12-103247f lectrical
Comm Cky of Federal ay
unity & Econ. Dev. Services
333258th Ave S Permlt #: 12 -1,33247 -00 -EL
Federal Way, WA 98003 Ins ection Re uest Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 FILE
p Q
Project Name: WANDLER
Project Address: 4743 SW 314Th PL Parcel Number: 211572 0540
Project Description: Alteration of (4) circuits for kitchen/office remodel.
wn r
Annlicant
Contractor
SAMUEL WANDLER
EVERGREEN STATE ELECTRIC INC
EVERGREEN STATE ELECTRIC INC
JENNIFER E WANDLER
PO BOX 849
EVERGSE066JA (4/1/14)
4743 SW 314TH PL
SUMNER WA 98390
PO BOX 849
FEDERAL WAY WA
SUMNER WA 98390
98023
Additional Permit Information .
Is Use Educational or Institutional? ....................... No
Electrical Fbdures
Circuits - Residential ...................... 4
PERMIT EXPIRES Wednesday, January 9, 2013
Permit Issued on Friday, July 13, 2012
I hereby certify that the above information -i§ correct and that the construction on the above described property and
the occupancy and the use will be in acc r4ance with the laws, rules and regulations of the State of Washington
d the City of Federal Way.
Owner or agent: Date: /
FW.A_1 rD
A& CITY OF lop
Federal Way
PERMIT #:
• THIS CARD IS TO MAIN ON-SITE
Construction In ection Record '
INSPECTION REQ TS: (253) 835-3050
12 -103247 -00 -EL
Address: 4743 SW 314TH PL
Project: SAMUEL WANDLER FEDERAL WAY, WA 98023-3701
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.
LIFER Ground (4295)11
Ditch cover (4030)
Final Electrical
Approved
Slab/Concrete Floor (4255)
(4235)
Approved
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Temporary Power (4275)Service
Final Electrical
Approved
(4235)
Right of Way
Approved
Date
Approved
By
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 tj _I-,
Final - Electrical (4055)
Approved
By
DatQ
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
ft ti
N
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cITY OF
FedeflWay
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ELECTRICAL
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PERMIT APPLICATION
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_r,Eost electrical permits maybe obtained on-line at www.cityoffederalway.com**
wto 01 !Zit!
PROPERTY INFORMATION
SITEADDRESS: 4743 SW 314th Place, Federal Way WA 98023
SUITE/UNrr/SPACE #
ASSESSOR'S TAX PARCEL ♦
CURRENT/PROPOSED USE
2115720540 -
PROJECT INFORMATION
PROJECT NAME
rrenant or Homeoumer Last Name)
Wandler, Samuel & Jennifer
PROJECT DESCRIPTION
//
K v Oi e in
Detailed descr(ptiort of work to
be included on d9s permit only
PEOPLE
PROPERTY OWNER
NAME
Samuel & Jennifer Wandler
PRIMARY PHONE
NUUUNG ADDS
E -MAH,
4743 SW 314th Place
CITT
Federal Way
8TATE
WA
ZIP
98023
FAX
( ) _
NAM
PIU ANY PHONE
EVERGSE066JA
253 )770-0656
7tAXIMM ADDRESS
E-MAIL.
ELECTRICAL
PO Box 849; Sumner..WA 98390
w.i'Cedl@net
CONTRACTOR
crff
ffA—
zw
FAX
Sumner
I WA
I 98390
7 -
953 )770-1767
VA
wA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEnswu WAY HusixESS LICENSE S
EVERGSE066JA 04/01 /14
19-99-1
NAME
PRDfARY PHONE
A,PLJCANT
Ever reen State Electric., Tnr
(253)770-0656
MAnjNG ADESUM
E -MAD.
