07-1056621
K
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
t
ti
Electrical Permit #: 07 -105662 -00 -EL
- Inspection Request Line: (253) 835-3050
Project Name: PHS/HOV ELECTRICAL UNDERGROUNDING P-6
Project Address: 29209 PACIFIC HWY S Parcel Number: 042104 9069
Project Description: Alteration of 350 -amp service for undergrounding in conjunction with ROW project.
Owner
Applicant
Contractor
GERALD & GENEVA GOBEL
TOTEM ELECTRIC OF TACOMA INC
TOTEM ELECTRIC OF TACOMA INC
PO BOX 5055
PO BOX 1093
TOTEMET315BS (9/30/09)
KENT WA 98064-5055
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 aml 1
PERMIT EXPIRES Thursday, October 9, 2008
Permit Issued on Monday, October 15, 2007
1 hereby certify that the bove information is correct and that the construction on the above described property and
the occupancy and a se ill ;be i ccordan a with the laws, rules and regulations of the State of Washington
l he I f Federal Way.
Owner or age Date: /0// 5-
14- /A ��G'.
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record.
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -105662 -00 -EL
Owner: GERALD & GENEVA GOBEL
Address: 29209 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
❑ Ditch cover (4030)
Approved
By Dated/ 1 'D
❑ Pool Bonding (4195)
Approved
By Date
❑
Temporary Power (4275)
❑
Service (4235)
❑
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑ Rough Electrical (4225)
Approved
By Date
❑ UFER Ground (4295)
Approved
By Date
❑ Ceiling Cover (4020)
Approved
By Date
❑ Final - Electrical (4055)
Approved
By Date
For ""ctor_reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date % A5 ti
����U
�D
Cm OF
Federal Way OCT 1 2 Zoa PERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF CO ME 6) PL DE EN FP
33325 6m AVENUE SOUTH • PO BOX 90JTY OF FE
I C AT I O N Tn
FEDERAL WAY, FAX
98063 BUILDIN
253-835-2607• FAX 253-835-260-260 9
w wu,. cityorfederaluau.cont
The following is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY•. •
SITE ADDRESS oZ 1p a (D A G t F1 C— H W Y S. 01 ^ SUITE/UNIT #
ASSESSOR'S TAX/PARCEL #� �L _L 0 y- - G \ \ LOT SIZE (s39
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Att ch separate page for Lengthy Legal descriptiord
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION X ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit oniu)
AI,TEfL �S� AMP SE(2JICE
PROJECT NAME (Name ofBusiness or Owner Last Name) G e 'r'J I" e 1 c,
PEOPLE• •
PROPERTY
NAME PRIMARY PHONE
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
COMPANY NAME Jam(.
APPLICANT NAME
OFFICE PHONE
"TOTEM ELEC.T21C_ Or— —1 ACnMA
PHONE
MAILING ADDRESS
MAILING ADDRESS
to
.0. a0)c 1093
CITY, STATE, ZIP
MIA `Ag401
CELL PHONE
Cr1Y, STATE, ZIP
E-MAIL ADDRESS
COMPANY NAME Jam(.
APPLICANT NAME
OFFICE PHONE
"TOTEM ELEC.T21C_ Or— —1 ACnMA
PHONE
(1153)3%3 -5-0-4z
MAILING ADDRESS
to
.0. a0)c 1093
CITY, STATE, ZIP
MIA `Ag401
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
(g -99 - (0(,,-7 30 - 00- 3L.
)al3t /0'1
(1153) a -7a - s,;Liq
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
E-MAIL ADDRESS
TOTC-nM E T 3 (S (-3S
9 130 / 09
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
TOTEM Etc—c-ric—
PHONE
(as3) 383 - 50-Z�a
MAILING ADDRESS
4P.O.%30X (093
CITY, STATE, ZIP
TALOell a INN q�`(O j
CELL PHONE
( ) _
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent X Other CO PI TYZA- -- CM e—
( ) -
NAME PRIMARY PHONE E-MAIL ADDRESS
RIC.6-1Akb srg-0N) C-, (aS3) 383 -5-0 aa
NAME
Per RCW 19.27.095:
Lender iTtformation is required (f project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING USE 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)
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
SQ. 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
CHANGE OF USE?
THIRD
o NO
NEW ADDRESS REQUIRED? DYES o NO
UP/SEPA/SU?
ADDITIONAL FLOORS (DESCRIBE)
o NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
DECK (❑ COVERED OR ❑ UNCOVERED?)
o NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
E&MNO
PROPOSED
TOTAL
TarAcsffisrmcsr
7YYlALPROPOSEDSF
TOTAcsr
"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.
MECHANICAL
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 `Tub/Shower Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
LAVS (Bathroom Sinks)
URINALS MISC (Describe)
RAINWATER SYST
VACUUM BREAKERS
SHOWERS
WATER CLOSETS (Toilet)
SINKS
WASHING MACHINES
SUMPS
BUILDING SHELL ONLY? o YES o NO
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 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 apart of this application.
SIGNATURE:
Owner and/or Authorized
FOR OFFICE USE ONLY
o NEW o ADDITION
o ALTERATION
o REPAIR ❑ TENANT E%CMOVEMENT
BUILDING SHELL ONLY? o YES o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
Cl YES
o NO
NEW ADDRESS REQUIRED? DYES o NO
UP/SEPA/SU?
o YES
o NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin #100 — August 16, 2007 Page 2 of 4 k\Handouts\Permit 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 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
0 801 - 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
)q 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 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 $111.00/hour
❑ voice Cabling
(for modified submittals)
❑ Data Cabling
Automation Fee on all Permits $5.00
..
Pt 2500 ft2-$65.00;
Each add'n 2500 W-17.00) 'Per WAC 296-46-910(5)(h)(i & ii)
Bulletin #100 - August 16, 2007 Page 3 of 4 k\Handouts\Permit Application