12-104347City of Federal Way
Community & Econ, Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253)835 -2609
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Permit #: 12- 104347 -00 -EL
Inspection Request Line: (253) 835 -3050
Project Name: LANHAM
Project Address: 2612 S 311TH ST Parcel Number: 798440 0140
Project Description: Replace 0 -200 amp service
Owner
Apgycan
Contractor
ALICE LANHAM
ALICE LANHAM
OWNER IS CONTRACTOR
2612 S 311TH ST
2612 S 311TH ST
FEDERAL WAY WA
FEDERAL WAY WA
98003
98003
Additional Permit Information
Is Use Educational or Institutional ? .......................No
Alt. Serv./Feeder: 0 to 200 amps (F 1
PERMIT EXPIRES Saturday, March 23, 2013
Permit Issued on Monday, September 24, 2012
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. Date: ���Al "/a
0*
FIN. °�! ,ED
I o % /tZ
I
CITY OF 4
Federal Way
PERMIT #:
THIS CARD IS TO IN ON -SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835 -3050
12- 104347 -00 -EL Address: 2612 S 311TH ST
Project: ALICE LANHAM FEDERAL WAY, WA 98003 -5010
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
ER Ground (4295)
Ditch cover ( 030)
Temporary Power (4275)
Slab /Concrete Floor (4 55)
0
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)
0
Temporary Power (4275)
0
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0
0
Rough Electrical (4225)
Ceiling Cover (4020)
0
Feeders /Sub- panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0 Final - Electrical (4055)
Approved
By Date (7 — 2 -'
Rough Electrical Final Electrical
Approved Approved
By Date By Date
C)
CITY OF
FedgVMp ELECTRICAL
sEP 24 2012 PERMIT APPLICATION
its may be obtained on -line at www.ci
com * *
SITE ADDRESS: 261L SO. 311fA ,V , Fealeral Way, W,4 98 043
SUITEjUNIT /SPACE• ASSESSORS TAX i CURENT /PROPOSED USE �� O - Q ( ��
PROJECT NAME Lani�a shD %$e �i
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
/,% /
PROPERTY OWNER NAME 94 Lanham- 5A01,s'eA
MAILING ADDRESS
24Iz Se, 1 /tti S
CITY STATE ZIP
F, G�1, WA 98 043
NAME
MAILING ADDRESS
ELECTRICAL
CONTRACTOR CITY STATE I ZIP
WA STATE CONTRACTOR'S LICENSE N
EXPIRATION DATE
l %
PRIMARY PHONE
(25j) 797 - Yi15Z
E-MAIL
FAX
PRIMARY PHONE
(
E-MAIL
FAX
( )
FEDERAL WAY BUSINESS LICENSE M
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT &^.a- —
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 is true 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 apart of this application-
SIGNATURE:
PRINT NAME:
A�v �/1'i7 • DATE �'�' f�
33325 8h Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253 -835 -2609 ♦ www.cityoffederalway.com
#160 — January 1, 2011 Page 1 of 2 k:WandoutslElectrical Permit Application
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RESIDENTIAL
COMMERCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet
11t Service/Feeder Additional Feeders
(including attached garage):
FEES: First 1300 ft2 - $122.00;
Each additional 500 W - $39.00
* ,
,`, t 14:St3
NEW MULTIFAMILY (3 units or more)
j5 ,rz
152 Service /Feeder Additional Feeders
.. . >.. .,
�3
4ry�]5�1�.
ALTERED SINGLE or MULTI FAMILY
ALTERED COMMERCIAL
152 Service/Feeder
1 st Service /Feeder Additional Feeders
;> .
A k.. ' i"Ift-W.,
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
REVIEW FEES
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ivt - a805t3
Plan Review required only for:
• New, or alteration to, service of 1,000 amps or greater
• Medical /Educational /Institutional Facility
$103.50 plus 351/o of Permit Fee
(Permit Fee x 35% _ + $103.50 = Plan Review Fee)
Plan review for modified submittals $105.50 /hour
MISCELLANEOUS
SERVIMIMMMOENT
LOW VOLTAGE
TEMPORARY SERVICE
❑ Fire Alarm System
❑ System
152 Service /Feeder Additional Feeders
Security Alarm
❑ Voice /Data Cabling
n
Other
Area to be served by system:lP�
13L 2,500 ft2- $71.00; each additional 2,500 ft2- $18.50
# of Thermostats
First $60.50; each additional $18.50
,
�`$ 6 ��'�� „�
.'`104
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 1 WA ♦ 98003 -6325 1253 -835 -2607 # fax: 253- 835 -2609 ♦ www.cityoffederalway.com
Bulletin #160 — January 1, 2011 Page 2 of 2 k:\HandoutsTlectrical Permit Application