12-100935 gt
• • Electrical
City of Federal Way Permit #: 12-100935-00-EL
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 pa r Inspection Request Line:
Ph:(253)835-2607 Fax (253)835-2609 G p Q (253)835-3050
Project Name: ALLEN
Project Address: 31113 5TH AVE S Parcel Number: 082104 9253
Project Description: Add panel for shop building and wire for lighting,outlets,etc.
Owner Applicant Contractor
G.ETHAN ALLEN G.ETHAN ALLEN OWNER IS CONTRACTOR
31113 5TH AVE S 31113 5TH AVE S
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Additional Permit Information
Is Use Educational or Institutional? No
Electrical Fixtures
Alt.Serv./Feeder:0 to 200 amps(F 1
PERMIT EXPIRES Monday, August 27, 2012
Permit Issued on Wednesday, February 29, 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: cik Date: 'Z 2-7-1
/15/12
• THIS CARD IS TO MAIN ON-SITE ,
CITY OF • Construction In ection Record '
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-100935-00-EL Address: 31113 5TH AVE S
Project: G. ETHAN ALLEN FEDERAL WAY, WA 98003-4047
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) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date 13,. Date 3_26 ..j By Date
.El Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) .0 Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
/ Dat ____L5"--- re____
4 /WO
0 Rough Electrical El Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
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CITY of 61 e6 3 5
F,=T fay ELECTRICAL
?KMIT APPLICATION
O
DEEP
*e4' electrical permits may be obtained on-line at www.cityo ederalway.corn**
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SITE ADDRESS: , �(�d
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PROJECT NAME
(Tenant or Homeowner Last Name) AT A
PROJECT DESCRIPTION _ reMik�� )
Detailed description of work to ;
be included on this permit only
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PRIMARY PHONE
PROPERTY OWNER (253 ) ,J�- 'Z 6Q
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MAILING ADDRESS E-MAIL
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CITY STATE ZIP FAX
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PRIMARY PHONE
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MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENSE 0 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
NAME PRIMARY PHONE
APPLICANT - z I G Cj (2 . 18' 5"-72 I
MAILING ADDRESS E-MAIL
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CITY STATE ZIP FAX
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NAME BLL PRIMARY PHONE
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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 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: � ,,,/ Q DATE
PRINT NAME: G • 5 ri-m / /I L '5 4 /
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
•
RESIDENTAIO
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
(including attached garage): U /{,)% 5e Fr 1st Service/Feeder- Additional Feeders
0-.;10Q.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 6G1-'$00 dl32p', at }63<00 X'$196,60
O 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 3yer1000>amp ` $61600x$328.50
401':-600 amp x $224,00:7:2- x" $111.50
601 800 amp x $287.00 x $153.50 Over 600 volts surcharge: x$103.50
Over-800:Dnp T<" i'S4k0-5.6ffrar x: $307.00
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
Sice/Feeder
1st Service/Feeder Additional Feeders
1st a �
amp.. . . .., 3 $101.00 0, 0O lrtp,, x:132 50�..... $103.50
201 600 amp x $164.00 201- 600 amp'; x$307.00 x$121.00
Otte;600'anp 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:
• New,or alteration to,service of 1,000 amps or greater
Servlce aitlii;feeder` x ,;$132.50 • 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 $105.50/hour
MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
❑ Fire Alarm System 1st Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling 0i760 amp,. x""$X71'00... x $32.00
❑ Other 61-100 amp x $,80.50 x $ 39.00
Area to be served by system:
141=2ainp' x $ 035Q;: x $ 51.00
Pt 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 $1fi OQ x.$ 80.50
First$60.50;each additional$18.50
Over 600' amp _x $184.50 5s $ 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 8t 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