07-105661City of Federal way Electrical Permit #• 07 -105661 -00 -F -L
Colvnunity Development Services � •
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 83.51-30550
Project Name: PHS/HOV ELECTRICAL UNDERGROUNDING P-9
Project Address: 29005 PACIFIC HWY S
Parcel Number: 042104 9041
Project Description: Alteration of 400 -amp service for undergrounding in conjunction with ROW project.
Owner
Applicant
Contractor
LEE NGUYEN
TOTEM ELECTRIC OF TACOMA INC
TOTEM ELECTRIC OF TACOMA INC
29005 PACIFIC HWY S SUITE A
PO BOX 1093
TOTEMET315BS (9/30/09)
FEDERAL WAY WA 98003-3805
TACOMA WA 98401
PO BOX 1093
TACOMA WA 98401
Additional Permit Information
Service greater than 1000 Amps?...........................No
Electrical Fixtures
Alt. Serv/Feed 201 atnps- 600 ami 1
PERMIT EXPIRES Thursday, October 9, 2008
Permit Issued on, Monday, October 16, 2007
1 hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the ys"ill be in accordance witF�1h9Aaws EvIes and regulations of the State of Washington
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 -105661 -00 -EL ,
Owner: LEE NGUYEN
Address: 29005 PACIFIC HWY S
FEDERAL WAY, WA 98003-3805
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) ❑ Ditch cover (4030) ❑ Pool Bonding (4195)
Approved to place concrete Approved Approved
By Date By Date GD • 9 P7 By Date
❑ Temporary Power (4275)
Approved
By Date
❑
Service (4235)
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 LBy Date ` ' l� r V
❑ UFER Ground (4295)
Approved
By Date
For inspector
❑ Rough Electrical
Approved
By Date
reference only
❑ _. FINAL - Electrical
Approved c�
By ' Date 1 ' Q l%l/
CFTYOF'A
Federal way PERMIT
COMMUNITY DEVELOPMENT SERVj� ZOO SF MF CO ME LPL DE EN FP
33325 8'm FEDERAL,
WA SOUTH • 63 9718 � 1 P LI CATI O N
FEDERAL WAY. X 98063 -260 l 4�
253-8352607• FAX 253-835-2609 (,V•Yl„moi/
wuw.dtuf
offedera1u%zu ffy OF F-DERAL
ollowin BU(LDiNQ DEPT
The.
f g is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY•. •
SITE ADDRESS _ 2 9 C) O S ISA C PI C- k4,.0 Y S . SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # 0 d- LOT SIZE (sffl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot I)
(Attach separate page for Lengthy legal 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)
AL reg- -140OA6AP S�(ZvI cc=
PROJECT NAME (Name of Business or Owner Last Na mel ��
PEOPLE•• •
PROPERTY
NAME
PRIMARY PHONE
OWNER
Dee
P-5-3 )-5�3f —0
MAILING ADDRESS
Po.3ox 1093
MAILING ADDRESS
CITY, STATE, ZIP
E-MAIL ADDRESS
EXPIRATION DATE
F.0 HSL S - s)Ae 4-
FeVe,, 9 003
lat31 /0'1
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
COMPANY NAME ���
APPLICANT NAME
OFFICE PHONE
TOTEM EL.EC.T21L.0F 1ACQMA
PHONE
(x53)383 -50az
MAILING ADDRESS
Po.3ox 1093
Cr1Y, STATE, ZIP
-tgcaNvl/� Vi `1840(
CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
(9 -99 - (o(o;-730 - 00- 9L
lat31 /0'1
(a53) a -7a - saILf
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
E-MAILADDRESS
-rOTE-MET31SgS
9(30/Oq
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
TO TEA E I.E C-r)Q1 C.
PHONE
(.-153) 3 $3 - 50-a,'.)
MAILING ADDRESS
0.0 . 3 o)c 109 3
CITY, STATE, ZIP
TA L -o r -AA. IN 4 5 T'( 0 1
CELL PHONE
( ) _
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent X Other LON —tYZA-c-4-0 R—
( ) -
NAME PRIMARY PHONE E-MAIL ADDRESS
RIC.HA1Z sra.0N) 6, 1 (a53) 383 -SZu a>
NAME
Per RCW 19.27.095:
Lender information is required (f project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED/APPRAISED VALUE $
SPRINKLERED BUILDING?
PROPOSED USE
VALUE OF PROPOSED WORK
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
FIRST
COMPRESSORS
FURNACES
RANGES
SECOND
GAS LOG SETS
REFRIG. SYSTEMS
NEW ADDRESS REQUIRED? ❑
THIRD
UP/SEPA/SU? ❑ YES
o NO
PLATTED LOT? ❑ YES ❑ NO
ADDITIONAL FLOORS (DESCRIBE)
❑ NO
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE D CARPORT ❑
NUMBER OF FLOORS
EXISTING
PROPOSED
TOTAL.
TOTAL F -LISTING SF
TOTAL PROPOSED SF
TOTALSF
"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 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 (commercial)
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS (or Tbb/Shower Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
LAVS (Ball—m sinks) URINALS MISC (Describe)
RAINWATER SYST VACUUM BREAKERS
SHOWERS WATER CLOSETS (Totlet)
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 information submitted in support of this permit application is true and correct. I certtfy 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 apart of this application. _
SIGNATURE:
Owner and/or Authorized
FOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
❑ 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? ❑ YES
o NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED? ❑ YES
❑ NO
Bulletin #100 - August 16, 2007 Page 2 of 4 k\Handouts\Pennit Application
ELECTRICAL PERMIT INFORMATION
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 W - $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
❑ 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
COMMERCIALANDUSTRML 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/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 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
X( Automation Fee on all Permits .. $5.00
1A 2500 ft2-$65.00;
Each add'n 2500 W-17.00) • Per WAC 296-46-910(5)(b)(i & ii)
Bulletin #100 - August 16, 2007 Page 3 of 4 k\Handouts\Permit Application