12-105253R i Mectrical
City of Federal Way Permit #: 12 -105253 -00 -EL
Community &Econ. Dev. Services
33325 8th Ave S �_ j
Federal Way, WA 98003 s i;'
Ph: (253) 835.2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: PARKLANE ADULT FAMILY HOME
Project Address: 34628 14TH PL SW Parcel Number. 666490 0480
Project Description: Adding/altering up to (4) circuits for new outlet and smoke detector
Owne
Al2RIlcan
Contractor
JINHVIIE N STONE
JINEWIE N STONE
OWNER IS CONTRACTOR
34628 14TH PL SW
34628 14TH PL SW
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Additional Permit Information
Is Use Educational or Institutional?.......................No
Electrical Fixtures
Circuits - Residential ...................... 4
PERMIT EXPIRES Wednesday, May 15, 2013
Permit Issued on Friday, November 16, 2012
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
ity o ay.
Owner or agent: Date:
t (leo
o -
CITY OR -
Federal Way
• THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
PERMIT #: 12 -105253 -00 -EL
Project: JIMMIE N STONE
Address: 34628 14TH PL SW
FEDERAL WAY, WA 98023-7038
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
By Date
By Date i
0 Final - Electrical (4055)
Approved
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
Right of Way
Approved
Approved
Date
Approved
Date
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 s m
By
Date
0 Final - Electrical (4055)
Approved
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
0 0 2- - l® 5Z 5-?:)
ELEC'T'RICAL
PERMIT APPLICATION
Sa o 7 Mr MMKAVF� t electrical permits may be obtained on-line at
i
SITE ADDRESS:
SUITE/UNIT/SPACE 6
PROJECT NAME
!Tenant or Homeowner Last
1 PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
ELECTRICAL
CONTRACTOR
APPLICANT
PROJECT CONTACT
;,- t c/L- IPL 4,:� ill
NAME
T M fG",e
PRIMARY PHONE
(24-3) 3 3 2. - Z
MAILING ADDRESS
E-MAIL
CITY
STATE/
ZIP
23
FAX
c -
NAME % o
GMd I d -f r
PRIMARY PHONE
cv2
MAILING ADDRESS
E-MAU.
CITY
STATE
ZIP
FAX
c
WA STATE CONTRACTOR'S LICENSE S EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE 8
NAME
PRIMARY PHONE
c ) -
MAILING ADDRESS
E-MAIL
CITY
STATE I
ZIP
FAX
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 of the city, including its offtcers and employees, upon the accuracy of the
information supplied to P q qty -aka ppp oylfiis appli anon.
33325 8'h Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin #160 -January 1, 2011 Page I of 2 k:WandoutsTlectrical Permit Application
Am
Ah
RESIDENTIAL
CO MERCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet
I
I- Service/Feeder Additional Feeders
(including attached garage):
FEES: First 1300 ft2 - $122.00;
Each additional 500 ft2 - $39.00
a u
NEW MULTIFAMILY (3 units or more)
1st Service/Feeder Additional Feeders
�'!' .yy.. *%.L�? �� 43y'�yct.3'"•'. �'''"�. ���
..eG ....
.,`L*'" G �ro$ 4 ��
�.. b�•..
lam
... A°..}.W. aye. .�^5�%•,a.,.si. ..# ..,,.., -r
ALTERED SINGLE or MULTI FAMILY
ALTERED COMMERCIAL
Int Service/Feeder
I Service/Feeder Additional Feeders
Added or Altered Circuits... f' _.... . .
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
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
TEMPORARY SERVICE
❑ Fire Alarm System
P4 Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling
❑ Other
Area to be served by system:
1- 2,500 ft2-$71.00; each additional 2,500 ft2 - $18.50
_
�'y v
# of Thermostats
Igo b
First $60.50; each additional $18.50
a qy
,�vn. .,w ��..3xz3z.-F,Yi•�'.a`y.. `.\ .<...:. i��As:�, A., 1. �._�-"i„.
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 a Avenue South ♦ 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