04-103712 '. I City of Federal Way
Community Develdpment Services Electrical Permit #:04 - 103/�/
12 - 00 - EL
33530 1st Way S 4
Federal Way,WA 98003-6210 1
Ph:253.661.4000 Fax 253.661.4129 Inspection request line: 253.835.3050
Project Name: SW CORNER OF S.296TH PL&MILITARY RD
Project Address: Parcel Number: N/A
Project Description: Install 120/240V 100amp service and(2)new street light for the SW corner of S.296TH PL&Military
RD
Owner Applicant Contractor
CITY OF FEDERAL WAY-CDS PRIME ELECTRIC INC PRIME ELECTRIC INC
33530 1ST WAYS 13301 SE 26TH ST 13301 SE 26TH ST
FEDERAL WAY WA 98003 BELLEVUE WA 98005 BELLEVUE WA 98005
(425)747-5200
Electrical Fixtures
Description_ _ ]� ty' Description Quantity [ Description !Quantity
i Quanti
Service/Feeder: 0-100 amps-Comma 1
PERMIT EXPIRES March 14,2005.
Permit issued on September 15,2004
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
Owner or agent: lik-/. 0V.C7
Date: ) CD -a Li
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THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Development Inspection Record
Federal Way. - IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103712-00-EL
Owner: CITY OF FEDERAL WAY - CDS
Address: CITY WIDE
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.
O Slab/Concrete Floor(4255) [ Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete ,� Approved ` Approved
By Date By 111, j' Date q I f1L} By Date
ig,4
❑ Temporary Power(4275) Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
•\..\\
By Date B r,
'‘kiDate By Date
. �
P Rough Electrical(4225) ❑ Ceiling Cover(4020) ►2• Final-Electrical(4055)
Approved Approved Approved
By S Date4- Z .v By Date By `,� Date
.❑ Under-slab groundwork(429 )
Approved
By Date
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FederalWay PERMTT
COMMUM7Y DEVELOPMENT SERVICES V --+ x 5 ?' Q'? SF MF CO M: DE EN FP
33530 MST WAY WA 806• BOX 9718 A P P L I Q T'I ATE,., ,,,,Y TD
FEDERAL WAY,WA 98063-9718
253-6614115•FAX 253-661-4129 t,
www.cityofederalwau.com BUIL.):-. -
The ollowin• is re•aired in ormation-an incom•lete a••lication will not be acce•ted. Please •rint le•ibl in ink or t •e.
p( ii�( PROPERTYI, INFORMATION
SITE ADDRESS S Z-1 1n f i `( ' l iiwo 1Q_d S SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ LOT SIZE (sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal descnpton)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
'*•+Sc t\ 12 of 24& Ic A Seivict. p.,I' CO nc>'-J Skilt* 1)L,45
(StO Car nw.
PROJECT NAME(Name of Business or Owner Last Name) L{/ d 6:14.4_,,Tf t GS
1
PEOPLE INFORMATION
PROPERTY NAME . PHONE
OWNER /....IO � of t pr 5eS r". . ( )
MAILING ADDREgg CITY,STATE,ZIP
21b2. S 39-11 f+ r( F-44.4, W , w 9Tc 63
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
eNdht Fi1!✓ C. (425 )74'7 S?,ao
M ILING ADDRESS CITY,STATE,ZIP CELL PHONE
13341 3 E 2C 5-1-- gd(w-t � cg�S ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER f EXPIRATION DATE FAX NUMBER
2 0 - o o- I o I 2 (, 7- B L 12 / '3 / u4 (10S)14'7 -5952.
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
Q - t h E E 1 i 3 Li g -r 1 /3o / 06
APPLICANT CO NY NAME ^ APPLICANT NAME OFFICE PHONE
\r:,n-,L 1Glcc.4.r%c. ((-12s)-.I? S2.
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
1';301 S E 20 Sk Del(evt..e, kJA 9?ci ( ) -
RELATIONSHIP TO PROJECT FAX?UMBER
❑ Architect ❑ Tenant ❑Agent 0 Other(Describe) (IINNtt S )747 -
CONTACT NAME (\_ S t U C Cc (4^ ) tPHONE 111 - c��
W E-MAIL ADDRESS
el
LENDER Per RC11NAME
9.27.095: Lender Information is 6
required it proiett value exceeds V4000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture 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(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or rob/Shower Combo) SHOWERS WATER CLOSETS rrouery MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Smks) 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. It 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 wheresuch claim
arises out of the reliance of the city, ncluding its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE /11 DATE Ct —I
( i ture) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ gent Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
o NEW ❑ADDITION a ALTERATION ❑REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES' o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? a YES ❑NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application
•
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-$87.00;Each add'n 500 ft2-$28.00) lit 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage LI 101-200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201-400 amp 220.50 87.00
❑ Detached outbuilding or garage ❑ 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) CI 801 - 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 400 amp 117.50 58.00 CI 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
❑ 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 COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea)
$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) 1a,2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) "Per WAC 296-46-910(5)(b)(i&ii)
Bulletin#100-March 30,2004 Page 3 of 4 k\Handouts-Revised\Permit Application