12-105226 •
• i Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 12-105226-00-EL
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: LAURELWOOD SOUTH
Project Address: 29422 21ST PL S Parcel Number: 422291 0020
Project Description: Install temporary service for associated fire damage repair work
Owner Applicant Contractor
KING COUNTY HOUSING FULL SPECTRUM ELECTRICAL FULL SPECTRUM ELECTRICAL
15455 65TH AVE S CONTRACTOR CONTRACTOR
SEATTLE W 98188 11515 83RD AVE SW FULLSSE972QE(11/5/14)
LAKEWOOD WA 98498 11515 83RD AVE SW
LAKEWOOD WA 98498
Additional Permit Information
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Electrical Fixtures
Temp. Service: 0-60 amps(All)... 1
PERMIT EXPIRES Tuesday, May 14, 2013
Permit Issued on Thursday, November 15, 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 will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: 41' Date: P" l S Z / L
a�.
a rt
(( fZ ( f(Z
.414/...., s THIS CARD IS TO AIN ON-SITE .~
CITY OF ' Construction In . ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 12-105226-00-EL Address: 29422 21ST PL S
Project: KING COUNTY HOUSING FEDERAL WAY, WA 98003
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.
❑ UFER Ground (4295) ❑ 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 ,4 Date ‘v, ` . By Date
0 Feeders/Sub-panels(4045) El Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final- Electrical(4055)
Approved
By .,l\j, Date \\_a\. - `'�..
❑ Rough Electrical CI Final Electrical111 Right of Way
Approved Approved Approved
By Date By Date By Date
A. • S- _ 105220
CITY OF
Fed ' y m v ELECTRICAL
Nov 1 s 2012 PERMIT APPLICATION
CITY OF FEDERAL WAY
COffmost electrical permits may be obtained on-line at www.cityoffederalway.com**
SITE ADDRESS: 29 ii?-?___ ? /4-' /o Is
SUITE/UNIT/SPACE# / ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
6 A+ 2 Z C( ( — 0 O G'O
PROJECT NAME
(Tenant or Homeowner Last Name) //)_a/ 4j c•F n GQ 5
PROJECT DESCRIPTION /1A
Detailed description of work to � f � p� s / ..,0.4„), 2r c-A.7.)}..
/�j fd C/5!K�if U(f>yAt
be included on this permit only 11.16 f.
`h +`'. r 'moi
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY l STATE I ZIP ( FAX
)
NAME PRIMARY PHONE
MAILING ADDRESS r E-MAIL
ELECTRICAL //c/<.;-l5` P f Q Z)6 s 7P c (l gc0 offG�<4 dY
CONTRACTOR PITY STATE ZIP FAX
/�C 1' Cti� ()UK ri 9, %i`!� P 3.3)5 g! - 3 I f`
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
� �(,c
5' �� 7 O /j /�.
NAME
PRIMARY PHONE
APPLICANT ( )
MAILING ADDRESSE-MAIL
CITY I STATE ZIP FAX
1 ( )
NAME PRIMARY PHONE
PROJECT CONTACT r
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: _ ` i • a DATE // / T 201Z
-
PRINT NAME: _ 4,7 — ''- Ii - -' .
33325 8'"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:AHandouts\Electrical Permit Application
RESIDENTIAL Co MERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet 1 t Service/Feeder Additional Feeders
(including attached garage): p 3 M f 80
FEES: First 1300 ft2-$122.00; 1111'- 200`.atup x$164'.0.(3 " ' x$103:50
Each additional 500 ft2-$39.00 20 p0. 1;1 $
Lx1F�_� 4 �.,-#®5��.��+�3z,'£�,.�,,��,F"�Aa .°#l: VNVW.Oi'^.. �$at
NEW MULTIFAMILY (3 units or more) w
4014. � l} x .., . ,$358300, x$1.43.50
151 Service/Feeder Additional Feeders W o qr , tEt x$3
. 1..rlti'.egligi aAa #. v�`, ",1x, i.V39 00!• twit,"Ty'f.` v
#,: ,�p,�4 ix.:$56-5-;06,..'.. :.` x.$236,50
L S O ami'- ." #164..01}_=, x .80.5Q . �., �€ � � 8y5
____n. ... es &o zei+ it ,a< # 0
$ 7 OC3 :x $15350
--'-'1"--' .,'' .., , : Over 600,voltssurchargg ,: ,_ :' „.'-'-''','3,c41.03_50
' a i iAtt:: Anitd1. 4 501, 1.
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1 t
Service/Feeder
' 7c1st Service/Feeder Additional Feeders
# "sM. " �' !t30 # ' ## aea a <: M , # s ,x $103:50
# ~�: ti `: . =;$164.00 lowit ....k. -.. $ G700 x$121.00
gym,. �,»._x- ##lc# s r p a '° oli -_- '.- .4 iim 0
: . . . (Kitittotio- :.„zii7rwm)-izs,51$56.;:i.:: ,...-::J,,L-,?:, ..;;,-,.ix,.$SieSij
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 $111.50
MANUFACTURED HOMES PLAN REVIEW FEES
Seo l" Cr y..' requiredonly
X-.�$ 80:5(3 Plan Review for:
wi F fc. R • 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
0 Security Alarm System
.
❑ Voice/Data Cabling 0., . 6[} A $.i 71 OQ % ,_ '••x:$° 32.20.0
0 Other 3 1, 0p' 0A4:80.50 nrz i $ 39 00
Area to be served by system:
$&8& x,
LL
1 10 {3 s lof3_t v.
1st 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50
203,.4 „gip; ... . . $12100;::.. i° >r,"f1 > $,60.50
#of Thermostats ' "VInt
First$60.50;each additional$18.50
1crer 60 , r: . > ,°;$3.$,4 5Q„ .; x::$ 9200
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 8ih Avenue South♦Federal Way 1 WA♦98003-6325♦253-835-2607♦fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160—January 1,2011 Page 2 of 2 k:\1-Iandouts\Electrical Permit Application