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12-1029540 . * electrical ClCy of Federal Way r Community &Econ. Dev. Services , Permit #: 12 -102954 -00 -EL 33325 8th Ave S (t w= Federal Way, WA 98003 Ins ection Re uest Line: 253 835-3050 Ph: (253) 835-2607 Fax: (253) 835-2609 L p q Project Name: ANDERSON Project Address: 750 SW 301ST PL Parcel Number: 506880 0050 Project Description: 0-200 AMP panel change, install sub -panel which includes (8) circuits Ownsr AR12lican Contractor CHRISTOPHER ANDERSEN MCGILL ELECTRIC MCGILL ELECTRIC CARO ANDERSEN 9508 WOODWORTH AVE MCGILE*908NR (8/19/12) 750 SW 301ST PL GIG HARBOR WA 98332 9508 WOODWORTH AVE FEDERAL WAY WA GIG HARBOR WA 98332 98023 Additional Permit Information Is Use Educational or Institutional?.......................No Electrical Fixtures Alt. Serv./Feeder: 0 to 200 amps (F 1 PERMIT EXPIRES Monday, December 24, 2012 Permit Issued on Wednesday, June 27, 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 accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: Date: � to/Zs/It CITY OF Fedefai Way PERMIT #: 12 -102954 -00 -EL THIS CARD IS T31ection'Record MAIN ON-SITE Construction I INSPECTION REQUTS: (253) 835-3050 Address: 750 SW 301 ST PL Project: CHRISTOPHER ANDERSEN FEDERAL WAY, WA 98023-3563 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) E] Ditch cover (4030) Final Electrical Approved Slab/Concrete Floor (4255) Service (4235) Approved Approved Approved Approved Approved to place concrete By Date By Date By Date Pool Bonding (4195) E] Temporary Power (4275) Final Electrical Approved Service (4235) Right of Way Approved Date Approved By Date Approved By Date By Date By 0-A&I Date R Feeders/Sub-panels (4045) Rough Electrical (4225) Ceiling Cover (4020) Approved Approved Approved 0'V111— g .. �� y By Date By Date By Date Final - Electrical (4055) Approved Date1�'�T� Z Rough Electrical Approved Final Electrical Approved 1:1Approved Right of Way By Date By Date By Date I 4;:A�L MYly JUN 2 7 2012 CITY OF FEDERAL WAY 0Z_ 10 2,9 �4 ELECTRICAL PERMIT APPLICATION PROJECT NAME (Tenant or Homeowner Last Name) --+- PROJECT DESCRIPTION Detailed description of work to 1 be included on this permit only 8 e0e-e4y i CA Ci Yc- 1 l.S ( n PROPERTY OWNER NAME Cil V I S ev So N PRIMARY PHONE { ) - MAILING ADDRESS E-MAIL STATE I/V A Z19bV� J / ) FAX l NAME YVic G 1 jcc-fyl C PRIMARY PHONE ELECTRICAL MAILING ADDRESS �, " `'7'sO e w Wcr' /r vG E -MAH. NnC r le, C(y C tta� (. CONTRACTOR CITY STATE I ZIP (0 AYbr (J1A 47$332 FAX ( ) - WA STA CONTRACTOR'S LICEN E # EXPIRATION DATE /lel C N E JE d8 N i2. g� r a tCQ FEDERAL WAY BUSINESS LICENSE # NAME PRIMARY PHONE APPLICANT MAILING ADDRESSL. a ,,j y,� d �S©B �C7CS7#'\ / I�,J� t E-MAIL MeiI�C�Cc-h►L YbWll CITY�y � STATF� Z1P { ) FAX PROJECT CONTACT NAME �c�'�7 ann i t� PRIMARY PHONE 1250 22:;; - 024 a I 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 of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this agplication. SIGNATURE: PRINT NAME: DATE -7 lZa 2- 33325 8ie Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.ciryoffederalway.com Bulletin 1# 160 - January 1, 2011 Page 1 of 2 k:\Handouts\Electrical Permit Application NEW SINGLE FAMILY RESIDENCE Total Square Feet (including attached garage): O FEES: First 1300 ft2 - $122.00; 1 y1 Each additional 500 ft2 - $39.00 it ` H1H NEW MULTIFAMILY (3 units or more) 1.1 Service/Feeder Additional Feeders koo 4 'CRs ,. , , x . $ 80:50 4153.50 ALTERED SINGLE or MULTI FAMILY 1- Service/Feeder 00 Added or Altered Circuits . 1-4 circuits $80.50; each additional $8.00 Mast or meter repair $60.50 MANUFACTURED HOMES Se :80:50 Gil ERCIAL f/ NEW COMMERCIAL 1.1 Service/Feeder Additional Feeders 111:2 20 Dnp., x'$`164a110 x$103.50 40 $143.50 Eb1 _.L000 8tnp.;, x,$236.50 G rerU00 rttlts stiff h €g� ,k $103.50 ALTERED COMMERCIAL Ise Service/Feeder Additional Feeders 03.50 "$30,,7 1W " k$121._00 Obi Added or Altered Circuits 1-5 circuits $103.50; each additional $8.00 Mast or meter repair $111.50 14rfA 10ZIatj8Di.A4D)*� 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 # 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 ©�er:600_ asi;P ... $184.513. $92.00 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 8" 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:Wandouts\Electrical Permit Application