12-103569r 1 , A ,
Electrical
City & Federal way Permit #: 12 -103569 -00 -EL
Community Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 Request Line: Re 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection . _. q
Project Name: LEZON
Project Address: 4152 SW 314TH ST Parcel Number: 873199 0180
Project Description: Adding/altering 0-200 amp panel
Owner
A1212lican
Contractor
MICHAEL E LEZON
CHIN'S ELECTRIC LLC
CHIN'S ELECTRIC LLC
4152 SW 314TH ST
34102 13TH PL SW
CHINSEL908BD (1/4/14)
FEDERAL WAY WA 98023-2172
FEDERAL WAY WA 98023
34102 13TH PL SW
FEDERAL WAY WA 98023
Additional Permit Information
Is Use Educational or Institutional? ....................... No Service greater than 999 Amps? ............................. No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps (F 1
PERMIT EXPIRES Wednesday, January 30, 2013
Permit Issued on Friday, August 3, 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. �t3
//
Owner or agent: Date:
CITY OF
Federal Way
PERMIT #:
Project:
12 -103569 -00 -EL
MICHAEL E LEZON
THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
Address: 4152 SW 314TH ST
FEDERAL WAY, WA 98023-2172
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.
0
UFER Ground (4295)
❑
Ditch cover (4030)
0
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)
Service (4235)
Right of Way
Approved
Approved
Date
Approved
Date
Approved
By
Date
By
Date
By
Date
Ceiling Cover (4020)
Rough Electrical (4225)
,Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
B
Date (Z
By
Date
o final - Electrical (4055)
Approved
By Date '�-'t-- 13—
__
I
❑
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
-
022 - 10
__3; S�
CITY OF
Federal WayY
ELECTRICALKECEIVED
PERMIT APPLICATION
AUG 0 3 2012
**
ctrical permits maybe obtained on-line at www.cityo ederalway.com**
SITE ADDRESS: J
S 2 / C
I
SUITE/UNIT/SPACE N
ASSESSOR'S TAR/PARCEL # CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name) IZ7 Z
c'
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
2 01U (ZOI'o)
PRIMARY PHONE
2
MAILING ADDRESS C ' 1
LlfS JW
E-MAIL
CITY %STA
L(/`/
E
ZIP `� (
/ C> 0 LTJ l )
FAX
NAME
� /-" l� T
PHONE
ELECTRICAL
MAILING ADDRESS
3 2 C,J
E-MAII.
CONTRACTOR
CITY
I STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE X EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
NAME
�
PRIMARY PHONE
APPLICANT
)
-
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP /
FAX
l )
PROJECT CONTACT
NAME
lr )
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 (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 apart of this application.
DATE
PRINT NAME: 41 4 I %A)
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
NEW SINGLE FAMILY RESIDENCE
Total Square Feet
(including attached garage):
FEES: First 1300 ft2 - $122.00;
Each additional 500 ft2 - $39.00
NEW MULTIFAMILY (3 units or more)
111 Service/Feeder Additional Feeders
201 amp , ;' x 164.,(1f3, x ;$ 80.50
8? Q4} , $153.50
ALTERED SINGLE or MULTI FAMILY
111 Service/Feeder
R&
�3't11, ,600 amp `........ _: $164.00
Added or Altered Circuits,.
1-4 circuits $80.50; each additional $8.00
Mast or meter repair $60.50
MANUFACTURED HOMES
NEW COMMERCIAL
1st Service/Feeder Additional Feeders
196
$� .:XOO�.P, ......, . ' " 0� x $236.50
Over6f10,uplts,sur,,.ka q x.$103.5€1
ALTERED COMMERCIAL
11t Service/Feeder Additional Feeders
0, x:$103.50
Over ,,.2t1kl0,amp $329.,50
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/EOUIPMENT
LOW VOLTAGE
❑ Fire Alarm System
❑ Security Alarm System
❑ Voice/Data Cabling
❑ Other
Area to be served by system:
1st 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
00eh� 6011 _ afi , :
TEMPORARY SERVICE
111 Service/Feeder Additional Feeders
FEE CALCULATIONS
.. $ 39.00
• 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 8h Avenue South ♦ Federal Way 1 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