11-103981 Ectrical
Communi
C ofFederal Way S Perrit #: 11-103981 -00-EL
velo 9718 ment Services
P.O.DeBox
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: SIMMONS
Project Address: 2833 S 308TH LN Parcel Number: 092104 9314
Project Description: Add/alter up to(5)circuits for installation of heat pump and relocation of hot water tank.
Owner Applicant Contractor
BOB SIMMONS RENAUD ELECTRIC CO INC(ELECTRICAL) RENAUD ELECTRIC CO INC(ELECTRICAL)
2833 S 308TH LN 2300 TALLEY WAY RENAUEC46IBA(6/30/13)
FEDERAL WAY WA 98003 KELSO WA 98626 2300 TALLEY WAY
KELSO WA 98626
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Is Use Educational or Institutional? No
It s r p r
Circuits-Residential 5
PERMIT EXPIRES Tuesday, October 2, 2012
Permit Issued on Monday, October 3, 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 agen . oe(ja/PA.1,4 Date: (d 3 -/(
.877
Ie 1
THIS CARD IS T MAIN ON-SITE
CITY OF '`"' Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 11-103981-00-EL Address: 2833 S 308TH LN
Project: BOB SIMMONS FEDERAL WAY, WA 98003-4800
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) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
o Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved
441116 Date( ?—'2 1\
❑ Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
REce
ED
3604238281 ^5 13:56:57 09-30-2011 6/7
{ r r ( O 9
CITY OF x„
Federal Vtiq OF Fe ri.tAt teiRICAL ( �
PERMIT APPLICATION
`ti tir (
**Most electrical permits may be obtained on-line at www.cityoffederalway=.corn**
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SITE ADDRESS:
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PROJECT NAME
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION 100 K eLn ct ret 0 Ca 1- uja1 r header
Detailed description of work to
be included on this permit only
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NAME PRIMARY PHONE
PROPERTY OWNER b t..rn Pao AS (`40 ) 14-1- 3113
MAILING ADDRESS EMAIL
2-4113 `'a. 30Y4-e.' La.v- --
CITY STATE ZIP --IAN- FAufkTtR_,
d t,(J i \ ` $003 (3(00 } 63(0 -So`i�
�”NAMPRIMARY PHONE
t5 t. r Q..c,._a � + 1 G (3O ) 4Z3 - 141_0
MAILING ADDRESS E-MAIL
ELECTRICAL 2. 0 a' c7�tkLf 614Viertnata'L $ tom' `,
CONTRACTOR CITY STATE ZIP FAX
La,b0 WA Ci$(ate e416 )47.3 - SZ. i 1
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME �, _� , PRIMARY PHONE
APPLICANT Rkyt - r' / (3(io )x423 -142X)
MAILING Al) REBS E-MAIL
2S00 o f�Q was,/ ► �1G I t d vic-,
CITY STATE ZIP
SO W Pr Cigirafe, ISCot) )423 - us 1
NAME PRIMARY PHONE
PROJECT CONTACT 1k (Igo )42.S 142_0
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 fart oft t_ application.
i SIGNATURE: L -€-1. DATE 9' 1.- `44-'''
L.j t
i PRINT NAME: ' (i.� _ _____________--.__..
3325 81arta:.South 4 Feckrai War•WA 4 98003-6325 i 253-835-2607+fax..253-835-26N+wvvaa eityuffi der i
Bulletin P160--Januar, 1,2011 Page 1 of2 kAiandoutsvF.lectrical Permit Applicalion
3604238281 . .14:01:39 09-30-2011 7/7
RESIDENTIAL COMMERCIAL 1
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
(including attached garage): la'Service/Feeder Additional Feeders
0- 100 amp: X$132.$0. r$$0.50
FEES: First 1300 ft2-$122.0k.., 101 200 amp x$164.00 x$103.50
Each additional 500 ft2-$39.00 201 - 400 ani1?;. a$307.00`• x$121.00
NEW MULTIFAMILY (3 units or more)
401_ 600 amp x$358.00 x:$143.50
1 '
Service/Feeder Additional Feeders 601 7-'.800,anp: • $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 a $ 80.50 Over. 1000 ai'rip. . • ',.. ..x$8$5.:50
401 =600 amp a $224,00 x .$11.1.50
601 -800 amp _.a $287:00 x $153.50 Over 600 volts surcharge x:$103.50
Over 800 amp .. a $410.50 x '830700
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
I9f
Service/Feeder 1 s7 Service/Feeder Additional Feeders
:0--,'‘.200`atm x•:$101:00
0...200:gni*
201 -600 amp x $164330 201-'600 amp x:$307.00 x$121.00
Over 600 anrp
Clp Over'1000 amp a$515.50 x$328.50
Added or Altered Circuits .5 ' 88.5 0
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
15'Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling 0= 60 axnp" x $"`71 00'..•;; x ";.32:00
❑ Other 61- 100 amp .x $ 80.501 $ 39.00
Area to be served by system:
1131 .: 00 tarn
Jre2,500 ft2-$71.00,each addition 1:.''r x $,1•fJ�3 raC3 X -$ _51:00
201 400 amp • ' x $121.00 i :. a $ 60.50
#of Thermostats 401-60th aril x $164,00 x.$:80.50
First$60.50;each additional$18.50
Over 600 amp •, .x $184.50 : $ 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
8Avorr.6:9Oueh i Federal'W'_1} WA i 9$003-6325 4.253-83, _2607#fax27.1-835-2509 www.uittoffeJtra.way. o,,,
Bulletin sf?- January 1.2011 Page 2 of 2 k0Handouts\Electrical Permit Application