10-105047City of Federal Way Elelctriveal
Community P.O.Box 9718 Services Permit#: 10-105047-00-E L
O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 MEInspection Request Line: (253) 835-3050
Project Name: CARING ABODE ADULT FAMILY HOME - FERRER
Project Address: 33719 32ND AVE SW Parcel Number: 954280 1180
Project Description: Adding/altering (1) circuit for washer and dryer install
Owner
Anulicant
Contractor
JOSE M FERRER
JOSE M FERRER
JOSE M FERRER
2652 SW 351ST ST
2652 SW 351ST ST
2652 SW 351ST ST
FEDERAL WAY WA 98023-3092
FEDERAL WAY WA 98023-3092
FEDERAL WAY WA 98023-3092
Is Use Educational or Institutional? ....................... No
�£ Electrical Fixtures .
Circuits - Residential ...................... 1
PERMIT EXPIRES Saturday, December 3, 2011
Permit Issued on Friday, December 3, 2010
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:
��Q �y/isto
. , THIS CARD IS TO REM*N ON-SITE
CITY of Construction Inst' on Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 10 -105047 -00 -EL Address: 33719 32ND AVE SW
Project: JOSE M FERRER FEDERAL WAY, WA 98023-7723
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.
E]
UFER Ground (4295)
Ditch cover (4030)
El
Slab/Concrete Floor (4255)
(4235)
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
E]
Pool Bonding (4195)
E]
Temporary Power (4275)Service
(4235)
Right of Way
Approved
Approved
Date
Approved
Date
Approved
By
Date
By
Date
By
Date
E]
E]
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date Z 1b
By
Date
Final - Electrical (4055)
Approved
ByQL_
Date ` __� _,
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
fin_ / o
CITY OF
Federal Way ELECTRICAL Vtu
PERMIT APPLICATION DEC o 3 2010
,:ITY OF FEDERAL WAX
* *Most electrical permits may be obtained on-line at www. citvoffederalway. com **
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 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: /\ - DATE
PRINT NAME:
33325 8"' Avenue South ♦ PO Box 9718 ♦ Federal Way ♦ WA ♦ 98063-9718 1 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin 9160 — April 9, 2010 Page 1 of 2 k:\Handouts\Electrical Permit Application
s�
PROPERTY INFORMATION
SITE ADDRESS: '
F::e) om L_
At/e-StJ w,4 Cj fo 2 3
l l
SUITE/UNIT/SPACE N
ASSESSOR'S TAR/PARCEL Ii
CURRENT/PROPOSED USE
PROJECT INFO
PROJECT NAME
Tenant or Homeowner Last Name
l 1
/�>?c t� -/+SING G lr �Lvv�/ / iTrl/(/7
�iV tt i l u� ✓A QVT t,6-7—
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PEOPLE .
PROPERTY OWNER
NAME
A I i-�A Ft k E72—
PRIMARY PHONE
(� 6) �J'� 1 �{ � `3
MAILING MAILING ADDRESS
,-3 s ? 1 e s zx�J VE
R -MAIL
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STATE
��"
ZIP
�� - �
�. ^rte C,� It"
�It�d )O�� -`J 0
NAME
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
ELECTRICAL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSES EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE N
NAME
PRIMARY PHONE
APPLICANT
f�
( ) -
MAILING ADDRE89
E-MAIL
CITY
STATE
ZIP
( FAX
l )
PROJECT CONTACT
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. 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 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: /\ - DATE
PRINT NAME:
33325 8"' Avenue South ♦ PO Box 9718 ♦ Federal Way ♦ WA ♦ 98063-9718 1 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin 9160 — April 9, 2010 Page 1 of 2 k:\Handouts\Electrical Permit Application
s�
RESIDENTIAL M I COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
(including attached garage):
FEES: First 1300 ft2 - $122.00;
Each additional 500 ft2 - $39.00
NEW MULTIFAMILY (3 units or more)
ALTERED SINGLE or MULTI FAMILY
Is' Service/Feeder
0;- 200 amp x $101.00
x $164.00
201 604:8i4Rp
Over 600 amp x $246.50
Added or Altered Circuits... .........
