11-104178T
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
9 FILE
Project Name: NORTHLAKE RIM LOT 37
Project Address: 4502 S 330TH PL
40 Electrical
Permit #: 11- 104116 -00 -EL
Inspection Request Line: (253) 835 -3050
Parcel Number: 618150 0370
Project Description: Service and electrical wiring for new single family residence; installation of (1) thermostat.
Own r
Aw)llcant
Contractor
UNION STREET HOLDINGS LLC
MODERN WIRING INC
MODERN WIRING INC
601 UNION ST #2000
P 0 BOX 48
MODERWI91 IKK (5/11/13)
SEATTLE, WA 98101
ORTING WA 98360
P 0 BOX 48
ORTING WA 98360
Is Use Educational or Institutional ? .......................No
New Service: Residential ............... 1 Thermostat...... ............................... 1
PERMIT EXPIRES Friday, October 12, 2012
Permit Issued on Thursday, October 13, 2011
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 of Federal Way.
Owner or agent: Date: 1 v 1 � I /
. CITY OF T
Federal ay
PERMIT #:
11- 104178 -00 -EL
THIS CARD IS TO�LEMAIN ON -SITE
Construction limpection Record
INSPECTION REQUESTS: (253) 835 -3050
Address: 4502 S 330TH PL
Project: UNION STREET HOLDINGS LLC FEDERAL WAY, WA 98001
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 _
B53� Date l v �-24_ (r
By Date
Final - Electrical (4055)
Approved
By Date �L - �2
Service (4235)
Approved
By
Dat4?_2'>/_//
Ceiling Cover (4020)
Approved
By Date
Pool Bonding (4195)
E]
Temporary Power (4275)
Approved
Right of Way
Approved
By
Approved
S
Date
By
By
Date L --t`$.
By
Date
Feeders /Sub - panels (4045)
❑
Rough Electrical (4225)
Approved
Approved
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date �L - �2
Service (4235)
Approved
By
Dat4?_2'>/_//
Ceiling Cover (4020)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
� r
f
CITY OF
Federal Way
IR ir -4
ELECTRICAL
PERMIT APPLICATIO OCT 13 20,1
�ITY OF FEDERAL WAv
Most electrical permits maybe obtained on -line at www.cityo federal*_& m **
NO
SITE ADDRESS: �� � r] i✓�� `� 301
SUITE /UNIT /SPACE # r`ASSESSOR'S TAX /PARCEL M (� CURRENT/ PROPOSED USE
PROJECT NAME i
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME ,..}
,L�'t;''�i C t Z ' •� 1,. �.���
PRIMARY PHONE
( 0 � - %� 7
L , ,, 11
_�)
MAILING ADDRESS 7
E -MAIL
CITY ,,-^y j
STATE
VV4A
ZIP
2-
FAX
�.
NAME jf$Q 3
PRIMARY PHONE
�0 _S
MAILING ADDRESS
E -MAIL
ELECTRICAL
Z'jr ;
CONTRACTOR
CITY i
STATE
ZIP
FAX
WA STATE CONTRACTOR,' LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
11� U �`� U i,'�,L `��
PRIMARY PHONE
(�1� -) �l✓ -
APPLICANT�I
MAILING ADDRESS
t t
E -MAIL
CITY � � l
STATE
ZIP
FAX
PROJECT CONTACT
NAME
((� JJ
PRIMARY PHONE
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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 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 part of this application.
SIGNATURE:
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 I of 2 k: \Handouts \Electrical Permit Application
A.
r
RESIDENTMI, I ZrOMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet 1
(including attached garage): _l
FEES: First 1300 ft2 - $122.00;
Each additional 500 ft2 - $39.00
NEW MULTIFAMILY (3 units or more)
11, Service /Feeder
Additional Feeders
01..f?Q1�50>
x
$ 39.00
204 "40 6;amp
x
$ 80.50
tda•np
x
"1. 5,
60' 1 - 800: aliip : X $287.00
x
$153.50
(der X00; asrip,�,..' � � ,�'�c °, lb :O �.
• x `
$30T.(30
ALTERED SINGLE or MULTI FAMILY
I,' Service /Feeder
Added or Altered Circuits...
1 -4 circuits $80.50; each additional $8.00
Mast or meter repair $60.50
MANUFACTURED HOMES
Service ,or Ace,,efo, y *-, '..' .< 80.50
Over 600 volts" surcharge x $10350
ALTERED COMMERCIAL
I,, Service /Feeder Additional Feeders
x:$103.50
20'1,•— .;600:.amp x,$307,00 x $121,00
5,,0
_O
CVe100.1 =xi 50 .`,Ir.$328'50
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 TEMPORARY SERVICE
❑ Fire Alarm System 1s1 Service /Feeder Additional Feeders
❑ Security Alarm System
❑ Voice /Data Cabling URNINGANINSFE, eft�.�,„�' AIE �3`2X00
❑ Other 161 , lOZI ars13. t $ $00 f r`
Area to be served by system:
1-t 2,500 ft2-$7 1.00; each additional 2,500 ft'- - $18.50
_J_# 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
92.00
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 8h Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253 -835 -2609 ♦ w,.vw.cityoffederalway.com
Bulletin #160 — January 1, 2011 Page 2 of 2 k:\Handouts \Electrical Permit Application
I,' Service /Feeder
Additional Feeders
0`7 1QO
1:01 = .2,00 amp
"' x $164.00
x $103.50
°$12.1.00
401—" :600 amp
x $358.00
x $143.50
$196:00
801 - 1000 amp
x'$565 00
x $236.50
Over °" It300 amp ..
'Y'xr$6 if;00
x'$32850
Over 600 volts" surcharge x $10350
ALTERED COMMERCIAL
I,, Service /Feeder Additional Feeders
x:$103.50
20'1,•— .;600:.amp x,$307,00 x $121,00
5,,0
_O
CVe100.1 =xi 50 .`,Ir.$328'50
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 TEMPORARY SERVICE
❑ Fire Alarm System 1s1 Service /Feeder Additional Feeders
❑ Security Alarm System
❑ Voice /Data Cabling URNINGANINSFE, eft�.�,„�' AIE �3`2X00
❑ Other 161 , lOZI ars13. t $ $00 f r`
Area to be served by system:
1-t 2,500 ft2-$7 1.00; each additional 2,500 ft'- - $18.50
_J_# 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
92.00
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 8h Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253 -835 -2609 ♦ w,.vw.cityoffederalway.com
Bulletin #160 — January 1, 2011 Page 2 of 2 k:\Handouts \Electrical Permit Application