07-104632I
City of Federal Way
Community Development Services Electrical Permit #: 07 -104632 -00 -EL
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: DIMS AUTO REFIN/COLLISION CTR
Project Address: 28872 PACIFIC HWY S Parcel Number: 042104 9072
Project Description: Alter 200 AMP service
Owner
Applicant
Contractor
ROBERT J VERZANI
TOTEM ELECTRIC OF TACOMA, INC.
TOTEM ELECTRIC OF TACOMA, INC.
30640 PACIFIC HWY S
PO BOX 1093
TOTEMET315BS (9/30/07)
FEDERAL WAY WA 980034889
TACOMA WA 98401
PO BOX 1093
TACOMA WA 98401
Alt. Seru./F
I her
the
Owner or agent:
Additional Permit Information
Electrical Fixtures
up to 200 amps - 1
PERMIT EXPIRES
Permit Issued on T
in
nday, August 17, 2008
sday, August 23, 2007
that the construction on the above described property and
ie laws, rules and regulations of the State of Washington
F/N/-IGLE�j
al Way.
Date:
CITY OF Community Development Inspection Record _
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -104632 -00 -EL
Owner: ROBERT J VERZANI
Address: 28872 PACIFIC HWY S
FEDERAL WAY, WA 98003-3802
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.
❑ Slab/Concrete Floor (4255)
Approved to place concrete
By Date
❑ Temporary Power (4275)
Approved
By Date
❑
Ditch cover (4030)
Approved
By
q
Date
❑
Service (4235)
❑
Approved
By
Date
❑
Pool Bonding (4195)
Approved
By
Date
❑
Final -.Electrical (4055)
❑
Feeders/Sub-panels (4045)
Approved
By
Date
❑
Rough Electrical (4225)
❑
Ceiling Cover (4020)
❑
Final -.Electrical (4055)
Approved
Approved
Approved
By
Date
By
Date
LBy
Date • l6`
❑ UFER Ground (4295)
Approved
By Date
For inspector
❑ Rough Electrical
Approved
By Date
reference only ___
❑ FINAL - Electrical
Approved
By Date '`
l -
RECEIVED _�_
MY OF A (27— V 92—
Federal Way
1W6 2 2 2,007 PERMIT - -- - - -
COMMUNIIYDEVELOPMENTSERVICES SF MF CO ME•ZL DE EN FP
33325 8TH
FEDERAL
1"A , WA 9 • PO BOX O F P P LI CATI O N
FEDERAL VVAY, WA 98 s0 F FEDERAL
253-835-2607• FAX 253 2
www.cttuo(federadvau.com U I L D I N G DEP
The following is required irl}ormation - an incomplete application will not be accepted. Please print Legibly (in ink) or type.
PROPERTY•. •
SITE ADDRESS 2Z 7 a PA 1 (G- A J E S SUITE/UNIT #
ASSESSOR'S TAR/PARCEL # _ ,�- v - 0 f- LOT SIZE (sp
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach-p—w pagef-iowhy legal des VUON
PROJECT•• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION XELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
At -TE -2 a00 A -^A P S e-Aj%J % G'Z
PROJECT NAME (Name of Business or Ouner Last Name) 1 '_� a (1-/ >
PROPERTY
OWNER
CONTRACTOR
COPY of card regd-d
with each applicatlaa
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
( ^A'S A viiJ
PRIMARY PHONE
{ j -
MAILING ADDRESS
7iATE, ZIP
E-MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
TOTEM EL,.EGTYLIL
CITY, STATE, ZIP
(Q53) 383 - SOa3
MAILING ADDRESS
CITY, STATE. ZIPCELL
-rA,corv%a g��f01
PHONE
PRO.3OX 10R3
WA
( ) _
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
19-419-tOVI60-00-3t-
12/31/0-7
( ) -
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
E MAIL ADDRESS
-roTEM t-r31SaS
q/3c0/0-7
COMPANY NAME
-TOTC-m ELir C1-Q_iL OF TAcaM
APPLICANT NAME
XWt.
OFFICE PHONE
(QS3) 383
NWLING ADDRESS
CITY, STATE, ZIP
CELL PHONE
Po.�3wy (003
rAComA WA
-
RELATIONSHIP TO PROJECT
-
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent J[ Other
Co ri'MA c.-ry 9—
(2 S 3) -1'7-a - S a I(.(
NAME PRIMARY PHONE E-MAIL ADDRESS
RICHAaD STT"NC% (253) 383 - S0-1'
NAME
N I^
Per RCW 19.27.095:
Lender information is required (f project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? p YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT ••
AREA DESCRIPTION
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
TOTAL
SQ. FT.
