09-104450' J�
City of Federal Way 0 ` 7� �i(.J 2 Electrical
Q
Community Development Services Permit #. 09- 104450 -00 -EL
P.O. Box 9718
Federal Way, WA 98063 -9718 Ins ection Request Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 p a
Project Name: KOLSTAD
Project Address: 4606 SW 319TH PL Unit B Parcel Number: 873179 0340
Project Description: Adding/altering 0 -200 amp service
Is Use Educational or Institutional ? ....................... No
Alt. Serv./Feeder: 0 to 200 amps (I\ 1
PERMIT EXPIRES
I hereby certify that the above inform)
the occupancy and the usg will be in
Owner or agent:
Service greater than 1000 Amps ? ...........................No
rday, November 1
of F
T
W'A
I IleVIC047
Owner
Agmlicant
Contractor
ROBERT J PT KOLSTAD
NORTH POINTE ELECTRIC
NORTH POINTE ELECTRIC
4606 SW 319TH PL
3519 N BENNETT ST
NORTHPE943BZ (1/9/10)
FIFE WA 98023 -2161
TACOMA WA 98407
3519 N BENNETT ST
TACOMA WA 98407
Is Use Educational or Institutional ? ....................... No
Alt. Serv./Feeder: 0 to 200 amps (I\ 1
PERMIT EXPIRES
I hereby certify that the above inform)
the occupancy and the usg will be in
Owner or agent:
Service greater than 1000 Amps ? ...........................No
rday, November 1
of F
T
W'A
I IleVIC047
CITY OF
Federal Way
PERMIT #:
"THIS CARD IS TO MAIN ON -SITE — `'
1 Construction I ection Record
INSPECTION REQU TS: (253) 835 -3050
09- 104450 -00 -EL
Address: 4606 SW 319TH PL Unit B
Owner: ROBERT J PT KOLSTAD FEDERAL WAY, WA 98023 -2445
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.
Final - Electrical (4055)
Approved
By Date 1 _Z 0 —j
FJ
UFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)
Slab /Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date 1 _Z 0 —j
FJ
Pool Bonding (4195)
0
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Rough Electrical (4225)
Feeders /Sub - panels (4045)
E]
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date 1 _Z 0 —j
FJ
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
FederaN fCEPERMIT
COMMUMTY DBVELOPMBNT SERVIC&S
253-835-260 7• PAX 253 835 -2 APPLICATION
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F CO! ME L P fDE EN FP
TYPE OF PERMIT l ❑ DEMOLITION , 2- LETRICAL ❑ ENGINEERING ❑ FIRE PREVENTION `
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
OWNER IS ALSO:
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)
0
NAME
PRIMARY PHONE
MAILING ADDRESS, CITY, STATE, ZIP
1606 e3 cv
L
E -MAIL
0 CONTRACTOR
0 APPLICANT
0 PROJECT CONTACT
NAME t 1
N I � C'1 00
(F�c7�
PRIMARY PHONE
53 7s 7q- o-?
MAILING ADDRESS, CITY, STAYE, ZIP
-3!57q N' nee
c-�i
FAR
-
WA STATE CONTRACTOR'S LICENSE M
V0� 0 e ±Z3
EXPIRATION DATE
of 10
FEDERAL WAY BUSINESS LICENSE A
NAME
OQ 4Q01 Pot r17E
`y�
F '
&e!
PRIMARY PHONE
-
MAILING ADDRESS, CITY, ATE, ZIP
FAX
NAME
PRIMARY PHONE
MAILING ADDRESS, CITY, STATE, ZIP
FAX
ALTERNATE CONTACT NAME:
PRIMARY PHONE
EMAIL
NAME
❑ OWNER- FINANCED
MAILING ADDRESS, CITY, STATE, ZIP
PRIMARY PHONE
r 1 _
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 authorised 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 0-0 of such claim), which maybe made by any person, including the undersigned, and flied against the
city, but only when h laim arises out of reliance of the city, including its q�icers and employees, upon the accuracy of the
information supplied o t city as apart oft application.
r
SIGNATURE: DATE
PRINT NAME:
Bulletin #100 — 4/17/2009 Page 1 of 4 k:\Handouts\Permit Application
Indicate number of each type
o fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (cummvdap
BOILERS
FURNACES
HOT WATER TANKS �c�I
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include
BATHTUBS (o Tub /shc combo)
LAVS (Hand Sfi**
TOILETS _
DISHWASHERS
RAINWATER SYSTEMS
URINALS _
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS pCitcben /utwty)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
I fixtures to remain.
WATER PIPING
OTHER (Describe)
TOTA]
GENERAL INFORMATION
PROJECT VALUATION
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
EXISTING /PREVIOUS USE
LOT SIZE (In Sgnase Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
AREA DESCRIPTION I Area Construction # of
in Square Feet Occupancy Groups) Tvve Stories Additional Information
ADDITION
AREA DESCRIPTION I Area I Occupancy Group(s) I Construction I # of I Additional Information
In Square Feet Tvne .S`tnripa
TENANT AREA ONLY
i Bulletin 4100 — 4/17/2009
Page 2 of 4
k:\Handouts\Permit Application
a
• ELECTRICAL .
RESIDENTIAL
COMMERCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet
1st Service /Feeder Additional Feeders
(including attached garage):
0 - 100 amp x $131.50 x $ 80.00
FEES: First 1300 fie - $121.00;
101- 200 amp x $163.00 x $103.00
Each additional 500 ft2 - $39.00
201 - 400 amp x $305.50 x $120.50
401 - 600 amp x $356.00 x $142.50
NEW MULTIFAMILY (3 units or more)
lst Service /Feeder Additional Feeders
601 - 800 amp x $460.50 s' 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
1st Service /Feeder Additional Feeders
1st Service /Feeder Additional Feeders
0- 200 amp ? x $131.50 ' x $103.00
0 - 200 amp F x $100.50 x $` 39.00
_
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 35% 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
61 - 100 amp x $ 80.00 - x $ 39.00
-"�
Area to be served by system:
101 - 200 amp x $103.50 x $ 51.00
Pt 2,500 ft2- $71.00; each additional 2,500 ft2 - $18.50
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:\HandoutslPen:nit Application