10-100296 City of Federal way 1111 1'415 • Electrical
Permit #: 10-100296-00-EL
Community Development services
P.O.Box 9718
Federal Fax 98063-9718 835- Inspection Request Line: (253)835-3050
Ph (253)835-2607 Fax:(253)835-2609 p q
Project Name: KISER
Project Address: 33012 38TH AVE S Parcel Number: 614360 0535
Project Description: Adding/altering 0-200 amp service
Owner Applicant Contractor
ELLIS W KISER ELLIS W KISER ELLIS W KISER
33012 38TH AVE S 33012 38TH AVE S 33012 38TH AVE S
FEDERAL WAY WA 98001-9666 FEDERAL WAY WA 98001-9666 FEDERAL WAY WA 98001-9666
Is Use Educational or Institutional? No
�yt 7/ate
t
Alt. Serv./Feeder: 0 to 200 amps(F 1
PERMIT EXPIRES Saturday, January 22, 2011
Permit Issued on Friday, January 22, 2010
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 =ws, rules and regulations of the State of Washington
a d the City o , ederal Way`
Owner or agent: / Date: I - 22 - 1�
e
P'/!
fc (o
AL THIS CARD IS T MAIN ON-SITE
CITY OF "'``-''' - Construction I ection Record
Federal Way INSPECTION RE U TS: (253)835- - '
y Q ( ) 3050
PERMIT#: 10-100296-00-EL Address: 33012 38TH AVE S
Owner: ELLIS W KISER FEDERAL WAY, WA 98001-9666
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.
LIFER Ground (4295) il Ditch cover(4030) ❑ Slab/Concrete Floor(4255)-
Approved Approved Approved to place concrete
By Date By Date By Date
, * ,
❑ Pool Bonding(4195) 0 Temporary Power(4275) Service(4235)
Approved Approved Approved
By Date By Date By Date
•0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
O Final-Electrical(4055)
Approved
Dated — 200
..J
o Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
c.or PERMIT S F CO MEt�EL L DE EN FP
Fed ERIE®�
COMMUNITYDEVELOANENT SERVICES APPLICATION
253-835-2607•FAX 253-835-2609
www_eibioflederaiwylc�i 2.2 2010
�F1�V
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SITE Ae � L .G t�•. .} ::
7 3 0I2 - Ito, kv So, / E C ER• A�. VJAY v/A cr S00
SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL#
E
NAME OF PROJECT
(Tenant or Homeowner Name) E. LL O, S V1/A'(1.3 E. K % 5 6 Q
❑BUILDING ❑ PLUMBING ❑ MECHANICAL.
TYPE OF PERMIT
❑ DEMOLITION1 ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
Li 4R. ADe SER' tCE PA,N € L
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
........:......
z,
NAME c PRIMARY PHONE
PROPERTY OWNER t..l.l.t S A•( w.1 tC K 1 S l� R+ (Z53)517 `7011
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
330 t Z- 32TN A✓• 50. E .V'/A ( v)A
OWNER IS ALSO: �Ca' CONTRACTOR i)XAPPLICANT PROJECT CONTACT
NAME PRIMARY PHONE
CONTRACTOR MAILING ADDRESS,CITY, FAX
WA STATE CONTRACTOR'S LICENSE# E]lP ON DATE FEDERAL WAY BUSINESS LICENSE•
__. _._.. . .. NAME _. .... PRIMARY PHONE
APPLICANT �— ( ) -
MAIL I NG ADDRESS,CITY,STATE,ZIP FAX
PROJECT CONTACT r PRIMARY PHONE
(The individual to receive and _ ) -
respond to all correspondence MAILING ADDRESS,CITY,STATE, FAX
concerning this application) ( ) -
ALTERNATE CONTACT NAME: /I P HONE E-MAIL
l
PROJECT FINANCING
0 OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095) / ) –
I 1
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance o the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a pa of this applica • .
SIGNATURE: / / — DATE I- Z Z -I 0
PRINT N :—' i.�.1 3 V✓A 1,3 r 14, 1 5 E R..
Bulletin#100—January 1,2010 Page 1 of 4 k:\Handouts\Permit Application
.....:.................:.....................................................................:.......................:.:..,..................,..............
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate ' mber of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIR •A' - - ur. HOODS(commaro4
BOILERS FURNACES . . :TER TANKS pas)
COMPRESSORS` GAS LOG SETS ' - REFRIGERATI• ' •
DUCTING GAS PIPING WOOD?STrOVES
' <»> R# k32?>`s?<< ?': 5> » s'>>><:>3<'><>?s >``:><5.;'> < = ?:''
:;" ::;:;>.;;:>'?:E:;::>':.;. ;:^:;>::;:: LY. �STN ......... ...................._................................ ...
