09-104238 t
• Electritcal
City of Federal Way
Community Development Services Permit #: 09-104238-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: EAGLE TIRE
Project Address: 1515 S 344TH ST Parcel Number: 889700 0030
Project Description: Adding/altering up to 5 circuits. Remove lights as needed to repair from fire damage and
replace 2 bath fans.
•
Owner Applicant Contractor
JOHN KUROSKY MADSEN ELECTRIC MADSEN ELECTRIC
1515 SW 344TH PL 3939 S ORCHARD ST MADSEE*140P8(4/30/10)
FEDERAL WAY WA 98003-6805 TACOMA WA 98466 3939 S ORCHARD ST
TACOMA WA 98466
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Is Use Educational or Institutional? No Service greater than 1000 Amps? No
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Circuits-Commercial I
PERMIT EXPIRES Saturday, October 30, 2010
Permit Issued on Friday, October 30, 2009
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 ate of Washington
p y See A� i f ederal Way. g e Application
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lio
Owner or agent: Date:
.00T 3 0 2009 OCT 3 0 2009
FINALED Z 1 r O
t • THIS CARD IS T MAIN ON-SITE ,
crry OF 0 Construction In ion Record
ection Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 09-104238-00-EL Address: 1515 S 344TH ST
1 Owner: JOHN KUROSKY FEDERAL WAY, WA 98003-6805
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) 0 Ditch cover(4030) - 1J Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) 0 Rough Electrical(4225) CI Ceiling Cover(4020)
Approved Approved Approved
By Date BOCS Date (2-2 7'z By Date
0 Final-Electrical(4055)
Approved
B Dat --z8 70tv
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
OCT, 30, 2009 9:47AM 2535917079 MADSEN ELECTRIC NO. 0727 P. 1
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ECEIVL - 1o1- 238'
, CtfY Of 01.*
Federal Wa PERMIT SF MF CO ME EL PL DE EN FP
R6cT 3 0 `0°APPLICATION /
COMMUNITY DEYFI11PVbffJfC SERVICES
259463s-2W.FAX M435.2609
'erri99F FEDERAL WAY
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SITE ADDRESS
/5 /S So, —S
OUITE/ullIT* ZONING A6 R'S TAX ARCEL
NAME OF PROJECT
Tenant or Homeowner Name)
CI BUD D1NG D PLUMING ❑MECHANICAL
TYPE OP PERMIT l ❑ DEMOLITION�19LECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
PROJECT DESCRIPTION , . :,L
Detailed description of work to ' • ' -be included on this permit only
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MINAS!
PROPERTY OWNER /F a53 ) S38--Ova
MAIM ADDRESS.CITY.SPATS.p EMAIL
3 _cil
OWNER IS ALSO: ❑ CONTRACTOR ❑ APPLICANT ❑ PROJECT CONTACT
— NAME PEDLAR!PHONE
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M•IL•••• ADDRESS errs.trunk e°161 p f
/CONTRACTOR -- d . i'!/i.�- l�71OS.
iffilleginIMI
WA STATE CONTRACTR'S LICENSE L EET1EATioN LATE FEDERAL WAY BDSIIIESS LICENSE•
D ELF/46 • 8 4al i 301/0 if— • - —1a4,6,,,,-.4. -454,.
NAME PRW.ARY PRONE
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APPLUCANT (
MAi.BnO ADDRESS.CITY,STATE,ZIP PAZ
-
PROJECT CONTACT n PRIMARY PHONE
(The individual to receive and - _ r4 (.253 ) 3113 -VSYk
respond to all correspondence MAIIHIG ADDRESS.CITE. ATE.Er SAX
concerning this application) 3 " . Y h os"-.�1 -(.25 ) -/ - 7o7 -
ALTERNATE CONTACT TAMaB: PRBLART PHONE E-MAIL
(AO ) 23 -51.1.7
PROJECT DANCING NAME ❑ OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS.CITY,STATE,ZIP PRIMARY PBon
!Sew I9.27.095T ( )
I certify under penalty of peyury that I am the property owner or authorized agent of the property owner.I certify that to the
best of my knowledge,the{rt'ormation submitted in support of this permit application is true and correct.I certUti that I trill comply
with all applicable City of Pederal wag regulations pertaining to the work authorised by the issuance of a permit.I understand that
the issuance of this permit does not remeee the owner's responsibility for compi e:nee with local. state, err federal lazes regulating
construction or enwironmmentai laws.
I further agree to hold harmless the City of Federal Way as to any claim(including cams.expenses,and attorneys'fees incurred
in the irorestigation and defense of such chin)which may be made by any person, including the undersigned,anal Jited against the
city,bat only where such claim arises out of the reliance of the city.including its ofeere and employees.upon the aeetzraey of the
tziformatkm stipplied „ , :city as apart of this application.
SIGNATURE: W.. DATE A0-50-07
PRINT NAME: / •
Nob.
Bulletin#100-4/21/2009 Page 1 of 4 k:\Handouts\Polmit Application
OCT, 30. 2009 9:47AM 2535917079 MADSEN ELECTRIC NO. 0727 P. 2
• 1
ELECTRICAL
'.., RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet let Service/Feeder Additional Feeders
(Including attached garage): ( 0,- 100 amp • a$131.50 x$ 80.00
FEES: First 1300 fP-$121.00: 101- 200 amp x$163.00 x$103.00
Each additional 500 ft2-$39.00 201- 400 crap a$305.50 ___ x$120.50
NEW MULTIFAMILY(3 units or more) 401„ 600 amp x$356.00 x$142.50
15r Service/Feeder Additional Feeders 601 800 amp a$460.50 , x$195.00
0-'200 amp x $131.50 , x 8 39.00 801-1000 amp x$562.50 a$235.50
201-400 amp x $163.00 ' x $ 80.00 Over 1000 any ' a$81,3.00 ' 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
larService/Feeder Additional Feeders lsrService/Feeder Additional Feeders
0-,200 amp a,$100.50 x $ 39.00 0- 200 amp x$131.50 x$103.00
201-600 amp x $163.00 x $ 80.00
201- 600 amp ' .,x$305.50 __x$142.50
Over 600 amp x $245,50, k $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 IC
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 a $ 80.00 $103.00 plus 35%of Permit Fee;Plan Review required for:
Setvlee 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 let 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:
tat 2,500 fr2-$71.00;each additional 2.500'Iv-$18.50 101-200 atop x $109.60 x $ 51,00
201_400 amp• , • x $120.00 x $ 60.50
#of Thermostats 401-600 amp' ' •x,$163.50 a $ 80.00
First$60.50;each additional$18.50
Over 600 amp x $183.00 x $ 92.00
#of Signe "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:\Handouts\Permit Application