10-105372 Electric., 1
City of Federal Way III
Community Development Services Permit #: 1 0-105372-00-E L
P.O.Box 9718
Federal Way,WA 98063-9718 ec
InS tion Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609F ILL
p q
Project Name: THOMAS
Project Address: 34400 27TH AVE SW Parcel Number: 502945 0010
Project Description: Adding/altering (1) circuit for heat pump replacement
Owner Applicant Contractor
SHEROLD THOMAS SHEROLD THOMAS SHEROLD"THOMAS
34400 27TH AVE SW 34400 27TH AVE SW 34400 27TH AVE SW
FEDERAL WAY WA 98023-3074 FEDERAL WAY WA 98023-3074 FEDERAL WAY WA 98023-3074
Addi S<,;. %s mit I �. i . '. ,kk . .,. i .a.,, 4, &
Is Use Educational or Institutional? No
Circuits-Residential 1
PERMIT EXPIRES Tuesday, December 27, 2011
Permit Issued on Monday, December 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: -1(0 Date: /2- - 27- /6,-1>L0A-Da()Li-v
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THIS CARD IS TO REMAIN ON-SITE •
CITY OF -
'`"
0 Construction Inspegion Record
-
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 10-105372-00-EL Address: 34400 27TH AVE SW
Project: SHEROLD THOMAS FEDERAL WAY, WA 98023-3074
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 Ditch cover(4030) `0 Slab/Concrete Floor(4255)
Approved Approved Approved to pace concrete
By Date By Date By Date •
0 Pool Bonding(4195) 0 Temporary Power(4275) 'El Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) El Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055) '
Approved
By _ t Date \�` a
El Rough Electrical
ID
Final Electrical 111 Right of Way
Approved Approved Approved
By Date By Date By Date
• • /d _ / d5-- 37Z
CITY OF A
Federal Way ELECTRICAL RECEIVED
PERMIT APPLICATION DEC 2 3 2U J
**Most electrical permits may be obtained on-line at www.cityoffederalWarnf " °PtI AV
PROPERTY INFORMATION
SITE ADDRESS: j�_ 1 '%. ;v
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
C-0 2 q 4- 5- 00 (
PROJECT INFORMATION
PROJECT NAME q-11°
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(Tenant or Homeowner Last Name) �)`�
A bi>l iv; / AL7� /UG CO C l ric'-v)r
PROJECT DESCRIPTION POP__ H - BJH P -r64r
Detailed description of work to
be included on this permit only
•
PEOPLE
NAME PRIMARY PHONE
PROPERTY OWNER <jli UUL(7 /71)0(IShlra t s (2h, ) X04- L'L 7/
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME 112 PRIMARY PHONE
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME ----- 1 PRIMARY PHONE
APPLICANT t (.,114 t 0 0 . 1 N-O /T\/)- ( ) -
MAILING ADDRESS E-MAIL
;4fu CD X71- rlu- 5L ) -
CITY STATE ZIP FAX
FE I) (,1)6 u>jl- (to 02,--?-, ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT S 11/I) ( _ ) -
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 th plication..
SIGNATURE: - / /( / w/)
J
D TE /�— �l
nLPRINT NAME: ,->B,- ( ^ (.- ) I& `mpg
_
33325 8h Avenue South ♦PO Box 9718♦Federal Way♦WA 1 98063-9718 1 253-835-2607♦fax:253-835-2609 4 www.cityoffederalway.com
Bulletin#160—April 9,2010 Page 1 of 2 k:AHandouts\Electrical Permit Application
RESIDENTIAL COM•RCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
(including attached garage): Pt Service/Feeder Additional Feeders
amp x41B2.50 x$ 841;60
FEES: First 1300 ft2-$122.00; 101.-.•200 amp .x$164.00 .x:$103;:50
Each additional 500 ft2-$39.00 2031 400 amp x 740 x$121:0.0
NEW MULTIFAMILY (3 units or more)
401-6O0:amp x:$358:00 x:$143::50
1=t Service/Feeder Additional Feeders 601 - 800 amp x$46;3.00 x$196.00
$ ':39.0€1 $01- 1000':amp x$5:65.00 x$236.50
201-.400:amp x:::$:164.00x $ 80.50
_...... ....... __ _......... Elves 1000 amp `_,.:,:,::x.$616_00 x$328,50
4Q Y-6(3 axnp ..$22k 90 x $1 150
601:=801)amp x:;$287:00 x $1550
Over:660:volts surcharge x$103.50
Over$QO ap x $410.50 ' x $307.00
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
Feeder 1St Service/Feeder Additional Feeders
1 t Service/ •
0.; 200.v3zt►p x. Otf z;0 200 atop • x$132.50 ,;x$:103.50
201::-600:�uup N:$164;0()
201 600 amp x$307:00 x$12L00
Oar:fS0i1:<aiiip �� $246.54
Over:]1000:amp x:$5:1&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:feecler:only x Si:80.50 Plan Review required only for:
Bernice amd feeder
• New,or alteration to,service of 1,000 amps or greater
x $132.50
• 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 $1030 s $ 51QEI
201-400:amp: x $121100 x $ 60.50
#of Thermostats 401 600 amp x $16400 • x $ St1;50
First$60.50;each additional$18.50
Over:600:::amp x $184.50 x $
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 8m 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