09-103100* • City of Federal Way •
Community Development Services \ PElec�ricai
ermit #: 09 -103100 -00 -Et_
P.O. Box 998063-9718
80
Federal Way, WA 98063-935- Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 p G � 1
Project Name: VELLING
Project Address: 30625 43RD AVE SW Parcel Number: 112103 9088
Project Description: Low voltage control for secuirty gate
Owner
Applicant
Contractor --
MICHAEL VELLING
AUTOMATED GATES BY PORTER, INC.
AUTOMATED GATES BY PORTER, INC.
30625 43RD AVE SW
PO BOX 7173 ST
AUTOMGP991K4 (6/3/11)
FEDERAL WAY WA 98023
COVINGTON WA 98042
PO BOX 7173 ST
COVINGTON WA 98042
z �ial8CtY1Mk',�
Is Use Educational or Institutional?.......................No
FINALED 914log
THIS CARD IS TEMAIN ON-SITE
CITY OF - Construction I ., ection Record .-
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #:
09 -103100 -00 -EL
Address: 30625 43RD AVE SW
Owner: MICHAEL VELLING FEDERAL WAY; WA 98023-2123
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.
E] Feeders/Sub-panels (4045)
Approved
By Date
Final - Electrical (4055)
Approved
By Date
Rough Electrical (4225)
Approved
By Date
Ceiling Cover (4020)
Approved
By Date
_ For inspector reference only
y O Rough Electrical .0 FINAL - Electrical
Appmved AWmvd
By Date By Date
UFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
'Date
By
Date
E] Feeders/Sub-panels (4045)
Approved
By Date
Final - Electrical (4055)
Approved
By Date
Rough Electrical (4225)
Approved
By Date
Ceiling Cover (4020)
Approved
By Date
_ For inspector reference only
y O Rough Electrical .0 FINAL - Electrical
Appmved AWmvd
By Date By Date
Pool Bonding (4195).
Temporary Power (4275)
Service (4235)
Approved.
Approved
Approved
By
Date
By
Date
By
Date
E] Feeders/Sub-panels (4045)
Approved
By Date
Final - Electrical (4055)
Approved
By Date
Rough Electrical (4225)
Approved
By Date
Ceiling Cover (4020)
Approved
By Date
_ For inspector reference only
y O Rough Electrical .0 FINAL - Electrical
Appmved AWmvd
By Date By Date
- 10 3-10- o
Federal e," emi Way *PERMIT SA F CO ME EL L DE EN FP
C0MWfflWDEVEL0FAfWSEMC6S APPLICATION
253,835-2607- FAX 253-835-2609
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SDiTi/ITNIT t ZONING A8SS8SOR'8 TAR/ ARCEI. •
NAME OF PROJECT
rr'enant or Homeowner Name)
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
TYPE OF PERMIT ❑ DEMOLITION A ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION ry
Y
7> Its L,> U c
PROJECT DESCRIPTION
Detailed description of tvork to
be included on this permit only
NAid PIUMARY FROM
PROPERTY OWNER-
1I==Q ADDRESS, CITY, STATE, ZW ]I; -Mm
OWNER IS ALSO: CONTRACTOR APPLICANT PROJECT CONTACT
RAMe w, 1� Gi� % zv�G-- 53 �3/ c5 6 ato
CONTRACTOR O ADDRE88, CrrY, STATE, ZIP FAX
�-ax 7.7. Ce> 0 , wQ HZ -5) 43A - -27(;-.')-
WA STATE CONTRACTOR'S LICENSE zxMAmoN DATE FEDERAL WAY BII8DI1;98 LICENSE 0
�GfTd Yy1 % fc
41-3
/ll
NAME —f-- PRDIARY PSONE
APPLICANT /y' �' 1 r b P 7(e
ADDRESS, CITY, STATE, ZIP FAX
xUJ BoyZ z y3 - 7?L
PROJECT CONTACT NA= PRi IUM PRONE
(The individual to receive and el – E 8 _
respond to all correspondence MAu.Dco ADDasss, CUT, STATE, ZIP FAX
concerning this application) _
ALTERNATE CONTACT RAJ PRDIARY PRONE 811AII.
PROJECT FINANCING NAM � OWNER•FMMICED
Required for projects writh
value of $5, 000 or more MAHMG ADDRESS, MY, STATE, ZIP PRDIARY PRONE
(RCW 19.27.095)
I certljy under penalty of perjury that I am the property owner or authorised 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 eorrveL I certify that I will comply
with all applicable City of Federal Wag 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 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 claire), which may be made by any person, including the undersigned, and jlled 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 apart
tooff�this application.
