12-100333City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 j
Ph: (253) 835 -2607 Fax: (253) 835 -2609 ;, I
Project Name: VICTOR
Project Address: 31315 22ND AVE SW
Project Description: 0 -200 amps service changeout
r
Electrical
Permit #: 12- 100333 -00 -tL
Inspection Request Line: (253) 835 -3050
Parcel Number: 1789800 0035
Owner
Applicant
Contractor
GARY K & JUDI VICTOR
D & A ELECTRIC LLC
D & A ELECTRIC LLC
31315 22ND AVE S
33410 30TH AVE SW
DELEC *E897D5 (4/24/13)
FEDERAL WAY WA 98023 -7800
FEDERAL WAY WA 98023
33410 30TH AVE SW
FEDERAL WAY WA 98023
Is Use Educational or Institutional ? ....................... No
Alt. Serv./Feeder: 0 to 200 amps (F 1
PERMIT EXPIRES Monday, July 23, 2012
Permit Issued on Wednesday, January 25, 2012
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: S %
� �.'L-o sit /IL
THIS CARD IS TO REMAIN ON -SITE A
of 0 THIS
I ection Record
Federal Way INSPECTION REQUE TS: (253) 835 -3050
PERMIT 9: 12- 100333 -00 -EL Address: 31315 22ND AVE SW
Project: GARY K & JUDI VICTOR FEDERAL WAY, WA 98023 - 780'0 --
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)
Final Electrical
Approved
Slab /Concrete Floor (4255)
Approved
By
Approved
Temporary Power (4275)
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
0
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
Date
Approved
By
Date
Approved
Approved
By
Date
By
Date
By
Date
Feeders /Sub - panels (4045)
Rough Electrical (4225)
E]
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
0
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF VAS�
Federal Way ELEC'T'RICAL
PERMIT APPLICATION RECEIVED
JAN 2 5 2012
* *Most electrical permits may be obtained on -line at www. cityoffederalway. com **
SITE ADDRESS: -3;1 �l is 22- N D M E,
SUITE /UNIT /SPACE N
ASSESSOR'S TAX /PARCEL N
CURRENT /PROPOSED USE
PROJECT NAME
Homeowner Last Name)
(Tenant or
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME y
PRIMARY PHONE
PROPERTY OWNER
MAILING ADD
EMAIL
CITY aSTATE
te,
ZIP
(;k a)
FAX
-
NAME
D 4 iA C l C « (IL-C
PRIMARY PHONE
(a5 )-g a- q. R l
MAILING ADDRESS
�J��
EMAIL
ELECTRICAL
CONTRACTOR
CITY
�e
STATE
0A
ZIP
g goa3
FAX
c S;38 - s8
WA STATE CONTRACTOR'S LICENS M
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE M
NAME -
PRIMARY PHONE
SIB ?'I a 9 b
APPLICANT
MAILING ADD S
3
EMAIL
b
CITY
"ATE
IoPt
ZIP x
q 8 (J 2-�
FAX
-
PROJECT CONTACT
NAME
-DaA/1
PRIMARY PHONE
Q_�3) - q qg
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 mart of this application.
SIGNATURE:
PRINT NAME:
I las��a
33325 8h Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com
Bulletin #160 — January 1, 2011 Page 1 of 2 k: \Handouts \Electrical Permit Application
t RESIDENIWL WMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
(including attached garage):
FEES: First 1300 ft2 - $122.00;
Each additional 500 ft2 - $39.00
NEW MULTIFAMILY (3 units or more)
1st Service /Feeder Additional Feeders
20 i' 400 amp` ,164 i30 x $ 80 50
ALTERED SINGLE or MULTI FAMILY
1st ,e ce /Feeder
Added or Altered Circuits ..
1 -4 circuits $80.50; each additional $8.00
Mast or meter repair $60.50
MANUFACTURED HOMES
1St Service /Feeder Additional Feeders
60 _ x $to 5,0
4fkJ _ 6po
$0" 0, 6, amp
..i�i.,d.�. ."�.. �w�L�,,, �Wr�iw).��^�� �N� 3...` 03, °'`�"•�•t�
Char," 60E1 volts sr reharge .:... _ , .. = .. x:=$103;50
ALTERED COMMERCIAL
1st Service /Feeder Additional Feeders
Aver. 1Ub0,ainp ..._;$S16.5tY .....x$328;5(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 $121.00
TEMPORARY SERVICE
1st Service /Feeder Additional Feeders
,sue, :cr,..`:�.....1�`�.:, «, `'�'., '�',•,..,. �t.11,`,2'�}
Etk , xttfE?,amp. ,:. "$ •.$0 54.. _.s ,.,., ,$,': 39.00
s
2flk
€leer 6Qb amp, : «? $];84 50 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 8`" Avenue South ♦ Federal Way + WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com
Bulletin #160 — January 1, 2011 Page 2 of 2 kAHandouts \Electrical Permit Application