12-105679e
ARRIIcant
City of Federal Way
CHRISTOPHER B JOHNSON
Community & Econ. Dev. Services
LEGACY ELECTRIC INC
33325 8th Ave S
PO BOX 1693
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
j
Project Name: JOHNSON
PO BOX 1693
Project Address: 500 SW 298TH ST
f } ' *,lectrical
Permit #: 12 -105679 -00 -EL
Project Description: Add/alter up to (3) circuits for a heat pump system.
Inspection Request Line: (253) 835-3050
,ID14U
Parcel Number: 233700 0070
Owne
ARRIIcant
Contractor
CHRISTOPHER B JOHNSON
LEGACY ELECTRIC INC
LEGACY ELECTRIC INC
PAMELA JOHNSON
PO BOX 1693
LEGACEI962QS (1/21/13)
500 SW 298TH ST
AUBURN WA 98071
PO BOX 1693
FEDERAL WAY WA 98023
AUBURN WA 98071
Additional Permit Information
Is Use Educational or Institutional?.......................No
Electrical Fixtures
Circuits - Residential ...................... 3
PERMIT EXPIRES Wednesday, June 19, 2013
Permit Issued on Friday, December 21, 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:
Air
THIS CARD IS TO MAIN ON-SITE
Federal VI/a Construction In ection Record
y INSPECTION REQ TS: (253) 835-3050
PERMIT #: 12 -105679 -00 -EL Address: 500 SW 298TH ST
Project: CHRISTOPHER B JOHNSON FEDERAL WAY, WA 98023-3554
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.
El
LIFER Ground (4295)Ditch
cover (4030)
Electrical
Approved
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
El
Pool Bonding (4195)
Temporary Power (4275)Service
Electrical
Approved
(4235)
By
Approved
Approved
Date
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
E]
Final - Electrical (4055)
Approved
B
Date
El
Rough Electrical
Approved
E]Final
Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY
PROJECT CONTACT
STATE I ZIP
FAX
PRIMARY PHONE
,1;11 _ _7')•
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 ariie ou) of the reliance of the city, including its officers and angUoyees •pon the accuracy of the
information supplied to they' J as a p of this applic�*+ol�� _.
SIGNATURE:
PRINT NAME:
TE `?C
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 of 2 k:\Handouts\Electrical Permit Application
CITY OF
Federal y
ELECTRICAL
�eCE
ti � 2012
PERMIT APPLICATION
p�C
�i'ectrical permits may be obtained on-line at www.cityo ederalway.com**
SITE ADDRESS: `
_5W pi Q kl
SUITE/UNIT/SPACE #
ASSESSO S TAX/PARCEL #
o2 7V d 7.0
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
AM o o v L- 4- ®Nt-
L5Ame aqqv
PROJECT DESCRIPTION
Detailed description of work to
`r—
be included on this permit only
PROPERTY O
NAME
PRIMARY PHONE
9704
MAILING ADDRESS
01J
5
EMAIL
Y I
����CGJy�C/C� (T/iyyWW\II
STATE
,,v. /�, tL
Z1PO`]
G
/ FAX
1
NAME
PRIMARY PHONE
ELECTRICAL
'`LING A15DRFSS
`v � W Lt")3
1 E-MAIL
7e_IQ4 , (?
CONTRACTOR
CITYT�
11A*
nTF_
zH9� � �
FAx
)
WA STATE CONTRACTOR'S LICENSE A EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME��
AAPPLICANT
PRIMARY PHONE
)
MAILING ADDRESS
E-MAIL
CITY
PROJECT CONTACT
STATE I ZIP
FAX
PRIMARY PHONE
,1;11 _ _7')•
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 ariie ou) of the reliance of the city, including its officers and angUoyees •pon the accuracy of the
information supplied to they' J as a p of this applic�*+ol�� _.
SIGNATURE:
PRINT NAME:
TE `?C
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 of 2 k:\Handouts\Electrical Permit Application
RESIDENTIAL
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)
131 Service/Feeder Additional Feeders
ALTERED SINGLE or MULTI FAMILY
1s1 Service/Feeder
Added or Allered.GiNcuits _ . J
1-4 circui s $80.5 , each additional $8.00
Mast or meter repair $60.50
MANUFACTURED HOMES
NEW COMMERCIAL
131 Service/Feeder Additional Feeders
a �� -.^'4` � �' �... .f ,,. r'w-ns'� `�W'✓8. '`���`R d-.• «a, k u'�,:...y` `a.. s '%+�
«: ..,ara,
ALTERED COMMERCIAL
UVI I,
WEL
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 350% _ + $103.50 = Plan Review Fee)
Plan review for modified submittals $105.50/hour
MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE
❑ Fire Alarm System
❑ Security Alarm System
❑ Voice/Data Cabling
❑ Other
Area to be served by system:
112,500 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
13L Service/Feeder Additional Feeders
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 e Avenue South ♦ Federal Way ♦ WA 1 98003-6325 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin # 160 —January 1, 2011 Page 2 of 2 k:\liandouts\Electrical Permit Application