10-100951City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: RICH
~ FILE
Electrical
Permit #: 10 -100951 -00 -EL
Inspection Request Line: (253) 835-3050
Project Address: 30903 50TH AVE SW Parcel Number: 184090 0035
Project Description: Alter up to (4) circuits for addition of track lighting.
Ownr
Aonlicant
Contractor
DAVID RICH
KANON ELECTRIC
KANON ELECTRIC
LORRAINE RICH
PO BOX 1745
KANONE1947BE (1/08/12)
30903 50TH AVE SW
MILTON WA 98354
PO BOX 1745
FEDERAL WAY WA 98023
MILTON WA 98354
�~ THIS CARD IS TOFTS:'(253)
IN ON-SITE r
CITY OF �� 4b •
Construction Intion Record
Federal Way INSPECTION REQU 835-3050
PERMIT #: 10 -100951 -00 -EL Address: 30903 50TH AVE SW
Owner: DAVID RICH FEDERAL WAY, WA 98023
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)1:1
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Temporary Power (4275)1:1
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
E]
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
El
Final - Electrical (4055)
Approved
By
Dat
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
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SITE ADDRESS
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SUITE/UNIT N ZONING ASSESSOR' TAX/PARCEL #
35
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NAME OF PROJECT :$:?�,>; r' •...s, `:'.r'.rff'.$t:.#.a»$:r{,v{i's•}{$}:$•
(Tenant or Homeowner Name)
TYPE OF PERMIT
❑ BUILDING 0 PLUMBING 13 MECHANICAL.
p DEMOLITION ELECTRICAL ❑ ENGINEERING O FIRE PREVENTION
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
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PRIMARY PHONE
_
PROPERTY OWNER`
NAME �
1
MALUM ADDRESS((,r�CITY, STATE, ZIP
b l�i
E-BNA1L
OWNER I3 ALSO:
0 CONTRACTOR APPLICANT 13 PROJECT CONTACT
NAIL
��c-L-� tiL� a f E�
�
4
PRIMARY PHONE
S3 512 —
CONTRACTOR
NAMING ADDRESS, CITY, STATE, ZIP
PAX
;5 — n'-77 7
WA STATE C(HTRACTOR'S LICENSE •
EXPnMTRIN DATE
F
PZDERAL WAY BUSINESS LICENSE I
aI q 7 ILA-
NAiQS
PRDYARY PHONE
APPLICANT
-
KAMM ADD=SS, CITY, STATE, ZIP
PAX
PROJECT CONTACT
NAME
PRDIIARY PHONE
(The individual to receive and
-
respond to all correspondence
![AILING ADDRESS, CITY, STATE, ZIP
PAX
concerning this application)
ALTERNATE CONTACT NAME:
PRDtARY PHONE
S NIAiL
PROJECT FINANCING
NAIL;
OWNER -FINANCED
Required for projects with
value of A 000 or more
MAMING ADDRESS, CI1T, STATE, ZIP
PgIIIAW PHONE
MCW ]9.2ZO9s)
I cert{ fy under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert fij that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certVy 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 laws.
I jiurther 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 perm, Including the undersigned, and filed against the
city, but only where h claim arises out of the reliance of the city, including its gpicers and employees, upon the accuracy of the
Information supplied the city as apart of this application.
SIGNATURE: � f
DATE
%
PRINT NAME• ` ` e Y- 0 1 V`
Bulletin #100 —January 1, 2010 Page 1 of 4 kAHandouts\Pennit Application
0 ELECTRICAL 10
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
(including attached garage):
FEES: First 1300 fta - $122.00;
Each additional 500 fta - $39.00
NEW MULTIFAMILY (3 units or more)
In. Service/Feeder _ Additional,
Q< 200 amp
it ;$:13213 ;_
:5
� x $ 39 #30
2131 4013 amp
x $164 130:
x $: 80:50
401 600 earls
x $224.00 `;
x $ 11L50
601- 8013 amp
x '$287.
x ,$153 ..:
SINGLE or MULTI FAMIL
Mast or meter repair $60.50
MANUFACTURED HOMES
rgice orI feeder only x $ 1180:50
Over 600 volts surcharge x $103.50
ALTERED COMMERCIAL
2617 609 Orap '' x $307.00 x $-121.09
over 100iamp x$5:1550 k.$328.5()
Added 9t Altered Circuits
1-5 c' uits $103.50; each additional $8.00
or meter repair $111.50
PLAN REVIEW FEES
$103.50 plus 35% of Permit Fee; Plan Review required for:
❑ New, or alteration to, service of 1,000 amps or greater
❑ Medical/Educational/institutional Facility
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:
1rt 2,500 ft2-$71.00; each additional 2,500 ftp - $18.50
# of Thermostats
First $60.50; each additional $18.50
# of Signs
First $60.50; each additional $28.50
Yard Pole/meter loops/pedestal x $ 80.50
Portable Generator (transfer equipment) x $101.00
Ditch cover/inspection only x $121.00
lag Service/Feeder Additional Feeders
0- 60 amp
1st Service/Feeder
Additional Feeders
61 - 100 amp
--A::$ 80.50
-.X:$ 39:00
101- 200 amp,:
x$164.00
x $103.50
201 - 400 amp
x $307.00
x $12I OR?
40 1600 amp ::
x. $358.00:
x $143.50
601-- 800 amp .
x $#63.00.
x $196. 00
801 - 1000 amp
X$565.00
x $236.50
Over* lOtlO atnp.
� x $616.00
It $328.5Q
Over 600 volts surcharge x $103.50
ALTERED COMMERCIAL
2617 609 Orap '' x $307.00 x $-121.09
over 100iamp x$5:1550 k.$328.5()
Added 9t Altered Circuits
1-5 c' uits $103.50; each additional $8.00
or meter repair $111.50
PLAN REVIEW FEES
$103.50 plus 35% of Permit Fee; Plan Review required for:
❑ New, or alteration to, service of 1,000 amps or greater
❑ Medical/Educational/institutional Facility
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:
1rt 2,500 ft2-$71.00; each additional 2,500 ftp - $18.50
# of Thermostats
First $60.50; each additional $18.50
# of Signs
First $60.50; each additional $28.50
Yard Pole/meter loops/pedestal x $ 80.50
Portable Generator (transfer equipment) x $101.00
Ditch cover/inspection only x $121.00
lag Service/Feeder Additional Feeders
0- 60 amp
x $ 71 Q0
x
61 - 100 amp
--A::$ 80.50
-.X:$ 39:00
101 - 200'amp
z $103:50
x $ 51.OE1
201 - 400 amp
x $121.:00
> x $ 60.50
401 - 600amp
x $164;00
x $ 80.50
Over 600 :amp
X $184:50
x $ 92.00
**NOTE: an automation fee of $6.00 will be charged
on all permits**
For fixtures or fees not listed contact the Permit Center at
253-835-2607
Bulletin #100 -January 1, 2010 Page 3 of 4 k0andoutsTermitApplication