11-101462t
C
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: HOME DESIGN CENTER
Project Address: 35109 PACIFIC HWY S
Project Description: Adding/altering (1) circuit
0 Electrical
Permit #: 11 -101462 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 202104 9047
caner
Applicant
Contractor
CHUN SUK OH
BINH TRAN
BINH TRAN
705 SW 353RD PL
35109 PACIFIC HWY S
35109 PACIFIC HWY S
FEDERAL WAY WA
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
98023-8126
Is Use Educational or Institutional?.......................No
'A. 'C NMI ia
Service greater than 999 Amps? .............................No
bove'described property and
of the State of Washington
As�crcy aF ,
Federal Way
THIS CARD IS TO REMAIN ON-SITE
Construction I1ection Record
Q
INSPECTION RE UESTS: 253 O 835-3050
PERMIT #: 11 -101462 -00 -EL Address: 35109 PACIFIC HWY S
Project: CHUN SUK OH FEDERAL WAY, WA 98003-8310
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.
E]
UFER Ground (4295)Ditch
Pool Bonding (4195)
cover (4030)
E]
Slab/Concrete Floor (4255)
n
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Rough Electrical
Approved
Pool Bonding (4195)
E]
Temporary Power (4275)
n
E:]
By
Service (4235)
By
Date
Approved
By
Date
Approved
Approved
By
Date
By
Date
By
Date
E]
E]
E]
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date _
By
Date
Final - Electrical (4055)
Approved
By
Date
Rough Electrical
Approved
Final Electrical
Approved
n
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way ELEC'T'RICAL
PERMIT APPLICATION
"Most electrical permits may be obtained on-line at iviviv-ci
�� ._ �' ���;�....... �:��� ..�-... _.._:.�>nr'�rllit=x��r�.,€;adt���r�ar� �r�aa�, •:� ,..;:
_ (C) 1 4 &,2,-,
RECEIVED
APR 15
SITE ADDRESS- ;,�I D AC4 c_
SUITE/UNIT/SPACE # ASSESSOR'S TAX/PARCEL # CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
IPROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
1 I A-1, L'o Q^r 9_Q . L 2,C -
,i 1
NAME G,jW IM(110 tto PRIMARY PHONE
PROPERTY OWNER l 6
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR
APPLICANT
PROJECT CONTACT
CITY
ZIP FAX
X00 ( ) -
NAME ( � PRIMARY PHONE
MAILING ADDRESS E-MAIL
CITY
WA STATE CONTRACTOR'S LICENSE #
NAME
-I*s prl
MAII`ILLI`NNG ADDRESS
CITY � 0
1 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
PRINT NAME:
33325 8" Avenue South ♦ Federal Way ♦ WA 1 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
STATE
I ZIP
FAX
(
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
PRIMARY PHONE
E-MAIL
tS•T)ATE
YV
ZIP Q� �q
FAX
PRIMARY PHONE
1 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
PRINT NAME:
33325 8" Avenue South ♦ Federal Way ♦ WA 1 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
RESID
NEW SINGLE FAMILY RESIDENCE
Total Square Feet
(including attached garage):
FEES: First 1300 ftz - $122.00;
Each additional 500 ft2 - $39.00
NEW MULTIFAMILY (3 units or more)
13, Service/Feeder Additional Feeders
0 - 200 amp
` x $132:.50
x $ 39.00
201 - 400 amp
x $164.00
- x $ 80.50
401 - 600 amp ;;
x $224.00
x $111.50
601 800 amp
x $287.00
x $153.50
Over 800 amp
x $410.50
x $307.00
ALTERED SINGLE or MULTI FAMILY
Added or Altered Circuits
1-4 circuits $80.50; each additional $8.00
Mast or meter repair $60.50
MANUFACTURED HOMES
Service or feeder only x $ 80.50
Service and feeder x r $132.50
lk, � 49*]6tM D)sT-0171
1-1 Service/Feeder
fl, - 200 amp ,
x' $101.00
201 - 600 amp
x $164.00
(3ver,00 amp . ;
x 1$246.50
Added or Altered Circuits
1-4 circuits $80.50; each additional $8.00
Mast or meter repair $60.50
MANUFACTURED HOMES
Service or feeder only x $ 80.50
Service and feeder x r $132.50
lk, � 49*]6tM D)sT-0171
Over 600 volts surcharge x $103.50
ALTERED COMMERCIAL
1,, Service/Feeder Additional Feeders
0 -2100 amp x=,$13250 .: 'X-"$103.50
201 - 600 amp x $307.00 x $121.00
601 - 1000; amp „ , ;. x $463.00 x $196:00
Over 1000 amp x $515.50 x $32$.50
Added or Altered Circuits
1-5 circuits $103.50; each additional $8.00
Mast or meter repair $111.50
PLAN REVIEW FEES
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
Yard Pole/meter loops/pedestal x $ 80.50
Portable Generator (transfer equipment) x $101.00
Ditch cover/ inspection only x $121.00
FEE CALCULATIONS
• Fees are determined by the scope of work as indicated.
• A $6.00 Automation Fee will be added to all permits.
• For assistance in calculating fees or completing the
application form, contact the Permit Center at
253-835-2607
33325 8h Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 ♦ 253-835-2607 ♦ fax: 253-835-2609 1 www.cityoffederalway.com
Bulletin #160 -January 1, 2011 Page 2 of 2 kAllandoutsTlectrical Permit Application
11, Service/Feeder
Additional Feeders
ElOO:amp.
x$80.50
101- 200 aiitp
x $164.00
x $103.50
201' = 400 amp
x:$307.00"
x $121.0€1
401- 600 amp
x $358.00
x $143-50
601 - 800 amp :• '
x $463.00---,Y,,$196-00
801 - 1000 amp
x $565.00
x $236.50
Over 1000 `amp , ..'
x$6.16.,00,
k,$328".150
Over 600 volts surcharge x $103.50
ALTERED COMMERCIAL
1,, Service/Feeder Additional Feeders
0 -2100 amp x=,$13250 .: 'X-"$103.50
201 - 600 amp x $307.00 x $121.00
601 - 1000; amp „ , ;. x $463.00 x $196:00
Over 1000 amp x $515.50 x $32$.50
Added or Altered Circuits
1-5 circuits $103.50; each additional $8.00
Mast or meter repair $111.50
PLAN REVIEW FEES
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
Yard Pole/meter loops/pedestal x $ 80.50
Portable Generator (transfer equipment) x $101.00
Ditch cover/ inspection only x $121.00
FEE CALCULATIONS
• Fees are determined by the scope of work as indicated.
• A $6.00 Automation Fee will be added to all permits.
• For assistance in calculating fees or completing the
application form, contact the Permit Center at
253-835-2607
33325 8h Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 ♦ 253-835-2607 ♦ fax: 253-835-2609 1 www.cityoffederalway.com
Bulletin #160 -January 1, 2011 Page 2 of 2 kAllandoutsTlectrical Permit Application