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07-105666A City of Federal Way ;Electrical Permit #• 07 -105666 -00 -EL Community Development Services • P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 rx ,. Inspection Request Line: (253) 835-3050 Project Name: PHS/HOV ELECTRICAL UNDERGROUNDING P -18B Project Address: 28631 PACIFIC HWY S Parcel Number: 332204 9155 Project Description: Alteration of 200 -amp service for undergrounding in conjunction with ROW project. Owner Applicant Contractor AARON LYNCH TOTEM ELECTRIC OF TACOMA INC TOTEM ELECTRIC OF TACOMA INC 27013 PACIFIC HWY S UNIT 394 PO BOX 1093 TOTEMET315BS (9/30/09) DES MOINES WA 98198-9250 TACOMA WA 98401 PO BOX 1093 TACOMA WA 98401 Additional Permit Information Service greater than 1000 Amps?...........................No Electrical Fixtures Alt. Serv./Feeder up to 200 amps - 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 thwill in accordance wi ire -lay s rules and regulations of the State of Washington nd I Way. Owner or agent: Z I Date: 1U t THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record _ Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 07 -105666 -00 -EL Owner: AARON LYNCH Address: 28631 PACIFIC HWY S FEDERAL WAY, WA 98003-3221 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 _j By Date/[ 3c . d 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 r RECEIVED CRI GP4A OCT 1 2 2007 �. - Federal way PERMIT COMMUNITY DEVELOPMENT SERVIC ry� SF MF CO ME L L DE EN FP 33325 D AVENUE SOUTH • 63 BOX t� • T I L` FED ' CAT I O N FEDERAL WAY. WA 98063-9718 BUILD N � 253-835-2607- FAX 253-835-2609 m ow.clltoffederalwau.com The following is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type. PROPERTY1 • • SITE ADDRESS _ ,I n G 3 L (F:.t (- Hw ll ,S , PRIPQARYi HONE 11 - SUITE/UNIT # ASSESSOR'S TAX/PARCEL # 2 ;'a U L/ - -YS� E-MA[LADDRESS ) f �� • LOT SIZE (sffl EXPIRATION DATE LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (Attach separate page for lengthy legal description) PROJECT• • TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ;< ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu) A( -t&12 d120 A+MiI0 SE2V I CZ PROJECT NAME (Name of Business or Owner Last PEOPLE•• • PROPERTY OWNER CONTRACTOR APPLICANT PROJECT CONTACT LENDER EXISTING USE NAM o- l'O APPLICANT NAME OFFICE PHONE PRIPQARYi HONE 11 - MAILING ADDRESS (0153)31z3 - 5oaz MAILING ADDRESS po.aox 1093 CITY, STATE, ZIP E-MA[LADDRESS COMPANY NAME ��� APPLICANT NAME OFFICE PHONE TOTEM ELEG.T21L o>= 1 ACaM►t PHONE (0153)31z3 - 5oaz MAILING ADDRESS po.aox 1093 CITY, STATE, ZIP -tAwMA vviq'W(40( CELL PHONE ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER (9 -99 - (o(,,'730 - 00- 13L. 1a19( /0'1 (,,153).2-7Z - CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAILADDRESS TOTEMET31S P,>g 9%30109 COMPANY NAME APPLICANT NAME OFFICE PHONE TOTEM E- (.Ir C-r121C. PHONE (aS3) 3 83 -SOS a MAILING ADDRESS C?o • 3v)c (o93 CITY, STATE, ZIP TA( -or is w4 cA�Yo 1 CELL PHONE ( ) - RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant ❑ Agent IL Other L O N TyZ*A-f--n 9Z - NAME NAME PRIMARY PHONE E-MAIL ADDRESS RIf-,-1AOZb Sr2ON CN (a53) 393 -Su a 0 NAME Per RCW 19.27.095: Lender information 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 ❑ 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? ❑ YES o NO UP/SEPA/SU? ADDITIONAL FLOORS (DESCRIBE) o NO PLATTED LOT? o YES ❑ NO DEMO PERMIT REQUIRED? DECK (❑ COVERED OR ❑ UNCOVERED?) o NO GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS --NO PROPOSED TOTAL. TOTALSIsr VG-1,1TOTAL PROPOSED SF TOTAL SP **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 (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTONTS BBQS FANS GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS HOODS (Commerc N) COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG. SYSTEMS BATHTUBS (or T b/shower Combo) DISHWASHERS DRINKING FOUNTAINS ELECTRIC WATER HEATERS HOSE BIBBS LAVS (Bathroom Smits) 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. Ifurther 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. i SIGNATURE: Owner and/or Authorized FOR OFFICE USE ONLY o NEW o ADDITION ❑ ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? ❑ YES o NO UP/SEPA/SU? o YES o NO PLATTED LOT? o YES ❑ NO DEMO PERMIT REQUIRED? o YES o NO Bulletin #100 — August 16, 2007 Page 2 of 4 k\Handouts\Permit Application 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 0 to 200 amp $120.50 ALTERED SINGLE/MULTI FAMILY ❑ 201 - 600 amp 280.50 Ll - 1000 amp 423.00 Service or Feeder over 1000 amp 471.00 L10 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 ❑ .. 1-t 2500 ft2-$65.00; Each add'n 2500 ft2-17.00) ' Per WAC 296-46-910(5)(b)(i & to Bulletin #100 - August 16, 2007 Page 3 of 4 k\Handouts\Permit Application