10-103522 •
• E1 rival
City of Federal Way
Community Development Services Permit #: 10-103522-00-EL
Po Box 9718
Federal Way,WA 98063-9718
Ph (253)835-2607 Fax (253)835-2609FILE Inspection Request Line: (253)835-3050
Project Name: DISSMORE
Project Address: 31051 51ST AVE SW Parcel Number: 321020 0230
Project Description: Adding/altering 320 amp service for addition
Owner AooIicant Contractor
TIMOTHY&SUSAN DISSMORE TIMOTHY&SUSAN DISSMORE TIMOTHY&SUSAN DISSMORE
31051 51ST AVE SW 31051 51ST AVE SW 31051 51ST AVE SW
FEDERAL WAY WA 98023-2021 FEDERAL WAY WA 98023-2021 FEDERAL WAY WA 98023-2021
. . .it'.3isr,!j.`), :-T' ' .'sitz''. -:.;,.': :... .,.:::..-;'.:t..: .,.,`' 1 �
..t,.r'.�'Y ...��1:1:-,::: :'.,..
="s.• , ;;•me
Is Use Educational or Institutional? No
Alt. Serv./Feeder:201 to 600 amps 1
PERMIT EXPIRES Wednesday, August 17, 2011
Permit Issued on Tuesday, August 17, 2010
I hereby certify that the abov ' formation is correct and that the construction on the above described property and
the occupancy and the us I be in accordance with the laws, rules and regulations of the State of Washington
nd 1ity of Federal Way.
Owner or agent: �., -04 7> „ice ',,CC Date: MiCI •
F11 "!. rD ivAgfi(
., 0W
THIS CARD IS TO REMAIN ON-SITE . ./
CITY1°F , , Construction It'ection Record
Federal WayINSPECTION RE UESTS: 253 835-3050
Q ( )
PERMIT#: 10-103522-00-EL Address: 31051 51ST AVE SW
Owner: TIMOTHY & SUSAN DISSMORE FEDERAL WAY, WA 98023-2021
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) ❑ Ditch cover(4030) Ei Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date 'By C � . _1 Date .t1 'By Date .
.0 Pool Bonding(4195) 0 Temporary Power(4275) Cl Service(4235)
Approved Approved Approved
By Date By Date ByG Date 7 ,9.16
0 Feeders/Sub-panels(4045) ri Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date /Z '/ ./a By Date
Final-Electrical(4055)
Approved
BC5 Dp0/ 1
El Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
• 0 / 0 .3 5672_
SOFA •
- -
Federal Way ELECTRICAL RECEIVED
PERMIT APPLICATION AUG 1 7 20'1
**Most electrical r ermits may be obtained on-line at www. ' ' 'j ecgFa1g:• !RR. `L WAY
SITE ADDRESS: ,1 C _37l 5-l r -S c`` / ,L4'c„( �t, ,-y a-/C( , Wc i-•
sDrTE,IkNrr,arACEM 3 ZT i'o 0 2 t� _ O Z 3 C� ;PROPOS=.4. ��ti;,z,
,,_., - "i7`, "r, - �ht� L4_,_,v,;..,-,1-7,,,,:,,..:,_:,-
am __-„,,,-,--Ty,,,,__.- __, � ,; ,.. ,r ,,_, 1' /,„ "+.,.- -i�. .*:<',.;
11,E -a'x``- - '' '' 'a � A� L,# 'z '� '1,'' ,_ - - - _ r-i,,.,•:',:'-'-''';','•'''
d, '{•:-;'`i.
PROJECT NAME
(Tenant or Homeowner Last Name) 11)/t )>0.12c`(E
,/ ( LlC C74 +Cet(' eir; . A/-:-2iUG2crif lEapleCifI.
-
Deta11edPR0JECT DpttESCRIPTION P l l.r`'f 1( /c. -/c/7 •-enc _!(,"-
descrion of work to
be included on this permit only j 1 *11/3 9,;,• r c
'' ---aiK�": :• '''''''',V::,;4";.,4.: _ ,.- }•tnn ''" ' - e,.'' _i,1,.it� ,,--,-
:�h�1- - -__ _ - "'fo:t�,,LY � :�yt�Iid1 � ::,^u','r'l -',3- i:;',1'� : :rY -`7-;',1'.:44,1,7,41445`1.:
-
5-3qF
�t
s- T
ur -•.a'z S3Fsem �� i' ' 0r !V,atyy�x ""•.mE ;t .4;1:�: a`r. F3��-i ' ' i ' ` ��k;`Trt.r :, � .�r-R,+.h4�;k'�, z 's�".J�`' e,--,14,-,!„---,,,,,,,,-..,-.4-, *r;._ ar .4..,_fr' - ,. , i --. .SC'"A� “(,)A4.,i,.�.,4:ha..,.zi�.'w ,::v��, :ta`ai�- s- „'_.>n s:T,_a __-,,'ii�t,;v?S...^a„ r ? , ;p^'va '�; 4a2t.-4. .,r=kb: a'.:i°=<-w-��>.Y �� •
1.'
-- E1 ! PRIMARY PHONE
PROPERTY OWNER + / ,ir1C fcL, s„— 1J,>.;`liniriE 1''> i ) r3�SJ -1-15-•Uf
MAILING ADDRESS` E-MAIL
CITY STATE ZIP PAi
�
'C �%tQ Gt la t./ l,t/e ?S(/ 3
(-, 5"-?)) c752 - -78c
NAME / PRIMARY PHONE
Ck.t1) i/.' ( ) —
/ MAILING ADDRESS E-MAIL
:)+ ECTRICAL
' / ONTRACTOR err: STATE ZIP TAX
�0 ( ) _ •
WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY NDSDIE S LICENSE M
/ /
NAME PRIMARY PHONE
APPLICANT ``�` ii Y ( ) -
MAILING ADDRESS E-MAII.
CITY STATE ZIP NAM
( )NAME PRIMARY PHONE
PROJECT CONTACT
e'-c.<_, ► i 1,, ( )
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 c arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to city as a part of this application.
��C cc l-",4, ) ( .�-Le."-' o`t Y DATE r / � 1
s><aNATURE: 03/ ) /
PRINT NAME: (i;141c_11117-4/ V- L7 iJ r0if 0/C.
33325 8d.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
RESIDENAIL •MMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
(including attached garage): 1st Service/Feeder Additional Feeders
....0- 100 amp x$132.50 x$ 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
1st 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 volts surcharge x$103.50
Over 800 amp x $`410.50" """"ic $307..00
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1st Service/Feeder 1st Service/Feeder Additional Feeders
0- 200 amp x $101.00 t3- 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... 2
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��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 $103.550 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 .i1 $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 86 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 2 of 2 k:\iandouts\Electrical Permit Application