12-105147City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: KELLY
Project Address: 31619 36TH AVE SW
• 1 1 �, Electrical
Permit #: 12j -106147 -00 -EL
Inspection Request Line: (253) 835-3050
Project Description: Alter (1) circuit to add can lighting to porch addition.
Parcel Number: 873198 0820
Owner
Aoniicant
Contractor
MICHAEL L KELLY
MICHAEL L KELLY
OWNER IS CONTRACTOR
31619 36TH AVE SW
31619 36TH AVE SW
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Additional Permit information
Is Use Educational or Institutional?.......................No
Electrical Fixtures
Circuits - Residential ......................
PERMIT EXPIRES Sunday, May 12, 2013
Permit Issued on Tuesday, November 13, 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
nd t City of Federal Way.
Owner or agent: Date:
CITY OF i
Federal Why
THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 12 -105147 -00 -EL Address: 31619 36TH AVE SW
Project: MICHAEL L KELLY FEDERAL WAY, WA 98023-2105
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)
0
Ditch cover (4030)
Temporary Power (4275)13
Slab/Concrete Floor (4255)
E]Right
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
❑
Pool Bonding (4195)
Temporary Power (4275)13
E]Right
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
E]
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
13
Final - Electrical (4055)
Approved
By
Date _ �(
❑
Rough Electrical
Approved
Final Electrical
Approved
E]Right
of Way
Approved
By
Date
By
Date
By
Date
OF 400%%ftftOe'
Fed��r���(1/� ELECTRICAL
ti�� is 202 PERMIT APPLICATION
E'P 'V P,
of st electrical permits may be obtained on-line at www. cityo ederalway.com**
SITE ADDRESS: `
/ 9 �7`h Are_-
6�Wkf;tj
O AX—
SUITE/UNIT/SPACE #
ASCF_CCOR'S TAX/PARCEL #
`X\iJ "tel/
CURRENT/PROP ED USE
01 0
PROJECT NAME
(Tenant Homeowner Last Name)
or
C
PROJECT DESCRIPTION
A -t,5
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
MAILING ADDRESS
(A
C�jL.
STATE
ZIP0
FAX
NAME
PRIMARY PHONE
yl
{ '
MAILING ADDRESS
E-MAIL
ELECTRICAL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE #
NAME99
10
PRIMARY PHONE
-
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
/ FAX
l
PROJECT CONTACT
NAME
PRIMARY PHONE
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 tincluding 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 suppli the city es a part of this application J
SIGNATURE: r _ DATE
PRINT NAME:
K LGk'a-6 L
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 1 oft k:\Handouts\Electrical Permit Application
RESI,D
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)
1s1 Service/Feeder Additional Feeders
ALTERED SINGLE or MULTI FAMILY
111 Service/Feeder
Added or Altered Circuits .. `
1-4 circuits $80.50; each additional $8.00
Mast or meter repair $60.50
MANUFACTURED HOMES
$ 80.50
1s1 Service/Feeder Additional Feeders
11:1. 2tip gip"-
401,.. <;6 Amp.; . ii.$35 6f3 A,' x:$143.50
$fl 14H3t3 at :ii56 f1u(1 ?F fi.50
r volts -surcharge',;" x $iO3 s0
ALTERED COMMERCIAL
1,1 Service/Feeder Additional Feeders
x $307,Qp . , , x ....,,. X121=0d
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 351/o of Permit Fee
(Permit Fee x 351/6 = + $103.50 = Plan Review Fee)
Plan review for modified submittals $105.50/hour
MISCELLANEOUS SERVICE/EOUIPMENT I
LOW VOLTAGE
❑ Fire Alarm System
❑ Security Alarm System
❑ Voice/Data Cabling
❑ Other
Area to be served by system:
l -t 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
TEMPORARY SERVICE
1 n Service/Feeder Additional Feeders
1iHl aiz p $ 80.54 , " .— `$' 3900
i x',400"atnp, x $121.00
$ 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 80' Avenue South ♦ Federal Way 1 WA 1 98003-6325 ♦ 253-835-2607 ♦ fax: 253-835-2609 1 www.cityoffederalway.com
Bulletin #160 — January 1, 2011 Page 2 of 2 k:\Handouts\Electrical Permit Application