10-100964 City of Federal Way ,
Community Development Servi • r Electrical
ces •
:V Permit #: 10-100964-00-EL
P.O.Box 9718
Federal-260, Fax
(253 9718
835- Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p Q
Project Name: GORETSKI
Project Address: 29854 1ST AVE S Parcel Number: 052104 9040
Project Description: Add (3)circuits and low-voltage thermostat for furnace and heat pump.
Owner Applicant Contractor
CARL&FRANCES GORETSKI ADVANCED FILTER&MECHANICAL INC ADVANCED FILTER&MECHANICAL INC
29854 1ST AVE S (GENERAL) (ELECTRICAL)
FEDERAL WAY WA 98003 418 VALLEY AVE NW UNIT BI 15 ADVANFM944J6(4/26/10)
PUYALLUP WA 98372-2503 418 VALLEY AVE NW SUITE BI 15
PUYALLUP WA 98371
''..?4;le,',,', , 2 ., Additional Permit Information , ° •1
Is Use Educational or Institutional? No
y 5 4A Electrical°Fixtures s r1.a �,4� .^VWR ,XE
G .u8, , ',V,, 9. ., 3.3 . A ,
Circuits-Residential 3 Thermostat 1
PERMIIEXPIRES Friday, March 11, 2011
Permit ssued on Tuesday March 11, 2010
I hereby certify that the above inform: ion is correct and that tl a construction on the above described property and
the occupancy and the use n accordance with the la s, rule,s and regulations of the State of Washington
aaa d tthhe/�Ci of dera Way.
Owner or agent: �v �i/,''�,r � Date: ' 7
FIt .!. D514 I
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THIS CARD IS TO AIN ON-SITE { '
CITY OF
Construction Ins ction Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 10-100964-00-EL Address: 29854 1ST AVE S
Owner: CARL & FRANCES GORETSKI FEDERAL WAY, WA 98003-3642
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) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding (4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved ✓ A,�
By Date
ro
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
Aki -- /- 2 La 91
Federal Way PERMIT milit.F MF CO ME(9) PL DE EN FP
CONIIKUIVITY DEVELOPMENT SERVICES APPLICATION / ,, 1 •
253-835-2607*FAX 253-835-2609
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SITE ADDRESS
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SUITE/UNIT# ZONING ASSESSOR'S TAX/PARC-EL#
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NAME OF PROJECT
(Tenant or Homeowner Name)
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0 BUILDING 0 PLUMBING jiLMECHANICAL.
TYPE OF PERMIT .,
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
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PROJECT DESCRIPTION ,/, ‘
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Detailed description of work to p,___:„. _ ,,,,. ...,._ (_ ,scs-,.... - Kz,
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER (71' ') -t7 k- C--:- 'r7 - 1
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MAILING ADDRESS,CITY,STATE,Zlp E-MAIL
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OWNER IS ALSO: 0 CONTRACTOR APPLICANT APPLICANT 0 PROJECT CONTACT
NAME r, PRIMARY PHONE
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WA STATE CONTRACTOR'S LIdENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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PROJECT CONTACT NAME , PRIMARY PHONE
(The individual to receive and 7----,
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respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) .r5:1 76
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
( ) _
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required for projects with
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value of$5,000 or more MAILING ADDRESN,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095)
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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 defep.e‘of such claim),„Which may/be m de by any person, including the undersigned, and filed against the
city, but only where such claim arises out of tile reliance,of t13é city, including its officers and employees, upon the accuracy of the
information supplied t the ity as part of this,appl ecdizon.
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Bulletin 4100-January 1,2010 Page 1 of 4 kAHandoutaennit Application
� M
,�- • ELECTRICAL . .
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
(including attached garage): 1st Service/Feeder Additional Feeders
....0 100 atitp> x$132.50 x$ 80 5(1i
FEES: First 1300 ft2-$122.00; 101- 200:atop_ x$164.00 __x$1031:50
Each additional 500 ft2-$39.00
201- 400 asap: x:$ 37.00 t$12x 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 4313.;:: • x 196:.00
0- 200 amp x $132.50:: x $ 39 QQ 801 1000 amp X:$56&00 11:$236::50
201 400amp. : x $164.00 x $ 80:50
oybrl000 snap :X$3250
401 -600 up x $224.00 X <$111.50
601 -800 amp x $287.00 x $153.50 Diet':60a volts surge X$10&50
Over 800 amp x $410.50 x $307.00
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1st Service/Feeder Additional Feeders 1st Service/Feeder Additional Feeders
.0 200 smp x $101.00 x $ 39.00 0- 200 amp it$1 2.SQ 10::$103:50
201 600 amp x $164:00 x.:$::80.5(? 201 600 amp .x$307.00: .x$121:0Q
Oger fiQO 8rrip
x`$246,50 x X111.50 6{31 1000 atop x.$463.00 x:$196.3 F
Over: 1000 atop x:$5:1.:5.50 x$328.50
Added or Altered Circuits...407
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
c-i) Mast or meter repair $111.50
MANUFACTURED HOMES PLAN REVIEW FEES
Service or feederonly x $ 80.50
$103.50 plus 35%of Permit Fee; Plan Review required for:
Ser.iee and fender x $:132,50
❑ New, or alteration to, service of 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
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 $ '3200
❑ Other 61- 100 amp x $ 80.50 x $ 3900
Area to be served by system:
1.t2,500 ft2-$71.00;each additional 2,500112-$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
#of Signs **NOTE: an automation fee of$6.00 will be charged
First$60.50; each additional$28.50 on all permits**
Yard Pole/meter loops/pedestal x$ 80.50
Portable Generator (transfer equipment) X$101.00 For fixtures or fees not listed contact the Permit Center at
Ditch cover/inspection only x$121.00 253-835-2607
Bulletin#100-January 1,2010 Page 3 of 4 k:\Handouts\Permit Application