12-103941'� :)bctrical
City of Federal Way Permit #: • 12- 103941 -
00-E L
Community &Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 83512607 Fax: (253) 835-2609 kf c ; i " Inspection Request Line: (253) 835-3050
Project Name: CHASE
Project Address: 33601 21ST AVE SW Parcel Number: 873217 0010
Project Description: Add/alter up to (5) circuits to connect existing power to new 120V VAT system & add up to
(5) ROV receptacles to accomodate new drive-through drawer.
Additional Permit Information
Is Use Educational or Institutional?.......................No Service greater than 999 Amps? ............................. No
Electrical Fixtures
Circuits - Commercial .................... 5
PERMIT EXPIRES Wednesday, February 20, 2013
Permit Issued on Friday, August 24, 2012
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
t City of Federal Way. p
Owner or agen : Date: D Z' /
Owner
Aniolicant
Contractor
CHASE BANK
SEA -TAC ELECTRIC INC
SEA -TAC ELECTRIC INC
33601 21ST AVE SW
7056 S 220TH ST
SEATAEI077RW (12/17/13)
FEDERAL WAY WA 98023
KENT WA 98032
7056 S 220TH ST
KENT WA 98032
Additional Permit Information
Is Use Educational or Institutional?.......................No Service greater than 999 Amps? ............................. No
Electrical Fixtures
Circuits - Commercial .................... 5
PERMIT EXPIRES Wednesday, February 20, 2013
Permit Issued on Friday, August 24, 2012
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
t City of Federal Way. p
Owner or agen : Date: D Z' /
�► THIS CARD IS TOMAIN ON-SITE YA
Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #:
Project:
12 -103941 -00 -EL
CHASE BANK
Address: 33601 21 STAVE SW
FEDERAL WAY, WA 98023-7701
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.
Final - Electrical (4055)
Approved
By Date $
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)11
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date $
Pool Bonding (4195)
❑
Temporary Power (4275)11
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
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 $
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
116
?'ecel'416 0
AUG24"" /� - / o 3 �1L
CITY OF A�
Federal W@y of FcDe'tP8ECTRICAL
PERMIT APPLICATION
**Most electrical permits may be obtained on-line at www. cityoffederalway. com * *
SITE ADDRESS: 5U0 ( ZI S T A %/ t S W
SUITE/UNIT/SPACE #
ASSESSOR'S TAR/PARCEL #
CURRENT/PROPOSED USE
Co M��cR L
PROJECT NAME
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
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O L G O M b t> A -rL ►�/ PQ I V E - Ttl(1_ 1/ tj�i lv ��,
NAME
PRIMARY PHONE
PROPERTY OWNER
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MAILING ADDRESS
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ZIP
FAX
NAME
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WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
5c-A-rAEZ0:'7I_W lZ/ o f 115
FEDERAL WAY BUSINESS LICENSE #
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APPLICANT
NAME
S 6 A - TqL C- Ut 7-2- ( C / tip
PRIMARY PHONE
( 253 ) g?Z - 555 5
MAILING ADDRESS
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STATEZIP
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NAME
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PRIMARY PHONE
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1 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 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.
SIGNATURE:
PRINT NAME:
t o er' jW#-rK 1 AA 0 /V
Off ZI Za(Z
33325 8"' Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin #160 -January 1, 2011 Page 1 of 2 k:\I-Iandouts\Electrical Permit Application
RESIDENTIAL
COMMERCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet
(including attached garage):
15' Service/Feeder Additional Feeders
0 - 100 amp x $132.50 x $ 80.50
FEES: First 1300 ftz - $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
1s' 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
15' Service/Feeder
Is' 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
11, 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:
P, 2,500 ft2-$71.00; each additional 2,500 ftz- $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
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 8"' Avenue South ♦ Federal Way 1 WA ♦ 98003-6325 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin #160 -January 1, 2011 Page 2 of 2 k:AHandouts\Electrical Permit Application