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