11-104381City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
x
Project Name: THOMAS
Project Address: 32533 23RD AVE SW
• Electrical
Permit #: 11 -104381-00-EL
Inspection Request Line: (253) 835-3050
Project Description: Adding (2) circuits for outlets, lights, and smoke detectors
Parcel Number: 638670 0280
Owner
Applicant
Contractor
DANIEL L& CINDY THOMAS
C M G ELECTRIC LLC
C M G ELECTRIC LLC
32533 23RD AVE SW
PO BOX 66 S
CMGELMG94IQG (11/07/12)
FEDERAL WAY WA
AUBURN WA 98071
PO BOX 66 S
98023-2505
AUBURN WA 98071
Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Circuits - Residential ...................... 2
PERMIT EXPIRES Saturday, October 27, 2012
Permit Issued on Friday, October 28, 2011
I hereby certify that the above information is rrect and that the construction on the above described property and
the occupancy and the a will b a ce with the laws, rules and regulations of the State of Washington
d t ity of Federal Way.
Owner or agent: Date: �' Z
CITY OP
FederalWay
PERMIT #:
THIS CARD IS TO REMAIN ON-SITE
to Construction I>riection Record
INSPECTION REQUE TS: (253) 835-3050
11 -104381 -00 -EL
Address: 32533 23RD AVE SW
Project: DANIEL L & CINDY THOMAS FEDERAL WAY, WA 98023-2505
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)
Slab/Concrete Floor (4255)
1:1Approved
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
❑
Pool Bonding (4195)
E]
Temporary Power (4275)
1:1Approved
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
E]
Rough Electrical (4225)
❑
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date 4�
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
• _� 0��r
CITY OF
Fe4f: ELECTRICAL
oCj ti g PERMIT APPLICATION
\N A
'rical permits may be obtained on-line at www. cityoffederalway.com**
SITE ADDRESS:
SUITE/UNIT/SPACE N
ASSESSOR'S TAX PARCEL N_ O CURRENT/PROPOSED USE
T S
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
VO -At) CA C, v k 7
PROPERTY OWNER
NAME
�Pr , 'M S
PRIMARY PHONE
253) 23s- LA3-�-7
MAILING ADDRESS
E-MAIL
CITY
Tf;DCXRL UJM
STATE
WYE
ZIP
912>�2-�J
FAX
( ) -
ELECTRICAL
CONTRACTOR
/
NAME
Co,�-lU LCL
PRIMARY PHONE
1253) S35 21c3
MAILING ADDRESS
E-MAIL
CITY
Y�u
STATE
Vi
ZIP
`0c -i -I
FAX
) -
WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE
C iYLU 'i_- LwI, C-41 yc OSI l l i o -+ /2o\
FEDERAL WAY BUSINESS LICENSE N
APPLICANT
NAME
PRIMARY PHONE
)
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
/ FAX
l )
PROJECT CONTACT
NAME
PRIMARY PHONE
t )
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. 1 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 def se of such claim), whi may be made by any person, including the undersigned, and filed against the city,
but only where such cl i arises out, of the liance of the city, including its officers and employees, upon the accuracy of the
information supplied to thjl city as a art of is application.
SIGNATURE: t DATE
PRINT NAME:��S l ��
33325 8" Avenue South ♦ Federal Way 1 WA ♦ 98003-6325 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway-corn
Bulletin #160—January 1, 2011 Page 1 oft kMandouts\Electrical Permit Application
r
Ah
r
RESIDENTIAM
MERCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet
(including attached garage):1
3' Service/Feeder Additional Feeders
0 - 100 amp x $132.50 x $ 80.50
FEES: First 1300 ft2 - $122.00;
101 - 200 amp x $164.00 x $103.50
Each additional 500 ft2 - $39.00
201 - 400 amp x $307.00 x $121.00
NEW MULTIFAMILY (3 units or more)
401 - 600 amp x $358.00 x $143.50
1-1 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
1,1 Service/Feeder
1;t Service/Feeder Additional Feeders
0 - 200 amp x $10200
0 - 200 amp x$132.50 ` x $103.50
201 - 600 amp x $164.00
201 - 600 amp x $307.00 x $121.00
Over 600 amp x, $246-50
601 - 1000 amp, x'$463.00. x$196.00
Over lOQO amp x$515.50 x $328.50
-2,
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 351/6 = + $103.50 = Plan Review Fee)
Plan review for modified submittals $105.50/hour
MISCELLANEOUS
SERVICE/ EQUIPMENT
LOW VOLTAGE
TEMPORARY SERVICE
❑ Fire Alarm System
11, Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling
0 - 60 amp x $ 71.00 x $ 32.00
❑ Other
61 - 100 amp x $ 80.50 x $ 39.00
Area to be served by system:
101 - 200 amp �__ x $103.50 x $ 51.00
1•� 2,500 ft2-$71.00; each additional 2,500 ft2 - $18.50
201 - 400 amp x $121.00 x $ 60.50
# of Thermostats
401 - 600 amp,"' x $164.00 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 8i° Avenue South ♦ Federal Way ♦ WA 1 98003-6325 ♦ 253-835-2607 1 fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin # 160 - January 1, 2011 Page 2 of 2 k:\l-Iandouts\Electrical Permit Application