10-102231' City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: VALLEY HARVEST
Project Address: 28855 NHLITARY RD S
40 Electrical
Permit #: 10 -102231 -Ott -EL'
Inspection Request Line: (253) 835-3050
Parcel Number: 042104 9037
Project Description: Altering a circuit to install new exit sign at front entry after car damage to structure
Owner
Applicant
Contractor
EXECUTIVE HOUSE INC
TYSON ELECTRIC LLC
TYSON ELECTRIC LLC
7517 GREENWOOD AVE N
PO BOX 1673
TYSONEL95OCC (2/2/2011)
SEATTLE, WA 98103
SUMNER WA 98390
PO BOX 1673
SUMNER WA 98390
Is Use Educational or Institutional?.......................No
Circuits Commercial .................... 1
Service greater than 1000 Amps?...........................No
PERMIT EXPIRES Friday, May 27, 2011
Permit Issued on Thursday, May 27, 2010
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: �►' Date: S^ -2-7-(C)
FIN.�Ltu ��Lr�/n
THIS CARD IS TO AIN ON-SITE
F0F+I�'- Construction I ction Record
ederal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 10 -102231 -00 -EL Address: 28855 MILITARY RD S
Owner: EXECUTIVE HOUSE INC FEDERAL WAY, WA 98003-7912
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.
Final - Electrical (4055)
Approved
y Date
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
13
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
y Date
Pool Bonding (4195)
Temporary Power (4275)
13
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)Rough
Electrical (4225)
E]Ceiling
Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
y Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
! RECEIW®
cirroF/�D �-----
Federal WayMAY 2 7 201�
F�� r("TRICAL
RR
CITY ijiMIT APPLICATION
"Most electrical permits may be obtained on-line at www.cityoffederalway.com"
I oerWy under penalty of perjury that I am the property owner or authorized agent of the property owner. I cerWy that to the best
qr my knowledge, the irf'ormation submitted to support of this permit application is true and correct. I certft 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.
(,further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attornegs' 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 qr the city, including its officers and employees, upon the accuracy of the
Wormation supplied to the city as a qr this application
SIGNATURE: .�'� � DATE 5--,,2-& _ 16
PRINT NAME: dA./
33325 8'h Avenue South ♦ PO Box 9718 ♦ Federal Way ♦ WA ♦ 98063-9718 ♦ 253-835-2607 ♦ fax: 253-835-2609 1 www.cityoffederalway.com
Bulletin #160 - April 9, 2010 Page 1 of 2 k:\Handouts\Electrical Permit Application
PROPERTY INFORMATION
SITE ADDRESS: �,�g SS It4 l b rye Y Q�) S-
17gbo 3
SUPPE/UNrf/SPACE #
ASSESSOR'S TAH/PARCEL #
-
CURRENT/PROPOSED USE
C,1161,44 C -,j C, L
PROJECT INFORMATION
PROJECT NAME
(renant or Homeoumer Gast Name)
L L (-,Y I L -j 14 t2 V F S 1�-
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
A) sT,4LA EX (F S r A -r
� "?-6A7X-
PEOPLE
PROPERTY OWNER
NAME
+Q Inc.
PRIMARY PRONE
( } -
NIAMNO ADDRESS
E-YAD.
CITY
STATE
I ZIP
FAX
ELECTRICAL
CONTRACTOR
NAME `�y� � Gl&(tc LGC
MMUMT
(3&0) 5337
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C[TY
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ST TE
zip
( g'iv3 fc
FAX
( ) -
WA STATE CONTRNCTOR'S LICENSE # EHPIRATiON DATE
`' 50A)EL 3-0 CC i i U
FEDERAL WAY ROSINESS LICENSE #
q 9 -/o -72 -7y -W-9
APPLICANT
NAME
PRUCARY PHONE
MAnMO ADDRESS
E-MAIL
CITY
STATE
nP
FAX
PROJECT CONTACT
NAME
PR)MfARY PEONS
I oerWy under penalty of perjury that I am the property owner or authorized agent of the property owner. I cerWy that to the best
qr my knowledge, the irf'ormation submitted to support of this permit application is true and correct. I certft 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.
