07-103245 •
City of Federal Way Electrical Permit #: 07-103245-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)8352607 Fax (253)835-2609 - Inspection Request Line: (253)835-3050
Project Name: PACIFIC HWY HOV LANES PHASE III-296TH/PHS
Project Address: SW CORNER OF 296TH& PACIFIC HWY S ,:mel Number:
Project Description: Install 100-amp service for new traffic signal &street lighting.
Owner Applicant Contractor
BRIAN ROBERTS TOTEM ELECTRIC TOTEM ELECTRIC
CITY OF FEDERAL WAY-PW PO BOX 1093 TOTEMET315BS(9/30/07)
PO BOX 9718 TACOMA WA 98401 PO BOX 1093
FEDERAL WAY WA 98063-9718 TACOMA WA 98401
•
Additional Permit Information
Electrical Fixtures
Service/Feeder: 0-100 amps-Con 1
PERMIT EXPIRES Tuesday, December 11, 2007
Permit Issued on Thursday,June 14, 2007
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 b in accordance with the laws, rules and regulations of the State of Washington
• - ' of Federal Way.
i
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Owner or agent: i ,/r .4A 1 /��!/Jit.� Date: 6 y_O
1414h6„ THIS CARD IS TO REMAIN ON-SITE r-
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-103245-00-EL
Owner: BRIAN ROBERTS
Address: SW CORNER OF 296TH & PACIFIC HWY S
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.
0 Slab/Concrete Floor(4255) .
❑ Ditch cover(4030) .❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
. .
— 0 Temporary Power(4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By . 1:;::) Date/-2.6": By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date
❑ UFER Ground (4295)
Approved
By Date
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
RECEIVED
y JUN 14 2007 07- - 11� 3_ac/ 5
�i A
y
Federal WaERWCE OP kretERAL WA?ERMIT EL SF MF CO PL DE EN FP
33 5 Bn+NAVENUE SOUTH�5 BOX 97p U'LD I N e Q T
FEDERAL WAY,WA 98063-9718 APPLICATION TD ( 7....................____Ly
253-835-2607•FAX 253-835-2609
www.cityoffederalway.com
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS oC'1 Co 0 0 (t c..t Pt G- ,!x"(1)4 PCse S 0. SUITE/UNIT it
ASSESSOR'S TAX/PARCEL# _ _'. - __ __ LOT SIZE(s,)
LEGAL DESCRIPTION(e.g.Acme Estate's,Lot 1)
(Aaach separate page for lengthy legal description)
MI PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION pi ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onll{)
..NIISTA LA_ (00 AMP SER.Vice FO(. T12AFF1C SlctlaANL 4 STt2eeT LtC.H-T1P)C
WCA-TED ON MC SOuTiiwisST t..0(tNKL OF OA-soPOINT a.oPcO A-6-J0
PAGtFtL -k-4,4-i1 s0. I
SGJC49A1-6N7 eiL 7M-S
PROJECT NAME(Name of Business or Owner Last Name) PAC I F tG 1414 44..)o So. Pio V i_4'J S PAS E DI
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER -C- 1 "r`? OF rete2.Al_ WA`? ?vat.lc woc2KS ( ) -
MAILING ADDRESS CITY.STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
TOT cN. CI.etTetie_ (253) 383 - 504.2
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( o , 3oX t 09 3 TA(AD nAA wA 98401 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
19-q9 - 1O d730 - 00-8L ta (3( (a, ( ) -
(bPY of card required CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
wire e.ce tar:
�' T O T E.M E-T 3 t S as 9110 / 0/
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
-ro-rc- ececnQtc_ (ass) 383 - so.a0
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
P. o- boX 1093 TACA)ft-AA(LA)A 48(101 ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect 0 Tenant 0 Agent o Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095: 1
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
1111 DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ L4iEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SP
"IVEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture to be instnllvd or relocated as part of this project Do not include existing fixtures to remain.
MECHANICAL
VNt u'of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS _ GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS frollet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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. J�
NAME/TITLE WQ,.� �/l L 6 PRC S i OEP f1 DATE (40 (3 •o
(Signature) (title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
o NEW ❑ADDITION o ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES ❑NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100-April 2,2007 Page 2 of 4 k\Handouts\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-$111.00;Each add'n 500 ft2-$35.50) g 0 to 100 amp $120.50 $74.00
❑ Detached outbuilding or garage ❑ 101-200 amp 149.50 94.50
(Inspected with service) $47.00 ❑ 201-400 amp 280.00 111.00
❑ Detached outbuilding or garage ❑ 401-600 amp 327.00 131.00
(Inspected separately) $74.00 ❑ 601-800 amp 423.00 179.00
O 801 - 1000 amp 516.50 216.00
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $35.50 ❑ Over 600 volts surcharge $94.50
❑ 201 -400 amp 149.50 74.00 ❑ Mast or meter repair $102.00
❑ 401 600 amp 205.00 102.00 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 262.00 140.50
❑ Over 800 amp 375.50 280.50 Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY ❑ 201-600 amp 280.50
Service or Feeder ❑ 601 - 1000 amp 423.00
❑ over 1000 amp 471.00
❑ 0 to 200 amp $92.50
❑ 201 -600 amp 149.50 ❑ #of circuits to be added/altered
❑ over 600 amp 225.50 (1-5 circuits-$94.50:Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$74.00;Add'n circuits$7.00/ea) $94.50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $55.00 U Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARS Residential/Multi-Family $65.00
❑ #of service or feeders
(First service/feeder-$74.00:each add'n-$48.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $74.00
❑ 101-200 amps 94.50
U 201-400 amps 111.00
❑ 401-600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $111.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Eire_Alarm System_. -❑-Yard-Pole meter loops- - - $74.00-
0 Security Alarm System ❑ Additional Plan Review $111.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling 4 Automation Fee on all Permits $5.00
let 2500 ft2-$65.00;
Each add'n 2500 ft2-17.00).Per WAC 296-46-910(5Xb)(i&it
Bulletin#100-April 2,2007 Page 3 of 4 k\Handouts\Permit Ap " tion