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01-103119 City of Federal Way Community Development Services Electrical Permit #:01 - 103119 - 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 Project Address: 5015 SW DASH POINT Rd Parcel Number: 112103 9102 Project Description: ELE- 120/240V 1 phase service and circuits to new Qwest cabinet at existing site(100 amp service). NE corner of Church at Palisades site. Owner Applicant Contractor CHURCH AT PALISADES KEN BOBKO ELEC CO INC KEN BOBKO ELEC CO INC 5015 SW DASH POINT RD PO 7009 PO 7009 FEDERAL WAY WA TACOMA WA 98407 TACOMA WA 98407 98023-2041 (253)756-0944 • Electrical Fixtures Description 'Quantity ._ :.Description (Quantity Description 'Quantity Service/Feeder: 0-100 amps-Comm. 1 PERMIT EXPIRES February 5,2002,IF NO WORK IS STARTED. Permit issued on August 9,2001 I hereby certify that the above information is -ct e construction on the above described property and the occupancy and the use will be in accor'ce wit i=''aws,rules and regulations of the State of Washington and the City of Federal Way. \ Owner or agent: Date: Date: S _ 9-©( 01'•1,•F CONSTRUCTION PERN1IT APPLICATION A?' 4 APPLICATION NUMBER: 0 / - L0.3 1_lg 40 �� Q APPLICATION NUMBER: _ _ - ., ti��, APPLICATION NUMBER: _ _ - _ _ _ T *' The Ee9l Y�� C3'j wH _ ��+Vu''LL Information—Please print (in ink) or type*T Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. ■ PROPERTY INFORMATION SITE ADDRESS:b01 5 T )n fi C ASSESSOR'S TAX/PARCEL g: I d �_ Q LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): • • PROTECT INFORMATION TYPE OF PROJECT (This application): 0 BUILDING 0 PLUMBING ❑ MECIHANICAL 0 DEMOLITION LECTRICAL ❑ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): �N ST Pc L.L U D C,-k.©v C> 120/2-4 Q v l Qf S '..K Vic_ __ PrN D c.z Lv S TO N E w g w psi-- CAIT ( k 0CaPcMg' S vT�. E..) PROJECT NAME: ■ PEOPLE INFORMATION t PROPERTY OWNER: NAME: z Q.\xf .s--T N 0 i› -ii\r{ mik4414tcrErmiv-r(301) 816- occi4 MAILING ADDRESS(STREET ADDRESS;CITY,STATE ZIP): kCo5 tl*'.^ S-T STATE, LS 1 U DF'Nyak, co 8©2.x2.. CONTRACTOR: NAME: DAY,.-N QO B Q EL,- --c-1 PX-c- (2.57 PHONE: llr ff q MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): 5 ) 15 L © 1' '{ po Bo 1 CO et V OvW k �a407 EVENING PHONE: CIT'OF FEDERAL WAY BUSINESS` ' LICENSE NUMBER' F J\ - _ \Ct g q - 1 Q 7 6 2 8 - 0013,1,1 c2 NUMBER: - 8428 CONTRACTOR'S REGISTRATION NUMBER: K a N Q L f o Co 6 EXPIRATION DATE: APPLICANT: NAME: L•• ` DAYTIME PHONE: PIAILING ADDRESS(STREET ADDRESS;CITY,S'T'ATE,ZIP): ( ) _ - EVENING PHONE: RELATIONSHIP TO PROJECT: ( - ❑ ARCHITECT 0 TENANT ❑ OTHER( DESCRIBE): FAX NUMBER: CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT )1m/' , e-nlA1LADUREss: J .CONTRACTOR ■ DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES a NO PROPOSED VALUATION: ti ,� 4 Trt::K't p l ' FEE FACTOR FROM TABLE A: Number: (a) Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (6) At) ammiumommummumiminu Q 9 2nIt+! Estimated Plan Review Fee: (7) BUILDING 0 minimiminum.;...........