11-100251 City of Federal Way W • :lettrical
Community Development Services Permit #: 11 -100251 -00-EL
P.O.Box 9718
Federal Way,WA 98063-9718 rr'r 25nes
Inspection Request Line:
Ph:(253)835-2607 Fax(253)835-2609 . p q ( 3) 835-3050
Project Name: EVERGREEN COURT $'710
Project Address: 33304 19TH LN S Unit 25 Parcel Number: 797880 0460
Project Description: Replace 125-amp panel.
Owner Applicant Contractor
KING COUNTY HOUSING AUTHORITY KING COUNTY HOUSING AUTHORITY KING COUNTY HOUSING AUTHORITY
600 ANDOVER PARK W 600 ANDOVER PARK W HOUSIT*215KD(3/12/11)
SEATTLE WA 98188 SEATTLE WA 98188 600 ANDOVER PARK W
SEATTLE WA 98188
i // AaditionaiAermit Informal!. rr k`
Is Use Educational or Institutional? No Service greater than 999 Amps? No
ctrical Fixtur s
Alt. Serv./Feeder: 0 to 200 amps(11 1
PERMIT EXPIRES Friday, January 20, 2012
Permit Issued on Thursday, January 20, 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: Date: /-
2f /ll
• THIS CARD IS TO AIN ON-SITE -
CITY OF • Construction Ins tion Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT #: 11-100251-00-EL Address: 33304 19TH LN S Unit 25
Project: KING COUNTY HOUSING AUTHOR FEDERAL WAY, WA
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
•
El Pool Bonding(4195) #❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
•
0 Feeders/Sub-panels(4045) El Rough Electrical(4225) e0 Ceiling Cover(4020)
Approved Approved Approved
ByC J Date ,a-1- � k By Date By Date
J
0 Final-Electrical(4055)
Approved
By 0 " Date '\ _` •
❑ Rough Electrical Cl Final ElectricalCI Right of Way
Approved Approved Approved
By Date By Date By Date
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Wa ELECTRICAL
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,Ntio ',u'` P MIT APPLICATION
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**Most electrical permits may be obtained on-line at www.cityoffederalway.corn**
PROPERTY INFORMATION '
SITE ADDRESS: _5 L / .1,-1 -t-J / <
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# _ O CURRENT/PROPOSED USE
Y (0 0
T , e';,
k * Imo_ CT INFORMATIO
PROJECT NAME , ,{,,,�
(Tenant or Homeowner Last Name) 1/'C�'' ,4 , vn .
PROJECT DESCRIPTION f.p�Q(et ZinSl.0 K`e-( 0l .- 4` l
Detailed description of work to
be included on this permit only
PEOPLE
NAME , � y PRIMARY PHONE
PROPERTY OWNER tJ7 l�f ( -)
MAILING ADDRESS / E-MAIL
��$
(p (4491,i /;r/G (:J� 5 r--
kAgCITY -rte STATE ZIP FAX
NAME /(7-1 ( } PRIMARY^� PHONIC�y
l�.( N'.7 ,/,‘)5,_ ) - ( ) s----7,-, ._it W
MAILING ADD -88 / ,� J / E-MAIL
ELECTRICAL /�O() Xt4 Uot-ii, lig( r/s! tut'
CONTRACTOR CITY STATE ZIP FAX
( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
t
Nmin
`
1PRIMARY PHONE
APPLICANT 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 arty 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 a part of this application.
Cty
SIGNATURE: '�1 DATE
PRINT NAME: ,j! f -
33325 8"'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
RESIDENTIA COSERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
(including attached garage): 1' Seance/Feeder Additional Feeders
.fl 1b0 amp x$132 SQ x$
FEES: First 1300 ft2-$122.00; 101- 200 amp .x$164100 x:$103::50
Each additional 500 ft2-$39.00 ....,:." . .:,
] 453Q amp <:x$3�'1`#�tl:`::'> <: x$131.tSQ
NEW MULTIFAMILY (3 units or more) 401- 600:amp x$358:00 x$14&50
heService/Feeder. .. Additional.Feeders.
802-1b00::amp x$565:00 x:$236::50
201.- 400 amp X :$164:00- X $i80.&0
601-800 amp x::$28::100 .x $15 50 Over 600 volts surcharge x:$103150
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
lsz Service/Feeder ls,Service/Feeder Additional Feeders
i fl 200 amp x$132.50 x.$103:50
201..-60Q AMp X' $:1:64:00
201.-600 amp x$307:00 x:$1200
601....1000 amp.. x$463.00 x.$.1;9 .10
Over:::1000:amp.. x$51&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:orfeederIonly x $=80:50 Plan Review required only for:
• 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 J i Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling
❑ Other
61 100 amp X $ 80 SA x $ 39:00
Area to be served by system:
1.t 2500 ft2-$71.00;each additional 2,500 ft2-$18.50
201_400 amp . $121:00 " *41/0..:64)
60.55}
#of Thermostats
First$60.50;each additional$18.50
Over 600 :amp ....... x $184::55) 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 8th Avenue South♦PO Box 9718 1 Federal Way♦WA♦98063-9718♦253-835-2607♦fax 253-835-2609 1 www.cityoffederalway.com
Bulletin#160-April 9,2010 Page 2 of 2 k:\Handouts\Electrical Permit Application