11-100282 r ~ ' Eleat ical
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City of Federal Way
Community Development Services FILEPermit #: 11-100282-00-E L
P.O.Box 9718
Federal Way,WA 98063-9718 Ins ection Re uest Line: 253 835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: HOLLAND
Project Address: 34403 28TH PL SW Parcel Number: 011460 0010
Project Description: Altering up to 4 circuits to rewire receptacles. Damage due to tree falling.
Owner Annlica t Contractor
JUSTIN L HOLLAND CHARLES DEAN ELECTRIC LLC CHARLES DEAN ELECTRIC LLC
34403 28TH PL SW 28107 20TH AVE S CHARLDE930LQ(6/18/11)
FEDERAL WAY WA 98023 FEDERAL WAY WA 98003 28107 20TH AVE S
FEDERAL WAY WA 98003
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Is Use Educational or Institutional? No
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Circuits-Residential 4
PERMIT EXPIRES Tuesday, January 24, 2012
Permit Issued on Monday, January:24, 2011
l hereby certify thatthe above information is correct and that-the construction on the above described property and
the occupancy and the use willhe in accordance with the laws, rules and regulations of the State of Washgton.
and the City of Federal Way.
Owner or agent: /��' � Date:
/ • 2 9 11
. 41.;&. THIS CARD IS TO REMAIN ON-SITE , ,
MY OF
0 Construction Ins tion I ecord
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 11-100282-00-EL Address: 34403 28TH PL SW
Project: JUSTIN L HOLLAND FEDERAL WAY, WA 98023-3001
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 Slab/Concrete Floor(4255) 0 Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved to place concrete Approved Approved
By Date By� Date /_ .2...r.1_ (/ By Date
Final-Electrical(4055)
Approved
By 1--I Date \1`1 1
•
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CITY Of Iv Ed°
01 - 100;- 3 �
Fede ! ELECTRICAL
JAN2 1
rrY
�. EDER
4FifggT APPLICATION
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**Motaittrical r ermits in, be obtained on-line at www.ci of ederalw,r .com**
.. . _ , rSITE ADDRESS: 3y
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SUITE/UNIT/SPACE I ASSISSOWS TAX/PARCEL I CURRENT/PROPOSED USE
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PROJECT NAMEf • j'
(Tenant or Homeowner Last Name) Q
A
PROJECT DESCRIPTION _ — _
Detailed description of work to
be included on this permit only / _ -
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NAME PRIMARY PHONE
PROPERTY OWNER J S
a t o m ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
NAME arkS f)-, n f eC Cr t C MAILING ADMIRES E-MAIL
PRIMARY PHONE
ELECTRICAL 2 $ 07 2of4 Ave S
CONTRACTOR crr:f-14./. STA/ zrr0 grx)3 FIMIBEIIIII
WA STATE CONTRACTOR'S LICENSE I EXPIRATION DATE FEDERAL WAY EUSINESS LICENSE I
C RA L ► - 3o LQ O7 /0334' goo SL.
NAME PRIMARY PHONE
APPLICANT ) —
NWLL1Ni0 ADDRESS M-MAIL
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
PROJECT CONTACT ( ) —
I certify 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 correct.I certify that I will comply with
all applicable City of Federal Way 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 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. (� /
SIGNATURE: „..-.". :0111111DATE 1.2 f e 1 1
PRINT NAME: C t Q f'I e S EC 0 C k t.
9
33325 8i6 Avenue South•PO Box 9718•Federal Way•WA•98063-9718♦253-835-2607•fax:253-835-2609•www.cityoffederalway.com
Bulletin#160-April 9,2010 Page 1 of 2 k:\Handouts\Electrical Permit Application
41I
RESIDENT" MMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet 1=t Service/Feeder Additional Feeders
(including attached garage): O- 100 amp
.,_. x$332.50 x$ 80.50
FEES: First 1300 ft2-$122.00; 101- 200 amp X$164.00 x$103,50
Each additional 500 ft2-$39.00 201- 400 amp x$807.00 x$12:1.00
NEW MULTIFAMILY (3 units or more) 401- 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 a.$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 volts surcharge x$103.50
Over 800 amp x $410.50 .... x $307_00
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1st Service/Feeder 1'1 Service/Feeder Additional Feeders
.0-, 200 arnp 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
U �`+ r5 Over 1000 amp a$515.50 x$328.50
Added or Altered Circuits... 1 Z
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 1't 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•t 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50
201-400 amp .. x $121.00 x $ 60.50
#of Thermostats 401-600 amp a $164,00 a $ 80.50
First$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 8th Avenue South♦PO Box 9718♦Federal Way♦WA♦98063-9718♦253-835-26071 fax:253-835-2609•www.cityoffederalway.com
Bulletin#160-April 9,2010 Page 2 of 2 k:\Handouts\Electrical Permit Application