1-4 circuits $80.50; each additional $8.00
Mast or meter repair $60.50
MANUFACTURED HOMES
Service or, feeder only x $ 80,50
Service andfeeder x $1132.50
IM Service/Feeder
Additional Feeders
0 - 2W :amp
x $1132.50 ,;
x $39.00
201,- 400 amp
x ,$164.00
x $ 80.50
401 - 600 amp
x $224.00
x $111.50
601'7800amg
x 1$287.00
x :$153:50
Over 800 amp
x $410.50''
x $307.00
ALTERED SINGLE or MULTI FAMILY
Is' Service/Feeder
0;- 200 amp x $101.00
x $164.00
201 604:8i4Rp
Over 600 amp x $246.50
Added or Altered Circuits... .........
1-4 circuits $80.50; each additional $8.00
Mast or meter repair $60.50
MANUFACTURED HOMES
Service or, feeder only x $ 80,50
Service andfeeder x $1132.50
Over 600 volts surcharge x$103.50
ALTERED COMMERCIAL
1,' Service/Feeder
Additional Feeders
0 - 100 amp >
x $132.50
x $> 80.5.0
101 - 200 amp
x $164.00
x $103.50
201 - 400 amp
x $307.00
x $121.00
401- 606 amp
x $358.00 ',',
x $143.50
601 - 800 amp
x $463.00
x $196.00
801 - 1000 amp
x $565.00
x $236.50
Over 1000 amp
x $6:16.00 ::
x $328.50
Over 600 volts surcharge x$103.50
ALTERED COMMERCIAL
Added or Altered Circuits
1-5 circuits $103.50; each additional $8.00
Mast or meter repair $111.50
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 I TEMPORARY SERVICE
❑ Fire Alarm System
❑ Security Alarm System
❑ Voice/Data Cabling
❑ Other
Area to be served by system:
1•t 2,500 ft2-$71.00; each additional 2,500 ft2 - $18.50
# of Thermostats
First $60.50; each additional $18.50
Yard Pole/meter loops/pedestal -x$ 80.50
Portable Generator (transfer equipment) x $101.00
Ditch cover/ inspection only x $121.00
1,1 Service/Feeder Additional Feeders
0- 60:amp
111 Service/Feeder
Additional Feeders
0- 200 amp'
x$132.50
_ `x,$103.50
201- 600 amp'',
x $307.06
x:$121.00
601 - 1000 amp
x $463.00
x $ 60.50
Over 1000 amp;'
x $515.50
x $;328.50
Added or Altered Circuits
1-5 circuits $103.50; each additional $8.00
Mast or meter repair $111.50
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 I TEMPORARY SERVICE
❑ Fire Alarm System
❑ Security Alarm System
❑ Voice/Data Cabling
❑ Other
Area to be served by system:
1•t 2,500 ft2-$71.00; each additional 2,500 ft2 - $18.50
# of Thermostats
First $60.50; each additional $18.50
Yard Pole/meter loops/pedestal -x$ 80.50
Portable Generator (transfer equipment) x $101.00
Ditch cover/ inspection only x $121.00
1,1 Service/Feeder Additional Feeders
0- 60:amp
x $ 71.00
x $ 32.00
61 10O amp
IIx $ 80.50 ......
x $ 39.00
101 -ZOO amp
x $10150:x
$ 51.00
20 1 - 400' amp
x $121.00
x $ 60.50
401 - 600 amp
x $1Fi4:00
X $ 80.50
0uer 600 I', amp
x $184.50
x $ 92.00
FEE CALCULATIONS
• Fees are determined by the scope of work as indicated.
• A $6.00 Automation Fee will be added to all permits.
• For assistance in calculating fees or completing the
application form, contact the Permit Center at
253-835-2607
33325 8'h Avenue South ♦ PO Box 9718 ♦ Federal Way ♦ WA ♦ 98063-9718 # 253-835-2607 1 fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin # 160 - April 9, 2010 Page 2 of 2 k:U landouts\Electrical Permit Application