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
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LECTRICAL
1'e PERMIT APPLICATION
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(Tenantor Homeowner-LastName)
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Detailed description ofwork to
be included on this pemdt only
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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