08-103674 a ,r s .I •.
City of Federal Way Electrical Pert #•• 08-103674-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: QWEST DSL
Project Address: 34718 21ST AVE SW Parcel Number: 242104 9114
Project Description: Underground service installation located at surface water property/open space immediately
south of SW 346th PL
Owner Applicant Contractor
KING COUNTY KEN BOBKO ELECTRIC CO INC KEN BOBKO ELECTRIC CO INC
500 4TH AVE#500A PO BOX 7009 KENBOEC066BA( 1/1/10)
SEATTLE WA TACOMA WA 98406-0009 PO BOX 7009
98104-2337 TACOMA WA 98406-0009
Additional Permit Information
Service greater than 1000 Amps? No
Electrical Fixtures
New Service/Feeder: 0- 100 amps 1
PERMIT EXPIRES Wednesday, August 5, 2009
Permit Issued on Tuesday, August 5, 2008
I hereby certify that the above information is correct nd that the construction on the above described property and
the occupancy and the use will be in accordance ith the laws, rules and regulations of the Sta - of W-.-hington
and th City of Fe ral
Owner or agent: y' Dater
- THIS CARD IS TO R MAIN ON-SITE
CITY of °'' Pommunity DevelopmeTt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-103674-00-EL
Owner:
Address: 34718 21ST AVE SW
FEDERAL WAY, WA 98023
This card is part of your required inspection documents. 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)
�' T Approved Approved Approved to place concrete
By J Date&•4;, c By6:;) Date •4 •a�S By Date
,
— 0 Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
,
e '
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
,
O Final-Electrical(4055)
Approved
By(...,4L,/ Date `Z Z
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
- (0 c'; .
...FA, c / D 3
—
FederalWay M T
COMMUNIIYDEVELOPMENT SE "i I y ;�f); SF MF CO MEL DE EN FP
33325 817,AVENUE SOUTH.PO BOX 9718 .*'-/
[CEi\ FD TDAPPLICATION
www.dtuofferleralwa u.com
The following is required information-an incomplete application will not be accepted. Please prin btj tirI tk)or type.
IN PROPERTY INFORMATION -
SITE ADDRESS 'ILI 1 l e - 21 n. fl V E 5 iko SUITE/UN9js
ASSESSOR'S TAX/PARCEL# Ok k-1 C2C.) - 1 ( 5( LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) ( )1,. ,t.s K 6 d — kt c'
(Attach separate page for lengthy legal desaiptton)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT.DESCRIPTIOs (Provide detailed descnition of work included on this ,ermit onl
• 0 ei _ - NO d
.ti- cam_
3. vs ��
,..)'-
PROJECT NAME(Name of Business or Owner Last Name)
il PEOPLE INFORMATION
PROPERTY NAE PRIMARY PHONE
OWNER w'‘e.... 1.-
E� ( ) -
MARINO ADDRE STATE,ZIP E-MAIL ADDRESS
r
CONTRACTOR COMP M . ► A PLICA M OFFICE PHONE
DILS gje ie,�k...C', �- 'cS Q �� 3) 56- 09
1 AILI e :DDDRRJ�ESS ,STATE,Z CELL PHONE
C AF,�E CI eCci BUSINESS LICENSE NUMBER AC WA,‘-174/94 TITE Vic& FAX NUMBER
79-' fo`� oo ) l ca ( ) -
ONTRACTOR REOISTRATIOIJ NUMBER NXPIRA ION DATE E-MAIL ADDRESS
kbr)Zo‘e._.0.,c) (E7615e1/4 / // tC)1
APPLICANT COMPANY N APPLICANT NAME OFFICE PHONE
( )
MAILIN DRESS -- C,_- CITY,STATE,ZIP CELL PHONE
S )
RELA ONSHIP TO PROJECT FAX NUMBER
❑ chitect o Tenant 0 Agent ❑ Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NA Per RCW 19.27.095:
l Lender information is required if project value exceeds$5,000
MAILI AD RESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER o 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(❑ COVERED OR ❑UNCOVERED?)
GARAGE 0 CARPORT ❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL 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 COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS)commerdal)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or rub/shower Combo) LAVS(Bathroom sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS crones)
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 Fe ral Way as to any claim(including costs, expenses, and atto eys'fees incurred in the
investigation and defense such claim), which may be made by ny person, including the undersigned, and file against the city, but only
where such claim aris o of the elian of the i , includin is officers and employees, upon the accuracy of he i formation supplied to
the city as a part of i pplica
l(671
SIGNATURE: / DATE a e
o ner and/or Authorized Agent
111111111111111111-- -
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January I,2008 Page 2 of 4 k\Handouts\Permit Application
ELECTRICAL':PERMITINFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$115.50;Each add'n 500 ft2-$37.00) ti6 to 100 amp $125.50 $76.50
❑ Detached outbuilding or garage 101-200 amp 155.50 98.00
(Inspected with service) $48.50 ❑ 201-400 amp 291.00 115.00
❑ Detached outbuilding or garage ❑ 401-600 amp 339.50 136.00
(Inspected separately) $76.50
U 601-800 amp 439.00 186.00
0 801 - 1000 amp 536.50 224.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 584.50 311.50
Service Feeder
❑ Up to 200 amp $125.50 $37.00 ❑ Over 600 volts surcharge $98.00
❑ 201 -400 amp 155.50 76.50 ❑ Mast or meter repair $106.00
❑ 401 600 amp 212.50 106.00 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 272.00 145.50
❑ Over 800 amp 389.50 291.00 Service or Feeders
❑ 0 to 200 amp $125.50
ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 291.00
❑ 601 - 1000 amp 439.00
Service or Feeder ❑ over 1000 amp 489.00
❑ Oto 200 amp $96.00
❑ 201 - 600 amp 155.50 ❑ 41 of circuits to be added/altered
❑ over 600 amp 234.00 (1-5 circuits-$98.00;Add'n circuits,$7.50/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$76.50;Add'n circuits$7.50/ea) $98.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $57.50 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ Service and feeder $125.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $67.50
❑ #of service or feeders
(First service/feeder-$76.50;each add'n-$50.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $76.50
❑ 101-200 amps 98.00
❑ 201-400 amps 115.00
❑ 401-600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$57.50;add'n-$17.50/ea) (First sign-$57.50;add'n sign$27.00/ea) •
❑ Low Voltage U Swimming pool/hot tub $115.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $76.50
❑ Security Alarm System ❑ Additional Plan Review $115.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
U Automation Fee on all Permits $5.50
1.t 2500 ft2-$67.50;
Each add'n 2500 ft2-$17.50) "Per WAC 296-46-910(5)(b)(i&ii)
Bulletin#100-January 1,2008 Page 3 of 4 k\-Iandouts\Permit Application