07-105660City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (2`1; 835-2607 Fax: (253) 835-2609
Electrical Permit #: 07-105660-00-L'
Inspection Request Line: (253) 835-3050
Project Name: PHS/HOV ELECTRICAL UNDERGROUNDING P-4
Project Address: 29223 PACIFIC HWY S Parcel Number: 042104 9007
Project Description: Alteration of 300 -amp service for undergrounding in conjunction with ROW project.
Owner
Applicant
Contractor
RICHARD & KARLA MEYERS
TOTEM ELECTRIC OF TACOMA INC
TOTEM ELECTRIC OF TACOMA INC
24005 COUNTRY DR E
PO BOX 1093
TOTEMET315BS (9/30/09)
GRAHAM WA 98338-7642
TACOMA WA 98401
PO BOX 1093
TACOMA WA 98401
Additional Permit Information
Service greater than 1000 Amps?...........................No
Electrical Fixtures
Alt. Serv./Feed 201 amps- 600 ami 1
PERMIT EXPIRES Thursday, October 9, 2008
Permit Issued on Monday, October 15, 2007
1 hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and thngcllpe will be in accordance with the laws; rules and regulations of the State of Washington
Federal Way.
Owner or agent: Date:
�-= elI/ ZZ—�.lJ
THIS CARD IS TO REMAIN ON-SITE -
CITY OF Community Development Inspection Record,
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -105660 -00 -EL
Owner: RICHARD & KARLA MEYERS
Address: 29223 PACIFIC HWY S
FEDERAL WAY, WA 98003-3808
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
v Date 1 'O
❑
Service (4235)
Approved
By
Date
❑
Pool Bonding (4195)
Approved
By
Date
❑
Feeders/Sub-panels (4045)
Approved
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
❑ Rough Electrical
Approved
By Date
reference only
❑ FINAL - Electrical
Approved
By Date / - %
RECEIVED
' OCT 1 2 2007
cm e<
Federal way CIWOF SOERALwRERMIT
COMMUNnYDEVELOPMENTSERVICES BUILDING DEPT,
33325 87N AVENUE SOUTH • PO BOX 9718
53D83526WAY. WA 07FAX25�835269 APPLICATION
www.cltuoffederahuau.com
Q1--�b-S-G5G-1
SF MF COM EL L DE EN FP
The following is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY•. •
SITE ADDRESS _ aq � P� G1 Ft (. 14 W Y S. SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # 0� L
AO -
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
-- f - f / _q ( LOT SIZE (sf)
(Attach separate page for lengthy begat descriptioN
PROJECT• ' •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION X ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
AI.TEl2 3oo Amp SE2V1l,E
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
N E
PRIMARY PHONE
� ff i' r
�5 3 ) Y 3 -:�,2
MAILING ADDRESS
CITY, STATE, ZIP
E-MAIL ADDRESS
CnY. STATE. ZIP
'tgca M `1840 (
CELL. PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
COMPANY NAME -31,3e,APPLICANT
NAME
OFFICE PHONE
TOTEM ELEC r(Z14- 0r- 1 ACQMA
PHONE
(*153)3%3 -50-4z
MAILING ADDRESS
Po. box 1093
CnY. STATE. ZIP
'tgca M `1840 (
CELL. PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
(q -99 - (0(pl30 - 00- 3t_
lat.)( /off
(a53) a -7Q - Sa1(f
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
E-MAIL ADDRESS
TO-l'EMET3IS (3g
Clt3o109
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
TOTEM E LI&C kiC—
PHONE
(a53) 3 $3 -Som a
MAILING ADDRESS
CITY. STATE, ZIP
CELL PHONE
C?o,Sox 1093
TALoeia INN C
( )
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent 0( Other GO r4112A1-t-lD R
( ) -
N"F. PRIMARY PHONE: E-MAIL ADDRESS
9,1r- lAOZZ SrR0N C-% (a53) 3i3 -5-o a
NAME
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 ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
FT.
PROPOSED
SQ. FT.
TOTAL
SQ.FT.
BASEMENT
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR o TENANT IMPROVEMENT
FIRST
BUILDING SHELL ONLY? ❑ YES ❑ NO
BASIC PLAN?
❑ YES
SECOND
ZONING DESIGNATION
CHANGE OF USE?
THIRD
❑ NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP/SEPA/SU?
ADDITIONAL FLOORS (DESCRIBE)
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
DECK (❑ COVERED OR ❑ UNCOVERED?)
❑ NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
M8'eo
Fxoeossn
Tarti
TarecEXISM0SP
TMAL PROPOSM SP
Torwr.SF
"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
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or TYjb/Shower 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 (Commerolal)
FURNACES RANGES
GAS LOG SETS REFRIG. SYSTEMS
LAVS (Bathroom Sinks) URINALS MISC (Describe)
RAINWATER SYST VACUUM BREAKERS
SHOWERS WATER CLOSETS (Toilet)
SINKS WASHING MACHINES
SUMPS
I 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 irtformation 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:
Owner and/or Authorized
FOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
❑ NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP/SEPA/SU?
❑ YES
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 — August 16, 2007
Page 2 of 4
k\Handouts\Pernut Application
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIALANDUSTRIAL 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
❑ 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
Ll 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 PARK
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 $11 1.00/hour
❑ Voice Cabling
(for modified submittals)
❑ Data Cabling
Automation Fee on all Permits .. $5.00
1st 2500 ft2-$65.00;
Each add'n 2500 ft2-17.00) . Per WAC 296-46-910(5)(b)(i & ti)
Bulletin #100 - August 16, 2007 Page 3 of 4 k\Handouts\Permit Application