12-101381IL
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph' (253) 835-2607 Fax: (253) 835-2609
Project Name: GREEN LAND ADULT FAMILY HOME CARE
-� ]Electrical
Permit #: 12 -101381 -00 -EL
Inspection Request Line: (253) 835-3050
Project Address: 32019 5TH AVE SW Parcel Number: 926490 0430
Project Description: Installation of generator transfer switch and generator.
Owner
AnI2111cant
Contractor
RAFAEL YUMO
D E W ELECTRICAL COMPANY
D E W ELECTRICAL COMPANY
32019 5TH AVE SW
1729 SW 326TH CT
DEWELEW943BF (1/27/13)
FEDERAL WAY WA 98023-5615
FEDERAL WAY WA 98023
1729 SW 326TH CT
FEDERAL WAY WA 98023
Additional Permit Information
Is Use Educational or Institutional?.......................No
Electrical Fixtures
Circuits - Residential ...................... 1
CONDITIONS:
A permanently installed generator is not allowed to be placed within required yards (setbacks). See Bulletin
#150 for placement details.
PERMIT EXPIRES Monday, September 24, 2012
Permit Issued on Wednesday, March 28, 2012
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and zz;;
ordance with the laws, rules and regulations of the State of Washington
nd the City of Federal Way.
Owner or agent: Date: -;57��N 9
N'�.
�#V /
15AS11?0,
CITY OF
Federal Way
PERMIT #: 12 -101381 -00 -EL
Project: RAFAEL YUMO
THIS CARD IS TO REMAIN ON-SITE
Construction I ection Record
INSPECTION REQUE TS: (253) 835-3050
Address: 32019 STH AVE SW
FEDERAL WAY, WA 98023-6616
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.
11 Final - Electrical (4055)
Approved
B Date ftj,.l
❑ Rough Electrical Final Electrical ElRight of Way
Approved Approved Approved
By Date By Date By Date
UFER Ground (4295)itch
cover (40 0)
Temporary Power (4275)
Slab/Concrete Floor (4255)
❑
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
11 Final - Electrical (4055)
Approved
B Date ftj,.l
❑ Rough Electrical Final Electrical ElRight of Way
Approved Approved Approved
By Date By Date By Date
Pool Bonding (4195)
Temporary Power (4275)
❑
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0
Ceiling Cover (4020)
Rough Electrical (4225)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
11 Final - Electrical (4055)
Approved
B Date ftj,.l
❑ Rough Electrical Final Electrical ElRight of Way
Approved Approved Approved
By Date By Date By Date
CITY O
I Way
V L
�V
i
,q p� ELECTRICAL
'PERMIT APPLICATION
(; �Glost electrical permits maybe obtained on-line at www. cit yo ederalway.com"
SITE ADDRESS:
SUITE/UNIT/SPACE M
ASSESSOR'S TAX/PARCEL I
CURRENT/PROPOSED USE
v
PROJECT NAME
`nn
(Tenant or Homeowner Last Name)
GC W f A L4 (_) I&C)
t A,-) 1A �-�- le I-Ij CU t--" -7-
PROJECT DESCRIPTION
r �
`5%a3 rT'c ly
Detailed description of work to
be included on this permit only
MEMEMEMEMEMEM
NAME
PRIMARY PHONE
PROPERTY OWNER
%GA- F A E Z ---
MAILING ADDRESS
3 0 t t S',�, Ate ,
E-MAIL
CITYSTATE
2IP
FAX
NAME
PRIMARY PHONE
93
ELECTRICAL
MAILING ADDRESS
S-4°-1, _3 -C•� C� %-
EMAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE S EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE N
6 6
NAME
PRIMARY PHONE
APPLICANT..K�
MAILING ADDRESS
EMAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
PRIMARY PHONE
d-,5_5- 9
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 se out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied tot city apart oft c,@plication. I
SIGNATURE: DATE --
PRINT NAME:
33325 8° Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 ♦ 253-835-2607 1 fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin #160 — January 1, 2011 Page 1 of 2 kAHandouts\Electrical Permit Application
I N
NEW SINGLE FAMILY RESIDENCE
Total Square Feet
(including attached garage):
FEES: First 1300 ft2 - $122.00;
Each additional 500 ft2 - $39.00
NEW MULTIFAMILY (3 units or more)
1s1 Service/Feeder Additional Feeders
3r.
2U1 400 aznP_, x...$164 Qf1, x .$" 80.5(1
ALTERED SINGLE or MULTI FAMILY
1st Service/Feeder
20>W, (00 amP $164A0
Added or Altered Circuits-
1-4
ircuits..1-4 circuits $80.50; each additional $8.00
Mast or meter repair $60.50
MANUFACTURED HOMES
0
NEW COMMERCIAL
1s, Service/Feeder Additional Feeders
1 21.amp... x$164:Q', x',$103;50
801,...ioU arnp. $505,OQ.,.,,
ALTERED COMMERCIAL
1st Service/Feeder Additional Feeders
;' 1:,2°1.,Op
dvr ,1(10f1,artig .... ac'$t5.5tI y38.50
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
MISCELLANEOUS SERVICE/ EQUIPMENT
LOW VOLTAGE
❑ Fire Alarm System
❑ Security Alarm System
❑ Voice/Data Cabling
❑ Other
Area to be served by system:
1st 2,500 ft2-$71.00; each additional 2,500 ft2 - $18.50
# of Thermostats
First $60.50; each additional $18.50
Yard Pole/meter loops/pedestal x $ 80.50
Portable Generator (transfer equipment)l x $101.00
Ditch cover/ inspection only x $121.00
TEMPORARY SERVICE
1st Service/Feeder Additional Feeders
Ell „ 1,41fL azup.. 80 50. x x :.$ 39.00
40
a1te 6QE1.. amp x $384 50`:. 92.00
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 8" Avenue South 1 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