07-106240Z
City of Federal Way Electrical Permit #•• 07 -106240 -00 -EL
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: FORTENBERRY
Project Address: 33056 44TH AVE S F" r' "' Parcel Number: 152104 9154
Project Description: Adding (1) circuit for disposal L ': '
Owner
Applicant
Contractor
BRETT FORTENBERRY
MERIDIAN CENTER ELECTRIC INC
MERIDIAN CENTER ELECTRIC INC
33050 44TH AVE S
11109 66TH AVE E
MERIDCE318SG (2/28/09)
FEDERAL WAY WA 98001
PUYALLUP WA 98373
11109 66TH AVE E
PUYALLUP WA 98373
Additional permit Information
Service greater than 1000 Amps?...........................No
Electrical Fixtures
Circuits - Residential ...................... 1
PERMIT EXPIRES Sunday, November 9, 2008
Permit Issued on Thursday, November 15, 2007
1 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
a the I Way.
Owner or agent: 2 L� ,� Date: �/�/
THIS CARD IS TO REMAIN ON-SITE
CITY OF40k�Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -106240 -00 -EL
Owner: BRETT FORTENBERRY
Address: 33056 44TH AVE S
FEDERAL WAY, WA 98001
This card is part of your required inspection documents. 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.
❑ Slab/Concrete Floor (4255) ❑ Ditch cover (4030) ❑ Pool Bonding (4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power (4275) ❑ Service (4235) ❑ Feeders/Sub-panels (4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical (4225) ❑ Ceiling Cover (4020) ❑ Final - Electrical (4055)
Approved Approved Approved
By Date By Datey e:5-5 Date
❑ UFER Ground (4295)
Approved
By Date
�w
1—
�x .40,5-0
°
For inspector reference only _
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
VI/V8/'LUQ( 10'J8 FAX 253bb14048 City of Federal Way la 003/006
Federal Way NO v
1 BRMITO,
333 AVEME SOV E.Rro) BCtK 971 sC17' y SF MF CO ME i L pL DE EN FP
FEDERAL WAY, WA 98069.9718
253-05-2607- FAX 2i3 835-2609 ®u� Q, t L I C ATI O
Laviv,druo/lede�y mm
sot
The Oslo
f Uirlg is r®9uired ir{formation - an incomplete application uK[i accepted. Pease pr Ent kgibw M ink) or type.
SITE ADDRESS
ASSESSOR'S TAX/PARCEL ! -
LEGAL DESCRIPTION (e.g. Acme!~States, Lot 1)
TYPE OF PERMrT
PROJECT
S
Wad'—Jbr-vft leaf d..Uft rp
■ PROJE(:)` 1NP'ORbIATIO.N,
SU ME/UNIT #
LOT SIZE (sem
0 BUILDING ❑ PLUMBING ❑ ACDCgANICAL
O DEMOLITION tdj%ECMCAL ❑ ENGnC&VaMq O FIRE PREVErMON SYSTEM
(Provide detailed description of Mork owjudFd on t1Tts perl4tit Dniul
PROJECT NAME (Name Of BSS cw Ouvw Lost Namel
PROPERTY
OWNER
CONTRACTOR
carr N eA4 rwvkwl
Vkh ark svik"M b
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
Lqb-u%
COMPANY NAMEr
APPIICANY NAME
OFFICE PHONE
iM is nV� lfp^4l�m
amus =cce& $5,000
MAQ QIG ADDRESS
Crrr. STATE. ZIP PHONE
NAMM ADDRESS
Cn7. STATE- ZIP)
— - —
CKL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
o Architect ❑ Mel=t ❑ Agent ❑ Other
( _
PHONE E MAg
rpr ReN I aa�.o�a;
��
Com
NAME
iM is nV� lfp^4l�m
amus =cce& $5,000
MAQ QIG ADDRESS
Crrr. STATE. ZIP PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE VALUE OF PROPOSED WORK S
SPRII"MAMxID BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/MQUIRED? ❑ YES o NO
WATISR SERVICE PROVIDER ❑ LAZEFIAVEN O HIGEMUM O TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ IAKEHAVLN 0 1XIGHIMM 0 PRIVATE (SEPTIC)
11.4 1 1 nn L000014V4t5
61 Ly or reaeral Way
Q005/006
DEPARTMENT OF LABOR AND INDUSTRIES
LICENSED AS PROVIDED BY LAW AS
ELEC CONTR GENERAL
EGO,1 .... ,28.007
EFf`ECtf:1 T�
10TI%
MERIDIAN CENTER ELECTRIC INC
11109 66TH AVE EAST
PUYALLUP WA 98373
F(,'5-052-000 (8/97)
r oertW under yenaity QI Pl y chat rhe igfbraealian funefahed bg me Im trus and correct to the bac RFMW k+rori1044 ani farther that Jr
am a dhmj=d by the oabnsr Qf the -boat premises to Pel form the uwrk Jbr mh(dc the Permit vrPrieatim is made. r furti— aprn to hold
harmless the City 0 ruderal way as to any daim gAcladln0 tea• mss, and attornme fees lnraawd (n the iimeatoatlon and dune 4f
such clam , wNch may be made by -W PCO^• ineladW W Unde+� aruijM d apolaet the Cigr Rf feral Way, but o* whars such d&kn
arises oat 4f (he P60pov 4f the dry. indudhw its plficws d employees, upon the acatragr 4f the blfminatlon "PP(ied to the dly as apart Qf
dds apps r1
DATE ' v
NAMS/T1TL13 tsIv anlyd Mal
RM,ATiONB PROJECT ❑ Owner O Agent ❑ Contractor 0 Architect 0 Other
a rWW a ADDWON
o ALTERATION
a REPAIR a TEXANT D4M0YEMENT
HDII.DINO SHS7L ONLY?
