Loading...
11-100024 • - , El�ctrcal City of Federal Way • Community Development Services ' Permit #: 11-100024-00-EL P.O.Box 9718 z ,,i Federal Way,WA 98063-9718 ns Iection Request Line: (253) 835-3050 Ph:(253)835-2607 Fax (253)835-2609 p q Project Name: BAEK CHIROPRATIC Project Address: 1627 S 312TH ST Suite B Parcel Number: 092104 9162 Project Description: Adding 4 new circuits for new chiropractic office. Owner Applicant Contractor ROBERT SHIN HERTZ ELECTRIC HERTZ ELECTRIC PO BOX 169 757 116TH ST S HERTZE*903K1 5/21/12 SNOQUALMIE PASS,WA 98068-0169 TACOMA WA 98444 757 116TH ST S TACOMA WA 98444 Is Use Educational or Institutional? No Service greater than 999 Amps? No � a $ bt Circuits-Commercial 4 PERMIT EXPIRES Thursday, January 5, 2012 Permit Issued on Wednesday, January 5, 2011 I hereby certify that the above information is correct and that the construction an 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 I and the City of Federal Way. Owner or agent: Date: �yD 11/( ," THIS CARD IS TO REMAIN ON-SITE CITY qF - ' ` 0 Construction Instetion Record Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 11-100024-00-EL Address: 1627 S 312TH ST Suite B Project: ROBERT SHIN FEDERAL WAY, WA 98003-4915 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 Slab/Concrete Floor(4255) ❑ Service(4235) 0 Feeders/Sub-panels(4045) Approved to place concrete Approved Approved By Date By Date By Date 0 Rough Electrical(4225) El Ceiling Cover(4020) 0 Final-Electrical(4055) Approved Approved Approved By uzle i, Date v....\--17.1` By Date By 0 t, ...__,.__I Date a`l,.....1 ❑ Rough Electrical Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date !LL - 2I. A Fe = ED ELECTRICAL SAN 05 2r PERMIT APPLICATION ..;CITY Op fr 1 i •, s ermits may be obtained on-line at www.ci o ederalway.com** " - c1 §7.,.`3:e4-7:7:'''i W7y Mu r $ r:,'' 7 f" M t d •., ;� ] -,1; • s.v• r7f '7 1,, 7"P�.S.Fir s eV,... k �� i ea�, -40t: . § e,o4:1-1/24.., sE, :?�46 � d+c.�.�{d�o-.' r:l��inrr ,tk•., ±.:t. r.s x.. f,! •r, fk 4.••..,x , x , , . R..���t, ' .wM.hLt,4,? �k:e� m� ltw� � Arw�de"tr� . .wn SITE ADDRESS:I .�. oy, i $ J17t y yO3 SUITE/UNIT/SPACE t / ASSESSOR'S TAR/,PARCEL i CURRENT/PROPOSED USE k,,,4 4{ l,.$ J Y' 1 e, ^F,�FSS'p°ttl',..i,,,,,;„ :T' i'4-7.,,:, us ,3 7 a d; 4r r+ k ?',y A . S. s :&' ` .r^- }'-,5:' ,"fii,7T +° ,my, -..'.p �'��'" .s-� yrr :.>,�" b:�. rY ;, ":,,,o" S is ';�, . �,�'"�? -+a,.,.•• v -• a w-� .,_'�s;r.�. i.�+Y" ?^ 4,�f`>y`�'^„ ,a:-cFc a P :q '"r r PROJECT NAME (Tenant or Homeowner Last Name) .7 I,U 0-V AJe_AA) cy-) cifdS PROJECT DESCRIPTION Detailed description of work to be included on this permit only ,�y .� .k} .�' 'N �,'�}'�,� 4..y, • " ��;� i`�E11 s� tie `t�� a �'�y{ . f G. r ::�,5' a w ¢ �" �." a'''te' s "�: i x1.2,4 ".4„' .�,�f°,, y ,`Sew' "'3414-ds ' t4 .:','�`' 1 P, _ `.'