12-105677T
- ' ' � • - • � Electrical
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S Permit #: 12 -105677 -00 -EL
Federal way, WA 98003 �� Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 p q
Project Name: RESTORE USA 44 LLC
Project Address: 1019 SW 305TH ST Parcel Number: 178850 0065
Project Description: Rewire new service for entire home
Owner
A Igp icant
Contractor
R PAUL ROLLINGER
WIRED ELECTRIC INC
WIRED ELECTRIC INC
501 NEWPORT AVE SE
13300 BOTHELL EVERETT HWY
WIREDEI95IRT (1/6/14)
RENTON WA 98058-2848
MULL CREEK WA 98012
13300 BOTHELL EVERETT HWY
MILL CREEK WA 98012
Additional Permit Information
Is Use Educational or Institutional?.......................No
Eiectrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps (F 1 Circuits - Residential ...................... 20
PERMIT EXPIRES Wednesday, June 19, 2013
Permit Issued on Friday, December 21, 2012
I 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 a cordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:
CITY OF
Federal Way
PERMIT #:
• THIS CARD IS TOMAIN ON-'SITEConstruction In ection Record
INSPECTION REQUE TS: (253) 835-3050
12 -105677 -00 -EL Address: 1019 SW 305TH ST
Project: R PAUL ROLLINGER FEDERAL WAY, WA 98023-8235
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
LIFER Ground (4295)
0
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
Approved
0
Approved
By
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
Pool Bonding (4195)
Approved
Temporary Power (4275)
Date a- — 03/_ 13
Approved
Right of Way
Approved
0
Approved
By
Date
By
By
Date
Date
Feeders/Sub-panels (4045)
❑
Rough Electrical (4225)
Approved
Approved
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
❑
Service (4235)
Approved
By
Date a- — 03/_ 13
Right of Way
Approved
0
Ceiling Cover (4020)
Approved
By
Date
❑
Rough Electrical
Approved
❑Final
Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
. � �4%L
CITY OF
FedeWp ELECTRICAL
OEC 21 2012PERMIT APPLICATION
CITY ONF�#Wical permits may be obtained on-line at www. city ederalway.com **
7SITEDRESS: J
S 9V,02_?
S 30�7b
SUITE/UNIT/SPACES
A[ESSOR'S TAX R! - O O CURRENT/PROPOSED USE
� Tr
PROJECT NAME
Last Name)
V LL
(Tenant or Homeowner
-C
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NEI
NAME PRIMARY PHONE
PROPERTY OWNER
( ) -
MAILING ADDRESS E-MAIL
CITY
STATE
ZIP FAX
NAMES9 � � PRIMARY PHONE
ELECTRICAL
MAILING ADDRESS /E -MAH,
MOO �O - �U�✓t' // (��� f'� iNi✓ 4 !C7✓ -,—i
CONTRACTOR
CITY
STATE
ZIP FAX
WA STATE CONTRACTOR'S LICENSE S EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
wr % y
NAME PRIMARY PHONE
APPLICANT
( )
MAILING ADDRESS E-MAIL
CITY
STATE
ZIP FAX
( )
PROJECT CONTACT
NAME PRIMARY PHONE
( )
1 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. 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 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,6f the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as ayIrtyf Wy iplication
SIGNATURE:
PRINT NAME:
TE 12—�21-1-2,_
33325 8" Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin #160 - January 1, 2011 Page 1 of 2 k:\Handouts\Electrical Permit Application
RESID
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)
151 Service/Feeder Additional Feeders
201 ,:4t)i3 oz#P114 kk ,
ALTERED SINGLE or MULTI FAMILY
151 Service/Feeder
169`:00
Added or Altered Circuits .
1-4 circuits $80.50; each additional $8.00
Mast or meter repair $60.50
MANUFACTURED HOMES
Service or feed rot:8f)t50
z40
NEW COMMERCIAL
151 Service/Feeder Additional Feeders
44
?143.50
ALTERED COMMERCIAL
151 Service/Feeder Additional Feeders
"� ifl3>5a
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 351/o _ + $103.50 = Plan Review Fee)
Plan review for modified submittals $105.50/hour
MISCELLANEOUS SERVICE/ EQUIPMENT I
LOW VOLTAGE
TEMPORARY SERVICE
❑ Fire Alarm System 151 Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cablingia
❑ Other 61. " ifliia is ]C 00-59' _X $ 39 00
Area to be served by system:
151 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
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 80'Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin #160 —January 1, 2011 Page 2 of 2 k:\Handouts\Electrical Permit Application