07-106122City ityDe FederalWayy Electrical Permit #• 07 -106122 -00 -EL
Community Development Services •
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: FEDERAL WAY SELF STORAGE
Project Address: 31119 21ST PL SW 6-m Parcel Number: 122103 9025
Project Description: Relocating an existing 400 amp service FIL
Owner
Applicant
Contractor
FEDERAL WAY SELF STORAGE
CEDAR GROVE ELECTRIC
CEDAR GROVE ELECTRIC
63 KENDRICK ST 1 CHARLE
1819 CENTRAL ST S SUITE 71
CEDARGE955BC 1/21/09
NEEDHAM MA
KENT WA 98032
1819 CENTRAL ST S SUITE 71
02494
KENT WA 98032
A
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -106122 -00 -EL
Owner:
Address: 31119 21 ST PL SW
FEDERAL WAY, WA 98023
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 theinspections or the inspection sequence. On-going inspections
are logged on the back of this card.
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved q�
By Date By Date
❑
Slab/Concrete Floor (4255)
❑
Ditch cover (4030)
❑
Pool Bonding (4195)
Approved to place concrete
Approved
Approved
By
Date
By
Date -0}
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 `/• 27 6
By
Date
By
Date l `/
❑
UFER Ground (4295)
Approved
By
Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved q�
By Date By Date
pryer
Fadera I W, by
WMY . . 0
$ za. P ERMIT SF' MF CO MFZPL DE EN PP
JPXMM WAr, WA 9800-9718
2W.W&26ff-AU= �EOE ,LIGATION
O�GST gU��pING AnDISE
The following is required information —an incomplete application will not be accepted. Please print.legibly (in ink) or typo.
SITE ADDRESS Lq T I L S w SulTZ/UN11r #
ASSESSOR'S TAX/PARCEL 0 L -Z 0
LOT SIZE (31)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
PROJECT INFOMIATION
TYPE OF PERMIT b BUILDING E3 PLUMING . 0 MECHANICAL
13 D=OLIiI0 ELECTRICAL 0 ENGINEERING 13FIRE PREVENTION SYSTEM
xPROJECT DESCRIPTION (Provide detailed description of work included an this verynit onlul
P'ROJECT. NAME (Name of siness orOwner Last Name] n:LNfe�L L4;k1j '.s;ELf- S;70de.461
ICANT
(PROJECT
\\CONTACT
LENDER
COMPANY NAME
APPLICANT NAME
OFFICE PHONE.
MAILING ADDRESS
)LfCITY,
STATE, ZIP
&MAILADDRESS
1 )0
GQLAE00r, -;4 -
4-
I
146 f -I 6 cg -Q-.41 14 -ye— �S V s' —7 1
COMPANYNAME
APPLICANT NAME
OFFICE PHONE.
MAILING ADDRESS
iSMAO�DRWS
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
I
146 f -I 6 cg -Q-.41 14 -ye— �S V s' —7 1
CITY, STATE, ZIP
CF" PHONIC
(alo-) -
CITY OF FEDERAL WAY BUS. ESS UCENSE NU
EX7R7 (311,
FAX NUMBER
CONTRACTOR'S REGISTRATION NO
ERP TION DATE
&MMADDRIM
31 'i
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
crN, NATE. OF
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
o Architect 13 Tenant a Agent a Other
NAME&MM tMDRM
PRIMARY PHONE
NAME
Per.1tOW0.27.095:
A
,Wndwr!trmatton r fired ffe!%ectvalue exeee!d*A5,000
DREr
afy, STATE, Zt__./
. 1\10NII
DETAILED BUILDING INFOMIATION
STING USE PROPOSED USE
kX
STING �ASSED/APPRAISED VALUES VALUE OF PR SED WORK
VALUE
SP N BUILD G? 0 YES 0 /0 FIRE SUP SION SYS ROPOSED/REQ 0 YES 0 NO
0 _E F
E] rE 0
E] P
VATER SERVICE PROVIDI&1� 103 N o HIG:HLINBI o TA KA a PRIVATE (WIEL
N
Z ZL
I SEWER SERVICE PROVIDER VEN o HIGELINJ 0 PRIVATE (SEPTIC)
E
t
PROJECT ••
AREA DESCRIPTION
.EXISTING
SQ. FT.
PROPOSED
SO. FT.
TOTAL
SQ. FT.
BASEMENT
a YES. o NO
BASIC PLAN?
o YES
FIRST
ZONING DESIGNATION
CHANGE OF USE?
SECOND
o NO
NEW ADDRESS REQUIRED?
o YES o NO
THIRD.
o YES
o NO
PLATTED LOT?
ADDITIONAL FLOORS (DESCRIBE)
DEMO PERMIT REQUIRED?
a YES
a NO.
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
memo
Psorous
TOTAL,
ronu u
rortcrsoralwar
MAL Or
••NEW HOMS ONLY".. NUMBER OF BEDROOMS TED SELLING PRICE $
Indicate number of each type of fixture to be
Value of Mechanical Work
or relocated as part of
DOPY OF BID OR ESTIMATE MIST
Do not include existing fixtures to remain.
WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIP OUTLETS WOODSTOVES
BBQS FANS GAS WAT R HEATERS T_ MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS
COMPRE FURNACESRAT►i}ES
GAS LOG SETS REFRIG. SrS
BATHTUBS 1orTub/shv%mcombo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
LAVS Math om swo
RAINWATER SYST
SHOWERS
SINKS
SUMPS
URINALS
VACUUM B FAKERS
WATER CLOSETS irw4
WASHING MACHINES
MISC (Describe)
I cortVy under penalty of perjury that I am the property owner or authorised agent of the property owner. I cert(* that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I cer ft that I will comply with all applicable
City of lederal.Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the issuance of this permit
doss not remove the owner's responsibility for compliance with coca; state, or federal laws regulating construction or environmental laws.
I further agree to hold h less the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation andd4j"nse of h claim), which may be made by any person, including the undersigned, and filed against the city, but only
here such claim arises o o reliance of the city, including its officers and employees, upon -the accuracy of the information supplied to
e city as apart of this pl
SIGNATURE: �— DATE
Property Owner end/or Authorized Avant
o NEW o ADDITION
a ALTERATION
o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
a YES. o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
IIP/SEPA/SU?
o YES
o NO
PLATTED LOT?
a YES o NO
DEMO PERMIT REQUIRED?
a YES
a NO.
Bulletin #100 _ August 16, 2007 Page 2 of 4 . k\Handouts\Permit Application
i
MA
ELECTRICAL PEcMIT INFORMATION
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ Single Family Square Feet
(First 1300 ft2- $111.00, Each add% 500 ft2- $35.50)
❑ Detached outbuilding or garage
(Inspected with service) $47.00
❑ Detached outbuilding or garage
(Inspected separately) $74.00
NEW MULTI -FAMILY
(three units or more)
❑ 0 to 200 amp
Service
Feeder
❑ Up to 200 amp
$120.50
$ 35.50
❑ 201- 400 amp
149.50
74.00
❑ 401 - 600 amp
205,00
102.00
❑ 601 - 800 amp
262.00
140.50
❑ Over 800 amp
375.50
280.50
ALTERED SINGLE/MULTI FAMILY
❑ #I of circuits to be added/altered
(1-4 circuits -$74.00; Add% circuits $7.00/ea)
❑ Mast or meter repair $55.00
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
COMMERCIAL
NEW coMMERCIAL/INDUSTRIAL SERVICE
❑ 0 to 100 amp
❑ 101- 200 amp
❑ 201- 400 amp
❑ 401- 600 amp
❑ 601- 800 amp
❑ 80I - 1000 amp
❑ Over 1000 amp
SeMcg or Feeder Eads Add'n
$120.50. $ 74.00
149.50
Service or Feeder
❑ 0 to 200 amp
$92.50.
❑ 201 -'600 amp
149.50
❑ over 600 amp
225.50
❑ #I of circuits to be added/altered
(1-4 circuits -$74.00; Add% circuits $7.00/ea)
❑ Mast or meter repair $55.00
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
COMMERCIAL
NEW coMMERCIAL/INDUSTRIAL SERVICE
❑ 0 to 100 amp
❑ 101- 200 amp
❑ 201- 400 amp
❑ 401- 600 amp
❑ 601- 800 amp
❑ 80I - 1000 amp
❑ Over 1000 amp
SeMcg or Feeder Eads Add'n
$120.50. $ 74.00
149.50
94.50
280.00
111.00
327.00
131.00
423.00
179.00
516.50
216.06
563.00
300.00
❑ Over 600 volts surcharge $94.50
❑ Mast or meter repair $102.00
ALTBRED COMMERCIAL/INDUSTRIAL
Servicb or Feeders
❑ 0 to 200 amp $12
201 - 600 amp 090.50
❑ 601 - 1000 amp .
❑ over 1000 amp 471.00
❑ # of circuits to be added/altered
(1-5 circuits - $94.50; Add% circuits, $7.00/ea)
COMMERCIAL/INDUSTRIAL PLAN REVIEW
$94.50 plus 35°/a of Permit Fee
❑ Service - 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
TEMPORARY SERVICE
MOBILE SOME /RV PARK
❑
Resideittiai%1Kuiti Family
$65.00
4 of service or feeders
(First aervice/feeder-$74.00; each add% -$48.00)
CommerciaWndustrial 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 '
(First -$55;00; addh-$17.00/ea)
❑ Low Voltage
Square Feet to be served by aystem(s)
❑ Fire Alarm'System
❑ ' Security Alarm System
❑ Voice Cabling
❑ Data cabling
❑
la 2500 "5.00;
Each add% 2.500 ftp -17.00) • Per WAC 29646910(Sp i 6 H)
❑ 4 of Signs
(First sign -$55.00; addh sign $26.00/ea)
(3Swimmiug pool/hot tub. ................ $111.00
(rachtdes an
circuit, if required)
❑ Yard Pole meter loops ....... :............. $74.00
❑ Additional Plan Review $1 ur
(for modified submittals)
❑ Automation Fee on all Permits .. $5,00
Bulletin #100 -August 16, 2007 Page 3 of4 k\Handouts\Permit Application