10-103082- Faectrical
Cv.y,p-f Ftleral Way •
C.rn u ty P.O.Box 9718 Services Permit #. 10-1 03082-00-E L
O. Box 9718 l - � .1M !� '�! "°*�";:
Federal Way, F : (253-9718 !!''. Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 � p q
Project Name: BILLINGS DENTAL OFFICE
Project Address: 1025 S 320TH UNIT 105
Parcel Number: 172104 9117
Project Description: Replacing 3 existing heat pumps with 1 new unit on roof Includes 2 circuits and 1 t -stat
Owner
ADDlicant
Contractor
MOTLAND STEAD VOGEL
STEVE BOONE
AUBURN ELECTRICAL SERVICE
1025 SW 320TH CT UNIT 204
AUBURN ELECTRICAL SERVICE
AUBURES953LT (6/30/11)
FEDERAL WAY WA 98003-5348
29410 110TH AVE SE
29410 110TH AVE SE
AUBURN WA 98092
AUBURN WA 98092
Is Use Educational or Institutional?.......................No
Service greater than 999 Amps? .............................No
Circuits Commercial .................... 2 Thermostat..................................... 1
PERMIT EXPIRES Thursday, July 21, 2011
Permit Issued on Wednesday, July 21, 2010
1 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
nd the '7—City of Federal Way.
r -
Owner or agent: � Date: ��
FINALED 6/13/�P
CITY OF _
Federal Wary
PERMIT #:
Owner:
THIS CARD IS TO REMAIN ON-SITE :
Construction In,c ion Record,-.
INSPECTION REQU TS: (253) 835-3050
10 -103082 -00 -EL Address: 1025 S 320TH UNIT 105
MOTLAND STEAD VOGEL 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
0
cover (4030)
Final Electrical
Slab/Concrete Floor (4255)
Service (4235)
Approved
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
0
Temporary Power (4275)
Final Electrical
13
Service (4235)
Right of Way
Approved
Approved
Date
Approved
By
Date
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
E]
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By
Date JI - /1 , /,::;,
Rough Electrical
Approved
1:1Approved
Final Electrical
Right of Way
Approved
By
Date
By
Date
By
Date
•16
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Feder �CTRICAL 17-
MIT
7III APPLICATION
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--Most electrical permits may be obtained on-line at www.catyoffederalway.com**
PROJECT NAME
(Tenant or Homeouner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
ELECTRICAL
CONTRACTOR
APPLICANT
PROJECT CONTACT
CYjq �_Y:OL c>�t'CC : E!cj
1146u.) P
I cert y under penalty of perjury that I am the property owner or authorised agent of the property owner. I cert(y that to the best
of my knowledge, the igformation submitted in support of this permit application is true and correct. I cert(fy 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 faun.
I further agree to hold harmless the City of F ederal 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 flied 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
igformation supplied to the city as a part of this application.
SIGNAWM
PRINT NAME:lCa/1�rL-
33325 8" Avenue South ♦ PO Box 9718 ♦ Federal Way ♦ WA ♦ 98063-9718 1253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin #160 — April 9, 2010 Page 1 of 2 k: flandoutsUectrical Pernlit Application
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WA STATE CONTRACTOR'S LICENSE 3
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EXPIRATION DATE
04-130 !f/
FEDERAL WAY BUSIIYESS LICENSE #
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I cert y under penalty of perjury that I am the property owner or authorised agent of the property owner. I cert(y that to the best
of my knowledge, the igformation submitted in support of this permit application is true and correct. I cert(fy 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 faun.
I further agree to hold harmless the City of F ederal 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 flied 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
igformation supplied to the city as a part of this application.
SIGNAWM
PRINT NAME:lCa/1�rL-
33325 8" Avenue South ♦ PO Box 9718 ♦ Federal Way ♦ WA ♦ 98063-9718 1253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin #160 — April 9, 2010 Page 1 of 2 k: flandoutsUectrical Pernlit Application
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•
RESIDENTIAL
COMMERCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet
(including attached garage):
1st Service/Feeder Additional Feeders
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
1st 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
1st Service/Feeder
I It 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
1-4 circuits $80.50; each additional $8.00
Added or Altered Circuits
1-5 circuits $103.50; each add tional $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:
Service and feeder x $132.50
• New, or alteration to, service of 1,000 amps or greater
• Medical/Educational/histitutional 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
❑ Security Alarm System
11t Service/Feeder Additional Feeders
❑ Voice/Data Cabling
0- 60 amp x $ 71.00 x $ 32.00
_
❑ Other
Ares to be served by system:
61 - 100 amp x $ 80.50 x $ 39.00
let 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
First $60.50; each additional $18.50
401 - 600 amp x $164.00 x $ 80.50
Over 600 amp x $184.50 x $ 92.00
FEE CALCULATIONS
# of signs
First $60.50; each additional $28.50
• Fees are determined by the scope of work as indicated.
Yard Pole/meter loops/pedestal x $ 80.50
• A $6.00 Automation Fee will be added to all permits.
Portable Generator (transfer equipment) x $101.00
• For assistance in calculating fees or completing the
application form, contact the Permit Center at
Ditch cover/inspection only x $121.00
253-835-2607
33325 8`" Avenue South ♦ PO Box 9718 ♦ Federal Way ♦ WA ♦ 98063-9718 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffedemlway.com
Bulletin #160 - April 9, 2010 Page 2 of 2 k: liandoutsTlectrical Permit Application