(,further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attornegs' 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 qr the city, including its officers and employees, upon the accuracy of the
Wormation supplied to the city as a qr this application
SIGNATURE: .�'� � DATE 5--,,2-& _ 16
PRINT NAME: dA./
33325 8'h Avenue South ♦ PO Box 9718 ♦ Federal Way ♦ WA ♦ 98063-9718 ♦ 253-835-2607 ♦ fax: 253-835-2609 1 www.cityoffederalway.com
Bulletin #160 - April 9, 2010 Page 1 of 2 k:\Handouts\Electrical Permit Application
j . !• a 0
RESIDENTIAL
COMMERCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet
lot Service/Feeder Additional Feeders
(including attached garage):
0 - 100 amp x $132.50 x $ 80.50
FEES: First 1300 ft2 - $122.00;
101 - 200 amp x $164.00 x $103.50
Each additional 500 ft2 - $39.00
201 - 400 amp x $307.00 x $121.00
401 - 600 amp x $358.00 x $143.50
NEW MULTIFAMILY (3 units or more)
lot Service/Feeder Additional Feeders
601 - 800 amp x $463.00 x $196.00
0 - 200 amp x $132.50 x $ 39.00
801 - 1000 amp x $565.00 x $236.50
201 - 400 amp x $164.00 x $ 80.50
Over 1000 amp x $616.00 x $328.50
401 - 600 amp x $224.00 x $111.50
601 - 800 amp x $287.00 x $153.50
Over 600 volts surcharge x $103.50
Over 800 amp x $410.50 x $307.00
ALTERED SINGLE or MULTI FAMILY
ALTERED COMMERCIAL
lot Service/Feeder
lot Service/Feeder Additional Feeders
0 - 200 amp x $101.00
0 - 200 amp x $132.50 x $103.50
201 - 600 amp x $164.00
201 - 600 amp x $307.00 x $121.00
Over 600 amp x $246.50
601 - 1000 amp x $463.00 x $196.00
Over 1000 amp x $515.50 x $328.50
Added or Altered Circuits
1-4 circuits $80.50; each additional $8.00
Added or Altered Circuits /
1-5 circuits $103.50; each additional $8.00
Mast or meter repair $60.50
Mast or meter repair $111.50
MANUFACTURED HOMES
PLAN REVIEW FEES
Service or feeder only x $ 80.50
Plan Review required only for:
Service and feeder x $132.50
• New, or alteration to, service of 1,000 amps or greater
• Medical/Educational/Institutional Facility
$103.50 plus 359% of Permit Fee
(Permit Fee x 35% = + $103.50 = Plan Review Fee)
Plan review for modified submittals $105.50/hour
MISCELLANEOUS
SERVICE/EQUIPMENT
LOW VOLTAGE
TEMPORARY SERVICE
❑ Fire Alarm System
lot Service/Feeder Additional Feeders
❑ Security Alarm System
❑ voice/Data Cabling
0- 60 amp x $ 71.00 x $ 32.00
❑ e'er
61 - 100 amp x $ 80.50 x $ 39.00
Area to be served by system:
101 - 200 amp x $103.50 x $ 51.00
1-t 2,500 ft2-$71.00; each additional 2,500 ft2 - $18.50
201 - 400 amp x $121.00 x $ 60.50
# of Thermostats
401 - 600 amp x $164.00 x $ 80.50
First $60.50; each additional $18.50
Over 600 amp x $184.50 x $ 92.00
FEE CALCULATIONS
# of signs
First $60.50; each additional $28.50
• Fees are determined by the scope of work as indicated.
Yard Pole/meter loops/pedestal x $ 80.50
• A $6.00 Automation Fee will be added to all permits.
Portable Generator (transferui ment) x $101.00
P
• For assistance in calculating fees or completing the
application form, contact the Permit Center at
Ditch cover/inspection only x $121.00
253-835-2607
33325 a Avenue South ♦ PO Box 9718 ♦ Federal Way ♦ WA ♦ 98063-9718 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin #160 - April 9, 2010 Page 2 of 2 kMandoutsTlectrical Permit Application