10-102174 �_ 4 Eleefric�.ai
�` City of Federal Way Y
Community Development Services Permit #: 10-102174-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718 ? 1:2`, Inspection Request Line: 253 835-3050�
Ph:(253)835-2607 Fax (253)835-2609
Project Name: LARSON ,-(`-'''-3 r-3 '
Project Address: 31418 40TH AVE SW '`' Parcel Number: 873198 2250
Wan 6,
Project Description: Change Zinsco panel
Owner Applicant Contractor
DAVID&TAMARA LARSON PACIFIC MOUNTAIN ELECTRIC PACIFIC MOUNTAIN ELECTRIC
31418 40TH AVE S 1317 FITZ HUGH DR SE PACIFME945KEI(5/5/12)
FEDERAL WAY WA 98023-2111 OLYMPIA WA 98513 1317 FITZ HUGH DR SE
OLYMPIA WA 98513
Addttiona., , .t �„ , „.�.
Is Use Educational or Institutional? No
''
A , , ecixt��; , ''',A,'''' ''.."
Alt. Serv./Feeder: 0 to 200 amps(F 1
PERMIT EXPIRES Wednesday, May 25, 2011
Permit Issued on Tuesday, May 25, 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 agen Date: Al*Lc, i .)
4, qp.....c..._q .,._--,---J 5freffio
• '416,, THIS CARD IS T AIN ON-SITE .
CITY OF Construction I ction Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 10-102174-00-EL Address: 31418 40TH AVE SW
Owner: DAVID & TAMARA LARSON FEDERAL WAY, WA 98023-2111
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.
El UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date Bye Date S. Zir
El Feeders/Sub-panels(4045) CI Rough Electrical (4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved
By c Date S _xis,
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
ela
CITY OF () _ /, ,6 02 / 7
Federal Way ELECTRICALECEI ET'
PERMIT APPLICATION MAY 2 5 2010
**Most electrical permits may be obtained on-line at www.cityoffederaltivaycal-
r prz Ada. WAY
•
PROPERTY INFORMATION CI)
SITE ADDRESS: 7 / 91 `1 ,1 t/ $' .
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ •7 ' / 9g - aCo
PROJECT INFORMATION
PROJECT NAME r
(Tenant or Homeowner Last Name) L-,'/\ SO A
6 i-iA lils-E Z /A,$ C L.---, ,a19-AL --(_.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PEOPLE
NAME PRIMARY PHONE
PROPERTY OWNER ,____1 4_`fC% Liq-- sc,f,
MAILING ADDRESS E-MAIL
- 3 l ye /e7 7>4
CITY STATE ZIP FAX
t ) C. i_ i- AY 4-L/ ( )
NAMEPRIMARY PHONE
( ISI 6 /l-j Ti; c L 1711c (b)2 'o = •`03a
MAILING ADDRESS E-MAIL
ELECTRICAL /3 / 7 1JTZ 4-'G �,CZ .i
CONTRACTOR CITY ---.. STATE STATE ZIP���t� I FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
PA e il=7 /11Z" 9 /S k'Ci /
NAME -'/ PRIMARY PHONE
APPLICANT 1 A- -- / ./=.7c___ N m T ( )
MAILING ADDRESS E-MAIL
3 / 7 ,C) J ' t-r--,q
CITY STATE ZIP FAX
4.1 >v g6,-/ - ( ) -
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 arty 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
informatio+r Supplied to the city as a part of this application.
—7� f
SIGNA r •- _ E
` OW.— DAT ��
PRINTNAME: C1 i C ►-
33325 8"'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
INIRESIDENTOP MERCIAL
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 amp x $410.50 x $307.00
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1s5eruice/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
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
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
❑ 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:
101-200 amp x $103.50 x $ 51.00
1st 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50
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
#of Signs FEE CALCULATIONS
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