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12-101638 • Electrical City of Community&Econ.FederalW Services Permit #: 12-101638-00-EL 33325 8th Ave S Federal Way,WA 98003 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (2 53)835-3050 Project Name: GRACE LJ y'°t Project Address: 500 SW 368TH ST Parcel Number: 302104 9117 Project Description: Upgrade electrical panel. Owner Applicant Contractor TISH GRACE TISH GRACE OWNER IS CONTRACTOR 500 SW 3681'H AVE 500 SW 368TH AVE FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 Additional Permit Information Is Use Educational or Institutional9 No Electrical Fixtures Alt.Serv./Feeder:0 to 200 amps(F 1 PERMIT EXPIRES Monday, October 8, 2012 Permit Issued on Wednesday,April 11, 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 • QA /�7 '�and the City of Federal Way. � Owner or agent N�l Date: f 1Z- �- w "I Mr, CITYy 0 THIS CARD IS TO MAIN ON-SITE OF 4fA Construction I ection Record Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 12-101638-00-EL Address: 500 SW 368TH ST Project: TISH GRACE FEDERAL WAY, WA 98023-7358 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) 0 Ditch cover(4030) ❑ Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date o Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235) Approved Approved Approved By Date By Date By Date , El Feeders/Sub-panels(4045) 0 Rough Electrical(4225) El Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date ID Final-Electrical(4055) Approved By n ` 1/4_,-, Date r1�`„.1. 0 Rough ElectricalEl Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date 1.\IVC) . 4), _ - I 0,L ? CITY OP Fe • " - P\‘ Y/ '` ELECTRICAL EDEcMIIT APPLICATION C1. 0��roS ** Mtfst electrical r ermits may be obtained on-line at www.ci o,/ederalw r .com „,,..:,,,,-...;.:1;- - - - ..:c.,.,.�n •eek .,-., ,3.,,. ,. .,,..,,�•'t' ,. ,. ...C..,_ . ,.. __ „ ,- n, ,�re, - - - . .-- . �.I-.i ...-..-��u^h-- ,n �1--,c�x�S.`.=j i^a. :•-.';i'^,••:'N�e wk,.zs.;;, SITE ADDRESS: 5 OO 6 to 4 g� ,,f reel e ra. I w i°y I,J 14 q$'D a 3 SUITE/UNIT/SPACE tt ASSESSOR'S TAX/PARCEL s CURE/ET/PROPOSED USE t - 'tt ,•?, lo" -_- _ ` :m' r1''r4".e4.. _� 'ter _ _ � _ r _ « Yf,"-a... • - t� li,•;;.'� i” i`. x+ pt-,., _�- ,' _ ,f--....,,..-,,--,,,, 7«� _-r.---., ,,-...-'t"..'�: . . •,1,: ..� aak1„-,_, .-,_,i.�..�„«..�n,._4 -"r.'f,., _ ,..=.;,.-;-._:_:3.. a .'!tt .. 11:-. �'.5��t4 k',, ..v��,�d:: ,,e. : .'S�:�#:.�;.- 9_-.. PROJECT NAME - (Tenant or Homeowner Last Name) CO tO 11-GC.-- 0 p rade f.1 e&41-; c.-a.-t So PROJECT DESCRIPTION J Detailed description of work to be included on this permit only n,T 14 -,C� 7��kF4,'' ., ",,�-:Vit �,« % ri ;:ztti -�: 7�:414:;;;:', =_'�•�r: .;,I.''',;',:- •.�,-' w;4�,,�.,V�. NC� `NsN` ZX1 Fr7 3.1cr"+,:ka �, xg �, -. _ . q+ Yy ... . .- ..-_-'� �'iJ.7'<: ..t,: r , >...nE ,',x ,-i,..��xY;t: s-,.,�. ,sc' . .e.,4Y „....,,.. l" ntiyy,tli�.�.a:, u34�,fipxt1,-;,,:t.;?.,k. .,V: i?'.2..a�ti'f.w� . NAME PRIMARY PRONE PROPERTY OWNER i 11 CO y,,a,t e_ (.253 ) 335-/fry (,, MAILING ADDRESS E-MAIL 50 6 LO Co rt-A /s!%�°fate 6gockeiNa>l C.a CITY STATE Pilo PAX Federal w )( wit- 9 eo 2 3 ( ) N ft NAME PRIMARY sEE et-I-i- 0tl y-err'€tel a'---- ( ) 5,4--h-76° ELECTRICAL MAILING ADDRESS 5 ft hiC / S 7e) (1c ,_—_____ CONTRACTOR CITY S rg IVA- O e0 2.3 ( ) PAZ A- 1/ e I-P. WA STATE CONTRACTOR'S LICENSES EXPIRATION DATE FEDERAL WAY RUMNESS LICENSE i T S / / NAME-/ PRIMARY PHONE APPLICANT I i5 k) 6 rq C (2S 3) 33C- / `S MAILING ADDRESS E-MAIL 5.©© 5k g&A/1 CITY r�f-Va ht)At w� gra z.3 ( ) NFig 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 a part of this plication. SIGNATURE: I DATE /—/7-- PRINT NAME: 33325 81h 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 RESIDENTIII CMERCIAL _ `-' NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL' ,f Total Square Feet (including attached garage): 1',Service/Feeder Additional Feeders ...0- 100 amp a$132.50 x$ 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$307.00 x$121.00 NEW MULTIFAMILY (3 units or more) 401 600 amp x$358.00 x$143.50 1s°Service/Feeder Additional Feeders 601-- 800 amp x$463.00 x$196.00 ....0-- 200 amp x $132.50 a $ 39.00 801-1000 amp x$565.00 T 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 1't Service/Feeder 1't Service/Feeder Additional Feeders .0- 200 amp ''34' 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 ante x$463.00 x$196.00 Over 1000 amp a$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 a $ 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 a $103.50 x $ 51.00 1rt 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 • x $ 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 1 Federal Way♦WA 198063-9718♦253-835-2607♦fax:253-835-2609♦www.cityoffederalway.com Bulletin#160-April 9,2010 Page 2 of 2 k:\Handouts\Electrical Permit Application