EXISTING
FT.
PROPOSED
SQ. FT.
BASEMENT
FIREPLACE INSERTS
HOODS (Com rcw)
COMPRESSORS
FIRST
RANGES
DUCTS
GAS LOG SETS
SECOND
CHANGE OF USE?
❑ YES
o NO
THIRD
UP/SEPA/SU?
❑ YES
❑ NO
ADDITIONAL FLOORS (DESCRIBE)
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
EEISTM
PROPOS®
TOTAL
TOTAL XXWVO SF
TOTAL PROPOS® SF
TOTAL SF
"ATEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type ofjixture 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 ESMM7E MUST BE INCLUDED W17H APPLiCATIOM
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (Com rcw)
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS (or Tb/Shower Combo) LAVS (BatI.WMSlnks) URINALS MISC (Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS (toilet
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
I certVy under penalty of perjury that the igformation furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way, but only where such claim
arises out of the reliance of the city, including its officers and employees, upon the accuracy of the irtformation supplied to the city as a part of
this application. - / N
NAME/TITLE
N
(Signature) — (Rile)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent Contractor ❑ Architect ❑ Other
8 -at 0"7
FOIL OFFICE IISE_ONLY
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT DdPROVEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
BASIC PLAN?
❑ YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
o NO
NEW ADDRESS REQUIRED? o YES ❑ NO
UP/SEPA/SU?
❑ YES
❑ NO
PLATTED LOT? ❑ YES o NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 —April 2, 2007 Page 2 of 4 k\Handouts\Permit Application
A
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2- $111.00: Each add'n 500 112 - $35.50)
❑ 0 to 100 amp $120.50 $ 74.00
❑ Detached outbuilding or garage
❑ 101 - 200 amp 149.50 94.50
(Inspected with service) $47.00
❑ 201 - 400 amp 280.00 111.00
❑ Detached outbuilding or garage
❑ 401 - 600 amp 327.00 131.00
(Inspected separately) $74.00
❑ 601 - 800 amp 423.00 179.00
❑ 801 - 1000 amp 516.50 216.00
NEW MULTI-FAKWY (three units or more)
❑ Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $ 35.50
❑ Over 600 volts surcharge $94.50
❑ 201 - 400 amp 149.50 74.00
❑ Mast or meter repair $102.00
❑ 401 - 600 amp 205.00 102.00
❑ 601 - 800 amp 262.00 140.50
ALTERED COMMERCIAL/INDUSTRL9L
❑ Over 800 amp 375.50 280.50
Service or Feeders
. 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY
❑ 201 - 600 amp 280.50
❑ 601 - 1000 amp 423.00
Service or Feeder
❑over 1000 amp 471.00
❑ 0 to 200 amp $ 92.50
❑ 201 - 600 amp 149.50
❑ # of circuits to be added/altered
❑ over 600 amp 225.50
(1-5 circuits - $94.50; Add'n circuits, $7.00/ea)
❑ # of circuits to be added/altered
COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits -$74.00; Add'n circuits $7.00/ea)
$94.50 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Mast or meter repair $55.00
❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARS
Residential)MuIti Family $65.00
❑ # of service or feeders
(First service/feeder-$74.00; each add'n -$48.00)
Commercial/Industrial Service or Feeder Ampacity
❑ 0 - 100 amps $ 74.00
❑ 101- 200 amps 94.50
❑ 201 - 400 amps 111.00
❑ 401 - 600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats
❑ # of Signs
(First -$55.00; add'n-$17.00/ea)
(First sign -$55.00; add'n sign $26.00/ea)
❑ Low Voltage
❑ Swimming pool/hot tub ................ $111.00
Square Feet to be served by systems)
(Includes additional circuit, if required)
❑ Fire Alarm System
❑ Yard Pole meter loops ..................... $74.00
❑ Security Alarm System
❑ Additional Plan Review $111.00/hour
❑ Voice Cabling
(for modified submittals)
❑ Data Cabling
Automation Fee on all Permits .. $5.00
1t 2500 ft2-$65.00;
Each add'n 2500 W-17. 00) *Per WAC 296.46-910(5)(b)(i &, ii)
Bulletin #100 -April 2, 2007 Page 3 of 4 k\Handouts\Permit Application