09-104976City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: WHITE
Project Address: 2418 SW 331ST ST
Project Description: Install a new /required electrical outlet
41 Etedvical
Permit #: 09- 104976 -00 -EL
Inspection Request Line: (253) 835 -3050
Parcel Number: 894500 0570
Own r
Applicant
Contractor
LANI WHITE
LANI WHITE
LANI WHITE
2418 SW 331ST ST
2418 SW 331ST ST
2418 SW 331ST ST
FEDERAL WAY WA
FEDERAL WAY WA
FEDERAL WAY WA
98023 -2832
98023 -2832
98023 -2832
Is Use Educational or Institutional ? .......................No
Circuits -, Residential ...................... 1
PERMIT EXPIRES Wednesday, December 22,,2010
Permit Issued on Tuesday, December 22, 2009
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 Federal Way.
Owner or agent:
�` h'- Date: 1 z
Ft
171/30/09
Crrr OF
Federal Way
PERMIT #:
Owner:
THIS CARD IS T OREMAIN ON -SITE ,
Is Construction I ection Record
INSPECTION REQU TS: (253) 835 -3050
09- 104976 -00 -EL
LANI WHITE
Address: 2418 SW 331 ST ST
FEDERAL WAY, WA 98023 -2832
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.
❑
UFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)
Slab /Concrete Floor (4255)
Service (4235)
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
Date
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
Right of Way
Approved
Approved
Date
Approved
Date
Approved
By
Date
By
Date
By
Date
E]
Feeders /Sub - panels (4045)
Rough Electrical (4225)
E]
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
Date /Z_
By
Date
Final - Electrical (4055)
Approved
Date
Rough Electrical
Approved
Final Electrical
Approved
M
Right of Way
Approved
By
Date
By
Date
By
Date
Federal Way O PERMIT
CObWAMDEVELOPMENT sE sE C E I CAT I O N
253- 835.2607• FAX 253 -835-2
www.ritnot % der U.com
—I
SUITE /UNIT i
Kim
NAME OF PROJECT
(Tenant or Homeowner Name)
10 2- 1�12 �yz�
SAF CO ME to PL DE EN FP
l
r--f d j�- -4- wA
IAV
111 1 ASSESSOR'S TAR /PARCEL 0
TYPE OF PERMIT I ❑ DEMOLITION ION ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
OWNER IS ALSO:
CONTRACTOR
APPLICANT
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
concerning this application)
PROJECT FINANCING
Required for projects with
value of $5,000 or more
(RCW 19.27.095)
I' l.- l'%r i C
NAME PRIMARY PHONE
L l er, e , 3 Z.�-
MAILING ADDRESS, CITY, STATE, ZIP E-NAIL
�" �; s&, Ly���s
CONTRACTOR APPLICANT ROJECT CONTACT
NAME PRIMARY PHONE
NAILING ADDRESS, CITY, STATE, ZIP FAX
WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 0
NAME
PRIMARY PHONE
NAILING ADDRESS, CITY, STATE, ZIP
FAX
NAME
PRIMARY PHONE
MAILING ADDRESS, CITY, STATE, ZIP
FAX
ALTERNATE CONTACT NAME:
PRIMARY PHONE
E-MAIL
NAME
0 OWNER- FINANCED
MAILING ADDRESS, CITY, STATE
PRIMARY PHONE
i I _
I certify under penalty of perjury that Z 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. Z certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. Z 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.
Z 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 a parrt�of his application. �
SIGNATURE: /�� DATE �'�- 2--Z Z t9f
PRINT NAME:l�"
Bulletin # 100 - 4/17/2009 Page 1 of 4 k:\Handouts\Permit Application
f) ELECTRICAL I*
.,
RESIDENTIAL
COMMERCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet
(including attached garage):
1st Service /Feeder Additional Feeders
0 - '100 amp x $131.50 x $ 80.00
FEES: First 1300 ft2 - $121.00;
101- 200 amp x $16100 x $103.00
Each additional 500 ft2 -$39.00
201 - 400 amp x $305.50 ( x $120.50
NEW MULTIFAMILY (3 units or more)
401 - 600 amp x $356.00 x $142.50
1- Service /Feeder Additional Feeders
601 - 800 amp x $460.50 x $195.00
0 - 200 amp X $131.50 x $ 39.00
801 - 1000 amp x $562.50 - x $235.50
201 - 400 amp x $163.00 `' x $ 80.00
Over 1000 amp' '' x $613.00 ; ' _ x $327.00
401 - 600 amp x $223.00 x $111.00
601 - 800 amp x $285.50 x $152.50
Over 600 volts_ surcharge x $103.00
Over 800 amp x $408.50 x $305.50
ALTERED SINGLE or MULTI FAMILY
ALTERED COMMERCIAL
1- Service /Feeder Additional Feeders
1st Service /Feeder Additional Feeders
0 - 200 amp x $100.50; x $ 39.00
0 - 200 amp x $131.50 x $103.00
201- 600 amp x $163.00 ; ` x $' 80.00
201 - 600 amp x $305.50 x $142.50
Over 600 amp x $245.50 < x $111.00
601 - 1000 amp x $460.50 x $235.50
Over 1000 amp x $513.00 x $327.00
Added or Altered Circuits
1 -4 circuits $80.00; each additional $8.00
Added or Altered Circuits
1 -5 circuits $103.00; each additional $8.00
Mast or meter repair $60.50
Mast or meter repair $111.00
MANUFACTURED HOMES
PLAN REVIEW FEES
Service or feeder only x $ 80,00
$103.00 plus 351/6 of Permit Fee; Plan Review required for:
Service and feeder x $131.50
❑ New, or alteration to, service of 1,000 amps or greater
❑ Medical /Educational /Institutional Facility
Plan review for modified submittals $120.50 /hour
MISCELLANEOUS
SERVICE/ EQUIPMENT
LOW VOLTAGE
TEMPORARY SERVICE
❑ Fire Alarm System
❑
1st Service /Feeder Additional Feeders
Security Alarm System
❑ Voice /Data Cabling
0 - 60 amp x $ 71.00 x $ 32.00
❑ Other
Area to be served by system:
6.1 - 100 amp x $ 80.00 - x $ 39.00
1.t 2,500 ft2- $71.00; each additional 2,500 ft2 - $18.50
`.50
101 - 200 amp x $103 x $ 51.00
201 - 400 amp x $120.00 x $ 60.50
# of Thermostats
401 - 600 amp x $163.50 x $ 80.00
First $60.50; each additional $18.50
Over 600 amp x $183.00 x $ 92.00
# of signs
**NOTE: an automation fee of $6.00 will be charged
First $60.50; each additional $28.50
on all permits**
Yard Pole /meter loops /pedestal x $ 80.00
Portable Generator (transfer equipment) x $100.50
For fixtures or fees not listed contact the Permit Center at
Ditch cover /inspection only x $120.50
253 -835 -2607
Bulletin #100 - 4/21/2009 Page 3 of 4 k:\Handouts\Permit Application