12-100206 IN
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City of Federal Way • -
Community&Econ.Dev.Services Per #: 12-100206-00-EL
33325 8th Ave S
Federal Way,WA 98003 �9t •
Ph:(253)835-2607 Fax:(253)835-2609 0➢ I Inspection Request Line: (253) 835-3050
6
Project Name: FEDERAL WAY QUALITY CARE AFH
Project Address: 31205 8TH AVE S Parcel Number: 858800 0005
Project Description: Installation of bathroom vent fan.
Owner Applicant Contractor
KILCHA SEKYRA K1LCHA SEKYRA OWNER IS CONTRACTOR
31205 8TH AVE S 31205 8TH AVE S
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
." " ti v t `� ^: a "••€ "Vibi
!• ,%44 $ � art:1;1,05: d.
Is Use Educational or Institutional? No
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Circuits-Residential 1
PERMIT EXPIRES Saturday, January 12, 2013
Permit Issued on Friday, January 13, 2012
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
and the City of Federal Way.
Owner or agent: Date: / /3— / C
.�-_ fzsfjZ
THIS CARD IS TO MAIN ON-SITE
CITY OF4,,,&x...-
Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT #: 12-100206-00-EL Address: 31205 8TH AVE S
Project: KILCHA SEKYRA FEDERAL WAY, WA 98003-5301
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) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
CI Pool Bonding(4195) ID Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
•
0 Final-Electrical (4055)
Approved
By Date 1_•••.aS *la_
CI Rough Electrical Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF r
Fed r� . ( a ELECTRICAL
,,AN 13 2.uu,
FEDERA�- RMIT APPLICATION
CI"f' CDS
**Most electrical sermits may be obtained on-line at www.cityo ederalway.com**
SITE ADDRESS: ! ) r; `�) �� <�L>
,��� of�t�i �� � lv C( � �? 3
SUITE/UNIT/SPACE S ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
d - oQo S
iti � t a 3
PROJECT NAMEs
'`= (TenantHomeowner Last Name) l rtf
( p
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER /7 ( E.�y� N ( ) —
MAILING ADDRESS E-MAIL
CITY STATE ZIP (( FAX
)
NAME ;^ PRIMARY PHONE
L/�J�
U ( )
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( ) —
WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
NAME PRIMARY PHONE
APPLICANT ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) —
NAME ` PRIMARY PHONE
PROJECT CONTACT ( ) -
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 toot the city as a part of this application.
SIGNATURE: DATE i t) `—/
7fRINT NAME: /6 7l L � �
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
RESIDENL •MMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet 1 t Service/Feeder Additional Feeders
(including attached garage): atgiMtt0a x $
FEES: First 1300 ft2-$122.00; I01 "2Q0 amp
z $164.00 x$103"50
Each additional 500 ft2-$39.00
NEW MULTIFAMILY (3 units or more)
60O,amg .... ?t$35#3 QO x$1.43:50
1st Service/Feeder Additional Feeders P + • '4 0
80.1 1:000,.#41* x$56s Q€, x$236:50
201. 400 t#zttl2 x<:$164,00 x $ 80.50 wy0
tti - Cr , " 1115
� �
601 800 a#np ;.,:2$T f10 x $153 50 Over;600 volts.msu eharge x2$103"50
WititMiNAION
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1st Service/Feeder
1st Service/Feeder Additional Feeders
:_,. ttnait : ttga.R. ., $1,.. f es'
2•91.'-, 600,p ng, x:$164.00 2Q1 ;..=600 rap x:$302 00 x$121.00
xd l -iK -,:i NI ,,,.
C v, i ;4QQamp
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
tiSe14 pir, edenil ,, x= $ 80.50 Plan Review required only for:
V • 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 EK431Wa gs _ 7 Y F st,
200
❑ Other 61 100 amp �� ' 80 50 $ 34,:00
Area to be served by system:
1st 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50
;�.` . A i" ?? $; 8t `a " N R�4 fir:$;. 1410Q
2111='40(}amp. 7 $121:,00. `$ 60.50
#of Thermostats
First$60.50;each additional$18.50 ¢g 8'0 50
Oven 600' amp .
3 x $184 50 •� ���'". $;92.00
FEE CALCULATIONS
Yard Pole/meter loops/pedestal x$ 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•Federal Way•WA•98003-6325♦253-835-2607•fax:253-835-2609•www.cityoffederalway.com
Bulletin#160—January 1,2011 Page 2 of 2 k:\Handouts\Electrical Permit Application