11-102749 . .� � a .s Electrical of Federal Way
Community Development ServicesF I LE Per #: 11-102749-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request(253)835-2607 Fax (253)835-2609 p Line: (253)835-3050
Project Name: ANDREWS
Project Address: 927 S 294TH PL Parcel Number: 515240 0110
Project Description: Add(1)and alter(3)circuits for kitchen remodel.
Owner Applicant Contractor
MICHAEL&DEANNE ANDREWS EVERGREEN STATE ELECTRIC INC EVERGREEN STATE ELECTRIC INC
927 S 294TH PL PO BOX 849 EVERGSE066JA (4/1/12)
FEDERAL WAY WA 98003-3714 SUMNER WA 98390 PO BOX 849
SUMNER WA 98390
.. �„ ., .• Additional
Is Use Educational or Institutional? No
v . Pie
Electrical
9 hzM1 i .
• (
Circuits-Residential 4
PERMIT EXPIRES Tuesday, July 10, 2012
Permit Issued on Monday, July 11, 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 ac ance with the laws, rules and regulations of the State of Washington
a d the City of Federal Way.
Owner or agent: Date: 7//l /(/
/e"t/J)
•
THIS CARD IS TO EMAIN ON-SITE ,
CITY46A,OF
Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 11-102749-00-EL Address: 927 S 294TH PL
Project: MICHAEL & DEANNE ANDREWS FEDERAL WAY, WA 98003-3714
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.
O UFER Ground (4295) 0 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) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) ' 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date Bye, Date d^‘. 5..[ By Date
❑ Final-Electrical(4055)
Approved
B30in . Dates_a.``)
O Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
I I
V 1JJ � J ±9
CITY OF '4'''`"
F -' ay ELECTRICAL
�.v r� ' (ERMIT APPLICATION
G
F. P st electrical permits may be obtained on-line at www.cityoffederalway.com**
( ��,c.( 0 CV PROPERTY INFORMATION
ADDRESS: 927 South 294th Place, Federal Way WA 89003
SUITS/UNIT/SPACE# ASSESSOR'S TAX/PARCEL it CURRENT/PROPOSED USE
5 1 5 2 4 0 - 0 1 1 0 Residential
PROJECT INFORMATION
PROJECT NAME
(Tenant orHomeownerLast Name) Andrews, Michael J.
Add 9 recess can lights
PROJECT DESCRIPTION Run 40 Amp Oven Circuit
Detailed description of work to
eluded on thIs permit only J-box and re-route some existing wiring
(add one circuit, alter three circuits)
PEOPLE
mum ~ PRIMARY PROA6...
PROPERTY OWNER Andrews, Michael J. ( ) -
MAIInG ADDRESS E-MAIL
927 South 294th Place
mm STATS ZIP FAX
Federal Way WA 98003 ( ) _
NAME PRIMARY PHONE
Evergreen State Electric, Inc. ( 253) 770_0656
?NAMING ADDRESS E-MAIL
ELECTRICAL PO Box 849 wirod1@mtNifftize.can
CONTRACTOR cnr STATE ZIP FAX
Sumner WA 98390 ( 253) 770 - 1767
WA STATE CONTRACTOR'S LICENSE t EXPIRATION DATE FEDERAL WAY ROSINESS LICENSE It
EVERG SE 0 6 6 JA 0 4/01 /1 2 19-99-106639-00-BL
NAME PRIMARY PRONE
APPLICANT BAergreen
State Electric, Inc. (253 )770 -0656
MAILING ADDRESS E-MAIL
1O Bac 849 wi ed1 @net yr n ure.can
CTTT STATE UP FAX
Sumer Wt 98390 (253 )770 -1767
NAME PRIMARY PHONE
PROJECT CONTACT Justin mer]in (253 )377 --in7R
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 applicatior5.
\. �-\\L\ \
SIGNATURE: .�AA _r_ l DATE
PRINT NAME: 1_ ����. �e► �� W �.
33325 8m 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
• III
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet 1st Service/Feeder Additional Feeders
(including attached garage): 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 a$143.50
1st 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
15t 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
A Over 1000 amp x$515.50 x$328.50
Added or Altered Circuits PM ( Poe r 3
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 35916= +$103.50=Plan Review Fee)
Plan review for modified submittals $105.50/hour
MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
❑ Fire Alarm System 12,Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling 0- 60 amp x $ 71.00 x $ 32.00
O Other 61-100 amp x $ 80.50 x $ 39.00
Area to be served by system:
1.t 2.500 ft2$71.00;each additional 2,500 ft2-$18.50 101-200 amp x $103.50 x $ 51.00
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 a$ 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''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