09-100807•
Applicant
Contractor
�. Electrical
City of Federal Way
Community Development Services
P.O. Box 9718
EVERGREEN STATE ELECTRIC INC
4 �.
",
Permit #:
69-100807-00-EL
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
ORTING WA 9831
+.:.
Inspection Request
P
q Line: 253 835 -3050
ORTING WA 98360
Project Name: LEAL
e O
Project Address: 34701 5TH AVE SW
4
Parcel Number: 132172 0150
Project Description: Adding /altering (4) circuits for future porch and
gazebo.
Owner
Applicant
Contractor
KARI LEAL
EVERGREEN STATE ELECTRIC INC
EVERGREEN STATE ELECTRIC INC
co -owner Sandra Matteson @ 253- 952 -9343
PO BOX 1448
EVERGSE066JA (4/1/10)
34701 5TH AVE SW
ORTING WA 9831
PO BOX.1448
FEDERAL WAY WA 98023
4
ORTING WA 98360
CAS �
' THIS CARD IS T(WMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 09- 100807 -00 -EL
Owner: KART LEAL
Address: 34701 5TH AVE SW
FEDERAL WAY, WA 98023 -8357
This card is part of your required inspection documents.
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)
❑ Slab /Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By Date
By
Gti, Date
By Date
Pool Bonding (4195)
❑
Temporary Power (4275)
❑ Service (4235)
Approved
Approved
Approved
By Date
By
Date
By Date
❑ Feeders /Sub - panels (4045)
Approved
By Date
❑ Final - Electrical (4055)
Approved
By Q, Date t 1,Oct
❑ Rough Electrical (4225)
Approved
By Date
❑ Ceiling Cover (4020)
Approved
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
,m,. A.L
Cae>PMENTasy Q 4.20►" PERMIT
33325 8 ER,eW WAY, 9 M PO
-971 9 8 APPLICATION
FEDERAL WAY, WA 98063-9718
22w 2 � FEDERAL WAY
"q 0 E-07
SF MF CO M EL L DE EN FP
The following is requirQ motion - an incomplete application will not be accepted. Please print legibly (in inV or type.
PROPERTY O•
SITE ADDRESS 34701 5th Ave SW, Federal Way WA SUrTE /UNIT#
ASSESSOR'S TAx/PARCEL # -L 3L2-1 21 7? 41 0` _ - — — LOT SrzE (Sp
LEGAL DESCRIPTION (e.g. Acme Estates, Lot i) Leal Residence
(Annch -P...e P.Wf r ienyt W kQW descrWtloN
E PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION IX ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detaiied description of work included on this aermft onlul
Add /Alter 4 or fewer circuits for the followings install tow 20 Amp
circuits, one for water feature & one for future porch / gazebo.
Install new wire for postlights to replace wire damaged by other-; K
add switch leg off of garage exterior lights for post lights.
PROJECT NAME (Name of Business or Owner Last Namel Leal, K a r
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EBISTING USE
PEOPLE INFORMATION
NAME PRIMARY PHONE
Leal, Kari ( 253) 347 -6330
MAIIING ADDRESS CITY, STATE. ZIP E -MAIL ADDRESS
147nl_ s
COMPANY NAME APPLICANT NAME
OFFICE PHONE
Evergreen State El
( )
MAH ING ADDRESS CTIY. lIA . ZQ'
CELL PHONE
PO Box 849
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER &PIRATION DAZE
FAX NUMBER
Sumner WA 98390
( 253) 770 -1767
19-99-106639-
FAX NUMBER
t 2 5 B 770-1767
COPIRACTWS WW RA 010 NUMB= RxrntATM DATE
E- MAILADDRESS
EVERGSE066JA 04-01-2010
wizeclN.n�- vaihm.crm
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
Evergreen State Electric
(253)77 -0656
MMUNG ADDRESS
UM, SfA1le, ZIP
