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City of Federal Way Electrical Permit #: 05 - 105664 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph.(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
• Project Name: CLOCK SHOP
Project Address: 28717 PACIFIC S Suitel Parcel Number: 332204 9158
Project Description: Installation of switch,run about 40'of PVC outside on the building,put box and switch hook-up into the
sign.
Owner Applicant Contractor
Chet H Sabotta &Carol Sabotta CLOCK SHOP CLOCK SHOP
30213 33RD AVE SW 28717 PACIFIC HWY S SUITE 1 28717 PACIFIC HWY S SUITE 1
FEDERAL WAY WA FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
98023-2322 (253)941-0342
Electrical Fixtures
Description !Quantity Description Quantity Description Quantity
Sign 1
PERMIT EXPIRES May 2,2006.
Permit issued on November 3,2005
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. �f
Owner or agent: v/eek frU 11 t Le, ''' Date: J/ ' J1
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i
•
THIS CARD IS TO REMAIN ON-SITE 4
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105664-00-EL
Owner: CHET H SABOTTA .
Address: 28717 PACIFIC HWY S Suite 1
FEDERAL WAY, WA 98003-3223
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.
O Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) K Final-Electrical(4055)
Approved Approved Approved
By Date By Date Byy q Date ll (ZZ.(t)3
❑ Under-slab groundwork(4295)
Approved
By Date
i
4 . . .
FederalWay PERMIT 12 —1
COMMUN YDEVELOPMENT SE ZC,es SF MF CO M on DE EN FP
33325 lot
FEDERAL
AVENUE A71(.r39BOX 1 9718 APPLICATION
FEDERAL WAY,WA 9806J•971d 253-835-2607•FAX 253-835.2609
IT°
yww.dtaoffederaluwy.cos
•
The ollowi • is • fined in ormation-an into •fete a••lication will not be acce•ted. Please •tint le,ibl in or
■ PROPERTY INFORMATION S
SITE ADDRESS (a & 7/ ac.c( ,C SUITE/UNIT# I
ASSESSOR'S TAX/PARCEL# 3 3 a- o '( - 4 L s O LOT SIZE(s,7
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Mach separate papsfw lengthy Jogai de.atptt.a)
—
MIPROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING O LUMBING 0 MECHANICAL
0 DEMOLITION E!ECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Prqtfide detailed description of work ded on • it
--�` S w t. �v�-v� cant) it 1 t 101/0,C � . .4'-41`i iK
pui- tx?),0 ± (,0i.zi-e,tt : ,,y, iv.-1-0-tt...e_ ce4j) il.
PROJECT NAME(Name of Business or Owner Last Name) C,l Co (+ k_ SGS (,O
• PEOPLE INFORMATION /
PROPERTY NAME PRIMARY PHONE �
OWNERCy r S ct o (253 10 p3`b -iSCCI
MASTATE,ZIP •
ILING
ADDRESS R 33rag AveSW iv_444 -4 WA>, L/4 q 623
CONTRACTOR CO 'ANY NAMEAPPLICANT NAM
Y / 1N `(OFFICE PHONE
�
- .' TWIN' i/wt. r . iilW' • 12.; -3 366*
MAILING ADDRESS CITY,STATE,ZIP • ? CELL PHONE
# 1. 04-9'S-)sl. 3
CITY OFFEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE - FAX NUMBER
619elleekt6-951PL
CONTRA •R'S REGISTRATION NUMBER loopy at card required with .&cation) EXPIRATION DATE
it
APPLI ANT 34, COMPANY NAME APPLINAME
g OFFICE PHONE
L �i � p� . (Z53 ) 9y/ - 0 3 yj
MAILING ADDRESS CITY,STATE,ZIP ar CELL PHONE
21-3- i -- Pa_ c ekZ- uwj S, e - / wa y I j/ ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER f,
0 Architect % 'enant o Agent 0 Other(Describe) (2�$3 19 %/ -03 41
CONTACT NAME ''MARY PHONE E-MAIL ADDRESS
( ) -
LENDER • ,,.;,,z NAME
MAILING ADDRESS - , - ATE,ZiP
• • ■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VAL 1'' $ VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? o YES o • FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
WATER SERVICE PROVIDER a q r: VEN a HIGRLINE o TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER O 4' : VEN a HIGHLINE 0 PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIS
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0 •
/
NUMBER OF FLOORS t1QiT0ta PROPOSED taro ~'
1411/1
"NEW HOMES ONLY** NUMBER OF BEDROOMS MATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture • be installed or relocated as part o •••-project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Gmmereia) WOODSTOVES
BOILERS • FIREPLACE INSERTS RANGES MISC(Describe)
- • COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BA S(or Tub/ShowerCembei SHOWERS WATER CLOSETS(mks MISC(Describe)
HWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Since( VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I
am authorised by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim(includi•. costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be made by any person,including unde gned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,including its officer '• - e • •, e ,upon , accuracy of the information supplied to the city as a part of
this application. rr�1 p
NAME/TITLE VIA 13 M 1 K. -` / 1.t/ lik DATE I '—2"
(Signature) Ride)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent k Contractor ❑Architect ❑ Other
•
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Bulletin#100–January 7,2005 Page 2 of 4 k\Handouts\Permit Application
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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-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage ❑ 101-200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 601-800 amp 398.50 . 168.50
0 801 - 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00
Service Feeder -
❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
❑ 401-600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50
O 601 - 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
. ❑ 0 to 200 amp $87.00
❑ 201-600 amp 141.00 ❑ #of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
0 of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 0 Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
0 Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multt-Famliy $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commerc1al/lndusMal Service or Feeder Ampacity
❑ 0-100 amps _ $69.50
❑ I01-200 amps 89.00
❑ 201-400 amps 104.50
O 401-600 amps - 141.00
❑ over 600 amps 152.50
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MISCELLANEOUS SERVICE/EQUIPMENT
O #of Thermostats ##of Signs
(First-$52.00;add'n-$16.00/ea) • t sign-$52.00;add'n sign$24.50/ea)
❑ Low Voltage 0 Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
o Fire Alum System ❑ Yard Pole meter loops $104.50
O Security Alarm System Additional Plan Review $104.50/hour
O Voice Cabling (for modified submittals)
❑ Data Cabling utomation Fee on all Permits .. $5.00
0
(Per System(s).1g 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)'Per WAC 296 46-910(SM&W
Bulletin#100-January 7,2005 Page 3 of 4 NHandouts\Perntit Application