12-100279Alec trical
City of Federal Way •.
Community & Econ. Dev. Services Permit #: 12-100279-00-EL
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: (253) 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609.
Project Name: DIXON
Project Address: 37201 1ST AVE SW Parcel Number: 218820 3475
Project Description: Mast /meter repair.
w er
Applicant
Contractor
KAREN DIXON
D & A ELECTRIC LLC
D & A ELECTRIC LLC
1821 DUVALL AVE N
33410 30TH AVE SW
DELEC *E897D5 (4/24/13)
RENTON WA 98059 -3915
FEDERAL WAY WA 98023
33410 30TH AVE SW
FEDERAL WAY WA 98023
HV ,.;. b R` T R i°i xx` ! a _ /�►C .0 it101K1 � �� , �. ; i 0 0,
v, ,x *' m. .r,'. �.,, aD ,: .�,v _... .,1 .,,.a -,�`u � ," !.. ,x: ,. �..-� .�. ,_.. ,. _,Es
Is Use Educational or Institutional ? ....................... No
Mast or Meter Repair (Residential/ 1
PERMIT EXPIRES Tuesday, January 22, 2013
Permit Issued on Monday, January 23, 2012
hereby certify that the above information is correct and that the construction on the above described property and
the occupa i e i ordance with the Jaws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or ag Date:
I /74/12P
CITY OF
Federal Way
THIS CARD IS TO MAIN ON -SITE
Construction I ection Record
INSPECTION REQUE TS: (253) 835 -3050
PERMIT #: 12- 100279 -00 -EL Address: 37201 1 STAVE SW
Project: KAREN DIXON FEDERAL WAY, WA 98023 -7313
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.
F]
UFER Ground (4295)
E]
Ditch cover (4030)
13
Slab /Concrete Floor (4255)
Service (4235)
Approved
By
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
E] Pool Bonding (4195)
Rough Electrical
Approved
E]
Temporary Power (4275)
Final Electrical
Approved
Service (4235)
Approved
By
Date
Approved
By
Date
Approved
By Date
Date
By
Date
By
Date
E:]
0 Feeders /Sub - panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By --mac Date
D
Rough Electrical
Approved
El
Final Electrical
Approved
E]
Right of Way
Approved
By
Date
By
Date
By
Date
CITY a1F
Federal Way ELECTRIC.
PERMIT APPLICATIC� .
CITY OF FEDERAL WAY
* *Most electrical permits may be obtained on -line at www.ciC'eralway.com **
SITE ADDRESS: % °-7 Zo
I (S Au, S vJ
1?
SUITE /UNIT /SPACE M
ASSESSOR'S TAX /PARCEL N
314 751
CURRENT /PROPOSED USE
CT NAME
.
(Tenant r Homeowner Last Name)
` ia I
t• yy
PROJECT DESCRIPTION
y
Detailed description of work to
be included on this permit only
OWNER
NAME
D,
PRIMARY PHONE
PROPERTY
r' vti
MAILING ADDRESS
E -MAIL
CITY
STATE
ZiP
FAX
r
N
PRIMARY PHONE
MAIUNG ADDRESS
r
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E -MAD.
ELECTRICAL
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CONTRACTOR
CITY
T_:�
STATE
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ZI
1 9. F 6 Z---2
FAX
( ) -
WA STATE CONTRACTOR'S LICENS M EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE N
6 ✓ r 1/
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E -MAIL
CITY
STATE
ZIP
/ FAX
l
PROJECT CONTACT
NAME
PRIMARY PHONE
}
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 a reliance of the city, including its officers and employees, upon the accuracy of the
informal u plied to the 46ity as apart of 64 application.
1-23_ lz
PRINT NAME:
33325 8° Avenue South ♦ Federal Way ♦ WA 1 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com
Bulletin #160 — January 1, 2011 Page 1 of 2 kMandouts0ectrical Permit Application
RESID
NEW SINGLE FAMILY RESIDENCE
Total Square Feet
(including attached garage):
FEES: First 1300 ft2 - $122.00;
Each additional 500 ft2 - $39.00
NEW MULTIFAMILY (3 units or more)
1seSe„rvice /Feeder Additional Feeders
,s
2Q1 400,.z3nig.,.. „$lii4 :00 „': x
6f11'', 80 a np w x: $287 04 x ” $1,5& 50
r ,_.. yam,. Ol,. .aA 010
ALTERED SINGLE or MULTI FAMILY
e /Feeder
Added or Altered Circuits...
1 -4 circuits $80.50; each addition,il
Mast or meter repair $60.50
MANUFACTURED HOMES
$z $ 80.50
406051 $0z”
i
NEW COMMERCIAL
11t Service /Feeder Additional Feeders
$236.$0
Oyer,iO vvl sucrge ,. . <, ., Vic. $103.5t}
ALTERED COMMERCIAL
I st Service /Feeder Additional Feeders
2�1t.�. °6q(K.atdF... ,...,' r ..� �O�T.OfI..., - f....,�;;•.�$221;Q
X,,3
Added or Altered Circuits
1 -5 circuits $103.50; each additional $8.00
Mast or meter repair $111.50
PLAN REVIEW FEES
Plan Review required only for:
• New, or alteration to, service of 1,000 amps or greater
• Medical /Educational /Institutional Facility
$103.50 plus 35% of Permit Fee
(Permit Fee x 35% _ + $103.50 = Plan Review Fee)
Plan review for modified submittals $105.50 /hour
MISCELLANEOUS SERVICE /EQUIPMENT
LOW VOLTAGE
❑ Fire Alarm System
❑ Security Alarm System
❑ Voice /Data Cabling
❑ Other
Area to be served by system:
1st 2,500 ft2- $71.00; each additional 2,500 ft2- $18.50
# of Thermostats
First $60.50; each additional $18.50
Yard Pole /meter loops /pedestal x $ 80.50
Portable Generator (transfer equipment) x $101.00
Ditch cover /inspection only x $121.00
TEMPORARY SERVICE
111 Service /Feeder Additional Feeders
FEE CALCULATIONS
• Fees are determined by the scope of work as indicated.
• A $6.00 Automation Fee will be added to all permits.
• For assistance in calculating fees or completing the
application form, contact the Permit Center at
253- 835 -2607
33325 8" Avenue South # Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 1 fax: 253- 835 -2609 ♦ www.ciryoffederalway.com
Bulletin #160 — January 1, 2011 Page 2 of 2 k:\Handouts \Electrical Permit Application