04-101641 1111
•
City ofFederalWay
CommunityunityDevelopment Services Electrical Permit #:04 - 101641 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph.253.661.4000 Fax:253.661 4129 Inspection request line: 253.835.3050
Project Name: QWEST DSL SITE
Project Address: 2800 SW 320TH St Parcel Number: 122103 9034
Project Description: 100amp service for QWEST DSL site.Site is located along 30TH AVE SW near SW 317th,on Decatur
High School property
Owner Applicant Contractor
FEDERAL WAY PUBLIC SCHOOL KEN BOBKO ELEC CO INC KEN BOBKO ELEC CO INC
31405 18TH AVE S PO 7009 PO 7009
FEDERAL WAY WA
98003-5433 \TACOMA WA 98407 (253)756-0944
Electrical Fixtures
I— Description Quantity Description IQuantity Description quantity
LService/Feeder: 0-100 amps-Comm. I
PERMIT EXPIRES October 30,2004.
Perm i ' =• on t i ay 3,2004
I hereby certify that the above information is co `' nad .t the construction on the above described property and
the occupancy and the use will be in accord. �wi •'"e laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: ��� Date: S -3 - 20o 4-
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Federal Way
PERMIT r SF MF CO ME EL PL DE EN FP
COMMUMTY DEVELOPMENT SERYL
3353EDFIRST AWAY,WA 9•PTX9 Y oApPLI CATI O N TD
FEDERAL WAY,FAX
53-61-41 d / /
253661-r 115•FAX 253661-4129
uww.dtuolfederdwaa.[o11�yt IOF FEDERAL
The ollowin• is re•urr t i :rabbis-an Inco •tete a••lication will not be acce•ted. Please •rint Ie•ibi 'n in or •-.
PROPERTY INFORMATION �{
SITE ADDRESS �• 2 30 l, v SO Y 1-SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
PROJECT NAME(Name of Business or Owner Last Name)
PEOPLE INFORMATION
PROPERTY NAMEPRIMARY PHONE
OWNER GW S ( ) -
MAILING A CITY,STATE,ZIP
CONTRACTOR COMPANY NAME ��((''�� APPLICANT NAME OFFICE PHONE
__
n ADD CI_ TY,STATE,ZIP _ , A CELL PHONE -
cc(
C OF FEEDt(]7ERAL WAY BUSINESS LICENSE NUMBER \-�/,�l`r"l'�'/ '1f,\/AEXPPIIRATIONN D E FAX NUMBER
- - -B L / / ( ) -
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
I /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
(
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
•
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
•
SPRINKLERED BUILDING? a YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
WATER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
}' w•ti-:
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. _ TOTAL j
BASEMENT
FIRST - —
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL CWSTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MEC&ANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Showrrcombo) SHOWERS WATER CLOSETS(roeet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS _ ELECTRIC WATER HEATERS
• DISCLAIMER/SIGNATURE BLOCK
I certify un•er penalty of perjury that the informati• f a• by me is true and correct to the best of my knowledge, and further,that I
amauthorized b owner of the above premise • pe-,•� e work for which the permit application is made. I further agree to hold
harmless the City of i•, •I Way as to any cla•• (in ng costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be • •.-iffy any pens• 'inc• ng the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the •, •cl /g i/facers and employees,upon the accuracy of the information supplied to the city as a part of
this application. 4•41.44,
NAME/TITLE DATE 5 T s _co 4.
•frnat
(Title)
RELATIONSHIP TO P ` y Owner ❑ Agent ❑ Contractor o Architect 0 Other
FOR OFFI USE ONLY
a NEW o ADDITION o ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? ❑YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100-March 30,2004 Page 2 of 4 k\Handouts-Revised\Permit Application
ELECTRICAL PERIV&IT-'rNFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101 -200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201-400 amp 220.50 87.00
❑ Detached outbuilding or garage 0 401-600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) ❑ 801 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
Cl Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 0 Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50
❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
C3 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 ❑ #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ #of circuits to be added/altered
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW
$74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 ❑ Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
❑ #of service or feeders ❑ 101 -200 74.00 51.00
(First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00 n/a
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s) 1•,2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5)(b4(i&u)
Bulletin#100-March 30,2004 Page 3 of 4 k\Handouts-Revised\Permit Application