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14-102905City 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: LATITUDE CONDONIINIUMS Project Address: 33020 10111 AVE SW UNIT N301 e.-- a 40 giectricai Permit #: 14 -102905 -00 -EL Inspection Request Line: (253) 835-3050 Parcel Number: 420500 0510 Project Description: Add (1) circuit breaker (20 A, 2 Pole) wire (#12-2), disconnect box (30) for mini split heat pump Owner AR lid Contractor MATTHEW GUNAWAN MATTHEW GUNAWAN OWNER IS CONTRACTOR TERESIA GUNAWAN 3302010TH AVE SW N 301 3302010TH AVE SW N 301 FEDERAL WAY, WA 98023 FEDERAL WAY, WA 98023 Additional Permit Information Is this an Online or O.T.C. application?................Yes Is Use Educational or Institutional? ....................... No Electtrlcal Fbdures Circuits - Residential. ..................... 1 PERMIT EXPIRES Monday, December 15, 2014 Permit Issued on Wednesday, June 18, 2014 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: Lvin ii�+c -�- 4-1vl� Wry Federal Way PERMIT #: THIS CARD IS TO MAIN ON-SITE is Construction I ection Record INSPECTION REQ TS: (253) 835-3050 14102905 -00 -EL Address: 33020 10TH AVE SW UNIT N301 Project: MATTHEW GUNAWAN FEDERAL WAY, WA 98023-5093 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 0 LIFER Ground (4295)11 Ditch cover (4030) 0 Slab/Concrete Floor (4255) Approved By Approved Approved to place concrete By Date By Date By Date Final - Electrical (4055) Approved By Date 'I- Rough I- Pool Bonding (4195) El Temporary Power (4275)Service (4235) By Approved By Approved By 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 Date 'I- Rough I- Rough Electrical Approved El Final Electrical Approved Right of Way Approved By Date By Date By Date CRY OF Federal Way PERMIT NUMBER t 4 _ � ECTRICAL PERMIT APPLICATION PRIMM o zq05_DO JUN 16 2014 SITE ADDRESS: '-�7 3 0 2 O kV" b�Y � S \J � � ?7 � i �U � KM- � 1�-`(� �( P� Wffi00W4KWft WAY © l PROJECT VALUATION 100O. DD ASSESSOR'S TAE/PARCEL # AL 1- '� (7 - r� h l O CURRENT/PROPOSED USE M4k "'T +-WART pu"P PROJECT NAME (Tenant or Homeowner Last Name) 6 W to A, \,J A l PROJECT DESCRIPTION Detailed description of work toC be included on this permit only kQD CAP -W VT 13 VXA 2v 2 Qo! W I F -E �e-T PROPERTY OWNER NAME V4 --T T k tVAN PRIMARY PHONE log MA IMG ADDRESS '73 © J�C) -72 \ E-MAIL MATfv+� W k c Er L GKea'-, COK CITY STATE ZZP FAX ELECTRICAL CONTRACTOR NAME PRIMARY PHONE NAMING ADDRESS E MAA. CrrYsTATE zrn FAX WA STATE 'RACTOR'S LICENSE i EEPIRATION DATE FEDERAL WAY BUSUUM LICENSE i APPLICANT NAME 4iAfig6 /,-, PRIMARY PHONE - NAII,ING ADDRESS WMAIL CITY STATE ZIP FAX PROJECT CONTACT NAMEPRIMARY �'AN C T \-F,WW G►ul l AM M PHONE (� �) 5415 _ `k79 5 I certify under penalty of perjury that I am the property owner or authorised 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 apart of this application. SIGNATURE: PRINT NAME: VAS T"V—_\,4 Bulletin # 160 —January 1, 2013 Pagel of 2 k:\Handouts\Electrical Permit Application ELECTRICAL PERMIT FEES -� Electrical permit fees are calculated based on the value of the electrical work to be performed using the table below. -� A copy of a contractor's bid or estimate may be required for verification of the valuation provided. The Building Official has the authority to assign a project valuation when the cost information provided is not consistent with industry standards. -� An Automation Fee of $20.00 is also charged on each permit. -� Plan review fees, when required, are in addition to permit fees, b ed on 65% of the electrical permit fee Plan Review is required only for: • New, or alteration to, service of 1,000 amps or greater • Medical/Educational/Institutional Facility Commercial generator installation • Inordinately complex projects, as determined by e Building Official TOTAL PROJECT VALUATION INCREMENTAL FEE FACTOR (1) $1.00 to $500.00 (1)$36.00 (2) $501.00 to $2,000.00 (2) $36.r the Brat $500 plus $4.50 for each additional $100.00 or fraction thereof, to and inclu$2,000.00 (3) $2,001.00 to $25,000.00 (3) $10or the first 2,000.00 plus $21.50 for each additional $1.000.00 or fraction thereof, to and ding $25,0 .00 (4) $25,001.00 to $50,000.00 (4) $59or the $25,000.00 plus $15.50 for each additional $1.000.00 or fraction thereof, to and ding $ ,000.00 (5) $50,001.00 to $100,000.00 (5) $98for a first $50,000.00 plus $10.50 for each additional $1.000.00 or fraction thereof, to and din $100,000.00 (6) $100,001.00 to $500,000.00 (6)$1,510.50 or the first $100,000.00 plus $5.50 for each additional $1.000.00 or fraction thereof, to anding $500,000.00 (7) $500,001.00. to $1,000,000.00 (7)$4,910. O for the fist $500,000.00 plus $7 00 for each additionai $1.000.00 or &action thereof, to and ding $1,000,000.00(8) $1,000,001.00 and up 11 1 (8)$8,40 for the first $1,000,000.00 plus $5.50 for each additional $1.000.00 or fraction thereof. Table A **Many Electricalermits can be applied for using our on-line system. Visit ci _ offederalwau com for more information.** PERMIT CENTER \ - 33325 8+h Avenue S Federal Way, WA 98003-6325 253-835-2607 • FAX 253-835-2609 permitcenter(icityoffederalway. com Bulletin # 160 —January 1, 2013 Page 2 of 2 k:\Handouts\Electrical Permit Application