09-104503City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
0 Electrical
Permit #: 09- 104503 -00 -EL
Inspection Request Line: (253) 835 -3050
Project Name: NEIGHBORS
Project Address: 1515 S 372ND ST
Project Description: Replace damaged electrical in south wall of main bedroom.
Parcel Number: 322104 9011
Owner
Applicant
Contractor
LOREN W NEIGHBORS
LOREN W NEIGHBORS
LOREN W NEIGHBORS
1515 S 372ND ST
1515 S 372ND ST
1515 S 372ND ST
FEDERAL WAY WA
FEDERAL WAY WA
FEDERAL WAY WA
98003 -7504
98003 -7504
98003 -7504
Is Use Educational or Institutional ? .......................No
Circuits Residential ...................... 1
PERMIT EXPIRES V
Permit Issued on
I hereby certify that the above information 1 car
the occupancy and se will be in accord c'
an t
Owner or agent:
of
ay, November 1
a
Date: 11-1 / V `7
P/1Vq4�D I L�GP�09'
crrY OF
Federal Way
PERMIT #:
Owner:
THIS CARD IS TO AIN ON -SITE
Construction Ins ction Record
INSPECTION REQUE TS: (253) 835 -3050
09- 104503 -00 -EL Address: 1515 S 372ND ST
LOREN W NEIGHBORS FEDERAL WAY, WA 98003 -7504
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
UFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)
Slab /Concrete Floor (4255)
0
Approved
By
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)
0
Temporary Power (4275)
0
Service (4235)
By
Date
Approved
By
Date
Approved
By
Date
Approved
By
Date
By
Date
By
Date
0
Rough Electrical (4225)
0
Feeders /Sub - panels (4045)
0
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date a. �1-
By
Date
0
Final - Electrical (4055)
Approved
`
By
Date Z-
J• a",
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
• CRY or
Federal Way
COIAMIMTP DEVELOPMENT SERVICES
253- 835 -2607• FAX 253- 835 -2609
www. dtwMederalwau. com
# PERMIT
APPLICATION
�- 7
MF CO ME EL PL %DE EN FP
SIT& ADDRESS a �Y
-7 -�- . reel WC, 4) Z�rtc
SUITE /UNIT# ZFS3S-.0 NG ASS T /PARCEL#
3 a- 0q-
NAME OF PROJECT
(Tenant or Homeowner Name)
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
li_
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROJECT FINANCING NAME
p OWNER- FINANCED
Required for projects with
value of $5,000 or more MAILING ADDRESS, CITY, STATE, ZIP PRIMARY PHONE
(RCW 19.27.095)
t 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 defense of such claim), whi h ay be made by any person, including the undersigned, and filed against the
City, but only w su h claim arises out the re of the city, including its qfflcers and employees, upon the accuracy of the
information suppH to city part his app on.
SIGNATURE: < DATE) — 17— — 0 q
�. r�
PRINT NAME: i� � 1
Bulletin #100 — 4/17/2009 Page I of 4 kMandout0ermit Application
call
NAME
PRIMARY PHONE
PROPERTY OWNER
C f+
( S3) 217 - A351
MAILING CITY, ST ZIP
E -MAIL
"DRESS, c
l 3 Vii r
f, I
w\j
CONTRACTOR
APPLI
PROJECT NT=
OWNER IS ALSO:
NAME
PRIMARY PHONE
CONTRACTOR
MAILING ADDRESS, CITY, STATE, ZIP
PAR
WA STATE CONTRACTOR'S LICENSE N
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE B
NAME
PRIMARY PHONE
APPLICANT
-
MAILING ADDRESS, CITY, STATE, ZIP
FAX
PROJECT CONTACT
NAME
PRIMARY PHONE
(The individual to receive and
-
MAILING ADDRESS, CITY, STATE, ZIP
FAX
respond to all correspondence
concerning this application)
_
ALTERNATE CONTACT NAME:
PRIMARY PHONE
E•MAII.
/ I
-
PROJECT FINANCING NAME
p OWNER- FINANCED
Required for projects with
value of $5,000 or more MAILING ADDRESS, CITY, STATE, ZIP PRIMARY PHONE
(RCW 19.27.095)
t 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 defense of such claim), whi h ay be made by any person, including the undersigned, and filed against the
City, but only w su h claim arises out the re of the city, including its qfflcers and employees, upon the accuracy of the
information suppH to city part his app on.
SIGNATURE: < DATE) — 17— — 0 q
�. r�
PRINT NAME: i� � 1
Bulletin #100 — 4/17/2009 Page I of 4 kMandout0ermit Application
call
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub /Showcccombo)
LAVS (HandSinl*
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen /utaity)
WATER HEATERS (Electric(
HOSE BIBBS
SUMPS
WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
PROJECT VALUATION
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
EXISTING /PREVIOUS USE
LOT SIZE (Ia Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
AREA DESCRIPTION I Area Construction # of
in Square Feet Occupancy Group(s) TvDe I Stories Additional Information
ADDITION
AREA DESCRIPTION
TENANT AREA ONLY
Area Occupancy Group(s)
in Square Feet
Construction I ^ # of I Additional Information
Bulletin # 100 — 4/17/2009 Page 2 of 4 k:\liandouts\Pertnit Application
S
. ELECTRICAL •
RESIDENTIAL
COMMERCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet
1,1 Service /Feeder Additional Feeders
(including attached garage):
0 - 100 amp x $131.50 x $ 80.00
FEES: First 1300 ft2 - $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)
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
13t Service /Feeder Additional Feeders
1s1 Service /Feeder Additional Feeders
0 - 200 amp x $131.50 x $103.00
0 - 200 amp 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
0
$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
15= 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:
1.1 2,500 ft2- $71.00; each additional 2,500 ft2- $18.50
101 - 200 amp x $103.50 x $ 5 <1.00
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:lHandouts\Permit Application