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12-104913 CITY OF .'r''',;., EIVEC) -1C22 - J a V 9i3 Federa�f 1 0t2 ELECTRICAL cm0FFE '`RMIT APPLICATION os **Most electrical permits may be obtained on-line at www cityoffederalway com** ..w v..a _a.,,, 4,:r: ,.v_.a --v-.`..cx.� 4,1,...!-„.sawh� _. � f SITE ADDRESS: ` J � —A*, t3O-1.i.” p v C7C�,�5 SUITE/UNIT/SPACE# `� ASSESSOR'S TAR/PARCEL# ! 1 CURRENT/PROPOSED USE / / A / 03 _ 907 / PROJECT NAME (Tenant or Homeowner Last Name) (AU^l PROJECT DESCRIPTION W v©l e r,n �- �.cJ, l'-:✓�c� Detailed description of work to e �{- - be included on this permit only ti„ 3 '' m . «-_ � NAME r PRIMARY PHONE PROPERTY OWNER t.c,---k c MAILING ADDRESS E-MAIL k.L lO _; (k) C-- . Siki - CITY STATE ZIP FAX NAME PRIMARY PHONE UC-CA s - C "1 Z y� \ H ) 1, - 33 MAILING ADDRESS V ELECTRICAL 7O - VAVE- • `/ M ,^ CONTRACTOR CITY !3notrk e• H.:4.0.4,-‘0CL _v` STATE ZIP FAX TeX C_423/1-w. wA °/E5tieC ( ) - WA STATE CONTRACTOR'S J,ICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAME PRIMARY PHONE APPLICANT e. ( ) MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( NAME PRIMARY PHONE PROJECT CONTACT ---- j'I r ( ) 3\0 - -?055 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 Iocal, 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 su claim arises of the reliance of the city, including its officers and employees, upon the accuracy of the information suppli d o the city as art of this application. SIGNATURE: ,,J I DATE '©/2g ( - PRINT NAME: i iv NJ U Cie-A 0 33325 81h Avenue South•Federal Way♦WA♦98003-6325•253-835-2607•fax:253-835-2609♦www.cityoffederalway.com Bulletin 11160-January 1,2011 Page 1 of 2 k:Wandouts\Electrical Permit Application RESIDENTIAL COMMERCIAL NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL Total Square Feet 1st Service/Feeder Additional Feeders (including attached garage): t41,32.50 x$.130_.50 FEES: First 1300 ft2-$122.00; 101-200 amp x$164.00 x$103.50 Each additional 500 ft2 -$39.00 2017;� �atag x {?7.0(} x$1211.00 NEW MULTIFAMILY (3 units or more) 600 $358 O0 x$143.50 1st Service/Feeder Additional Feeders �� -1 0 amp x$463;06 X:$16660 .r f7 ,lti :x:; 13z5Q . _ 3 4)O 801-1000 amp x$565:00 x$236.50 2131 404arn ., .,.. . z�'$164.E3Q p x $ 80.50 4-6.44X' $61,6.90 x$328.50 i000PrP...,iaV 601e-;800p x''$287.00 x $153.50 Liver 600 volts sureliarge , x$103.50 ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL 1 t Service/Feeder Additional Feeders 1"'Service/Feeder r�7 82 _ x,$103.50 a � � al f . ; gr. x,> 1.01;00 2O1 60Q amp x$347 00 x$121.00 (leer 600.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 Sezvcce o�r,feeder ply x $ 80.50 Plan Review required only for: e t x $I32.50 • 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 Jsr Service/Feeder Additional Feeders ❑ Security Alarm System O Voice/Data Cabling ❑ Other , 61- 100:amp,', x $ 80.50 x $ 39.00 Area to be served by system: 1t71 2€7©asrip x.$103.50- x $;51:00 1.,2,500 ft2-$71.00;each additional 2,500 ft2-$18.50 / 201 400 amp x $121.00 x $ 60.50 #of Thermostats First$60.50;each additional$18.50 Over 600-amp' 1± x $184.50: • 'x:$ 92.00 FEE CALCULATIONS Yard Pole/meter loops/pedestal x$ 80.50 . Fees are determined by the scope of work as indicated. Portable Generator(transfer equipment) x$101.00 • A$6.00 Automation Fee will be added to all permits. Ditch cover/inspection only x$121.00 • For assistance in calculating fees or completing the application form,contact the Permit Center at 253-835-2607 33325 8'"Avenue South 1 Federal Way•WA♦98003-6325♦253-835-2607♦fax:253-835-2609♦www.cityoffederalway.com Bulletin#160-January 1,2011 Page 2 of 2 k:\Handouts\Electrical Permit Application dC • 11, Electrical E City of Federal Way F Community&Econ.Dev.Services = Permit #: 12404913-00-EL 33325 8th Ave S Federal Way,WA 98003Inspection ection Re uest Line: (253 )835-3050Ph:(253)835-2607 Fax:(253)835-2609 Project Name: REAGAN Project Address: 4342 SW 307TH ST Parcel Number: 112103 9071 Project Description: Installation of low-voltage thermostat. wn r Applicant Contractor DENISE A REAGAN NUCCIOS HEATING NUCCIOS HEATING KIRK S REAGAN 7014 6TH AVE NUCCIH*962ND(8/8/14) 11410 FARWEST DR SW TACOMA WA 98406 7014 6TH AVE LAKEWOOD WA 98498 TACOMA WA 98406 Additional Permit Information Is Use Educational or Institutional? No Electrical Fixtures Thermostat 1 PERMIT EXPIRES Saturday, April 27, 2013 Permit Issued on Monday, October 29, 2012 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and t use will be i accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: - Date: l p(ZGj t 13 FIN! LrDi # CITY OF • THIS CARD IS TO ' IN ON-SITE `' 4 Construction In ection Record ` Federal Way , INSPECTION REQU TS: (253)835-3050 PERMIT#: 12-104913-00-EL Address: 4342 SW 307TH ST Project: DENISE A REAGAN FEDERAL WAY, WA 98023-2127 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) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date o Pool Bonding(4195) El Temporary Power(4275) 0 Service(4235) Approved Approved Approved By Date By Date By Date ❑ Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020) Approved Approved Approved By Date By f1 Date 11`__ By Date Final-Electrical(4055) Approved E . B Date ,2g� 3 0 Rough Electrical El Final ElectricalEl Right of Way Approved Approved Approved By Date By Date By Date