09-101991 City of Federal Way 0 0 Electrical
Community Development Services Permit #: 09-101991-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718 F ILE
Ph:(253)835-2607 Fax:(253)835-2609 g Cl° Inspection Request Line: (253)835-3050
Project Name: JOHNSON
Project Address: 36815 5TH AVE SW Parcel Number: 218820 0385
Project Description: Adding/altering(2)circuits
Owner Applicant Contractor
CANDACE M MORELAND RIMROCK ELECTRICAL SERVICE LLC RIMROCK ELECTRICAL SERVICE LLC
36815 5TH AVE SW PO BOX 13327 RIMROES975MT(7/30/09)
FEDERAL WAY WA DES MOINES WA 98198 PO BOX 13327
98023-7345 DES MOINES WA 98198
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Is Use Educational or Institutional? No
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2ti :,f !!IT EXPIRES__ aturday, May 29, 2010 _w=��'�''
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e eb .';,above;' orm Ln Is cot t1Tie c `tr on t� abov ri ��r
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the occu anc • the use Wye in a nc e`' '' ul s ant= rdeti sof thi to a rt Oh
and the City of Federal Way.
Owner or agent: ,e/7V/ Date:c/7 Of7
FINALED
Cr t 8' n9
THIS CARD IS TO MAIN ON-SITE ,-
CITY OF kommunity DevelopnWnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-101991-00-EL
Owner: CANDACE M MORELAND
Address: 36815 5TH AVE SW
•
FEDERAL WAY, WA 98023-7345
This card is part of your required inspection documents. 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.
�❑ UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved — — Approved to place concrete
By Date By Date By Date
— 0 Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By • Date By Date
•
❑ Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved
• By Date 6 •0 7
•
•
. i
For inspector reference only
0 Rough Electrical ❑ FINAL-Electrical
Apptoved Approved •
By Date By Date
P ..61 - ( 0 i _2_2_4
- ' A
. .
ilI
OW OPFederal Way F PERMIT S CO ME (EL )L DE EN FP '
COMMUI077DEVELOP SERVICES APPLICATION FECEI ED
253-835-2607•PAX 253435-2609
.�..EI.... /� (.1-
4 ,Sc 4OFf, 1 WAY
SUITE/IINNT t des �sssasosra Taz/r�ecsL I c�`'
i2 2- 1 5' 1 - 00 ( 0
NAME OF PROJECT
(Tenant or Homeowner Name) J
0
14 KLsO N
0 BUILDING 0 PLUMBING 0 MECHANICAL
TYPE OF PERMIT
0 DEMOLITION fSl ELECTRICAL 0 ENGINEERING 0 VINE PREVENTION
• ( i,^t. 30A-1—p4-- 1C C ri✓� i `l
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
•AMSPRIMARY PEONS
PROPERTY OWNER tan /(Q �0k r\50 Vi (10)g7 y- 57g y
N*n.mm ADDRESS.CITY,STATE, =MAIL
3(4/5-- �1 /1- s )
OWNER IS ALSO: ❑ CONTRACTOR 0 APPLICANT ❑ PROJECT CONTACT
i ii -- fINAMMZ �1M rbLK. ', IfLC'�1 ec'� (� )73r3eossl4 CONTRACTOR -AnapAAD 1?�� 7C:°TATs.Z 2 0 f�� FAX
(� � � 3 3 2 7t zs`�) �y 8ss so
WA STATE CONTRACTOR'S LICENSE r sIPIRATION DATE FEDERAL WAY JDSltps LICZNSI 0
lc1 ►\Rc)Esg7Sr'' f 07 / 30 is 7
NA714 A % q /0 1 Vl )PRIMARY PRONE
APPLICANT wf /��w���"1 l/ (
-
MAU.DIG ADDRESS,0177,STATE,ZIP
r o 13> / ves O 5 o/fS (zoc) 730 3Z-/y
PROJECT CONTACT NA= PRIMARY PHONE
(The individual to receive and ( ) -
respond to all correspondence WAILING ADDRESS,CITY.STATE.EV FAX
