09-103633 t
Electrical .
City of Federal Way Pert•
t#: 09-103633-00-E L
Community Development Services '
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: KURKOV
Project Address: 29013 28TH PL S Parcel Number: 029450 0070
Project Description: REP-Replace electrical panel& rewire for fire damage repair
Owner Applicant Contractor
DAVID GISTARB PAUL KIRKOV PAUL KIRKOV
7802 RENTON AVE S PO BOX 833 PO BOX 833
SEATTLE WA 98118 GRAHAM WA 98338 GRAHAM WA 98338
AdditionalPermit rmation
Is Use Educational or Institutional? No
Electrical Fixtu
Alt. Serv./Feeder:0 to 200 amps(F 2 Thermostat 2
PERMIT EXPIRES Saturday, September 18, 2010
Permit Issued on Friday, September 18, 2009
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use be in accrrda e with the laws, rules and regulations of the State of Washington
a®• the City of Federal Way.
Owner or agent: Date:
THIS CARD IS TO REMAIN ON-SITE
CITY OF _ ! Construction I jection Record
Federal WayINSPECTION REQUESTS: 253 835-3050
PERMIT #: 09-103633-00-EL Address: 29013 28TH PL S
Owner: DAVID GISTARB FEDERAL WAY, WA 98003-7903
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.
El UFER Ground (4295) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
o Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved /
By Date By Date �`S Date -7_34//.
O Feeders/Sub-panels(4045) El Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date ByaCc Date(2_17_ f ( By Date
O Final-Electrical(4055)
Approved
By 0____443 Date -a3—k%
O Rough Electrical Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
- A0!— ( 03632 1 0 /,., _____>—›4 L PERMIT •MFCO ME 0 PL DE EN FP
Fede I E
CObfMv,YlIYDEVELOPIiENT SERVICES „cm APPLICATION 1 /
25&8352609•FAX2waR,M Q 1. 8 2U 0
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SUITE/UNIT# ZONING ASSESSOR'S T . /PARCEL( #
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NAME OF PROJECT
(Tenant or Homeowner Name) A /
-BUILDING ...•-:.....i) UMBING MECHANICAL
TYPE OF PERMIT
0 DEMOLITION rP..0 ECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
PROJECT DESCRIPTION / �, �� r,
Detailed description of work to �• i- � , ` _ =_, —
be included on this permit only '� �M 1_ //.11 '[ L M
11111
rx, c,, £Az ✓�i':. £�a'�� eq�x `5.,;,�€ ,'� $ ,ti �r�,g2D �« x 4�,' ..�vs'�" £1 ae � €E Lv`�" �` " � ;r t�tiy�.,
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NAME PRIMARY PHONE
PROPERTY OWNER let Ai, A.) . (.7.. - ) 732-2 3 c
MAILING ADDRESS,CITY,STATE,ZIP
ea / • .” 33 dr..-1.44..-1.e.,. r.-l'' ',l_
Mil=
OWNER IS ALSO: El CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
NAME PRIMARY PHONE
-
CONTRACTOR MAILING ADDRESS,CITY,STATE,ZIP
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
PRIMARY PHONE
iliffr;
APPLICANT ' / 1,4,1, 41 ?Cr) . 1- F
7.71 AD S,CITY,STATE,ZIP FAX
tvi 9,3 i 560
PROJECT CONTACT NAME PRIMARY PHONE
(The individual to receive and l -
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP
concerning this application) ffillaillillil
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
PROJECT FINANCING NAME
xi OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095) 0512 732 . 2 _ref 2
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 jlled against the
city, but only where such cia es out of the reit• ce of the city, including its officers and employees, upon the accuracy of the
information supplied to the•• •• a part • this app ca'•n.
i Q�1/2
SIGNATURE: AA DATE ` 9
PRINT NAME: Qi�e1 / '' '
Bulletin#100—4/17/2009 Page 1 of 4 k:\Handouts\Permit Application
t • ELECTRICAL •
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet 1st Service/Feeder Additional Feeders
(including attached garage): 0 0,
FEES: First 1300 fta-$121.00; I01- 240 amp x$163.00 x$103.00
Each additiona1500 fta-$39.00
•
NEW MULTIFAMILY (3 units or more) 401_ 640 x$356 00 x$142.50
In Service/Feeder Additional Feeders
801,!:.19001!:4#4)(11];;11!:10•1140:14,02:5%:E.., x$23550
201;400 amp x $163.00 x $ 80.40 K` 7,.00
601 800;a tOo x $285.50 x ;$152.50 Over 600 volts surcharge • x$103 OU
aasllr., x $448.50 x $ O .so
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
2 1 Service/Feeder Add nal rs
Feede1 Service/Feder Additional Feeders
0 mp . . x-:$100:50" x•; .3 :00 t1 :%200 amp ;$ 31 513;. x!$103.f
201-600 amp x $163.40 x $ 80.00 201- 600 am x$345.50 x$142.50
OVer 1000 amp x$513.00; x$327.00
Added or Altered Circuits
(1-4 circuits$80.00;each additional$8.00) Added or Altered Circuits
1-5 circuits$103.00;each additional$8.00
Mast or meter repair $60.50
Mast or meter repair $111.00
MANUFACTURED HOMES PLAN REVIEW FEES
Service or feeder only x $ 80.40
$103.00 plus 35%of Permit Fee;Plan Review required for:
Service and feeder x ..$131`50
❑ New,or alteration to,service of 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
Plan review for modified submittals $120.50/hour
MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
O Fire Alarm System 1 a Service/Feeder Additional Feeders
0 Security Alarm System
❑ Voice/Data Cabling
❑ Other 6I 100 amp •Vx $ 8000 x $ 39,40
Area to be served by system:
10*200" x $10350 . x $"5100
1+ 2,500 ft2-$71.00;each additional 2500 ft2-$18.50) $ 60.5()
201-400 atop
#of Thermostats
First$60.50;each additional$18.50
over 600 amp a $183,04 `;x $ 92,00
#of Signs **NOTE: an automation fee of$6.00 will be charged
First$60.50;each additional$28.50 on all permits**
Yard Pole/meter loops/pedestal x$ 80.00
. Portable Generator(transfer equipment) x$100.50 For fixtures or fees not listed contact the Permit Center at
Ditch cover/inspection only x$120.50 253-835-2607
Bulletin#100-4/17/2009 Page 3 of 4 k:\Handouts\Permit Application