___.. „. r. � ,■n.t ran EPjyHY Base Fee Number of Fixtures I $21.00+ { X$7.00/fixture} = Estimated Permit Fee (8) Estimated Permit Fee X .65 = (9) Estimated Plan Review Fee Miscellaneous Fixture Charge: (10) Sub Total ;page one): Line(s) (1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) _ (11) ------------------ TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES -Single Family Service orfeeder only $�� 5 MISC EQUIPMENT/TEMP SERVICES (First 1300 r12-$67.00;Each addm500 tr-121.50) Service and feeder _e L of Low scats(First-$33.50;add=n-$10.50ea) Square Feet: - $7<.2S of Low voltage fire or burglar alarms -Each ur;ar garage $28.p0 First 2300 t52-$38.75;Each add:n 2500 ft2-$10.30 Each outbuilding witservice) r MOBILE HOME/RV PARK Square Feet:(I _4of service or feeders 'Per WAC 296 10 910(5)(b)li k ii) Each outbuilding or garage $44.25 (First service/feeder-$44.25;Add=n service/ 4 of Signs(First sign $33.50; addm sign (Inspected separately) feeder-$28 each) $10.00 each) _Progress inspection per 2 hr $33.50 _Swimming pool,hot tub,spa...... ..........67.00 -Yard Pole meter loops 4425 NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL (Includes three units or more) COMMERCIAL/INDUSTRIAL Service Feeder Altered Service or Feeders U w 200 amp Amps Service or Add'n P. $7__5 $21.50 Feeder Oto-60 $7 00 201 -400 amp 89,75 44.25 0 to 100 Feeder- 01 -600 109.00 401 -600 amp 123.21 $7_.25 $44.25 601 - 1000 7 61.50 101 -200 - S2.73 -601 -SOU amp li8.00 84.25 9.75 67 00 over l UUO 201-400 - 5_J, _ Over S00 amp225.25 169.00 67.L10 of circuits ALTERED SINGLE/MULTI FAMILY 169.00 __401 -600 197.00 78,7" _601 -500 25, (1-5 circuits-$56.25;Add=n circuits,55 cal (When inspected separately from the services) 801 - 1000 x4 10 107.2] Service or Feeder 310.7, 129.75 Tzmpurary Service Se U to 200 amp __ Over 1000 339.00 181.00 0 to oU 5 61.50 Over 600 volts 2 5 - $44.23 201-600 ampsurcharge56._a _61 - 100 44 2i 89.75 _Mast or meter repair 61.5Q 101 -200 2- -over 600 amp 131.25 - io_, __Mast or meter repair 3350 40l -400 89 UU 4 of circuits 401 -600 59.75 (1-4 circuits-$44.25;Add=n circuits$5 ea) over 600 97.75 if service is greater than 200 amp,a plan review is req=d.Fee is 35%of permit fee+$56.25.Add='plan reviaw for other submissions is$67.00/hr. FIXTURE DESCRIPTION (A) FIXTURE FEE FROM TABLE B (B) - NUIeIBER OF UNITS(C) TOTAL(D) -- I TOTAL COLUMN (D): Estimated Permit Fee: (12) Total Column fol Estimated Plan Review Fee: $56.25 + Estimated Permit Fee from line 12 X .35 = (13)_ -_ ■ DEMOLITION --__. WATER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑TACOMA o PRIVATE(WELL) ply SEWER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE o PRIVATE(SEPTIC) M 0 9 ?poi **NEW RESIDENTIAL CONSTRUCTION ONLY** vBUILDING DEPTv� r cui il3.L WAY . NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • PROJECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) FAN(S) HOOD(S) (FIREPLACE INSERT(S) RANGE(S) MISC. TOVE(S) BOILER(S) ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC o GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( ) INTERCEPTOR(S) SUMP(S) • 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-pFemises • perform the work for which the permit application is made. I further agree to hold harmless the City of Federal • :y as t• •• claim (including costs,expenses,and attorneys'fees incurred in the investigation and defense of such claim),whic ay be�•••e by any person,including the undersigned,and filed against the City of Federal Way,but only where s • claim ari out ops• reliance of the city,including its officers and employees,upon the accuracy of the information supplied to theme. • part oma+s application. NAME/TITLE: /r�Ji� DATE:Ir ' 1 o PROPERTY OWNER ■ •PPLI •NT o CONT . OR