07-104628City of
Community Developementment Services • dy Electrical Permit #• 07 -104628 -00 -F -L
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: ALL STATE INSURANCE
Project Address: 29424 PACIFIC HWY S Suite C Parcel Number: 304020 0085
Project Description: Alter 200 AMP service
Owner
Applicant
Contractor
TOM SAWYER
TOTEM ELECTRIC OF TACOMA, INC.
TOTEM ELECTRIC OF TACOMA, INC.
TOM SAWYER ENTERPRISES
PO BOX 1093
TOTEMET315BS (9/30/07)
2016 38TH ST NW
TACOMA WA 98401
PO BOX 1093
GIG HARBOR WA 98335
TACOMA WA 98401
Additional Permit Information
Electrical Fixtures
Alt. ServJFeeder up to 200 amps - 1
PERMIT EXPIRES Sunday, August 17, 2008
Permit Issued on Thursday, August 23, 2007
I hereby certify thatthe apDvp infor abon ts`correct and that the constructionon the above
the occupancy and us will in a an rules and regulations of ti
nd Ci of al Way.
Owner or agent: Dater
iscribed property and
;tate of Washington
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -104628 -00 -EL
Owner: TOM SAWYER
Address: 29424 PACIFIC HWY S Suite C
FEDERAL WAY, WA 98003
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 / Ve - dle
❑
Slab/Concrete Floor (4255)
❑
Ditch cover (4030)
❑
Pool Bonding (4195)
Approved to place concrete
Approved
Approved
By
Date
By
Date
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 / Ve - dle
of ..'% A 0 7- 0 -f-6 -Z,-F-
% RECEIVED
Federal Way PERMIT --------
coMMUN7nY DEVEJAPMENT sERVJCJ G 2 2 2007 SF MF CO ME(M PL DE EN FP
33325 81
NERAL WA SOUTH • 63 BOX 9718 p LI CATI O N
FEDERAL WAY, WA 98063-9778
253-835-2607•FAX253-8g OF FEDERAL
rea�'BUILDING DEPT.
The following is required information - an incomplete application will not be accepted. Please print legibly rin ink) or type.
SITE ADDRESS a Cj L(QL4
LSA- r- I Fe C y E S.
SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # ! v `" �- v 0 LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION XELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit onlu)
Al.TE Z 1100 AMP Sci2,V 1 E
PROJECT NAME (Name of Business or Owner Last Name) • u!� S✓ ��'l '�
PEOPLE•• •
PROPERTY
OWNER
CONTRACTOR
COPY of card required
with e■eh ap umtfm
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
Al.L3—W—AT6 -TN1v20CkW(-Z
PRIMARY PHONE
MAILING ADDRESS
CITY, STATE, ZIP
E-MAILADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
TOTEM ELECTIZIC- O%T4c.onnA
hlt.
(Q53) 383 - Soaa
MAILING ADDRESS
CITY, STATE. ZIP
_r4q�401
CELL PHONE
P.O. aox 1043
r 4 W •ta wa
( ) _
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
1q-q9-co��3o-op-3t_
►�/3t�o'7
( ) -
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
E-MAIL ADDRESS
'1'01'EM E?3►5F3S
0,/30/0-7
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
-MTC-PA of TAWM
--►mac.
(11$3) 383 - 5oa z
MAILING ADDRESS
CITY, STATE. ZIP
CELL PHONE
..o . ZZ_)C (Og3
TACOMA W A 9NO 1
( ) -
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent f l[ Other
C0 rQ MA C. -Ty It-
(Q S 3) .27 a - 5 31 t•(
NAME PRIMARY PHONE E-MAIL ADDRESS
R1G6..1q,QO STnz-oN4 1 (1153) 383 - So as
NAME
N �/n
Per RCW 19.27.095:
Lender irtformation is required if 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 ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGBLINE 0 PRIVATE (SEPTIC)
71 PROJECT ••• AREAS
AREA DESCRIPTION EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
FIREPLACE INSERTS
HOODS (comm nal)
FURNACES
FIRST
GAS LOG SETS
REFRIG. SYSTEMS
BASIC PLAN?
SECOND
o NO
ZONING DESIGNATION
THIRD
❑ YES
o NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
ADDITIONAL FLOORS (DESCRIBE)
o YES
o NO
PLATTED LOT? ❑ YES ❑ NO
DECK (❑ COVERED OR ❑ UNCOVERED?)
❑ YES
❑ NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
MSO
PROPOS®
rorty
TOTAL FJusrmoSIP
ronAtFxoFosmsF
rorar.sF
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type offucture to be installed or relocated as part of this project Do not include existing fixtures to remain.
Value of Mechanical Work $_
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (orT b/Sh—Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
FANS
GAS WATER HEATERS MISC (Describe)
FIREPLACE INSERTS
HOODS (comm nal)
FURNACES
RANGES
GAS LOG SETS
REFRIG. SYSTEMS
LAVS (Bathroom sinks)
URINALS MISC (Describe)
RAINWATER SYST
VACUUM BREAKERS
SHOWERS
WATER CLOSETS goiiet)
SINKS
WASHING MACHINES
SUMPS
BUILDING SHELL ONLY? ❑ YES ❑ NO
I Cet'tify 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 information supplied to the city as a part of
this application.
NAME/TITLE 7'1/1 Y • P
(Signature)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent AContractor
Blue)
❑ Architect ❑ Other
a -a(-0-7
FOR OFFICE USE QNLY
❑ NEW o ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
BASIC PLAN?
❑ YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
o NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP/SEPA/SU?
o YES
o NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 —April 2, 2007
Page 2 of 4
k\Handouts\Permit Application
s
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/DMUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(Rrst 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-FAIVIILY (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
ALTERED COMMERCIAL/IINDUSTRIAL
❑ 601 - 800 amp 262.00 140.50
❑ 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
Serotce 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/Multi 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
UAutomation Fee on all Permits .. $5.00
1-t 2500 ft2-$65.00;
Each add'n 2500 ft2-17.00) • Per WAC 29646-91o(5)(b)(i &, W
Bulletin #100 -April 2, 2007 Page 3 of 4 MliandoutsTermit Application