a YES a NO
HABIC PLAN?
o YES
o NO
ZOMII Q DESIGNATION
CHANGE OF USX?
o YES
o NO
NEW ADDRESS HIOU M?
a YES a NO
IIIA/SEPA/8I11
v YES
o NO
PLATTED LOT?
o YMS o NO
DEIKO PERWr REQUU=?
o YES
a NO
Bulletin #100 -January 1, 2007 Page 2 of 4 MHandouts\Permit Application
-1-i-vl .v.vu 1 nn L" "Df4V40
RESIDENTIAL
NEW PJKMDEPTIAL SERVICE
❑ Single Family Square Feet
(First 1300 iii $111.00: Each add -n 500 tta . 435.501
❑ Detached outbuilding or garage
(Inspected with service) $47.00
❑ Derached outbuilding or garage
(Inspected Separately) $74.00
NEW 1VIi1LTi-FAMILg
(three units or more)
❑ 0 to 20.0 amp
Service
Feeder
❑ Up to 200 anlp
$120.50
$ 35.50
❑ 201 - 400 amp
149.50
74.00
❑ 401 - 600 amp
205.00
102.00
❑ 601 - 800 amp
262.00
140.50
❑ Over 800 amp
375.50
280.50
ALTERED 8MGLE/Mui,TI FAMILY
❑ # of circuits to be added/altered
(1-4 Cimuits474.00; Add'n clrcu[rs $7.00/ea►
❑ Mast or meter repair $55.00
MANUFACTURED ELOyms
❑ Scrvicc or feeder only $74.00
❑ Service and feeder $120.50
Lily Ur teaeral way
CObUdERCIAL
NM COMMERCIALIRMU® SERVICE
❑ 0 to 100 amp .
❑ 101 - 200 amp
❑ 201 - 400 mp
❑ 401 - 600 amp
❑ 601 - B00 amp
❑ Sol - 1000 amp
❑ Over 1000 amp
IA 004/006
Service or Feeder Each Add'n
$120.50
Service or Feeder
❑ 0 to 20.0 amp
$ 92-50
❑ 201 - 600 amp
149.50
❑ over 600 amp
225.50
❑ # of circuits to be added/altered
(1-4 Cimuits474.00; Add'n clrcu[rs $7.00/ea►
❑ Mast or meter repair $55.00
MANUFACTURED ELOyms
❑ Scrvicc or feeder only $74.00
❑ Service and feeder $120.50
Lily Ur teaeral way
CObUdERCIAL
NM COMMERCIALIRMU® SERVICE
❑ 0 to 100 amp .
❑ 101 - 200 amp
❑ 201 - 400 mp
❑ 401 - 600 amp
❑ 601 - B00 amp
❑ Sol - 1000 amp
❑ Over 1000 amp
IA 004/006
Service or Feeder Each Add'n
$120.50
$ 74.00
149.50
94.50
280.00
111.00
327.00
131.00
423.00
179.00
516.50
216.00
563.00
300.00
❑ Over 600 volts surcharge $94.50
❑ Mast or meter repair $102.00
ALTERED COAUIRERCIAL/I1pDUSTRI-M
Service or Feeders
❑ 0 to 200 amp $120.50
❑ 201 - 600 amp 280.50
❑ 601 - 1000 amp 423.00
❑ over 1000 amp 471.00
_L# of circuits to be added/altered
(15 circuits - $94.50: Add n CkeWtS, 87.00/ea)
COMir[CROAT /II4DUSTRIAL PLAN RLrpiLrQy
$94.50 plus 35% of Permit Fee
❑ Service'- 1.000 amps or greater
❑ Medical/Educational/Institutional Facility
TEMPORARY SERVICE
MOBILE ANOME/RV PARK Residsnd[a~ti-Family
$65.00
❑ _____:# of service or feeders
(81st service/feeder474.M each add'n 448.001 Cmffeerci4VWusjicl Service or Feeder AntpacUy
❑ 0 - 100 amps
$ 74.00
❑ 101 - 200 amps
94.50
❑ 201 - 400 amps
111.00
❑ 401 - 600 amps
149.50
❑ over 600 amps
162,00
MSCELIANEOUS BMVjCE/EQLTn%mrrr
❑ # of Tho mostats
(First -$55.00: add'n$17,00/ea)
❑ Low Voltage
Square Feet to be served by "stetn(s)
❑ Fire Alarm system
❑ 9ean'Ity Alarm System
❑ VOhce CabLng
❑ Data Cabiing
1A 2500 fc+-$86.00:
Each add'n 2500 42-17.00) ' Per NBC 296-4&s1 ors jWt a 10
ouueun * i vu - January1, lOU7
Page 3 of 4
❑ # of Signa
(F1rh:t sign -$55.00; add'n alga $26.00/e4
❑ swimming pooVhot tub ................
(Includes addMonal circuit, i<re4uLzdl
❑ Yard Pole meter loop& .....................
0 Ad8ltlonal Plan Review
(for modified submittals)
0 Automation Pee on all Permits --
$111.00
$74.00
$111.00/hour
$5-00
MandoutsTcrinit Application