10-105285 ' lecthcal
City of Federal Way
Community Development Services Permit #: 10-105285-00-EL
P.O.Box 9718
Federal-260,WA 98063-971835- Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)8835-2609 p a
re
Project Name: CHURCHILLLiu" 8 al d
Project Address: 817 SW 301ST PL Parcel Number: 515320 0511
Project Description: Adding/altering 0-200 amp service
Owner Applicant Contractor
PETER W CHURCHILL A-1 ELECTRICAL SERVICES LLC A-1 ELECTRICAL SERVICES LLC
817 SW 301ST PL PO 4538 AlELEES910QS(11/16/11)
FEDERAL WAY WA 98023-8220 SPANAWAY WA 98387 PO 4538
SPANAWAY WA 98387
Is Use Educational or Institutional No
t ^
Alt.Serv./Feeder:0 to 200 amps(F 1
PERMIT
rmit IssuedEXPIRES on MonTuesdday,yDecemberDcember 20,201020, 2 11
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, rulesiand regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: / ./,_...,c9/e)
A THIS CARD IS TO REMAIN ON-SITE ,
CITY OF • Construction Inspeon Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 10-105285-00-EL Address: 817 SW 301ST PL
Project: PETER W CHURCHILL FEDERAL WAY, WA 98023-8220
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 place concrete
By Date By Date By Date
•
O Pool Bonding(4195) El Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved
By ot_si Date 12-0`l45"1 k.
0 Rough Electrical El Final Electrical
El
Right of Way
Approved Approved Approved
By Date By Date By Date
• 11111
A. /o 7ofg-L5
a CITY OF --CITY _
Federal Way ELECTRICAL R C VEL
PERMIT APPLICATION DEC 2 o ?9111
**Most electricalyermits may be obtained on-line at www.cirt a)F ) E AL WAY
PROPERTY INFORMATIONiCDS
SITE ADDRESS: ?I fl 5w 30! p! Fe c a-1 1AY , vJ'A, gso;3
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
5- 1 5" 3Z0 - 05- 11
PROJECT INFORMATION
PROJECT NAME Church I I
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION MIAs j M e+e r PA n e ( lie pia ce Ai e vnt" o70O AMP
Detailed description of work to I I
be included on this permit only
PEOPLE
,.NAME ... PRIMARY PRONE..
PROPERTY OWNER /(Jkr Church ti (a53) 539 - ??Y6,
MAILING ADDRESS E-MAIL
'I? 5th 301 -+ 12
STATE ZIP FAX
�e4era.l Sia WA 9510?-3 ( )
NAME PRIMARY PRONE
7- A-1 clecfr(ott l 5ervire5 LLL ( Z )f?20 -3q$212
MAI LNG ADDRESSlE-MAIL
CTRICAL Po (3GX X538 4-L ele,i',,-al c✓,,e �i leo,-,-
CONTRACTOR CITY STATE ZIP FAX fc
5/00indWA. gS73 F7 (310) Ria- 139'x.
WA STATE CO 'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
A2 6-4 4-7-4 59/0 gas i/ I A, I i/
NABOB______. PRIMARY PHONE
..--_
APPLICANT omas luY�sVi k (€ 3) x 3vd'7
MAILING ADDRESS E-MAII. ,/
Pig 8Px }s.3 c82 A-2Clec¢reAiServit4SP ra4vc_
CITY STATE ZIP FAX [ Caj✓1
�Ld(7dtL)C y WA A132) (34t9 )$3a - )3q-_
PROJECT CONTACT u
PRIMARY PHONE
fyiS 7:4;155Y1 k (�53) 830 -3 /?-)
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: 7, 7, DATE / e(a.
PRINT NAME: �GLrt. `coe.7__c-//l�
33325 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
I •
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RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
(including attached garage): 1st Service/Feeder Additional Feeders
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
ISt�Seruice/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:
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
#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.
Portable Generator(transfer equipment) x$101.00 • For assistance in calculating fees or completing the
application form,c.. . =---. enter at
Ditch cover/inspection only x$121.00
253-835-2607
33325 8t6 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:\landouts\Electrical Permit Application