12-103286 -01.4.,‘ ( 2- 10zg (c)
CITY OF
Fec r@HyR5 ELECTRICAL
JUL 17 2012 PERMIT APPLICATION
CITY OF FEDf RMdMWlectrical permits may be obtained on-line at www.cityo ederalway.com**
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SITE ADDRESS: i .5 `7 uLl .3
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SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
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PROJECT NAME C a C ='C/' N) V %�I I �/P
(Tenant or Homeowner Last Name) (�w t/�
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PROJECT DESCRIPTION 7
Detailed description of work to
be included on this permit only
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NAMEPRIMARY PHONE
PROPERTY OWNER ,> C(7 Cwt( ,-y G9 4 ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
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NAME -- PRIMARY PHONE
MAILING ADDRESS
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ELECTRICAL )7i-�i(`( 5E- 5L''— , (� )7( 't' C :t,A,l ite,`> 1 i.C .(0,11
CONTRACTOR CITY STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENSE# bCPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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NAME PRIMARY PHONE
APPLICANT
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MAILING ADDRESS E-MAIL
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CITY STATE ZIP FAX
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NAME PRIMARY PHONE
PROJECT CONTACT L 1 e ZAil ( Z ') 5 ,f( C;g;t'?
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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 thatlto 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 clai • 'ses •ut of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied • e city as • part oft ' application.
SIGNATURE: DATE �. . ,-1 - '
PRINT NAME: L t e tAn. 14
33325 81h Avenue South♦Federal Way♦WA♦98003-6325♦253-835-2607♦fax 253-835-2609•www.cityoffederalway.com
Bulletin#160—January 1,2011 Page 1 of 2 k:\Handouts\Electrical Permit Application
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet 1st Service/Feeder Additional Feeders
(including attached garage):
FEES: First 1300 ft2-$122-00; lfl; a ip $Ib4 QO c$103.50
Each additional 500 ft2-$39.00
NEW MULTIFAMILY (3 units or more) �y
,s 7i� l"".::." �.� ; x$ 8 Qty x•-s,14 ,5U
1st Service/Feeder, >' m k
_Additional Feeders ,� ..+ amu*s
r �.,.�..SB buff j. �. *73s ., -A .*�NTA,b.N, " 'k. F�j
2Q040 amiitk ,rx VV (@.,R.. x a$";80 5t7 $3NbillgaitrniNiatiAtC174 t >, r 0
x $ 5Q
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1e Service/Feeder
y 1 ffiffi ffi
1st Service/Feeder Additional Feeders
le ._ �
r �
s ii sffi3 x$30700 x$12L00
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
$0firiitjee;der,b0.131.... y :i $'80-50 Plan Review required only for:
• 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 1.1 Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling >aY #WS ,.. W -VU'
❑ Other 12 ( 100 6 n s x $ 8t3 5fl � $ 39 00
Area to be served by system: y t , , ,b, y
1" atvvutod
2,500 ft2-$71.00;each additional 2,500 ft2-$18.50 £ae'z� Y s" '
14,400 ,4k,4..05-15 :i
# of Thermostats .,7``" l iia,"' i$ '
First$60.50;each additional$18.50
Over;: •:..x$184.0 $,92.00
FEE CALCULATIONS
Yard Pole/meter loops/pedestal x$ 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 8'"Avenue South•Federal Way♦WA•98003-6325♦253-835-2607 1 fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160—January 1,2011 Page 2 of 2 k:\Handouts\Electrical Permit Application
•
i Electrical
City of Federal Way Permit #: 12-103286-00-E L
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,ax 98003 Inspection Request Line: (253)
Ph:(253)835.2607 Fax (253)835-2609 p q 835-3050
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Project Name: SCAN VENTURES#3 L
Project Address: 135 SW 304TH ST L
Parcel Number: 556000 0150
Project Description: Rewire existing single family residence for associated remodel permit
`
Owner Applicant Contractor
SCOTT CARSON THE RUNNERS LLC THE RUNNERS LLC
227 BELLEVUE WAY NE BOX 379 RUNNERL915RH(12/3/13)
BELLEVUE WA 98004 12819 SE 38TH ST BOX 379
BELLEVUE WA 98006 12819 SE 38TH ST
BELLEVUE WA 98006
Additional Permit Information
Is Use Educational or Institutional? No
Electrical Fixtures
New Service:Residential 1
PERMIT EXPIRES Sunday, January 13, 2013
Permit Issued on Tuesday, July 17, 2012
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use ' be in ac •rdance with the laws, rules and regulations of the State of Washington
and the City of Federal Way. 1 �/
Owner or agent: Date: /
• THIS CARD IS TO REMAIN ON-SITE E
cinoF Construction Inspection Record
Federal Way INSPECTION REQUESTS : (253)835-3050
PERMIT#: 12-103286-00-EL Address: 135 SW 304TH ST
Project: SCOTT CARSON FEDERAL WAY, WA 98023-3938
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) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
o Pool Bonding(4195) E❑ Temporary Power(4275) ' El Service(4235)
Approved Approved Approved
By Date By Date By Date
.
'0 Feeders/Sub-panels(4045) ' 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By - Date By0 _ Date 4 .ByDate
R -7.5� �,
'0 Final-Electrical(4055)
Approved
By Date
•
El Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date