11-101090 City of Federal Way Elea i'icl1
Community Development Services Permit #: 11-101090-00-EL
P.O.Box 9718
Federal-260,WA 98063-971835- Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)8835-2609 P 4
Project Name: EVANGER
Project Address: 550 SW 305TH ST Parcel Number: 178880 0960
Project Description: Altering an existing 100/125 amp service panel and circuits to clean up wiring in bedroom,
living room,and diining room due to water damage.
Owner Applicant Contractor
DERRY P EVANGER BOLEY ELECTRIC INC BOLEY ELECTRIC INC
550 SW 305TH ST PO BOX 2247 BOLEYEI005PB(10/2/12)
FEDERAL WAY WA 98023 LYNNWOOD WA 98036 PO BOX 2247
LYNNWOOD WA 98036
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Is Use Educational or Institutional? No
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Alt.ServiFeeder:0 to 200 amps(F 1
PERMIT EXPIRES Thursday, March 22, 2012
Permit Issued on Wednesday, March 23, 2011
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
an. th- City of Federal Way. ?
Owner or agent: % Date: ,//7 /zd l/
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THIS CARD IS TO REMAIN ON-SITE ,
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CITY OF 0 Construction Lection Record
Federal WayINSPECTION RE UESTS: 253 835-3050
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PERMIT#: 11-101090-00-EL Address: 550 SW 305TH ST
Project: DERRY P EVANGER FEDERAL WAY, WA 98023-3952
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.
❑ Service(4235) ❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225)
Approved Approved Approved
By Date By Date By Date `�5_,
O Ceiling Cover(4020) '❑ nal-Electrical(4055)
Approved Approved
By Date By S Date "el- ?f7 I
�.j
❑ Rough Electrical Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
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CITY O.. -• - ED
Fe ' ' : , ELECTRICAL
MAR 2 '-. 21r1PERMIT APPLICATION
CITY OF FEDERAL WAY
t electrical permits nlay be
^ oswbtained on-line
-line at www.yyc�i
itvoffederalway.com**
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SITE ADDRESS: J - 5(4/./ 3Q 4 J77,1
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
(( 7- eC8 o - 09” 60
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PROJECT NAME
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION A i`✓1,q [ v-- 4.1 tom/ ot /`, A� /1A-Y /e- av
Detailed description of work to 5
be included on this permit only
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NAME r eP"IrV PRIMARY PHONE ^`
PROPERTY OWNER F[/Lc/ZG/'✓ ( ) -
MAILING ADD E-MAIL
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CITY STATE ZIP FAX
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NAME PRIMARY PHONE
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MAILING DRESS ,/ /
ELECTRICAL 7 O /�p JG Z2 N 7 eyeJe i i6 Loi i
CONTRACTOR CITY STATE ZIP FAX
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WA ST E CONTRACTOR'S LICENSE EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE S
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NAME PRIMARY PHONE
APPLICANT c 69/I P/'Gt.G O — ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
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NAMEPRIMARY PHONE
PROJECT CONTACT L `CO//a,e/0// 30 A (< ��� J7�
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 a part of this application.
SIGNATURE: DATE 143/2—Z9//
PRINT NAME: /4_ / /9 "
33325 8th 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
RESIDENTI) C IMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet 1s'Service/Feeder Additional Feeders
(including attached garage): 0- 101i amp x$.132.50 x$ 80.50
FEES: First 1300 ft2-$122.00; 101- )0 p 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
1"Service/Feeder Additional Feeders 601- 800 amp x$463.00 x$196.00
Q- 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 volts surcharge x$103.50
Over 800 amp • x $410.50 x $307.00
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
lstfSeruice/Feeder 1 Service/Feeder Additional Feeders
Q- 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 $1 11.50
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 1,1 Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling .0-"60 amp x $-7:I 00; °^s. x $ 32.00
❑ Other 61- 100 amp x $ 80.50 x $ 39.00
Area to be served by system: �e
1"2,500 ft2-$71.00;each additional 2,500 ft2-$18.50 iE?3 -'200"amp x:$103.50 X.$ 51.00
201-400 amp ,;;_ 'X $121.00 • $ 60.50
H of Thermostats
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 8ih Avenue South•Federal Way♦WA♦98003-6325 1253-835-2607♦fax:253-835-2609•www.cityoffederalway.com
Bulletin#160-January 1,2011 Page 2 of 2 k:\Handouts\Electrical Permit Application