11-100491 City of Federal Way • ■ •'lectical
Community Development Services Permit #: 11-100491-00-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 q
Project Name: BURBACK
Project Address: 510 SW 293RD ST Parcel Number: 119600 0306
Project Description: Installation of a 4.80 kw solar PV system
•
Owner Applicant Contractor
LARRY J&MARY BURBACK SUNERGY SYSTEMS INC SUNERGY SYSTEMS INC
510 SW 293RD PL 4546 LEARY WAY NW SUNERSI905D4(4/8/12)
FEDERAL WAY WA 98023-3537 SEATTLE WA 98107 4546 LEARY WAY NW
SEATTLE WA 98107
'3 '`" •�,� � ?`.L�%' _,. ,rS'i r^ �zF1kYE;a pp��' - ;.'� ry S i
Is Use Educational or Institutional? No
PERMIT EXPIRES Wednesday, February 8, 2012
Permit Issued on Tuesday, February 8, 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
the City of Federal Way. / f�
Owner or agent: ` Date: �// U 11
,,1A, THIS CARD IS TO IN ON-SITE
CITY OF •Federal WayConstruction Ins tion Record
INSPECTION REQUE TS: (253)835-3050
PERMIT#: 11-100491-00-EL Address: 510 SW 293RD ST
Project: LARRY J & MARY BURBACK FEDERAL WAY, WA 98023-3537
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.
El UFER Ground(4295) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) ❑ Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
Elinal-Electrical(4055)
Approved r
By (> Date Z.--F 7- (I
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
•
II/ III
li... If - 1 00 4 .71
CITY OF 11111 - —
Federal Way ELECTRICAL RECEIVED
PERMIT APPLICATION FEB 0 4 20'
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SITE ADDRESS: S to 2:13r 54- — 9 of 1
SUITE/UNIT/SPACES ASSESSOR'S TA7�[PARCEL M O O - � � ` / CURRENT/PROPOSED USE
( 1 (0 ' e,r,C
PROJECT NAME r a c.
(Tenant or Homeowner Last Name) 3
pec- MQ(4.vvreA— 4 76 k0 (kl 5444. Ifri-ci y
PROJECT DESCRIPTION Cr r-;d- 1,red- - h) 0 a 9-Tje r 14.5
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER (-/'Z12I go r c 4, (z s3 ) ,vgizi o
MAILING ADDS2g3rA
E-MAIL
S/b W St LT6i^rbac c.mc.s#:Ner
CITY STATE ZIP FAX
Fc1e r4 I VJ y id °1 ?o z 3 ( ) -
NAME PRIMARY PHONE
Stihe,riy 5(1te " (2 ) 297 -Dodd
MAILING ADDB SS < E-MAIL
/ELECTRICAL 4/Srfi /•At ry I .y 0 -3oril!@%vier) 5r51en'►5,Curn
CONTRACTOR CITY I STATE ZIP FAX
Se4ff/e__ vi n- ` Va? (Z"h )7 ' -2495-
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
SIM er>"90 s bl f G/ / S //Z 20 -1O --fC3O76-CO OL
NAMET PRIMARY PHONE
APPLICANT 'fD 14 14 .5e- (Z ) s7/ - y 7Z6
MAILING ADDRESS E-MAIL
15-11 ze_.tY7 way N v✓ .-►t-e 504..)y Sy<frd.s5.L0pi'1
CITY STATE ZIP FAX
5e-4 v4- 96'7° 7 ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT O h Li n't- (206 ) s 7l - 'f 7 Z4
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 cert(fy 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: _ /1 DATE 2/37/i
/
PRINT NAME: Arti G i4 .
33325 8'h 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\Electlical Permit Application
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet 1 s,Service/Feeder Additional Feeders
(including attached garage):
FEES: First 1300 ft2-$122.00;
Each additional 500 ft2-$39.00
NEW MULTIFAMILY (3 units or more) 11.111111111111111111.11111111111111111111111111111111.1111111
15t Service/Feeder Additional Feeders
MIMMEMMOMMINMEMMil
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
15�Service/Feeder 15,Service/Feeder Additional Feeders
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
Plan Review required only for:
• 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 se Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling
❑ Other
Area to be served by system:
1st 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50
#of Thermostats
First$60.50;each additional$18.50
FEE CALCULATIONS
Yard Pole/meter loops/pedestal x$ 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♦Federal Way♦WA♦98003-6325 4 253-835-2607♦fax:253-835-2609•www.cityoffederalway.com
Bulletin#160—January 1,2011 Page 2 of 2 k:\I-Iandouts\Electrical Permit Application