 NORTH LLC 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.
0 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) ❑ Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
.0 Feeders/Sub-panels(4045) El Rough Electrical (4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By CCt*'' Date N a.3_1 \ By Date
0 Final-Electrical(4055)
Approved
By axisyr_,_23_ate v_.a. IQ
❑ Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
411K 3.
# v
IIH 04 4-07--
CITY.soct: — —
,I 0 - aY ELECTRICAL
0 t,-PtR1 IT APPLICATION
j * � ost electrical permits niay be obtained online at www cityoffederalway.coin °'
- + ._`... .PROPER Y `t, -x,,..
i
SITE ADDRESS: 321 2_5- 32' " Ave,, G®044 1 fed,v.4v3ay ,WA, °1?dal
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
sye � �� rJ �
l:- PROIECT.INFORMA'T`If3N y a� 1 . , r. 'l = s,,
PROJECT NAME
(Tenant or Homeowner Last Name) 40 yyl aA 0 , \-\Q,..t,k\AVA
PROJECT DESCRIPTION f ' /All N^ 4(\ c J�"�v
Detailed description of work to /
be included on this permit only
PEOPLE
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME v.\
PRIMARY PHONE
0. r(,\ \t t;\N.Z CO �t~�rK:;40 CrS (z'u' ) 95-s - S-`7"7 e
MAILING ADD fiE-MAIL
ELECTRICAL 1U7(3,Z k"^ /b _ Se 'rk4An ►"Ikvad.e/cc l`t.c.-►.
CONTRACTOR %Tx STATE ZIP FAX
�►'b�01r^'L�h wti- 9ez9Le (qty ) T40 - .100,4
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
1-}1\4l;iAe clULOCA 0 .g / 0( / 12,
NAME PRIMARY PHONE
APPLICANT ( )
MAILING ADDRESS E-MAIL
r l r t r i
CITY STATE ZIP FAX
( ) -t \
NAMEPRIMARY PHONE
PROJECT CONTACT �p �
"��I CV\ , . _ o,v-L (212 )IS 3 -S77 e
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.
Ifurther 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 a es out the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the c' a as p. of this application.
SIGNATURE: i / ��� DATE /19-07t3' 311
PRINT NAME: / eYGik t ct J ocrd
33325 8th Avenue South•Federal Way•WA♦98003-6325•253-835-2607 1 fax 253-835-2609 1 www.cityoffederalway.com
Bulletin#160—January 1,2011 Page 1 of 2 k:AHandouts\Electrical Permit Application
r
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
Is,Service/Feeder Additional Feeders
(including attached garage): ....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
lsr 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
IsService/Feeder I.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... 0
1-4 circuits$80.50;each additional$8.00 Added or Altered Circuits Li
1-5 circuits$103.50;each additional$8.00
Masi 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
l''Service/Feeder Additional Feeders
0 Security Alarm System
❑ Voice/Data Cabling 0- 60 amp x $ 73.00 x $ 32.00
❑ Other 61-100 amp x $ 80.50 x $ 39.00
Area to be served by system:
1,2,500 ft2-$71.00:each additional 2,500 ft2-$18.50 101-200 amp x $103.50 x $ 51.00
201 400 amp x $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 a $ 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•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:AHandouts\Eflectrical Permit Application