08-103676City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Electrical Per #: 08 -103676 -00 -EL
Project Name: QWEST DSL, `$
Project Address: 35709 18TH AVE SW
Inspection Request Line: (253) 835-3050
Parcel Number: 306561 0080
Project Description: Underground service installation located at rear of 3570918th Avenue SW where it abuts
35723 18th Avenue SW
Owner
Applicant
Contractor
LARRY A & CYNTHIA A GATES
KEN BOBKO ELECTRIC CO INC
KEN BOBKO ELECTRIC CO INC
35709 18TH AVE SW
PO BOX 7009
KEN130EC066BA ( 1/I/10)
FEDERAL WAY WA 98023-7280
TACOMA WA 98406-0009
PO BOX 7009
TACOMA WA 98406-0009
Additional Permit Information
Service greater than 1000 Amps?...........................No
Electrical Fixtures
New Service/Feeder: 0 - 100 amps 1
PERMIT EY
Permit I
I hereby certify that the above information
the occupancy and th"e will b acgogdance
Owner or agent:
and the
1 i
Wednesday, August 5, 209
I Tuesday, August 5, 2008
t Tth
d that the construction on the above describ' property and
the laws, rules an�r7egulations of the Stat of W ington
City ra W Date: ate CJ
P"Al; I'D
` p THIS CARD IS TO AIN ON-SITE
p
CITY OF om-M,unity,
Develo me t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08 -103676 -00 -EL
Owner: LARRY A & CYNTHIA A GATES
Address: 35709 18TH AVE SW
FEDERAL WAY, WA 98023-7280
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)
j� Approved
By J Date
❑ Pool Bonding (4195)
Approved
By Date
❑ Ditch cover (4030)
Slab/Concrete Floor (4255)
Approved
By
Date
❑
Temporary Power (4275)
Ceiling Cover (4020)
Approved
By
Date
❑
Slab/Concrete Floor (4255)
Approved to place concrete
By
Date
❑
Ceiling Cover (4020)
❑
Service (4235)
Approved
IL By
Date
❑
Feeders/Sub-panels (4045)
❑
Rough Electrical (4225)
❑
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑ al - Electrical (4055)
Approved
B ( Date��-
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
�r'T"/YJuF, S w
M,,�"''
Federalway P—
ERMIT
OOYYUM7YDBVBLOPYBM'SERVICBS
33325 8fu AVBNUB SOU171 • PO BOX 9718 APPLICATION
Lug
ASDSRAL WAY, WA .98063-9718 /
253-835.2607• PAX 253.835-2609 AUG 0.4 2008
The following is required &VornuMon - an incomplete application will not be
SITE ADDRESS . �J�U / _ 8 `� ��V SUITE/UNIT #
,,ASSESSOR'S TAS/PARCEL — — — — — , _ - — . LOT SIZE (sj
f LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) 0(v S (e ( oc) y ✓ PN—
t4ftm*mpto PWaIor+W+W►Md d�WaN
PROJECT•' •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT NAME (Name ofBusiness or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
N PEOPLE INFORMATION
E PRIMARY PHONE
( ) -
MAILING aADD rrY, STATE, ZIP E-MAIL ADDRESS
o •1 `' 3 v
W.MPANY NAIVE
CANT AM
OFFICE PHONE
e ako
CrN, STATE, ZIP
(=)-7&-0
O ADD
, STATE.
CELL PHONE
FEDERAL AY BUSINESS LICENSE NI
ErTION7Tff
FAX NUMBER
OWMAk"R%N N01!(BS8
ON DATE
E-MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
ADDRESS
CrN, STATE, ZIP
CELL PHONE
REIAT7WqHfrM NRCLJECr
❑ Ardi!!>el ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
( ) -
NAME PRIMARY PHONE E MAIL ADDRESS
NA CW 19.27.095.
Lender irVormadon is required i f protect eaiae exceeds $5,000
MAlLINO CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUES VALUE OF PROPOSED WORK S
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHIdNE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 13 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
3 . FT.
TOTAL
SQ. FT.
BASEMENT
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
FIRST
COMPRESSORS
FURNACES
RANGES
SECOND
GAS LAG SETS
REFRIG. SYSTEMS
o YES o NO
THIRD
o YES
o NO
PLATTED LOT?
ADDITIONAL FLOORS (DESCRIBE)
DEMO PERMIT REQUIRED?
o YES
o NO
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
O
rxorosm
Tarn.
Tata M"UM sr
Toru PROPOM o sr
TOM OF
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project Do not include existing fixtures to remain.
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 Ico�,dq
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LAG SETS
REFRIG. SYSTEMS
BATHTUBS (.ne./s co j*
LAVS (6.m000msw*
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS Ir.&q
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
NEW ADDRESS REQUIRED?
I co tify under penalty of perjury that I am the property owner or authorised agent q f the property owner. I caWb that to the best of my
knowledge, the hiformation submitted in support of this permit application is true and correct. I cert(fy that I will comply with all applicable
City of hderal 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 tai laws.
I further agree to hold harmless the Rf�
of Way as to any claim luding costs, expenses, and atto fess d in the
investigation and defense of such e , be made by ricluding the undersigned, and filed city, but only
where such claim of the city,inc ng its employees, upon the accuracy of ir{fo supplied to
the city as a part his piicaH
SIGNATURE: DATE
Property Owner /or Auth , Agent
o NEW o ADDITION
o ALTERATION
a REPAIR o TENANT IMPROVEMENT
BUMDING SHELL ONLY?
o YES o NO
BASIC PLAN?
OYES
a NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP/SEPA/SII?
o YES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin #100 — January 1, 2008 Page 2 of 4 MandoutsTermit Application
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2- $115.50; Each add n 500 ftp - $37.00)
0 to 100 amp $125.50 $ 76.50
❑ Detached outbuilding or garage
❑ 1- 200 amp 155.50 98.00
(Inspected with service) $48.50
❑ 2 - 400 amp 291.00 115.00
❑ Detached outbuilding or garage
❑ 401 - 600 amp 339.50 136.00
(Inspected separately) $76.50
❑ 601 - 800 amp 439.00 186.00
❑ 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
13 601 - 800 amp 272.00 145.50
ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 389.50 291.00
Service or Feeders
❑ 0 to 200 amp $125.50
ALTERED SINGLE/MULTI FAMILY
❑ 201 - 600 amp 291.00
❑ 601 - 1000 amp 439.00
Service or Feeder
❑ 0 to 200 amp $ 96.00
❑ over 1000 amp 489.00
❑ 201 - 600 amp 155.50
❑ # 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 PARR
Residentia(/Muiti-Family $67.50
❑ # of service or feeders
(First service/feeder-$76.50; each add'n 450.00)
Commerciat4ndustriai Service or Feeder Antpacity
❑ 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
❑ Swimming pool/hot tub ................ $115.00
Square Feet to be served by system(s)
(Includes additional circuit, if required)
❑ Fire Alarm System
❑ Yard Pole meter loops ..................... $76.50
❑ Security Alarm System
❑ Additional Plan Review $115.00/hour
❑ voice Cabling
(for modified submittals)
❑ Data Cabling
13
❑ Automation Fee on all Permits .. $5.50
In 2500 ftp -$67.50;
Each add'n 2500 ft2 - $17.50) • Per WAC 296-4691 o(S)(hW & 61
r
Bulletin #100 - January 1, 2008 Page 3 of 4 k\iandouts\Permit Application