10-105314 City of Federal Way • • Electrical
Community Development Services f
P Box 9
Permit #: 10-105314-00-EL
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: DISSMORE
Project Address: 31051 51ST AVE SW Parcel Number: 321020 0230
Project Description: Adding/altering (2)low-voltage thermostats
Owner Applicant Contractor
TIMOTHY&SUSAN DISSMORE C J'S QUALITY AIR SYSTEMS INC C J'S QUALITY AIR SYSTEMS INC
31051 51ST AVE SW (ELECTRICAL) (ELECTRICAL)
FEDERAL WAY WA 98023-2021 P 0 BOX 734 CJSQUAS008C8(2/28/12)
WAUNA WA 98395-0734 P 0 BOX 734
WAUNA WA 98395-0734
•
is
Is Use Educational or Institutional? No
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Thermostat 2
PERMIT EXPIRES Wednesday, December 21, 2011
Permit Issued on Tuesday, December 21, 2010
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?e in accordance with the laws, rules and regulations of the State of Washington
-•• • •f Federal Way.
Owner or agent • - Date: ,t.?'�—�
F! " !D 7/i4 /è
THIS CARD IS TO REMAIN ON-SITE .f ,
CITY OF *~"' 0 Construction Lection Record
Federal WayINSPECTION RE UESTS: 253 835-3050
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PERMIT#: 10-105314-00-EL Address: 31051 51ST AVE SW
Project: 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.
o UFER Ground (4295) El Ditch cover(4030) Ei Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
o Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
'0 Feeders/Sub-panels(4045) .0 Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By 'm.� Date t a_,'X2_t By Date
,
Final-Electrical(4055)
Approved
B Date f f9 (/
El Rough ElectricalCI Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
II 41Po i 0 5-3- /4-
CITY of A — —
Federal Way ELECTRICAL RECEIVED
PERMIT APPLICATION DEC 21 2CJ
**Most_ electrical permits ma be obtained on-line at www.ci of>.�rTaYW J ERAL WAY
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SITE ADDRESS: 3 c 5 - si A_,,i„......slo w w,..,
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# 1 CURRENT/PROPOSED USE
32 / 020 _ 0 ,30
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PROJECT NAME , i___ -_->")119
(Tenant(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
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NAME PRIMARY PHONE
PROPERTY OWNER /)M r SS w44,--12-2_ ( ) -
MAILING ADDRESS E-MAIL
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CITY fc w S ZIP
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NAME PRIMARY PHONE
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CONTRACTOR CITY STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY EUSINESS LICENSE#
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NAME PRIMARY PHONE
APPLICANT ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
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NAME PRIMARY PHONE
PROJECT CONTACT
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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 arty 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 of this application.
SIGNATURE: • ' , DATE l02—G?/- ?O
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PRINT NAME: 1 l l 5, U c� �1 a fC-- —fit c
33325 8t°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
RESIDENT *MERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet 1st Service/Feeder Additional Feeders
(including attached garage): .._.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 $22400 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 1st 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 $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 1st 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 X $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 8`"Avenue South 1 PO Box 9718♦Federal Way•WA 198063-9718♦253-835-2607 4 fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160-April 9,2010 Page 2 of 2 k:\Handouts\Electrical Permit Application