11-101358 s
Eleetrieal
City of Federal Way • •
Comm unity Development Services Permit #: 11-101358-00-EL
P.O.Box 9718
Federal Way, F (253)9718 Inspection Request Line:
Ph:(253)835-2607 Fax:(253)835-2609 P q (253)835-3050
Project Name: SWETTENHAM a.0700
Project Address: 29607 9TH PL S Parcel Number: 515160 0240
Project Description: Upgrade service from 100A to 200A
Owner Applicant Contractor
WILLIAM SWETTENHAM JOHN REARDEN MADSEN ELECTRIC dba CARL T MADSEN
29607 9TH PLS MADSEN ELECTRIC INC
FEDERAL WAY WA 98003 3939 S ORCHARD ST MADSEE*140P8(4/30/12)
TACOMA WA 98466 3939 S ORCHARD ST
TACOMA WA 98466
ddttional Peru" ;
Is Use Educational or Institutional? No
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Alt.Serv./Feeder: 0 to 200 amps(F 1
PERMIT EXPIRES Wednesday, April 11, 2012
Permit Issued on Tuesday, April 12, 2011
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: y//.2111/
` THIS CARD IS TO REMAIN ON-SITE - .
MY OF r Construction I ection Record
Way REQ
UE INSPECTION RE UESTS: (253)835-3050
PERMIT#: 11-101358-00-EL Address: 29607 9TH PL S
Project: WILLIAM SWETTENHAM FEDERAL WAY, WA 98003-3754
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.
CI UFER Ground (4295) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) 0 Temporary Power(4275) CI Service(4235)
Approved Approved Approved
By Date By Date By C �, � Date S
O Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
O Final-Electrical(4055)
Approved
By C, — Date _gyp`v(
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
4111111111t.
• 0 _ 1 0 ( 3 ---C' g".
CITY OF
Federal Way ELECTRICAL
PERMIT APPLICATION
**Most electrical permits may be obtained on-line at www.cityoffederalway.com**
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SITE ADDRESS: . 9/ 0 7 9+v, R r So
SUITE/UNIT/SPACE# � ASSESSOR'S TAX/PARCEL# j_,_ r CURRENT/PROPOSED USE
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PROJECT NAME
(Tenant or Homeowner Last Name) en hayv,_
PROJECT DESCRIPTION L ,c--(1.&-e_ Se )LCe b A V►'\Pa
Detailed description of work to
be included on this permit only
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NAME PRIMARY PHONE
PROPERTY OWNER l`\ (s,...) e4-1...ej ,\rwk,,v i ( 2f3 ) 9066- 558-
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
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NAME PRIMARY PHONE
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MAILING ADDRESS E-MAIL
ELECTRICAL 3( cJ -0. a,('C.r.c -dr'e q rdere.,..A.a er E- ecllt t'c
CONTRACTOR CITY STATE ZIP FAX •LC:)wt
(;53.561- dT
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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NAME PRIMARY PHONE
APPLICANT {
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT ( ) —
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 t. . as a part of this application. �
SIGNATURE � .,„, ' /41.
/ • 111DATE I//� d
PRINT NAME: MV k. \ 'Q Q lP • tA
33325 8'”Avenue South♦Federal Way♦WA♦98003-6325♦253-835-2607 1 fax 253-835-2609♦www.cityoffederalway.com
Bulletin#160—January I,2011 Page 1 of 2 k:\Handouts\Electrical Permit Application
RESIDENTIMERCIAL
NEW'SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
Isr Service/Feeder Additional Feeders
(including attached garage): 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 x$307.00 x'$121.00
NEW MULTIFAMILY (3 units or more) 401' 600 amp x$358.00 x$143:50
1't Service/Feeder Additional Feeders 601- 800 amp x$463.00 x$196.00
0- 200 amp x $132.50 x $ 39.00 801- 1000 amp x$565.00 x$236.50
201 400 amp x $164.00 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 x $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
1 Service/Feeder 1st Service/Feeder Additional Feeders
0 200,amp x $101.00
.0- 200 amp x$132.50 x$103.50
201 -600 amp x $164.00 201- 600 amp x$307.00 x$121.00
Ozer 600 amp . , , x,%$246.50 1-.100€1 amp x$463.QQ x$196,4E1
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 Plan Review required only for:
Service and feeder x" •$132:50
• 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 1st Service/Feeder Additional Feeders
0 Security Alarm System
❑ Voice/Data Cabling 0 s;"b0 amp''''''' ,_ x. $ 71.00 x..$'32..00
O Other
Area to be served by system: 61- 100 amp "°`" °x $ 80.50; x $ 39c00
st 2,500 ftz-$71.00;each additional 2,500 ft2 $18.50 101,-20Q•"amp„", _ x $103'50' •, x,$ 51.00
1
201-400 anip,' x $121.00 x $ 60.50
#of Thermostats
40i:::=::600:476'±-, ;x 10100: x.$"'8Q.50
First$60.50;each additional$18.50
Over 600 amp 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 8th Avenue South♦Federal Way•WA♦98003-6325♦253-835-2607 1 fax:253-835-2609•wwv..cityoffederalway.corn
Bulletin#160-January 1,2011 Page 2 of 2 k:\Handouts\Electrical Permit Application