.4 .,.''.3�* ;' :4",1;: � 0• ,x''ff� ,°'''"fa' + p S YM a x7? _'f-< .�,s r 5x. ��r Lrf�"� a.�x ..�. PROPERTY OWNER NAME �`' ( ) PRIMARY PHONE MAILING ADDRESS E-MAIL 76,-izi hc- CITY STATE ZIP FAX lel,,• f `-7 �" 9 r t)3 ( ) - NAME 1--/W6-2_. e4o.f&V, PRIMARY PHONE c ' )4t,tS - -(R/, MAILING ADDRESS E-MAIL ELECTRICAL -7 ---) //6-('i LS CONTRACTOR CITY STATE ZIP FAX --r-0.0),..4 0. ILle � � `7' ( ) - WA STATE CONTRACTOR'S LICENSE I EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 8 11-e,Y1-2 . c a 1c-I © t i 2i /2-01-2-- NAME PRIMARY PHONE APPLICANT Clef CA) C� �~ ( )l - C (4 - MAILING ADDRESS E-MAIL CITY STATE ZIP FAX G1 rt/R-'�•� bu( 9(P.( ..AZ ( ) - PROJECT CONTACT NAME CL(DA) �^ ( ?)PRIMARY 9/ PHONE `! I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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. 7; SIGNATURE: DATE b iC ( 7 / PRINT NAME: 7 a �, 33325 8'h Avenue South♦PO Box 9718•Federal Way•WA•98063-9718♦253-835-2607•fax:253-835-2609♦www.cityoffederalway.com Bulletin#160—April 9,2010 Page 1 of 2 k:WandoutsTlectrical Permit Application RESIDENTIAL COSERCIAL NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL Total Square Feet (including attached garage): l Service/Feeder Additional Feeders FEES: First 1300 ft2-$122.00; 101- 20€l amp x$764:00 x:$103.50 Each additional 500 ft2-$39.00 ?A1 .40f1 amp x$ 7 fJ0 x$22100 NEW MULTIFAMILY (3 units or more) 401- 60:0:amp x$358.00 x$143::50 13,Service/Feeder..,., Additional Feeders 601 80 amp x$463 00 x$196.00 801-1000:amp x$565:00 x$236.:50 201- 400:amp x.::$:164:00 x $ 80.50 (?ver 100U amp �e$61:6 00 x$328 SO 1 _600 anp rt $Z4 00 x $1:11 50 601::::800:amp x $287:00 _x $153.50 Over.600:was:surcharge x$10&50 Over800 amp x $4:14.50 x $3Gl7.04 ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL 1st Service/Feeder lst Service/Feeder Additional Feeders o `2oa amp > x $lt!1:0D 0 200 amp x$132 50: $:103:50 201.....600 amp x $1:64.00 201- 600:amp x:$307:00 x:$121::00 Over>600 asap x.$245.5(3 601 1400 amp x$4f 300 x$.1:96 00 Over::1000:amp x:$8:15.50 x:$328.50 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:feederonly 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 1st Service/Feeder Additional Feeders ❑ Security Alarm System ❑ Voice/Data Cabling 0 tSO ainp x $ 71,00 x $ 32:130 ❑ Other 6:1- 100:amp $ 8(3.50 x $ 39:00 Area to be served by system: 101-200 amp x $103 50 $ 51 04 1st 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50 2014 amp x 121<00 .. x 60.50 #of Thermostats 401; 600 amp x +$169 0 iC $ 80 50 First$60.50;each additional$18.50 Over600:::amp x:$184:50 x $ 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♦PO Box 9718♦Federal Way♦WA 198063-9718•253-835-2607♦fax:253-835-2609♦www.cityoffederalway.com Bulletin#160-April 9,2010 Page 2 of 2 kAHandouts\Electrical Permit Application