07-104633+t
• pity of Federal Way
Commuhity Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: STUDIO IV
Project Address: 28866 PACIFIC HWY S
Project Description: Alter 125 AMP service
Electrical Permit #: 07 -104633 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 042104 9242
Owner
Applicant
Contractor
ROBERT F BENSON
TOTEM ELECTRIC OF TACOMA, INC.
TOTEM ELECTRIC OF TACOMA, INC.
INGE BENSON
PO BOX 1093
TOTEMET315BS (9/30/07)
28866 PACIFIC HWY S
TACOMA WA 98401
PO BOX 1093
FEDERAL WAY WA 98003-3802
TACOMA WA 98401
Additional Permit Information`
Electrical fixtures
Alt. Serv/Feeder up to 200 amps - 1
PERMIT EXPIRES Sunday, August 17, 2008
Permit Issued on Thursday, August 23, 2007
1 hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the will in acc dance with the laws, rules and regulations of the State of Washington
n t%e�a l Way.
Owner or agent:Date:
THIS CARD IS TO REMAIN ON-SITE _
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -104633 -00 -EL
Owner: ROBERT F BENSON
Address: 28866 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
❑ UFER Ground (4295)
Approved
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
❑
Slab/Concrete Floor (4255)
❑
Ditch cover (4030)
❑
Pool Bonding (4195)
Approved to place concrete
Approved
Approved
By
Date
By
C� Date c/ • /6 - a?
By
Date
-
❑
Temporary Power (4275)
❑
Service (4235)
❑
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
❑
Rough Electrical (4225)
Ceiling Cover (4020)
❑
Final - Electrical (4055)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑ UFER Ground (4295)
Approved
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
Federal
Way AUG 2 2 2007 PERMIT --------
COMMUMTI'DEVEWPMENTSERVICES
SF MF CO EL L DE EN FP
33325 8m
DERALWA,WA9•P3BOX9718 APPLICATION
FEDERAL WAY, WA 98083-97OTY O F F- E D E
253-835-2607• FAX 253-835-2
www.cltuoffederaiwau.rnm BUILDING DEPT.
The following is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS ;2'6 X kAp Y A C t F-(�c Arr e ) SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # 0� 2— / - LOT SIZE ($fl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(AU -h scparafe page for le Vft I..qd d-.-VdoN
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION XELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Dermit oniu)
AL-T&r, 1 a S AQP ge:vQ-v i cc
PROJECT NAME (Name of Business or Owner Last C) I y
PEOPLE•• •
PROPERTY
OWNER
CONTRACTOR
COPY or card required
with each appHmtlon C%
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
STuDIo
PRIMARY PHONE
( ) -
MAILING ADDRESS
CrIY, STATE, ZIP
E-MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
TOTEM ELECTY.LIc-
CrIY, STATE, ZIP
(253) 383 - So»
MAILING ADDRESS
CITY, STATE, ZIPCELL
-rA RR40
PHONE
P.O. aOx 104y
GO ^44 WA 1
( ) _
CrIY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
19-99-10(P'730-00-aL
I2/31/0-7
( ) -
CONTRACTORS REGISTRATION NUMBER
EXPIRATION DATE
E-MAIL ADDRESS
TOTEM S -r 3IS a
'01/30/07
COMPANY NAME
-MTC-m ELE-CI-Puc OF 'TACoM
APPLICANT NAME
XWC.
OFFICE PHONE
(-1S5)3S3 - 5oa z
MAILING ADDRESS
CrIY, STATE, ZIP
CELL PHONE
PO • azK ivg3
TA GoMA UJa-
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent f ([ Other
Co r r MAr caro 9,
(a S 3) -1-7-a - 5 31(4
NRIGNAME PRIMARY PHONE E-MAIL ADDRESS
/LRaI sc�Nt�► ( 253) 393 - so QQ
NAME
N /In
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? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHI.INE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT ••
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
AREA DESCRIPTION EXISTING
FT.
BASEMENT
WATER CLOSETS poles)
SINKS
WASHING MACHINES
FIRST
❑ NO
ZONING DESIGNATION
CHANGE OF USE? ❑ YES
SECOND
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP/SEPA/SU? o YES
❑ NO
THIRD
DEMO PERMIT REQUIRED? ❑ YES
❑ NO
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
IMMM
rsorosao
WTAL
roruausrwosr
mnii,rieorosensr
wnmsr
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type offixture to be installed or relocated as part of this project Do not include existing ftxtures to remain..
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMB12VG
BATHTUBS (or 7hb/Shower combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
fA COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATIONI
EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
FANS GAS WATER HEATERS MISC (Describe)
FIREPLACE INSERTS HOODS (commenmap
FURNACES RANGES
GAS LOG SETS REFRIG. SYSTEMS
LAVS (Bathroom Sinks)
URINALS MISC (Describe)
RAINWATER SYST
VACUUM BREAKERS
SHOWERS
WATER CLOSETS poles)
SINKS
WASHING MACHINES
SUMPS
❑ NO
I certify under penalty of perjury that the igformation furnished. by me is true and correct to the best of mg 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 ciaimj, 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 information supplied to the city as a part of
this application. 1�
NAME/TITLE
(Signature) mt)e)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent Aetontractor ❑ Architect ❑ Other
8-.4(-0-?
FOR OFT+'YCE USE l?NLY � ;+
❑ NEW ❑ ADDITION o ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
BASIC PLAN? ❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE? ❑ YES
❑ NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP/SEPA/SU? o YES
❑ NO
PLATTED LOT? ❑ YES ONO
DEMO PERMIT REQUIRED? ❑ YES
❑ NO
Bulletin #100 - April 2, 2007
Page 2 of 4
klfiandouts\Permit Application
tee- 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 ft2 - $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 -FAMILY (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/INDUSTRIAL
❑ Over 800 amp 375.50 280.50
Service or Feeders
�rS
p§ 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 PARR
Residential/Muld-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 system(s)
(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
1-t 2500 ft2-$65.00;
Each add'n 2500 ft2-17.00) ' Per WAC 296-46-910(5)(b)(t & W
Bulletin #100 - April 2, 2007 Page 3 of 4 k\HandoutsTermit Application