10-103403t 1 A Ah I Electrical
City of Federal Way
Community Development Services Permit #: 10-1 03403 -00 -EL
P.O. Box 9718
Federal Way, WA 98063-9718 Inspection Request Line: 2
Ph: (253) 835-2607 Fax: (253) 835-2609 p q (53) 835-3050
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Project Name: JERSEY'S SPORTS BAR
Project Address: 35509 21ST AVE SW
Parcel Number: 252103 9002
Project Description: Relocate (1) thermostat and add thermostat for new rooftop HVAC system.
wn
Applicant
Contractor
DAVID HOEK
BALANCE POINT COOLING & HEATING
BALANCE POINT COOLING & HEATING
DAVID'S FEDERAL WAY LLC
(ELECTRICAL)
(ELECTRICAL)
PO BOX 8164
PO BOX 1455
BALANPC944M 1 (7/21/12)
TACOMA WA 98418
MARYSVILLE WA 98270
PO BOX 1455
MARYSVILLE WA 98270
Is Use Educational or Institutional?.......................No
Service greater than 999 Amps? .............................No
Date:
Owner or agent:
E7 -&
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FINALED $/40/�O
;&CITY OF 4
Federal Way
PERMIT #:
10 -103403 -00 -EL
THIS CARD IS TO REMAIN ON-SITE
Construction Ins�TS: O ction Record
Q
INSPECTION RE UES253 835-3050
Address: 35509 21 STAVE SW
Owner: DAVID HOEK FEDERAL WAY, WA 98023
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.
El
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
El
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
E]
E]
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date 16';.P-10
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
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SITE ADDRESS: 9 IS 7t A v e s u)
SUITE/UNIT/SPACE # ASSESSOR'S TAXIPARCEL i � � – /1 CURRENT/PROPOSED USE
PFI OACIT
PROJECT NAME %
(Tenant or Homeowner Last Name)
't U l e X,'s /,,,z � ft.,1
PROJECT DESCRIPTION ,0 Jc,t Li
Detailed description of work to
be included on this permit only
EQPLEI
NAME PRIMARY PHONE
PROPERTY OWNER pa v ; #0'e (Zo() 479 - 1
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR
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APPLICANT
PROJECT CONTACT
CITY
NAME (�
1-��t.I�t vice �oih�
MAILING ADDRESS
CITY
WA 9TATmf CONTRACTOR'S LICENSE e
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CITY
NAME
STATE I ZIP
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EXPIRATION DATE
STATE I ZIP
FAX
PRIMARY PHONE
E-MAIL
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FAX I/
FEDERAL WAY BUSINESS LICENSE M
10 - 10-)o /(o 3 -c-g4
PRIMARY PHONE
E-MAIL
FAX
PRIMARY PHONE
I certify under penalty of perjury that 1 am the property owner or authorized agent of the property owner. I cert(y 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 apart of this application.
SIGNATURE:
PRINT NAME:
a
33325 80' 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:\Handouts\Electrical Permit Application
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RESIDENTM
C MERCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet
(including attached garage):
1s1 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
1s1 Service/Feeder
1st 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 additional $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/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 - 60 amp x $ 71.00 x $ 32.00
Other
61 - 100 amp x $ 80.50 x $ 39.00
Area to be served by system:
Pt 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 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
333258 1h 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 2 of 2 k:\I-landouts\Electrical Permit Application