CELL PHONE
PO Box 849
Sumner WA 98390
t ) -
RELATiONSHIP TO PROJECT
Architect ❑ Tenant ❑ Agent )g other E l e c t r i c a l Contract
FAX NUMBER
t 2 5 B 770-1767
NAME PRl14IARY PHONE E-MAIL ADDRESS
(-Iris n:e ( 253 ) 770 -0656 veIre
NAME Per RCW 19.27.095:
yeller ir;formation is sequined Jfprelect value exceeds $5,000 -
PROPOSED USE
EBISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORM $
SPPj NZLXRED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PR0P0SED /RE9UM=? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAMEHAVEN o HIGHI M ❑ TACOMA ❑ PMATE (WELL)
SEWER SERVICE PROVIDER ❑ LAMEHAVEN ❑ HIGIUME ❑ PRIVATE (SEPTIC)
PEELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESWENTM SERVICE
NEW COMMERCIAL/INDUSTRIAL SERVICE
• Single Family Square Feet
Service or Feeder Each Add 'n
(First 1300 ft2- $115.50; Each add'n 500 ft2 - $37.00)
❑ 0 to 100 amp $125.50 $ 76.50
• Detached outbuilding or garage
❑ 101 - 200 amp 155.50 98.00
(Inspected with service) $48.50
❑ 201 - 400 amp 291.00 115.00
❑ Detached outbuilding or garage
❑ 401 - 600 amp 339.50 136.00
(Inspected separately) $76.50
❑ 601 - 800 amp 439.00 186.00
❑ 801 - 1000 amp 536.50 224.50
NEW MULTI - FAMILY (three units or more)
❑ over 1000 amp 584-50 311.50
Service Feeder
❑ Up to 200 amp $125.50 $ 37.00
❑ Over 600 volts surcharge $98.00
❑ 201 - 400 amp 155.50 76.50
❑ Mast or meter repair $106.00
❑ 401 - 600 amp 212.50 106.00
�' COMMERCIAL/II�iDIISTRiAL
❑ 601 - 800 amp 272.00 145.50
❑ Over 800 amp 389.50 291.00
Service or Feeders
❑ 0 to 200 amp $125.50
ALTERED SINGLE/MULTI FAMILY
❑ 201 - 600 amp 291.00
❑ 601 - 1000 amp 439.00
Service or Feeder
❑ over 1000 amp 489.00
❑ 0 to 200 amp $ 96.00
❑ 201 - 600 amp 155.50
❑ # of circuits to be added /altered
❑ over 600 amp 234.00
(1 -5 circuits - "8.00; Add'n circuits. $7.50 /ea)
®4 # of circuits to be added /altered
COMMERCIAT. /INDIISTRIM PLAN REVIEW
$98.00 plus 35% of permit Fee
(1 -4 circuits- $76.50; AdWn circuits $7.50 /ea)
❑ 1,000
M FBe $W.00
Service - amps or greater
❑ Mast or meter repair $57.50
❑ Med ical /Educational /Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ service and feeder $125.50
TEMPORARY SERVICE
MOBILE SOME /RV PARS
ResidertNal/Yuld- Family $67.50
❑ # of service or feeders
(First service/ feeder - $76.50; each addn 450.00)
CornmerciaUbulustrial Servioe or Feeder Ampacity
❑ 0 - 100 amps $ 76.50
❑ 101 - 200 amps 98.00
❑ 201 - 400 amps 115.00
❑ 401 - 600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICEJEQUOYMENT
❑ # of Thermostats
❑ # of sips
( First - $57.50; add'n- $17.50 /ea)
Wirst sign - $57.50; add'n sign $27.00 /ea)
❑ Low Voltage
❑ Swimming pool/hot tub ................ $115.00
Square Feet to be served by system(s)
(Includes additional circuit. if requtred)
❑ Fire Alarm System
❑ Yard Pole meter loops ..................... $76.50
❑ Security Alarm System
❑ Additional Plan Review $115.00 /hour
❑ Voice Cabling
(for modified submittals)
❑ Data cabling
10 Automation Fee on all Permits .. $5.50
1a 2500 ft2 - $67.50;
2W9 1•e $6.00
Each add'n 2500 ft2 - $17.50) ' FL-r WAC 29646910150)6 8 iQ
Bulletin #100 - January 1, 2008 Page 3 of 4 k\I-IandoutslPennit Application