10-103195 ..
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CITY OF ED
Fe ir- ELECTRICAL
JUL 27 L PERMIT APPLICATION
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*Most electrical permits may be obtained on-line at www.cityoffederalway.corn**
PROPERTY INFORMATION
SITE ADDRESS: 2c;t nL/IN.
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCELCURRENT/PROPOSED USE
6" 2# 2 _ 25 0
PROJECT INFORMATION
PROJECT NAME
(Tenant or Homeowner Last Name) rf l—1✓ 7�7i GILL
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PROJECT DESCRIPTION / -> 20 D / 114 eh
Detailed description of work to
be included on this permit only
PEOPLE
NAME PRIMARY PHONE d
PROPERTY OWNER j33 Lj R 6/, 412M 5-rite i, (2.53).5- 1-2 5 37 a
MAILING ADDRESS E-MAIL
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CITY / STATE ZIP FAX
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NAME PRIMARY PHONE
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MAILING ADDRESS E-MAIL •
ELECTRICAL 3
CONTRACTOR CITY STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
c�.'�= c - 09 / Ptd /a /
NAME jr
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APPLICANT jj 1 ` �/11—J ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME - -i ) PRIMARY P
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 to the city as a part of this application.
SIGNATURE: DATE
PRINT NAME: C77(.17.--
33325
TLS33325 8'h Avenue South•PO Box 9718•Federal Way♦WA♦98063-9718♦253-835-2607•fax:253-835-2609•www.cityoffederalway.com
Bulletin#160—April 9,2010 Page 1 of 2 k:\Handouts\Electrical Permit Application
RESIDENTIAZ CfMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet 1st 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
1st 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 amx $410.50 -' x .00
-'ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
..-
,// 1.,Service/Feeder Additional Feeders
1st Service/Feeder
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
Over 600 amp x $246.50 601- 1000 amp x$463.00 x$196.00
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
MANUFACTURER-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
❑ 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 x $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
FEE CALCULATIONS
#of Signs
First$60.50;each additional$28.50 • Fees are determined by the scope of work as indicated.
Yard Pole/meter loops/pedestal x$ 80.50 • A$6.00 Automation Fee will be added to all permits.
• For assistance in calculating fees or completing the
Portable Generator(transfer equipment) x$101.00 application form,contact the Permit Center at
Ditch cover/inspection only x$121.00 253-835-2607
33325 8ih Avenue South•PO Box 9718♦Federal Way♦WA♦98063-9718♦253-835-2607♦fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160-April 9,2010 Page 2 of 2 k:\Handouts\Electrical Permit Application
Electrical
City of FederaWay Permit #: 10-103195-00-EL
Community Development Services
P.O.Box 9718 FR rirPoSO
Federal Way,WA 980 r '$' Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 dp a
Project Name: ARMSTRONG
Project Address: 29020 8TH AVE S Parcel Number: 515292 0250
Project Description: Adding/altering up to 4 circuits for remodel&addition to house.
Owner Applicant Contractor
ROBERT H&ROBIN E ARMSTRONG ROBERT H&ROBIN E ARMSTRONG ROBERT H&ROBIN E ARMSTRONG
29020 8TH AVE S 29020 8TH AVE S 29020 8TH AVE S
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Is Use Educational or Institutional? No
Circuits-Residential 4
PERMIT EXPIRES Wednesday, July 27, 2011
Permit Issued on Tuesday, July 27, 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 laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: '�7 l l }} ti 1 `C�i` '11 �1`L 4 tt Date:
(115/1t)
THIS CARD IS TO MN ON-SITE
CITY
°Fi Construction In ction Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 10-103195-00-EL Address: 29020 8TH AVE S
Owner: ROBERT H & ROBIN E ARMSTROP FEDERAL WAY, WA 98003-3702
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) El Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date Byii2)1 Date /• /740 By Date
❑ Final-Electrical(4055)
Approved
By ovsi,r4
Date 1 t sfits,l_t•
❑ Rough Electrical ❑ Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date