11-104175Electrical
City of Federal Way * •�
Community Development Services�' Permit #: 11-104175-00-E L
P.O. Box 9718
Federal Way, WA 98063-9718 2 Request nes
Inspectione t Line:
LE
Ph: (253) 835-2607 Fax: (253) 835-2609q (53) 835-3050
Project Name: NORTHLAKE RIM LOT 34
Project Address: 4518 S 330TH PL
Parcel Number: 618150 0340
Project Description: Service and electrical wiring for new single family residence; installation of (1) thermostat.
Owner
Applicant
Contractor
UNION STREET HOLDINGS LLC
MODERN WIRING INC
MODERN WIRING INC
601 UNION ST #2000
P O BOX 48
MODERWI911KK (5/11/13)
SEATTLE, WA 98101
ORTING WA 98360
P O BOX 48
ORTING WA 98360
,
Is Use Educational or Institutional? ....................... No
New Service: Residential ............... 1 Thermostat..................................... 1
PERMIT EXPIRES Friday, October 12, 2012
Permit Issued on Thursday, October 1.3, 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 agent: -i Date: td f I I I.
C18014 17w
0
THIS CARD IS TO REMAIN ON-SITE '
C[" of Construction I1 ection Record
Federa WayINSPECTION RE VESTS: 253 835-3050
PERMIT #:
Project:
11 -104175 -00 -EL Address: 4518 S 330TH PL
UNION STREET HOLDINGS LLC FEDERAL WAY, WA 98001
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.
UFER Ground (4295)
Ditch cover (4030)Slab/Concrete
Floor (4255)
Approved
Approved
Approved to place concrete
By Date /0 - (`� �j
By Date (U , -Z,4 _( J
By Date
Final - Electrical (4055)
Approved
By Date
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
Pool Bonding (4195)
Approved
❑
Temporary Power (4275)
Approved
Service (4235)
Approved
By Date . _ _
By
Date
ByTGS,
Date «— Z —
rl
Feeders/Sub-panels (4045)
Approved
❑
Rough Electrical (4225)
Approved
❑ Ceiling Cover (4020)
Approved
By
Date
By 5c' S Date (21— —
By
Date
Final - Electrical (4055)
Approved
By Date
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
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:
PRINT NAME:
33325 8h Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 1 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin #160—January 1, 2011 Page 1 of 2 k:\Handouts\Electrical Permit Application
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CITY OF
Federal Way
-
ELEC'T'RICAL
- - -
RECEIVED
PERMIT APPLICATION
OCT 13, �0s)
"Most electrical permits maybe obtained on-line at www.ci
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SITE ADDRESS: `1� }'l l uG"\ `` �j 4 �- IPL-_
SUITE/UNIT/SPACE A
ASSESSOR'S TAX/PARCEL 8
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
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MAR PHO
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MAILING ADDRESS
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STATE
ZIP
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NAME
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PRIMARY PHONE
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MAILING ADDRESS ` _ i
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E-MAIL
ELECTRICAL
CONTRACTOR
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STATE
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FAX
WA STATE CONTRACTOF63 LICENSE S EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE R
NAME --,,... I '°,
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APPLICANT1''ii
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CITY
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PROJECT CONTACT
NAME .,.. - -
PRIMARY PHONE
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:
PRINT NAME:
33325 8h Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 1 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin #160—January 1, 2011 Page 1 of 2 k:\Handouts\Electrical Permit Application
33325 8h Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 ♦ 253-835-2607 1 fax: 253-835-2609 1 www.cityoffederalway.com
Bulletin #160 — January 1, 2011 Page 2 of 2 k:\Handouts\Electrical Permit Application
RESIDENTTAL TOMMERCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet/
(including attached garage):
I , Service/Feeder Additional Feeders
9W
FEES: First 1300 ft2 - $122.00;
1{ll�- .200 amp"$.1.64.00" ",-x$103.5.0
Each additional 500 ft2 $39.00111',
aC.$121.00
NEW MULTIFAMILY (3 units or more)
401` 600 amp x:$359,00 x $1:43.50
1 1 Service/Feeder Additional Feeders
6,?'1' .800" amp, �,',, - x ,$460'00` " " x$196.00
X"34
2,00 X11:'" $12' S0' . x $ 39.00
801- 1000 amp . -x$565-o0 x $236.50
201..- 4-00 amp ,' ; xl"64:00 x $ 80.50
Over 1000amp x $328.54
401 '600 arrip''", ,$24 00" x
601 - 800 x$287.0x $13.50a
Over, 600 volts" surcharge x $103.50
Over Q' muf :fix
ALTERED SINGLE or MULTI FAMILY
ALTERED COMMERCIAL
I,' Service/Feeder
11, Service/Feeder Additional Feeders
k
O 200g<�.�.
0, 20l},axrtP. .,. x;$12"•50 ".i X.$103.50
201 600:
204,-,'
0d, ;ti00.;amp k"$30,7'00. x$321.00
,<t 246;5f
0.. 1► z' , . ` x. 63 i{ � _ >>. .,.. x:$ 1'96,M
"-x:$328°:50
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 or meter repair $111.50
MANUFACTURED HOMES
PLAN REVIEW FEES
Service"tor feeder- vnfy x $ 80'.50
Plan Review required only for:
Servtce�-ryaA♦�,1�Ea�C.^ n •,Fe'^, �h"4,.aY:
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
❑
1,f Seruice/Feeder Additional Feeders
Security Alarm System
❑ Voice/Data Cabling
Other
39-00
Area to be served by system:
1,1 2,500 ft2-$71.00; each additional 2,500 ft'-- $18.50
Ol 4001 am' x .$121, Ofd $ 60:50
# Thermostats
. .�
of
First $60.50; each additional $18.50
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 8h Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 ♦ 253-835-2607 1 fax: 253-835-2609 1 www.cityoffederalway.com
Bulletin #160 — January 1, 2011 Page 2 of 2 k:\Handouts\Electrical Permit Application