concerning this application) ( ) -
ALTERNATZ CONTACT NAMES PRIMARY PHONE E-MAIL
( ) -
PROJECT FINANCING NAME ❑ OWNER- C
ID
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PEONS
(RCW 19.?7.095) ( ) -
I certify vendor penalty of pmjury that I mu the property owner or authorised agent of the property owner.I certify that to the
best of my knew m ye,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 Dederal Way as to any claim/including costa,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 • a part of this • •• . --c. n. q7� /
SIGNATURE: - ' I DATE c y`"/ /O 7
PRINT NAME: / rtiv'^^ 111 r
Bulletin#100—4/17/2009 Page 1 of 4 k:\Handouts\Permit Application
• ELECTRICAL1110
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
la Service/Feeder Additional Feeders
(including attached garage): q.: 1( • ;';"; x;$131:50" --*Ir WO0
FEES: First 1300 ft2-$121.00; 101- 200 amp x$163.00 x$103.00
Each additional 500 ft2 $39.00 201- 400atitp.; • , x,$305.50 x•$124.50
NEW MULTIFAMILY (3 units or more) 401- 600 amp x$356.00 x$142.50
1+t Service/Feeder Additional Feeders 601- 84 ; :;' x$461150 x$100
x-"20
$13/,60 as $ 39:00
801-1000 amp x$562.50 x$235.50
201 »400 asap ..._. .x $163.00 ,x $ 80.00 OveF 1000:x. : x; 1i 3.011• " . _z 27.00
40,4100 iitnp ... ,x $2223.00 x $111.00
601 -800 amp x $285.50 x $152.50 600 1 surcharge x$103.00
aqq x $40/1.5o a $$O5.50
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1x eders
Service/Feeder Additional Fe1#Service/Feeder Additional Feeders
0-•200 as x $100.50 x $"39.00 0- 206ansP 14133.501 _x$103.00
201 -600 amp x $163.00 x $ 80.00 201- 600 atm x$305.50 x$142.50
OF106110r . ' x$245.50 at $111.00 6O 10,00iung • - x X60 50 x4135.50
Over 1000 amp x$513.00 x$327.00
Added or Altered Circuits
(1-4 circuits$80.00;each additional$8.00) Added or Altered Circuits
1-5 circuits$103.00;each additional$8.00
Mast or meter repair $60.50
Mast or meter repair $111.00
MANUFACTURED HOMES PLAN REVIEW FEES
Service or feeder only x $ 80.00
$103.00 plus 35%of Permit Fee;Plan Review required for:
Service aid x $131.50
❑ New,or alteration to,service of 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
Plan review for modified submittals $120.50/hour
MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
D Fire Alarm System lit Service/Feeder Additional Feeders
❑ Security Alarm System
D Voice/Data Cabling 0- 60amp ..x.$.71.00' • x $ 3200
O Other 61-100 amp x $-80.00 x $ 39.00
Area to be served by system:
101=» . '.' x" tf3:5 " �x At SLOG
14 2,500 ft2-$71.00;each additional 2,500 fly-$18.50)
•
201-400 amp x $120.00 x $ 60.50
#of Thermostats 401-600 amp x.:$163.50 x.$ 80.00
First$60.50;each additional$18.50
Over 600 amp x $183.00 x $ 92.00
#of Signs **NOTE: an automation fee of$6.00 will be charged
First$60.50;each additional$28.50 on all permits**
Yard Pole/meter loops/pedestal x$ 80.00
Portable Generator(transfer equipment) x$100.50 For fixtures or fees not listed contact the Permit Center at
Ditch cover/inspection only x$120.50 253-835-2607
Bulletin#100-4/17/2009 Page 3 of 4 k:U-Iandouts\Permit Application