11-100129 " { Electrical
City of Federal Way • F I LE
Community Development ServicesPermit #: 11-100129 00 EL
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p a
Project Name: GEBRE-SELASSIE
Project Address: 1424 S 289TH PL Parcel Number: 516210 0480
Project Description: Repairing one circuit damaged by water
•
Owner Applicant Contractor
YESHI GEBRE-SELASSIE MADSEN ELECTRIC dba CARL T MADSEN MADSEN ELECTRIC dba CARL T MADSEN
1424 S 289TH PL INC INC
FEDERAL WAY WA 98003-3759 3939 S ORCHARD ST MADSEE*140P8(4/30/12)
TACOMA WA 98466 3939 S ORCHARD ST
TACOMA WA 98466
Is Use Educational or Institutional' No
Circuits-Residential 1
PERMIT EXPIRES Thursday, January 12, 2012
Permit Issued on Wednesday, January 12, 2011
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: dir ,� e tl.. Date: —1.2—1/
z t4 ik
• THIS CARD IS TO REMAIN ON-SITE
� � Construction Instion Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT Th 11-100129-00-EL Address: 1424 S 289TH PL
Project: YESHI GEBRE-SELASSIE FEDERAL WAY, WA 98003-3759
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 Rough Electrical (4225) ❑ Final-Electrical(4055)
Approved Approved
t y Date -/ 3-( By Date .41 1\.-1 i
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
.
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CITY OF A _ 1_0 U
Federal WayELECTRICAL
ERMITp.EC1" APPLICATION
JAN '` ost electric• permits may be obtained on-line at www.ci offederalway.com**
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SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
PROJECT NAME
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PROJECT DESCRIPTION
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NAME PRIMARY PHONE
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MAILING ADDRESS E-MAIL
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CITY STATE ZIP - FAX
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NAME PRIMARY PHONE
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CONTRACTOR CITY STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE N
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NAME PRIMARY PHONE
APPLICANT s-e-.e' -A R"C-11ar- ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
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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 ofsuch 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 .= city as a part of this application.
SIGNA - do/ DATE I 2-//
PRINT NAME V 0 k .2A.41..r-
33325 8th Avenue South•PO Box 9718•Federal Way•WA♦98063-9718•253-835-2607♦fax:253-835-2609 4 www.cityoffederalway.com
Bulletin#160—April 9,2010 Page 1 of 2 k:\Handouts\Electrical Permit Application
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RESIDENTIAL Co11ERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet t
(including attached garage): is 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
213:1 40t7:amp x$3Q7 OQ x:$121 00
NEW MULTIFAMILY (3 units or more) 401 600:amp x:$358:00 x$143.50
1st Service/Feeder Additional Feeders 60:1- 800 amp x$463 00 x$196.00
0 2fl0 airVp x $232.50: x $ 39 00 801-•1000:.amp x:$565.00 x$236.50
201 -400:amp x $164.00 x $ 80:50
Over 1004 amp x$616.OQ x$328.50
401-.6oQ atnp X $Z24 00 x $i11 5:0
601 •8:00 amp x::$287.00 x $1515:0 Over 60:0:volts surcharge x$103.50
Over800 amp x $410,50 x $307.00
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1st Service/Feeder 1st Service/Feeder Additional Feeders
0 200 aup x $14:1.00
0, 200 amp x$132 50 x.$103.50
201--600 amp x $164100 201- 600 amp x$307.00 x$1:21.00
Over600 amp x $24:6.50 60:1-1000 amp x$453.00 x$1:96.00
Over 100.0 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
0 Voice/Data Cabling 0- 6040V X $ 71.670 X $ 32.00
❑ Other
61- 100 amp x $ 80:50 is $ 39:00
Area to be served by system:
101 200 amp $103.50 x $ 51:00
18t 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50
201 400'amp x $121.00 is $ 60.50
#of Thermostats 401:-600 amp x $164.00 x $ 80;50
First$60.50;each additional$18.50
Over 600 amp k $184.50..... .... . is $.:92.00
FEE CALCULATIONS
Yard Pole/meter loops/pedestal x$ 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 8th Avenue South 1 PO Box 9718 1 Federal Way♦WA♦98063-9718 1 253-835-2607♦fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160-April 9,2010 Page 2 of 2 k:\Handouts\Electrical Permit Application