SIGNATURE: f grin �/ DATE S —J I
PRINT NAME: W i Ct tom,i�2Y
Bulletin # 100 – 4/17/2009 Page 1 of 4 k:\Handouts\Permit Application
s
Value o Mechanioal Work $ A COPY OF BID OR ESTIMATE MUST BE PROVIDED
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existingfudures to remain
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commerciaQ
BOILERS FURNACES HOT WATER TANKS (Gey
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include e.)dstingfixtures
to remain.
BATHTUBS (or Tub/shoaercombo)
LAVE (Hendsidm)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
LOT SIZE Iln Square Feet)
DRINKING FOUNTAINS
SINKS peahen/utmW
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL<F
Bulletin #100 — 4/17/2009 Page 2 of 4 k:Wandouts\Permit Application
AT
PROTECT VALUATION
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING II[PROVEMENTS
J
E ISTINO/PREVIOUS USE
LOT SIZE Iln Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED ME SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
Bulletin #100 — 4/17/2009 Page 2 of 4 k:Wandouts\Permit Application
0 ELECTRICAL S
RESIDENTIAL
COMMERCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet
(including attached garage):
1� Service/Feeder Additional Feeders
0 x'$.1?.(>LO " 80.00
- -100 amp .. ..... , x
FEES: First 1300 ft2 - $121.00;
101- 200 amp x$163.06 x $103.00
Each additional 500 ft2 - $39.00
201--,400-amp, - x $30 x $120.50
NEW MULTIFAMILY (3 units or more)
401- 600 amp x $36.003 x $142.50
1-" Senhce/Feeder Additional Feeders
641- $t;04urtpr X $195.OR
0 - 2W;ii , x 4"1:50 "; zc $ 09.00
801- 1000 amp x $562.50 x $235.50
201-400 imp: $163.00 x $ 80.00
Quer 1006 am - X$ tt41 is $32x:00
401 - 600 amp $22 ' ' x '$111,00
601- 800 amp x$285.50 x $152.50
Over 600 volts surcharge x $103.00
Over 8800 amp F;i38�, ",- x $305.50
ALTERED SINGLE or MULTI FAMILY
ALTERED COMMERCIAL
1st Semite/Feeder Additional Feeders1-v
Service/Feeder Additional Feeders
0 200 limp,x $103.00
201 -600 ax x $163.00 x $ 80.00
201- 600 amp ;: x$305.50x $I42.50
over 60 p .: x:" x $111:00
61111 lQ%tt1"amp x$ 50 x":$235.50
Over 1000.amp x $513:00 x $327.00
Added or Altered Circuits.
1-4 circuits $80.00; each additional $8.00
Added or Altered Circuits
1-5 circuits $103.00; each additional $8.00
Mast or meter repair $60.50
Mast or meter repair $111.00
MANUFACTURED HOMES
PLAN REVIEW FEES
Service or feeder only x $ 80:00
$103.00 plus 35% of Permit Fee; Plan Review required for:
Service and"fear:
❑ New, or alteration to, service of 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
Pian review for modified submittals $120.50/hour
MISCELLANEOUS
SERVICE/ EQUIPMENT
LOW VOLTAGE
TEMPORARY SERVICE
❑ Fire Alarm system
❑
1a, Service/Feeder Additional Feeders
security Alarm System
13Voice/Data Cabling?-
C1"aap; , , -.:?G $ %%,OQ x
ig Other
Area to be served by system:
5
61 - 100 amp x $ 80.00 $ 39_00
61
"fig" - 1 '
1-t 2,500 ft2-$71.00; each additional 2,500 ft2- $18.50
2131-400 amp -._X $120.00
Of Thermostats
401;=- 600 amp x $1 r 0 9 t 06
First First $60.50; each additional $18.50
.':
Over 600 amp at $183.00 is $ 92.00
# of signs
**NOTE: an automation fee of $6.00 will be charged
First $60.50; each additional $28.50
on all permits**
Yard Pole/meter loops/pedestal x $ 80.00
Portable Generator (transfer equipment) x $100.50
For fixtures or fees not listed contact the Permit Center at
Ditch cover/inspection only x $120.50
253-835-2607
Bulletin #100 - 4/21/2009 Page 3 of 4 k:\Handouts\Permit Application