09-103951 4k RECEIVi
t F PERMIT S AF co M
Federal Way PL DE EN FP
OCT 0 8iiimiiL
pPLICATION
COMMUNITY DEVELOPMENT SERVICES / _,,,,,, /
253-835-2607.FAX 253-835-2609
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SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL#
63P 0i S
NAME or PROJECT I i
(Tenant or Homeowner Nameusicej
) It ,k1 tte:i--).
❑ BUILDING 0 PLUMBING 0 MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION` ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION
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ei .ec a,1c�Y c;-. ' ;( /' rj2 ,-C. )PROJECT DESCRIPTION / /
Detailed description of work to l 112
be included on this permit only \.
PFOPLE
NAME �^ PRIMARY PHONE
PROPERTY OWNER 'J(r ,v'\' uta—di (2C�h ) -s t`' — s.--(4. 7
MAILING ADDRESS,CITY,STATE,ZIP le 1 1Y E-MAIL
1) c, ,c CIC(-3 39 ccs .it/.k (kV(13 1-',k.)k.., 2e l tA..:;l.CO,
OWNER IS ALSO: CONTRACTOR 0 APPLICANT Q' PROJECT CONTACT
NAME ti.../ PRIMARY PHONE
CONTRACTOR MAILING ADDRESS,CITY,STATE,ZIP FAX
( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME N
PRIMARY PHONE
APPLICANT 1 J e.'... ) ZA t ti,- J ( ' '' .) ' - Y 7 d'7
MAILING ADDRESS,CITY STATE,ZIP FAX
\' (.1 \ C//.33 '7 kr.% Ati-iv..0 w} `81'x ( ) -
PROJECT CONTACT NAME --- PRIMARY PHONE
(The individual to receive and ( ) _
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) ( )
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
( )
PROJECT FINANCING NAME
p OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095)
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 arty person, including the undersigned, and filed against the
city, but only where each 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: .; - �j DATE 7 r/U 7
PRINT NAME: t�C,S1;� Oft 0,0
l
Bulletin#100-4/17/2009 Page 1 of 4 k:\Handouts\Petmit Application
a ELECTRICAL0
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
. Total Square Feet 1st Service/Feeder Additional Feeders
(including attached garage): 0- 100 amp x$131.50 x$ 80.00
FEES: First 1300 ft2-$121.00; 101- 200 amp x$163.00 x$103.00
Each additional 500 ft2 $39.00 201 - 400 amp x$305.50 x$120.50
NEW MULTIFAMILY (3 units or more) 401- 600 amp x$356.00 x$142.50
1st Service/Feeder Additional Feeders 601- 800 amp x$460.50 _x$195.00
0 200 amp x $131,50 x $ 39.00 801- 1000 amp x$562.50 x$235.50
201 -400 amp x $163.00 x $ 80.00 Over 1000 amp x$613.00 _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
1st Service/Feeder Additional Feeders
1st lervicex /Feeder Additionalx Feeders
0- 200 amp $100.50 $ 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 x $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
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 x $ 80.00 0
$103.00 plus 35%of Permit Fee;Plan Review required for:
Service 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
❑ ire Alarm System
01/Wire
Alarm System 1st Service/Feeder Additional Feeders
❑ 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: I:,'-"1j
1st 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50 101-200 amp x $103.50 x $ 51.00
201-400 amp x $120.00 x $ 60,50
# of Thermostats 401 -600 amp x $163.50 x $ 80.00
First$60.50;each additional$18.50
Over 600 amp x $183.00 x $ 92.00
#of Signs **NOTE: an automation fee of$6.00 will be charged
First$60.50; each additional$28.50 on all permits**
Yard Pole/meter loops/pedestal x$ 80.00
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
.. 0 .Electrical
City of Federal Way
Community Development Services PF ILEermit #: 09-103951 -00-EL
P.O.Box 9718
Federal Way, Fax
(253 9718
835- Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: HOWELL
Project Address: 30605 12TH PL SW Parcel Number: 178830 0135
Project Description: Replace electrical panel and add circuits for relocated washer and new lighting.
Owner Applicant Contractor
DEVIN HOWELL DEVIN HOWELL DEVIN HOWELL
30605 12TH PL SW 30605 12TH PL SW 30605 12TH PL SW
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
Additional ?ermit Information
Is Use Educational or Institutional? No
.
Electricalp;a il Fixtures
Alt. Serv,/Feeder: 0 to 200 amps(F 1
PERMIT EXPIRES Friday, October 8, 2010
Permit Issued on Thursday, October 8, 2009
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the a will be in .. ordance with the laws, rules and regulations of the State`of Washington
i an. e City of Federal Way.
Owner or agent: A/ -..,..,•----
. Date: /d/1"./..:
52
Fi4: 1_'41i7
3/ //O
THIS CARD IS T EMAIN ON-SITE r
CITY°r A
- ' Construction I pectior Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 09-103951-00-EL Address: 30605 12TH PL SW
Owner: DEVIN HOWELL FEDERAL WAY, WA 98023-8230
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) ❑ Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ 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) ❑ Ceiling Cover(4020) '
Approved Approved Approved
By Date By(- Date ' ).-)...G,_®g By Date
CI Final-Electrical(4055)
Approved
I ---7 Date-7, C,7 (c)
Rough Electrical Final Electrical El Right of Way
U Approved Approved Approved
By Date By Date By Date