14-103810 -� S 4.
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Electrical
City of Fe . Way Permit #: 14 103810 00 EL
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,ax Request Line:ssoo3 Inspection (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p
Project Name: WESTFALL 'Ip5.1o80
Project Address: 29616 2ND PL S Parcel Number: 718300 0130
Project Description: Running electrical wire from house to brick tower to house street light and water feature.
Owner Applicant Contractor
DONALD G WESTFALL DONALD G WESTFALL GO2 ELECTRIC LLC
JACQUELIN WESTFALL 29616 2ND PL S GO2ELEL919JA(4/1/15)
29616 2ND PL S FEDERAL WAY,WA 98003 1722 N LEXINGTON ST
FEDERAL WAY,WA 98003 TACOMA WA 98406
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Low Voltage-Other(Residential). 2
PERMIT EXPIRES Tuesday, March 10, 2015
Permit Issued on Tuesday, July 29, 2014
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: �� ld'E� Date: ‘9•7///7-15,if
•
J�tiy
•
r
•
• r Electrical
City of Federal Way Permit #: 14-103810-00-EL
Community&Econ.Dev:Services
33325 8th Ave S
Federal way,WA 98003 Inspection Request Line: (253)835-3050
Ph (253)835-2607 Fax (253)835-2609 R
Project Name: WESTFALL
Project Address: 29616 2ND PL S Parcel Number: 718300 0130
Project Description: Running electrical wire from house to brick tower to house street light and water feature.
Ow er Applicant Contractor
DONALD G WESTFALL DONALD G WESTFALL OWNER IS CONTRACTOR
JACQUELIN WESTFALL 29616 2ND PL S
29616 2ND PL FEDERAL WAY,WA 98003
FEDERAL WAY,WA 98003
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional9 No
Electrical Fixtures
Low Voltage-Other(Residential). 2
PERMIT EXPIRES Sunday, January 25, 2015
Permit Issued on Tuesday, July 29, 2014
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
ityof Federal Way.
Owner or agent:/�/ (I Q-e:liJ Date: b 7/R9/Ze,C
' THIS CARD IS TO ,MJ N ON-SITE •. '
•
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-103810-00-EL Address: 29616 2ND PL S
Project: DONALD G WESTFALL FEDERAL WAY, WA 98003-3617
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. Cheek 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.
❑ UFER Ground (4295) .,i Ditch cover(4030) ip Slab/Concrete Floor(4255)
Approved f Approved Approved to place concrete
By Date By IA4 Date 8(2.4011 g, By Date
El Pool Bonding(4195) 0 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 By Date By Date
.
Final-Electrical(4055) '
t❑
Approved
By Date _ 5— t k
..r (80° OF Bent W'lb lt- sl-a6 INGLNp trl 4 51146 Ur to POST Lt GST.
El Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
11111
CITY of ELECTRICAL
Federal Way PERMIT APPLICATION
MEWED
-0a JUL 2 9 2014
PERMIT NUMBER 14
CS I EQv ARE AL WAY
SITE ADDRESS: a qi b!( 2� I p 3. CDS
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 7 1 < 3 o o - _L 3 r _
PROJECT NAME c ( L
(Tenant or Homeowner Last Name) G,1�,��"l C( l t YL c , f c a Q S fit e. - IVO
h
44 131.t2�e.�v�� t t r� Ari, .41
PROJECT DESCRIPTION I1J11- �Y L e13J2CJ O- La'"I ri p)(
Detailed description of work to t �t>a' 0.44 rI S l'"retrf
be included on this permit only ?Ls.,
,t i u'ai / re it..evcr
1,49 ti_s-C
NAME q� " " (,t,1 PRIMARY PHONE
PROPERTY OWNER J®r1 id Cs� - S i ti (1(5 Z0 - O`E 6.l
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
Fetia ro �J.r.�, 14.4 _ 7'8003 ( ) -
NAME PRIMARY PHONE
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT D`'0 ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
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 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. Y.
SIGNATURE: Ili )4,, DATE /2`� re 7
PRINT NAME:_7)Q eije. /
Bulletin#160—January 1,2013 Page 1 of 2 k:\HandoutsTlectrical Permit Application
- .r
ELECTRICAL PERMIT FEES -
i s ...
—> Electrical permit fees are calculated based on the value of the electrical work to be
performed using the table below.
—> A copy of a contractor's bid or estimate may be required for verification of the valuation
provided. The Building Official has the authority to assign a project valuation when the
cost information provided is not consistent with industry standards.
-- An Automation Fee of$20.00 is also charged on each permit.
--> Plan review fees, when required, are in addition to permit fees, based on 65% of the electrical
permit fee
Plan Review is required only for:
• New, or alteration to, service of 1,000 amps or greater
• Medical/Educational/Institutional Facility
• Commercial generator installation
• Inordinately complex projects, as determined by the Building Official
TOTAL PROJECT VALUATION INCREMENTAL FEE FACTOR
(1)$1.00 to$500.00 (1)$36.00
(2)$501.00 to$2,000.00 (2)$36.00 for the first$500.00 plus$4.50 for each additional$100.00 or fraction thereof,to and
including $2,000.00
(3)$2,001.00 to$25,000.00 (3)$103.50 for the first$2,000.00 plus$21.50 for each additional$1,000.00 or fraction thereof,to
and including$25,000.00
(4)$25,001.00 to$50,000.00 (4)$598.00 for the first$25,000.00 plus$15.50 for each additional$1,000.00 or fraction thereof,to
and including$50,000.00
(5)$50,001.00 to$100,000.00 (5)$985.50 for the first$50,000.00 plus$10.50 for each additional$1.000.00 or fraction thereof,to
and including$100,000.00
(6)$100,001.00 to$500,000.00 (6)$1,510.50 for the first$100,000.00 plus$8.50 for each additional$1,000.00 or fraction thereof,
to and including$500,000.00
(7)$500,001.00 to$1,000,000.00 (7)$4,910.50 for the fist$500,000.00 plus$7.00 for each additional$1,000.00 or fraction thereof,to
and including$1,000,000.00
(8)$1,000,001.00 and up (8)$8,410.50 for the first$1,000,000.00 plus$5.50 for each additional$1,000.00 or fraction thereof.
Table A
**Many Electrical Permits can be applied for using our on-line system.
Visit cityoffederalwau.com for more information.**
PERMIT CENTER
33325 8th Avenue S
Federal Way, WA 98003-6325
253-835-2607 • FAX 253-835-2609
permitcenter@cityoffederalway.com
Bulletin#160—January 1,2013 Page 2 of 2 k:\Handouts\Electrical Permit Application