PO Box 849
wixedl @net- vErbze.can
Cr1Y
STATE
ZIP
FAX
Sumner
I WA
I 98390
53)770-1767
PROJECT CONTACT
.NAME
Justin Chamberlin
PRDf 'RyPHONE
r(253) 377 -3028
I cert{fy under penalty gf pwjwV that I am the property owner or authorized agent cf the property owner. I certify that to the best
of my know!edge, the ir1fonna tion submitted in support of this pernut application is true and correct. I cert fy that I will comply with
all applicable City of Federal Way regulations pertaining to the woo 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 Fiederai Wally as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such clainub which may be made by any person, including the undersigned, and jUed against the city,
but only where such claim arises out of the reliance of the city, including its oohoers and employees, upon the accuracy of the
information supplied to the city as a Rf this application. 22
SIGNATURE: L DATE 7
�/.2—
PRINT NABS: G 5 h to
33325 8b 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:WandoutsElectrical Permit Application
RESIDENTIAL
COMMERCIAL
NEW SINGLE FAMII.Y RESIDENCE
NEW COMMERCIAL
Total Square Feet
Iffi ���/Feeder Additional Feeders
{including attached garage):
0 - 100 amp x $132.50 x $ 80.50
FEES: First 1300 ftz - $122.00;
101 - 200 amp x $164.00 x $103.50
Each additional 500 ft2 - $39.00
201 - 400 amp x $307.00 x $121.00
NEW MULTIFA MY (3 units or more)
441 - 600 amp x $358.00 x $143.50
1-t Service/Feeder Additional Feeders
601 - 800 amp x $463.00 x $196.00
0 - 200 amp x $132.50 x $ 39.00
801 - 1000 amp x $565.00 x $236.50
201 - 400 amp x $164.00 x $ 80.50
Over 1000 amp x $616.00 x $328.50
401 - 600 amp x $224.00 x $111.50
601 - 800 amp x $287.00 x $153.50
Over 600 wits surcharge x $103.50
Over 800 amp x $410.50 x $307.00
ALTERED SINGLE or MULTI FAMILY
ALTERED COMMERCIAL
1-t Service/Feeder
10 Service/Feeder Additional Feeders
0 - 200 amp x $101.00
0 - 200 amp x $132.50 x $103.50
201 - 600 amp x $164.00
201 - 600 amp x $307.00 x $121.00
Over 600 amp x $246.50
601 - 1000 amp x $463.00 x $196.00
Over 1000 amp x $515.50 x $328.50
Added or Altered Circuits
1-4 circuits $80.50: each additional $8.00
Added or Altered Circuits
1-5 circuits $103.50; each additional $8.00
Mast or meter repair $60.50
Mast or meter repair $111.50
MANUFACTURED HOMES
PLAN REVIEW FEES
Service or feeder only x $ 80.50
Plan Review required only for.
Service and feeder x $132.50
• 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
TEMPORARY SERVICE
❑ Fire Alarm system
1m Service/Feeder Additional Feeders
❑ security Alarm system
❑ voice/Data Cabling
0- 60 amp x $ 71.00 x $ 32.00
❑ other
61 - 100 amp x $ 80.50 x $ 39.00
Area to be served by system:
101 - 200 amp x $103.50 x $ 51.00
1* 2,5 W-$71.00; each additional 2,500 ftz - $18.50
00
201 - 400 amp x $121.00 x $ 60.50
# of Thermostats
401 - 600 amp x $164.00 x $ 80.50
Hirst $60.50; each additional $18.50
Over 600 amp x $184.50 x $ 92.00
FEE CALCULATIONS
Yard Pole/meter loops/Pedestal x $ 80.50
Fees are determined by the scope of work as indicated.
Portable Generator (transfer equipment) x $101.00
• A $6.00 Automation Fee will be added to all permits.
Ditch cover/inspection only x $121.00
• For assistance in calculating fees or completing the
application form, contact the Permit Center at
253-835-2607
33325 8'h Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www_cityoffederalway.com
Bulletin #160 -January 1, 2011 Page 2 of 2 k:Wandout%\Electrical Permit Application