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11-103579 t • F ecftical City of Fgderal Way / Community Development Services Permit #: 11-103579-00-EL PO Box 9718 " m " Federal Way,WA 98063-9718 Ph (253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050 Project Name: TARLI (CAMELOT SQUARE LOT 375) Project Address: 3001 S 288TH ST Space 375 Parcel Number: 042104 9155 Project Description: Electrical hook-up for manufactured home. Owner Applicant Contractor CAMELOT SQUARE INC KENNETH TARLI KENNETH TARLI 3001 S 288TH ST 3001 S 288TH ST 3001 S 288TH ST FEDERAL WAY WA 98003-8019 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 AdditionaI&trmitinformation Is Use Educational or Institutional' No Electrical Fixtures Service or Feeder-Manu./M.H. P 1 PERMIT EXPIRES Saturday, September 8, 2012 Permit Issued on Friday, September 9, 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: C 1 � -�C�'_' �—� Date: q` 1 t._:; _031I 17 hz/it THIS CARD IS TO MAIN ON-SITE CITY OF - Construction In ection Record Federal Way INSPECTION REQUE TS: (253) 835-3050 PERMIT #: 11-103579-00-EL Address: 3001 S 288TH ST Space 375 Project: CAMELOT SQUARE INC FEDERAL WAY, WA 98003-8019 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 hack of this card. ❑ Slab/Concrete Floor(4255) El Final-Electrical (4055) Approved to place concrete Approved By Date By Q-- i- Date N. O—, �_I( Rough Electrical Final Electrical Right of Way ElApproved ElRoughI=1Approved By Date By Date By Date , g • r f CITY OF �o J ( , _ ( 0 357 Fed _ A � ELECTRICAL 4, i '` c IT APPLICATION **Most electrical permits may be obtained on-line at www.cityoffederalway.com** "' t" ' �'` PROPERTY INFORMATION SITE ADDRESS: l2 SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PRO ED USE � r) ss PROJECT INFORMATION PROJECT NAME -lar-(Tenant or Homeowner Inst Name) l r! PROJECT DESCRIPTION M0 0e- '#' 6L.d o r -T-io nl ' O-Wv -1'17 / 0.( Detailed description of work to be included on this permit only PEOPLE NAME PRIMARY PHONE PROPERTY OWNER ( J - .�a Lac.r /t4/-) P (2$-3)659- 7`, `is. `2)bo IMADRID E-MAIL•g ' CITY STATE ZIP FAX r ereei l.a (:,64, q$®4 ) (2 3841 - WU PRIMARY PHONE - LON_tip ( ) - 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 -4)C t ,,(^;C' 1 --\---CL•4.'\\ (}G G) 4- :/ 5 MAILING ADDRESS ��y[r��'+'[ -7+ E-MAIL C1 S. -©L] --r CITY CITY STATE ZIP FAX -�� PRIMARY PHONE PROJECT CONTACT J 6.(' n ti V1(10D (2y,47) !o% ':5 t 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 cI• ,which may be made by any person,including the undersigned,and filed against the city, but only where such claim arises out •f the reliance of the city, including its officers and employees, upon the accuracy of the information suppli;• o the city as a •• of this application. SIGNATURE: J / / r DATE !l I t- PRINT NAME: It' Y A e1. 7 kV. —7F, `y' 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:Aiandouts\Electrical Permit Application I a, l. RESIDENTIAL COMMERCIAL NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL Total Square Feet (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 $39.00 201- 400 amp x$307.00 x$121.00 NEW MULTIFAMILY (3 units or more) 401- 600 amp x$358.00 x$143.50 1stlst 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 1st Service/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 0 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: 101-200 amp x $103.50 x $ 51.00 1st 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50 201-400 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 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`h Avenue South•Federal Way•WA•98003-6325•253-835-2607♦fax:253-835-2609•www.cityoffederalway.com Bulletin#160-January 1,2011 Page 2 of 2 k:\Handouts\Electrical Permit Application