11-103745 ON II I
Eltictral
City of Federal Way • •
Community Development Services Permit #: 11-103745-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718
Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 FILE
Project Name: CHEVRON#206851
Project Address: 1650 SW DASH POINT RD Parcel Number: 12210 9069
Project Description: Adding/altering(1)circuit for video rental kiosk
Owner Applicant Contractor
M G INVESTORS LLC ELECTRICAL MAINTAINENCE& ELECTRICAL MAINTAINENCE&
1650 SW DASH POINT RD CONSTRUCTION CO LLC CONSTRUCTION CO LLC
FEDERAL WAY WA 98023 2620 48TH ST ELECTMC897JA(4/1/13)
FEDERAL WAY WA 98663 2620 48TH ST
FEDERAL WAY WA 98663
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V44,* 401:Y: ';');1)t • • °
Is Use Educational or Institutional? No Service greater than 999 Amps? No
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W141' - •
Circuits-Commercial
PERMIT EXPIRES Friday, September 14, 2012
Permit Issued on Thursday, September 15, 2011
I hereby certify that the above information is correct and that the construction on the above described propertyand
the occupancy and the use will be in andaccordance with the laws, rules and regulations of the State ofWashington
the City of Federal Way.
Owner or agent: .1.1„--:-.5?„ S Date:
•
•
Fit-f•A ED et fa fit/
THIS CARD IS TO MAIN ON-SITE 'V
CITY OF
Federal WayConstruction In ection Record
INSPECTION REQU TS: (253)835-3050
PERMIT#: 11-103745-00-EL Address: 1650 SW DASH POINT RD
Project: M G INVESTORS LLC FEDERAL WAY, WA 98023
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 UFER Ground (4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
' .
El Pool Bonding(4195) ID Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) El Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
o Final-Electrical(4055)
Approved
By Date
LI Rough ElectricalCI Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
- 40k. - L -3
CITY OF V�✓'
F- =' " -y ELECTRICAL
SSP 1C-
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\_ 1VIIT APPLICATION
t 0F* icy Electrical permits may be obtained on-line at www cityo ederalway com
•
SITE ADDRESS: •
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
2 2 ( _ Gj O
•
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION n Irk_ �� viatrITAIM11.11.111111111
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
) -
PRIMARY PHONE
MAILING ADDRESS E-MAIL
ELECTRICAL � I — DL .. :;
CONTRACTORZIP -AX
kW1111111111111
IN ?e 075 - 0
WA TATE CONTRACTOR'S LICENSE# EVIRATION DATE FEDERAL WAY BUSINESS LICENSE#
GC. 4'e7. , i ( 3
NAME
PRIMARY PH•NE �I
APPLICANT D -� A. _ _ ) -'.41 /1
MAILING ADD' '= E-MAIL
CITY STATE ZIP ( FAX
) -
PRIMARY PHONE
PROJECT CONTACT
69PPPIIIIMIMIIIIMIIMII . GO ) 3 -:Qg.
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 istree 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
information supplied to the city as a part of this application.
SIGNATURE: —•-••\ • DATE Yrn/(((
PRINT NAME: ( )'J C�nEZ.
33325 8ih Avenue South•Federal Way♦WA•98003-6325 1253-835-2607♦fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160-January 1,2011 Page 1 of 2 k:\Handouts\Electrical Permit Application
• • RESIDENT* *VIMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet 1s`Service/Feeder Additional Feeders
(including attached garage):
0 ,, 100 amp - x$T32i50 ' °' "x$ 80.50
FEES: First 1300 ft2-$122.00; 101- 200 amp x$164.00 x$103.50
Each additional 500 ft2-$39.00
201=400 amp x$ 01.00 x$121.00
NEW MULTIFAMILY (3 units or more) 401 600 amp x$358.00 x$143.50
1st Service/Feeder Additional Feeders 6G1 ; 80 ,amp x,$463.00: x$�196.00
0. ,200 a tip : it $132."5Q, x $ 39.00 801-1000 amp, x$565.00 x$236.50
201-400 amp " x $164.00 x $ 80.50
03rrer,1000 amp x=$616.00 ': x$328.50
4O1'`-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 8i10ari lr. . .{ A x441050: _ x $307.00
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
ls`Service/Feeder ls`Service/Feeder Additional Feeders
. 200 amp .; x:$13,2,511,,. ,_ �c$103.50
$1011::0(;!, .. ,
201 600 amp x $164.00
201 6.00 amp x$307.00 x$121.00
Over;600.env 601 1000 nsip 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:
5ervce at«t',feeder, • New,or alteration to, service of 1,000 amps or greater
,"; x ""$132.50
• Medical/Educational/Institutional Facility
$103.50 plus 35%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 I st Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling '60-amp,,, ,' x $ 7141Q x;{$ 32.00
❑ Other 61-100 amp $ 80.50 x+$ 39.00
Area to be served by system:
Pt 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50 101_ 2f 0;arxxp " ' x 013 50 x $ 51.OQ
201-400 amp x $121.00 x $ 60.50
#of Thermostats 401,7!600;a p: x $x64 00...k <<,,,, x:$"80.50
First$60.50;each additional$18.50
Oiler 600 amp x $184.50 .`x $ 92.00
FEE CALCULATIONS
Yard Pole/meter loops/pedestal x$ 80.50 • Fees are determined by the scope of work as indicated. •
Portable Generator(transfer equipment) x$101.00 • A$6.00 Automation Fee will be added to all permits.
Ditch cover/inspection only x$121.00 • For assistance in calculating fees or completing the
application form,contact the Permit Center at
253-835-2607
33325 8'"Avenue South•Federal Way•WA♦98003-6325♦253-835-2607 1 fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160-January 1,2011 Page 2 of 2 k:Wandouts\Electrical Permit Application