06-105579 City of Federal Way Electrical Permit #: 06-105579-00-tL
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: S 333RD ST& 1ST WAY S
Project Address: Parcel Number: CITY WIDE
Project Description: Installation of a traffic signal at S 333rd st& 1st Way S for the City of Federal Way,
Installation to include a 100 Amp service.
Owner Applicant Contractor
CITY OF FEDERAL WAY KEN MILLER TOTEM ELECTRIC
CITY OF FEDERAL WAY CITY OF FEDERAL WAY TOTEMET3I5BS(9/30/07)
33325 8TH AVE S 33325 8TH AVE S PO BOX 1093
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 FEDERAL WAY WA 98401
Additional Permit Information
Electrical Fixtures
Service/Feeder: 0-100 amps-Con 1
PERMIT EXPIRES Sunday, April 29, 2007
Permit Issued on Tuesday, October 31, 2006
I hereby certify that the above informati orrect and that the construction on the above describeroperty and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
ar1d,the City of Federal Way.
Owner or agent: f Date: ,0///D G
C1
e*C)
Y J
S
THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-105579-00-EL
Owner: CITY OF FEDERAL WAY
Address:
FEDERAL WAY, WA
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.
❑ Slab/Concrete Floor(4255) ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Gj Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) `` ❑ Final -Electrical(4055)
Approved Approved Approved
By Date By Date B �� Date/'e/".
❑ Under-slab groundwork(4295)
Approved
By Date
RECEIVED
CITU OF�I�` 2006 D k 0 7
Federal WayOCT3 1PERMIT
COMMUNITY DEVELOPMEIVT SERVICES SF MF CO ME PL DE EN FP
33325 8Tt'AVENUE SOUTH•PO B0 )�OF FED E R/�
253-352607 FAX253-83526091130-,
BUILDING D T LI CATI ON
t--"y / ,-.
www.cityoffederaiway.corn
The followin. is re,uired i ormation-an incom•lete a,,lication will not be acce,ted. Please •rint le•ibl (in ink)or ,e.
• PROPERTY INFORMATION
SITE ADDRESS _ (Ai VJ O 1 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) Tau-k S.Z4nu..1 a) 1.14 Wm So 1 333 rcl So
(Attach separate p44or lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION liELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
Ivn51 1AAA or\ cnC c_ k-rall-i( 3i nc. AA-- 333rd i 54. u>....' So cot
4ie C1 1 4 reclera1 L* )*..i ) teN %JiGir ond : �t_.l
} r °Ile A Loo Arl Stevkt.
PROJECT NAME(Name of Business or Owner Last Name) S S. A 33 r,( SE £ 04' tJne.i 50 " R F 13 010.. (OM
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER CI o G Fcd e ca l lJaA.( (zs3 )4 3-13s - � ‘t
MAILING ADDRESS 1 CITY.STATE.ZIP
90 eche 11t13 F.aecca WPIq Wik 9S3O63 - 91%$
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
"To kin,. tical-- o (- 1-4-100.1a Rorer PaXCer e r (2c ) 343 -To 2.2_
MAILING ADDRESS CITY, TATE,ZIP CELL PHONE
Po eby toy) Too. WA 9e'(ok ( 2S3 ) 178 - IrO'(
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
1 1--1 1k-_i_ .0 b. 1 3. _CO L /-/ 3/ / oG ( ) -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
Z Q I E. in L 3. 3 1 1 S} _s S / 3D / 07
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
C.4i.‘ o L Fe_cSrer&_k We t Ken WV.\k ex (z. ) esc - 7..i I(
MAILING ADDRESS CITY.STATE,ZIP CELL PHONE
f0 Bo)e ill 13 Feder&,) tA.34,1 A ( ) -
RELATIONSHIP TO PROJECT / FAX NUMBER
❑Architect 0 Tenant 0 Agent a7 Other(Describe) owner ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDERPer RCW 19.27.098: Lerida ormation is NAME
required(f projectualueexceeds$5,000 J/A
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE kkew TM-a::L SigrNs...1
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ /6 2, 0/, ,e.
SPRINKLERED BUILDING? ❑ YES arNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES VNO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
EXISTING PROPOSED TOTAL TOTAL ERffiTEYO SP TOTAL PROPOSHS.SF TOTAL SP --
NUMBER OF FLOORS
**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.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commerntal) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(ronet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Silks) 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 authorized 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(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 of Federal Way,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.
NAME/TITLE ��:.. A `�_ �___ _ DATE /0/3/ / o
(Signature) (ilk)
RELATIONSHIP TO PR•• CT ❑ Owner ❑Agent EilXntractor o Architect ❑ Other
OFFICE SE ONLY
a NEW o ADDITION o ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? a YES` a NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? a YES ❑NO UP/SEPA/SU? o YES' a NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
CI Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$107.50;Each add'n 500 ft2-$34.50) i.:1 0 to 100 amp $117.00 $71.50
❑ Detached outbuilding or garage ❑ 101-200 amp 145.00 91.50
(Inspected with service) $45.50 ❑ 201-400 amp 272.00 107.50
❑ Detached outbuilding or garage ❑ 401-600 amp 317.00 127.00
(Inspected separately) $71.50 ❑ 601-800 amp 410.00 173.50
❑ 801 - 1000 amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $34.50 ❑ Over 600 volts surcharge $91.50
❑ 201 -400 amp 145.00 71.50 ❑ Mast or meter repair $99.00
❑ 401 -600 amp 198.50 99.00 ALTERED COMMERCIAL/INDUSTRIAL
U 601 -800 amp 254.00 136.00
❑ Over 800 amp 364.00 272.00 Service or Feeders
❑ 0 to 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 272.00
❑ 601 - 1000 amp 410.00
Service or Feeder ❑ over 1000 amp 456.50
❑ 0 to 200 amp $89.50
❑ 201 -600 amp 145.00 ❑ #of circuits to be added/altered
❑ over 600 amp 218.50 (1-5 circuits-$91.50;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50;Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $71.50
❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $63.00
❑ #of service or feeders
(First service/feeder-$71.50;each add'n-$46.50) Commercial/Industrial Service or Feeder Ampacity
❑ 0- 100 amps $71.50
❑ 101-200 amps 91.50
❑ 201-400 amps 107.50
❑ 401-600 amps 145.00
❑ over 600 amps 157.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n sign$25.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $107.50
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $71.50
❑ Security Alarm System U Additional Plan Review $107.50/hour
❑ Voice Cabling modified submittals)
❑ Data Cabling
❑ Automation Fee on all Permits .. $5.00
(Per System(s) tat 2500 ft2-$63.00;
Each add'n 2500 ft2-16.50) 'Per WAC 296-46-910(50I9&if)
Bulletin#100-January 1,2006 Page 3 of 4 k\I-Iandouts\Permit Application