12-104816 0 0 Electrical
City of Federal D Way Permit #: 12-104816-00-EL
Community&Econev.Services
33325 8th Ave S
Federal Way,WA 98003lnS Inspection Request(253)835-2607 Fax(253)835-2609 L 1 p tion Re uest Line: (253)835-3050
Project Name: EVERGREEN COURT-BUILDING G,UNIT 21 ao)931
Project Address: 33010 19TH LN S Bldg G Parcel Number: 797880 0460
Project Description: Replace electrical panel.
Owner Applicant Contractor
KING COUNTY HOUSING AUTHORITY KING COUNTY HOUSING AUTHORITY OWNER IS CONTRACTOR
600 ANDOVER PARK W 600 ANDOVER PARK W
TUKWILA,WA 98188-3326 TUKWILA,WA 98188-3326
•
Additional permit information
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Electrical Fixtures
Circuits-Multi-family 1
PERMIT EXPIRES Saturday, April 20, 2013
Permit Issued on Monday,October 22, 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: ----- Date: /4/117.-/P2_
6
i
THIS CARD IS TO MAIN ON-SITE {
CITY .44.,OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-104816-00-EL Address: 33010 19TH LN S Bldg G
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.
0 UFER Ground (4295) -El Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) El Temporary Power(4275) E Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) 0 Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
E Final-Electrical(4055)
Approved
By - Date(0---Z -7 Z�
❑ Rough Electrical El Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
r _,.: 0 ,07 - ' o_ 8..l
CITY OF •-
Fede�tie1 ELECTRICAL
oci, 2 2 2012 PERMIT APPLICATION
t -:,— Ni'"trical permits may be obtained online at www.cityo ederalway com**
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SITE ADDRESS: 33010 1 9-3N bane S Ved e ea 1 Gti__o_ 9g003
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
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PROJECT NAME
(Tenant or Homeowner Last Name) "\.erl reein Cr u,,.+
PROJECT DESCRIPTION Replace r,�c 1 s `/ E IC(�...c4 I pavi.e I w i I-k At,,�
Detailed description of work to
be included on this permit only
NAME ` '(��r�- 4 PRIMARY PHONE
PROPERTY OWNER ;rip [epLs vv-h� 14 LA S`�,1 lettA 4-,-+,t� ( ) -
MAILING v�DRESS 1 E-MAIL
PA,600 An JOveir rk Go
CITY STATE ZIP FAX
`TU I;:to h)(4 R8f i3 ( ) -
NAME PRIMARY PHONE
SA M5 ( )
-
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
/ /
NAME PRIMARY PHONE
APPLICANT MAILING An RFss �� �6)g-'7I Al 7J{
CITY STATE ZIP FAX
( ) -
NAME / \ PRIMARY PHONE
PROJECT CONTACT (:/lizAt....4.1...\_..„,
( )
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- DATE f 6/.2,1 2
PRINT NAME: f-c4U'Ove K.vt tt1(e C
33325 8th 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:\Handouts\Electrical Permit Application
RESIDENTIAL Co i ERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet 1 t Service/Feeder Additional Feeders
(including attached garage): tatt4ftWMk , u
FEES: First 1300 ft2-$122.00; 1fill; -gip s I U • >x‘,$.1-03':50
Each additional 500 ft2 -$39.00
04/3-4 02n11 . ,3 `, 1. 07"10, a;' . : $12f60
NEW MULTIFAMILY (3 units or more) 0 amp $143__.50
1st Service/Feeder Additional Feeders € , € 7,4 ,. ..;•
._-m,• t.- 4x:.. t$L9
<0 d0 + 1 1000 amp* : � x�ti$00 z x$236 50
(01 800;; x $1.53 5U
...,
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
d Feed1 t Service/Feeder e 1st Service/Feed er Additional ee ers
Wie 4 ee s k r 7. € €€ .t s 8 s X$303.517
" A O ante x 071)0 X$12100
11 600`x" � �, ���� � X I.f34-OU
�,a?s ,eye €8€ mi3"`"4 2' A 0,0140
er3i O'amp• ,,: t "< X M . ,r".,, .,;ivx +,3. 8
5Q
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 pr meter repair , $111.50
MANUFACTURED HOMES' PLAN REVIEW FEES
S&vze.or: ".x.,ti$+'a80.50 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 $105.50/hour
- • MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
❑ Fire Alarm System 1st Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling >`0- . l ., ="- „ ' .,. 1. 7 itis;$ -32`00
❑ Other 1 l0 aa?p. ,7C.$-80 50 r,. t V-4 , $•39:00
Area to be served by system:
11011- _€€ ,
Ist 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50
20 ':40O;pmts s
„r ��;:$121 tt0�a;.,,-- ,$s ft0.50
#of Thermostats €kaitai r. A ; € .,adfkidlkh.r7VWSD
First$60.50;each additional$18.50
04r amp :x $ 84 " .$ X32.00
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 1 98003-6325♦253-835-2607♦fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160—January 1,2011 Page 2 of 2 k:\l-Iandouts\Electrical Permit Application