12-103500City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
IF
0 , Electrical -
Permit #: 12 -103500 -00 -EL
rF, I I= Inspection Request Line: (253) 835-3050
Project Name: PHAN LOT 3
Project Address: 31000 20TH AVE S
Parcel Number: 053700 0595
Project Description: Service and electrical wiring for new single family residence; installation of (2) thermostats
Owner
A o�
Contractor
LONG VAN PHAN
JMH ELECTRIC LLC
JMH ELECTRIC LLC
TIE NGUYEN LIEU
20319 80TH AVE SE
JMBELEL961MN (7/15/14)
1939 LIGHTHOUSE LN NE
SNOHOMISH WA 98296
20319 80TH AVE SE
TACOMA WA 98422
SNOHOMISH WA 98296
Additional Permit Information
Is Use Educational or Institutional?.......................No
.Electrical Fixtures
New Service: Residential ............... 1 Thermostat..................................... 2
PERMIT EXPIRES Sunday, January 27, 2013
Permit Issued on Tuesday, July 31, 2012
hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the uw"7A In accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent:
Date: O7'// 4ao`7,
• THIS CARD IS TO MAIN ON-SITE
CITY OF Construction In ectioh Record '
Federal Way INSPECTION REQ TS: (253) 835-3050
PERMIT #: 12 -103500 -00 -EL Address: 31000 20TH AVE S
Project: LONG VAN PHAN FEDERAL WAY, WA 98003
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)11
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Service (4235)
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Temporary Power (4275)
El
Service (4235)
Right of Way
Approved
Approved
Date
Approved
Date
Approved
By
Date
By
Date
Date Z_ 2_
Feeders/Sub-panels (4045)
Rough Electrical (4225)
0
Ceiling Cover (4020)
Approved
Approved
Approved
By
- Date
B
Dat9E_By
Date
Final - Electrical (4055)
Approved
By
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
,
CITY OF
Federal Way
RECEIVE®
•
ELECTRICAL
PERMIT APPLICATION
X03 soo
JUL 31 2012
**Most electrical permits may be obtained on-line at www. cityo ederalway.com**
SITE ADDRESS: 310 c) c) c �, -go / s
SUITE/UNIT/SPACES ASSESSOR'S TAX/PARCEL S CURRENT/PROPOSED USE
0. 0 5 -95 -
PROJECT NAME l✓d
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS EMAIL
CITY STATE ZIP (( FAX
1 ) -
NAME PRIMARY PHONE
_Urnrr Ele��-tom ��� (���)2-,3 -51z LP
MAILING ADDRESS E-MAIL
ELECTRICAL lq oof- _5C
CONTRACTOR CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE S EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
4 r iaa
NAME PRIMARY PHONE
APPLICANT ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME // PRIMARY PHONE
PROJECT CONTACT
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.
1 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 application.
SIGNATURE: `/ ! DATE �( 51/�/Z
PRINT NAM �.5��% /2//. 4--a' 11P�//
33325 8'" Avenue South ♦ Federal Way ♦ WA 1 98003-6325 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin #160 — January 1, 2011 Page I of 2 k:\Handouts\Electrical Permit Application
RESIDENTS. I IMMMERCIAL
,NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
(including attached garage):
FEES: First 1300 ft2 - $122.00;
Each additional 500 ft2 - $39.00
NEW MULTIFAMILY (3 units or more)
1s1 Service/Feeder Additional Feeders
201 1} amp x;- $164°00, x $ 80.50
ALTERED SINGLE or MULTI FAMILY
1s1 Service/Feeder
$164.00
Added or Altered Circuits,.
1-4 circuits $80.50; each additional $8.00
Mast or meter repair $60.50
MANUFACTURED HOMES
Setu�ce ox feeder oxlr„ x.. $'80.50
11, Service/Feeder Additional Feeders
4014"" ``.fi0f},ari7.,....- x:.$358.0(} x$143.50
1100 ainp $236.50
Ove""i 600,volfsc
'Agra
$103.50
rge 1 .... x
ALTERED COMMERCIAL
1st Service/Feeder Additional Feeders
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 I TEMPORARY SERVICE
❑ Fire Alarm System 1st Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling xX7115„ysr14
s.,,.. ,..1.,u,_.
❑ Other 6 $ 34.60
Area to be served by system:
lit 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
Over 6Q0'.; amp '= ... 4 $
$1$4 . 92.00
50
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 1253-835-2607 1 fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin #160 —January 1, 2011 Page 2 of 2 k:\Handouts\Electrical Permit Application