Indicate number of each type of fixture to be installed or relocated as part of this project Do not include existing fixtures to remain.
BA - U: (or ❑. . ,,) LAVS(Hand sink). TOILETS WATER PIPING
DISHWASHERS • • .TEMS t- URINALS OTHER(Describe)
DRAINS SHOWERS ACUUM BREAKERS
DRINKING FOUNTAINS SINKS(ice...).,..a/utsity) WATER ' Electric)
HOSE BIBBS SUMPS . WASHING MACHINES TOTAL FIXTUI H
GENERA:L:. _.. .. ,ATION
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$ $
EXISTDIG/PREVIOUS USE LOT SIZE(In Signers Feet) EXIS RNRQ.ER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
»: ;`'':;.'.:.. RESIDENTI2""1JI : .: . '.`: ::;:::5. : '.
AREA DESCRIPTION(in square feet) , EXISTING PROPOSED , , TOTAL FOR OFFICE USE
BASEMENT.
FIRST FLOOR(or Mobile Home) o A^_
1 15 SECOND FLOOR O
J> is ;
�_'
- COVERED ENTRY
:, `...
GARAGE ❑ CARPORT ❑
OTHER(ctescr'ibe).. i'.. . :::::
PROPOSED TOTAL
Area Totals : 5 00
* WHO Sb, > ..
ESTIMATED SELLING PRICE$ #OF BEDROOMS
OMMER IAL.."NE AD. I`I'IQN
AREA DESCRIPTION Area Occupancy Group(s) Construction #of
Additional Information
in Square Feet Type Stories
:NEW BUILDING
ADDITION
EL p ' r
AREA DESCRIPTION Area Occupancy Groups) Construction #of Additional Information
in Square Feet Type Stories
TorAL $UILDINQ
TENANT AREA ONLY
PRO.Cr.AREA ONL
Bulletin#100-January 1,2010 Page 2 of 4 k:\Handouts\Perndt Application
ELECTRICAL
•
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Feet
(including attache 1st Service/Feeder Additional Feeders
g ...0- 100 amp x$132.50 x$ 80.50
FEES: First 1300 ft2-$122.00; 101- 200 amp x$164.00 x$103.50
Each additional 500 ft2-$39.00 201- 400 amp 'r x$307.00 '! a$121.00
NEW MULTIFAMILY (3 units or more) 401- 600 amp x:$358.00 x$143.50
1s`Service/Feeder Additional Feeders 601- 800 amp x$463.00 >' x$196.00
....0;- 200 am x $132.50 a $`39.00 801- 1000 amp X$565.00 x$236.50
201-400 amp 64.00 x $ 80:50 Over 1000 amp x$616.00 x$328.50
401 600 amp x $224.00< x $111.50
601 800 amp x:$287.00. 153:50 Over 600 volts surcharge x$103.50
Over 800 amp x $410.50 x $307.00
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1st Service/Feeder Additional Feeders 1st Service/Feeder Additional Feeders
0 200 amp `x $101.00> x $ 39.00 =0- 200 amp x$132.50 x$103.50
201 600 amp x:$164.00 a $ 80;50 201- 600 amp x$307.00 x$121.00
Over 600.amp x $246.50 T x $111.50 601- 1000 amp x$463.00 x$796.00
Over 1000 amp x$515.50 x$328.50
Added or Altered Circuits...
1-4 circuits$80.50;each additional$8.00 Added or Altered Circuits
1-5 circuits$103.50;each additional$8.00
Mast or meter repair $60.50
Mast or meter repair $111.50
MANUFACTURED HOMES PLAN REVIEW FEES
Service or feeder only x $ 80.50
$103.50 plus 35%of Permit Fee;Plan Review required for:
Service and feeder x $132.50
❑ New,or alteration to,service of 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
Plan review for modified submittals $105.50/hour
MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
❑ Fire Alarm System 1st Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling 0- 60 amp x $ 71.00 x $ 32.00
❑ Other 61- 100 amp X $ 80.50 x $ 39.00
Area to be served by system:
1st 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50 101-200 amp 7f $103.50 x $ 51.00
201-400'amp x $121.00 x $ 60.50
#of Thermostats 401-600 amp x $164.00 x $ 80.50
First$60.50;each additional$18.50
Over 600 amp . x $184.50 x $ 92.00
#of Signs **NOTE: an automation fee of$6.00 will be charged
First$60.50;each additional$28.50 on all permits**
Yard Pole/meter loops/pedestal x$ 80.50
Portable Generator(transfer equipment) x$101.00 For fixtures or fees not listed contact the Permit Center at
Ditch cover/inspection only x$121.00 253-835-2607
Bulletin#100-January 1,2010 Page 3 of 4 k:\Handouts\Permit Application