07-105667r
IL
1
City of Federal Way
Gommunity Development Servicesectrical Permit #: 07-105667-00-EL
P.O. Box 9718;
Federal Way, WA 98063-9748
Ph: (253) 835-2607 Fax: (253) 835-2609 (-=rte Inspection Request Line: (253) 835-3050
Project Name: PHS/HOV ELECTRICAL UNDERGROUNDING P-17
Project Address: 28717 PACIFIC HWY S Parcel Number: 332204 9158
Project Description: Alteration of 200-amp service for undergrounding in conjunction with ROW project.
Owner
Applicant
Contractor
CHET &CAROL SABOTTA
TOTEM ELECTRIC OF TACOMA INC
TOTEM ELECTRIC OF TACOMA INC
30213 33RD AVE SW
PO BOX 1093
TOTEMET315BS (9/30/09)
FEDERAL WAY WA 98023-2322
TACOMA WA 98401
PO BOX 1093
TACOMA WA 98401
Additional Permit Information
Service greater than 1000 Amps?...........................No
Alt. ServJFeeder up to 200 amps - 1
I hereby certify that the above informE
the occupancy and t e w I be in
Owner or agent:
Electrical Fixtures
EXPIRES Thursday, October 9, 2008
t Issued on Monday, October 15, 2007
on is correct and that the construction on the above described property and
Iccoe laws, rules and regulations of the State of Washington
raI Way.
Date: v AS )
THIS CARD IS TO REMAIN ON-SITE
CITY OF: Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -105667 -00 -EL
Owner: CHET &CAROL SABOTTA
Address: 28717 PACIFIC HWY S
FEDERAL WAY, WA 98003-3223
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not onsite. 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 L 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
By
Date
❑ UFER Ground (4295)
Approved
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date / ' /�•Q
RECEIVE[
cm of —L/ � � �
Federal Way OCT 12 ?a07 PERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF CO ME EL L DE EN FP
33325 8TH AVENUE SOUTH • 63 BOX 9718 D^ AMYL I C AT I O N �
FEDERAL WAY, FAX
98083-97189] I'�'Y p �". F V /
253-8352807•FAX253-83�-2-i BUILDING DEPT,
u,un4,.clhio(federalu,ai .cont
The following is required information - an incomplete application will not be accep . Please print legibly (in ink) or type.
PROPERTY• •
SITE ADDRESSc' i q S Q / SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # - l LOT SIZE (sfi
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(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,-( a_ aOOAmP se-pwice
PROJECT NAME (Name of Business or Owner Last Name) S LLC '
PEOPLE• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
C� C/, f,¢
s4 bof/v e -L
PRIMARY PHONE
P53 )F_3t_ -ice
MAILING DRESS
. 0 A/,:3 3Y LW S
PHONE
CIPY, STATE, ZIP
9k'o27
E-MAIL ADDRESS
CITY, STATE, ZIP
-tgca MIA vvA 9840 (
CELLPHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
COMPANY NAME jNL
APPLICANT NAME
OFFICE PHONE
-TOT E M ELECr(ZI(_ 0r- T AC-QMA
PHONE
(A63)3%3 - Soaa
MAILING ADDRESS
Po. ao)c 1093
CITY, STATE, ZIP
-tgca MIA vvA 9840 (
CELLPHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
19 -99 - (0(ol30 - 00 - 3t_
)a1.3( /0-1
(,1, S3) 2-7a - sa.(({
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
E-MAILADDRESS
TOTeM E T 3 (S F5'j
9130 / 09
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
TOTEM r-_1,&C-T72tL
PHONE
(as3) 3 93 - 5 oa a
MAILING ADDRESS
CITY, STATE, ZIP
CELLPHONE
P?o.%Sox (093
Tgc„0n•,A IN498Y0(
( ) _
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent XOther CO N'inA-'fM 2
( ) -
NAME PRIMARY PHONE E-MAIL ADDRESS
RIC"AiZZ SrR-olJ C, (a53) 383 -5-0 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? ❑ YES ❑ NO
PROPOSED USE
VALUE OF PROPOSED WORK $
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)
❑ NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
DECK (❑ COVERED OR ❑ UNCOVERED?)
o NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
EnsnRa
PROPOSED
TOTAL.
TOTAL E%ISTIRG SP
TOTAL PROPOSED SF
TOTAL SR
"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 factures 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 Tub/Shower Cornbo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
LAVS (Bathroom sinks)
URINALS MISC (Describe)
RAINWATER SYST
VACUUM BREAKERS
SHOWERS
WATER CLOSETS goiiet)
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 in ormation supplied to
the city as apart of this application.
SIGNATURE:
Owner and/or Authorized
FOR OFFICE USE ONLY
a NEW o ADDITION
❑ ALTERATION
o REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
o NO
NEW ADDRESS REQUIRED? ❑ YES o NO
UP/SEPA/SU?
o YES
❑ NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
❑ YES
o NO
Bulletin #100 —August 16, 2007
Page 2 of 4
k\Handouts\Permit Application
C7
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
❑ 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
A 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY
❑ 201 - 600 amp 280.50
LJ 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 $111.00/hour
❑ voice Cabling
(for modified submittals)
❑ Data Cabling
Automation Fee on all Permits $5.00
..
1A 2500 ft2-$65.00;
Each add'n 2500 ft2-17.00) 'Per WAC 296-46-910(5((b)(i& LU
Bulletin #100 - August 16, 2007 Page 3 of 4 k\Handouts\Permit Application