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10-103550=, A _)i City of Federal Way 0 Electrical Community Development Services Permit #: 10 -103550 -00 -EL P.O. Box 9718 Federal Way, F : (253-9718 Inspection Request Line: 253 Ph: (253) 835-2607 Fax: (253) 835-2609 p Q ( ) 835-3050 Project Name: BOLLAERT Project Address: 35103 14TH AVE SW Parcel Number: 502860 0510 Project Description: Adding one GFI breaker (15 amp) circuit for a new air tub. Is Use Educational or Institutional? ....................... No Circuits - Residential ...................... 1 PERMIT EXPIRES Thursday, August 18, 2011 Permit Issued on Wednesday, August 18, 2010 1 hereby certify that the aboveinformation 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: `\ �:��1�d Date: ��. FINALED WIC4110 Owner Applicant Contractor REBECCA R BOLLAERT REBECCA R BOLLAERT REBECCA R BOLLAERT 35103 14TH AVE SW 35103 14TH AVE SW 35103 14TH AVE SW FEDERAL WAY WA 98023-6937 FEDERAL WAY WA 98023-6937 FEDERAL WAY WA 98023-6937 Is Use Educational or Institutional? ....................... No Circuits - Residential ...................... 1 PERMIT EXPIRES Thursday, August 18, 2011 Permit Issued on Wednesday, August 18, 2010 1 hereby certify that the aboveinformation 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: `\ �:��1�d Date: ��. FINALED WIC4110 r .. • THIS CARD IS TO R MAIN ON-SITE Ar Cr" OF Construction In ction Record y Federal Way INSPECTION REQU TS: (253) 835-3050 PERMIT #: 10 -103550 -00 -EL Address: 35103 14TH AVE SW Owner: REBECCA R BOLLAERT FEDERAL WAY, WA 98023-6937 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. Final - Electrical (4055) Approved By Date S • Pool Bonding (4195) E] Rough Electrical (4225) ❑ Ceiling Cover (4020) Approved By Approved Approved By Date By Date By Date Final - Electrical (4055) Approved By Date S • Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date G ITyOFF� C,4XS C ON -WV k C" of Fede f? ELECTRICAL q11'e LECTRICAL 1'e PERMIT APPLICATION , .g� .[t �.lhu Q '3r. cJl .15J` a^CY ..1.t s, s s;? , i:'�i9.?r�"� <� °:�`-'_ CK.. +.✓-.�.. ta'r. �.� � d `�.„ -c•'y J _, ., .42:.J. :. - 1 '`j / i 4 .. �i$ -5 rt ��'et,'. i- c,�"" ',r+.r'U',•CibS4�' Y'a^""F+4L �i.'iF IZ #: r`` PRWECT NAME r ," ;r `' a 4� s l 1. x � h1 '�� 11 i__ N ».. �. ^a ..':^F.. _.',.. ... .. �..r .. at ��, ....,$..�.:.. S F. }. A.n � .._. a;,i 4t• .:-_$�-3"0_ , (Tenantor Homeowner-LastName) � J Detailed description ofwork to be included on this pemdt only '�, M ilF'F4R�1',.. �� N� �� S rl a 1'�i�� ... �� w.... s�f'� ySa... � .:. 1 4 4�.�� k T+Y�'�8�✓ �l�y�� l D � t P� � �xr 3 .'" �A,t �...L..., �LS�`..'� •� �}YM. �%� �� e i"'Y 4'ti3 f� �r ^fir ��`" � .rv!:�' a�.0 1�6 � '+w� � i' R ", 3M .4 �� -- 4k. 1E1 1.1 r r ., 1 1 1 . • .<. 1 r I certify under penalty of perjury that I am the property owner or authorised agent of the property owner. I certvy 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 authorised 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 hues. 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 claimh which may be made by any person, including the undersigned, andfiled against the city, but only where such claim arises out of the reliance of the city, including its officers and empioe s, upon the accuracy of the ir{formatio gg7p (p Batt -tke city as apart of tMe-qpplication. SIGNATURE: PRINT NAME: D6 1J7. i c) 33325 8'h Avenue South ♦ PO Box 9718 ♦ Federal Way ♦ WA ♦ 98063-9718 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com Bulletin # 160 — April 9, 2010 Page 1 of 2 kMandouts\Electrical Permit Application NEW SINGLE FAMILY RESIDENCE 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 Pt Service/Feeder 0: 240 aup X $101.00 201 - 600 amp x $164;00 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 os; feeder only x $: 80; O Service and: feeder x $:I 32.5CI NEW COMMERCIAL Service/Feeder, .,.. Additional Feeders ......1=1 _,..0 200amp x $13 50 :> .. x $ 39.00 20111-:;4 anpX :$164.00 x . $ 80 5a 401 500 x $307 Ei0* 60I' 800amg x:_:$287 00 x:.:::$153:50 Over 800 amp x :$410.50 x $307 00 ALTERED SINGLE or MULTI FAMILY Pt Service/Feeder 0: 240 aup X $101.00 201 - 600 amp x $164;00 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 os; feeder only x $: 80; O Service and: feeder x $:I 32.5CI NEW COMMERCIAL Over 600volts surcharge X:$103-50 ALTERED COMMERCIAL 1" Service/Feeder Additional Feeders (7 200'amp 13' Service/Feeder Additional Feeders 0 1.0.0 amp x $13254 x $ 80 50 101 : 204 amp x 16440- $103.50 201 40(1 amp x $307 Ei0* I21MO 401 600 amp ':', x$35£3 00 ;; x,$150 6:01 T 8ti4 amp x $43 00 ... x $196 00 801 11]00 amp x $565 0o x $236.50 fiver 1000 amp x $6:16 00 x $328.50 Over 600volts surcharge X:$103-50 ALTERED COMMERCIAL 1" Service/Feeder Additional Feeders (7 200'amp 7f $13$ 50 X:$:103.50 201 600 am x$3fl700 x$121.00 601 1000 amp:: x $4F,3 00 x $19b 0€3 Over 1000 amp x $5:15 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 ❑ 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 $121.00 TEMPORARY SERVICE 1,1 Service/Feeder Additional Feeders FEE CALCULATIONS • Fees are determined by the scope of work as indicated. • A_$D_QD AutoLjL0on 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 8tb Avenue South + PO Box 9718 + Federal Way + WA + 98063-9718 + 253-835-2607 + fax: 253-835-2609 + www.cityoffederalway.com Bulletin # 160 — April 9, 2010 Page 2 of 2 kMandoutsTlectrical Permit Application T.I00 .. x $ 32.00 Ei1 100amp ___ X:$ 80:50 : .. � x $ 39 00 10:3 200 <amp x $103.. .. x $ 51 00 201 - 400amp x $121:00 x $ '60.50 40:1 - 600amp ............. x $1b440 Ov. er 600:' ;amp x $184.50 x $ 92.00 FEE CALCULATIONS • Fees are determined by the scope of work as indicated. • A_$D_QD AutoLjL0on 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 8tb Avenue South + PO Box 9718 + Federal Way + WA + 98063-9718 + 253-835-2607 + fax: 253-835-2609 + www.cityoffederalway.com Bulletin # 160 — April 9, 2010 Page 2 of 2 kMandoutsTlectrical Permit Application