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12-101347'01 -%.City Electrical Community & Econ. rDev. Services ILE wawPermit #: 12-101 X47-60-EL 33325 8th Ave S Federal Way, WA 98003 Inspection Request Line: 253 835-3050 Ph: (253) 835-2607 Fax: (253) 835-2609 p q Project Name: FARROW 1p\�� Project Address: 35115 11TH PL SW Project Description: Installation of circuit for portable generator. Parcel Number: 502860 1260 Owner Applicant Contractor SANDRA L TJERNAGEL SUPREME ELECTRIC SUPREME ELECTRIC PETER FARROW PO BOX 786 SUPREEL94606 (9/26/12) 35115 11TH PL SW MILTON WA 98354 PO BOX 786 FEDERAL WAY WA MILTON WA 98354 Additional Permit Information Is Use Educational or Institutional?.......................No Electrical Fixtures Circuits - Residential ...................... 1 PERMIT EXPIRES Saturday, September 22, 2012 Permit Issued on Monday, March 26, 2012 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: Date: c zV CITY of Federal Way PERMIT #: Project: THIS CARD IS TO MAIN ON-SITE Construction I ection Record INSPECTION REQUE TS: (253) 835-3050 12 -101347 -00 -EL Address: 35115 11TH PL SW SANDRA L TJERNAGEL FEDERAL WAY, WA 98023-6932 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) Temporary Power (4275)Service Slab/Concrete Floor (4255) Approved Approved Approved to place concrete By Date By Date By Date Final - Electrical (4055) Approved By(7, Date g,, Rough Electrical Final Electrical Right of Way Approved 1:1Approved 1:1Approved By Date By Date By Date Pool Bonding (4195) ❑ Temporary Power (4275)Service (4235) Approved Approved Approved By Date By Date By Date Feeders/Sub-panels (4045) ❑ Rough Electrical (4225) Ceiling Cover (4020) Approved Approved Approved By Date By Date By Date Final - Electrical (4055) Approved By(7, Date g,, Rough Electrical Final Electrical Right of Way Approved 1:1Approved 1:1Approved By Date By Date By Date 3-. CITY OF Federal Way ELECTRICAL` PERMIT APPLICATION "Most electrical permits may be obtained on-line at wwtiv. �V .Pm * v � t SITE ADDRESS: SUITE/UNIT/SPACE # ASSESSOR'S TAX/PARCEL # CURRENT/PROPOSED USE (001510't 10MA"Ofton PROJECT NAME (Tenant or Homeowner Last Name) /0 V1}'Cl) LA_) PROJECT DESCRIPTION 0K �(; A"t .4C4 4L, f 1 -fit Detailed description of work to tt be included on this permit only I 1 e le w C- k, i faAW NAME PRIMARY PHONE PROPERTY OWNER M lo. -t> t 47(ft )e CC ? ft 06) _5-) MAILING ADDRESS E-MAIL 1Z1 I I��I i CITY STATE ZIP FAX NAME PRIMARY PHONE MAILING ADDRESS E-MAIL ELECTRICAL {�' O. 6�C In I/ (..� CONTRACTOR CITY STATE ZIP FAX AAj c7 WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # NAME PRIMARY PHONE APPLICANT ( ) MAILING AD RESS_ E-MAIL CITY STATE ZIP FAX ( ) NAME PRIMARY PHONE PROJECT CONTACT ,(I " C 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 p0iCo_f1hAs-eppJication. SIGNATURE: // /' L/' 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 I of 2 k:\Handouts\Electrical Permit Application Alk Ask RESIDENTIAM C MMERCIAL NEW SINGLE FAMILY =RESIDENCE NEW COMMERCIAL Total Square Feet 1s1 Service/Feeder Additional Feeders (including attached garage):{} _ lt1(l amp x.$132.5(3 x $ 80.50 FEES: First 1300 ft2 - $122.00; 101- 200++ amp x $164.00 x $103.50 Each additional 500 ft2 - $39.00 2i1 - 400 amp X $307.00 x $121.00 NEW MULTIFAMILY (3 units or more) 401- 600 amp x $358.00 x $143.50 Is, 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 Is, Service/Feeder 1s, Service/Feeder Additional Feeders 6 - 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 Qter,fi00 alup` °'a .x... x $246:50 601 -.1001) *iip, x$463 QO .. X $196.00 Over 1000 amp x "$515.50 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 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 $105.50/hour MISCELLANEOUS SERVICE/ EQUIPMENT LOW VOLTAGE TEMPORARY SERVICE ❑ Fire Alarm System ❑ 11t Service/Feeder Additional Feeders Security Alarm System ❑ Voice/Data Cabling 0a. „6#3,autp x,':_$ ,;7.1.00 x $ 32.00 Other 61 - 100 amp - X $ 80.50 x $ 39:00 Area to be served by system: X $103;50 x $ 51,00 1st 2,500 ft2-$71.00; each additional 2,500 ft2 - $18.50.O,amp, 201 -400 amp x $121.00 x $ 60.50 # of Thermostats 1�t}p x: $164oQ0 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 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 8"Avenue South ♦ Federal Way 1 WA ♦ 98003-6325 1 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com Bulletin #160 - January 1, 2011 Page 2 of 2 k:\Handouts\Electrical Permit Application