09-101267 Electrical
City of Federal Way
Community O .Boo went Services ^ill_C{ Permit #: 09-101267-00-EL
Federal Way,WA 98063-9718 ¢�J�Y Inspection Request Line:
Ph:(253)835-2607 Fax (253)835-2609 p q (253)835-3050
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Project Name: WILSON i
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Project Address: 28922 12TH AVE S Parcel Number: 516201 0130
Project Description: Adding/altering(1)circuit for garage
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Owner Applicant Contractor
HENRY WILSON KANON ELECTRIC KANON ELECTRIC
28922 12TH AVE S PO BOX 1745 KANONEI947BE (1/05/10)
FEDERAL WAY WA MILTON WA 98354 PO BOX 1745
MILTON WA 98354
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Is Use Educational or Institutional9 No
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Circuits Residential 1
PERMIT EXPIRES Tuesday, April 6, 2010
Permit Issued on Monday, April 6, 2009 _
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and t `' use will be in accordance with the laws, rules and regulations of the State of Washington
nd the City of Federal Way.6
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Owner or agent: � _ , Date: /E� r Zi- 2r61
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Alki, THIS CARD IS TOAEMAIN ON-SITE '
CITY OF Community Developaffint Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-101267-00-EL
Owner: HENRY WILSON
Address: 28922 12TH AVE S •
•
FEDERAL WAY, WA 98003-3707
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) El 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
0 Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
� j Date—7
1
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.
•
For inspector reference only
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved •
By Date By Date
,� Ak _ D 2��i CEI�E - l / � �
CONU�DRF�F PERMIT SF MF CO MEL DE EN FP
3332;81N
607.FAX
12R 0 6 2009 APPLICATION
O N
FBDBRA2 WAY, X 53435.2 im
/ /.��,.c
T>Ia foiloCITOf FEDERAL WAY
-an incomplete application will not be accepted. Please print legibly fin ink)or type.
• PROPERTY INFORMATION
I'h srrE ADDRESS 2 2z / 1 A-ve S SUITE/WHT#
ASSESSOR'S TAX/PARCEL# / CO O 2- 0 7 - O / 30 LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme F-stntos,Lot 1)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION?d ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this oermit=hi) .— n
1�A/104- 4, 'r'-aC -f. V)i)t1 t!`LTI -k i iN S�ttatr ev(AT—. /CJC
All'HP_ c.c. r 2'"! r vvI oar crpeyvc P--- i .1- he -Q 9a �c 10.44-s
PROJECT NAME(Name of Business or Owner Last Name) 1/11[ AS /A1
MI PEOPLE INFORMATION
PROPERTY
OWNER NAME -'�� e i/L1v1.— -
PRIMARY PHONE
)
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLI NAME OFFICE PHONE
K-04Q--Crry t o-C4-v 1 c �.t ions ��-,r°` �i (2 3) 3/2 - Si f
a�o l 7 Ys" CTTY' L/,v�, wit ,9/ PHONECELL _
O p OIF FED�BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
II ��� / ( ) -
�NrRAc:ro>;'s REGISTRATION NUMBERWI55TION DATE E-MAIL ADDRESS
111 t-l C(Lf1 I,7-e- frew,oveXectiric jai 6 a
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
o Architect 0 Tenant a Agent o Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME PerRCW 19.27.095:
Lender Information is required ifproject value accede$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN o HIGHLINE o TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGELINE 0 PRIVATE(SEPTIC)
• •
ELECTRICAL PERMIT INFORMATION
*NOTE:an automation fee of$6.00 will be charged for all permits.
J
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder EachAdd'n
(est 1300 m-$121.00;Each addh 500112-$39.00) ❑ 0 to 100 amp $131.50 $80.00
CI 101-200 amp 163.00 103.00
0 Detached outbuilding or garage305.50(w/service) $51.00
0 201-400 amp 305.50 120.50
❑ Detached outbuilding or garage(inspected separately) $80.00
0 401-600 amp 356.00 142.50
❑ swimming pool(w/service) $80.000 601-800 amp 460.50 195.00
❑ swimming pool(inspected separately) $120.50
0 801-1000 amp 562.50 235.50
0 Hot tub/spa/sauna(w/service) $51.00
0 Over 1000 amp 613.00 327.00
❑ Hot tub/spa/sauna(inspected separately) $80.00
❑ Septic pumping system(w/service) $51.00 0 Over 600 volts surcharge $103.00
❑ Septic pumping system(inspected separately) $80.00 0 Mast or meter repair $111.00
NEW MULTI FAMILY(three units or more) ALTERED COMMERCIAL/INDUSTRIAL
(Does not include circuits.)
Service Feeder
❑ Up to 200 amp $131.50 $39.00 Service or Feeders
❑ 0 to 200 amp $131.50
0 201 -400
amp 163.00 80.00 0 201-600 amp 305.50
0 401-600 amp 223.00 111.00 0 601- 1000 amp 460.50
❑ 601-800 amp 285.50 152.50 0 over 1000 amp 513.00
0 Over 800 amp 408.50 305.50
O #of circuits to be added/altered
ALTERED SINGLE/MULTI FAMILY (1-5 circuits-$103.00;Add'n circuits.$8.00/ea)
Service or Feeder COMMERCIAL/INDUSTRIAL PLAN REVIEW
❑ 0 to 200 amp $100.50 $103.00 plus 35%of Permit Fee
0 201 -600 amp 163.00 0 Service-1,000 amps or greater
❑ over 600 amp 245.50 0 Medical/Educational/Institutional Facility
O Additional plan review for
1 V#of circuits to be added/altered modified submittals $115.00/per hour
(1-4 circuits-$80.00;Add'n circuits$8.00/ea)
0 Mast or meter repair $60.50 TEMPORARY SERVICE
Service or Feeder Each Addis
MANUFACTURED HOMES ❑ 0 to 60 amp $ 71.00 $32.00
0 Service or feeder only $80.00 0 61-100 amp 80.00 39.00
❑ Service and feeder $131.50 0 101-200 amp 103.50 51.00
O 201-400 amp 120.00 60.50
MOBILE HOME/RV PARR 0 401-600 amp 163.50 80.00
0 #of service or feeders ❑ Over 600 amp 183.00 92.00
(First service/feeder-$80.00;each add'n-$52.50)
MISCELLANEOUS SERVICE/EQUIPMENT
O #of Thermostats
(First-$60.50;add'n-$18.50/ea) 0 #of Signs
O Low Voltage (First sign-$60.50;add'n sign$28.50/ea)
Square Feet to be served by system(s) 0 Yard Pole/meter loops/pedestal $80.00
❑ Fire Alarm System 0 Portable Generator(transfer equipment) $100.50
0 Security Alarm System ❑ Ditch cover/inspection only $120.50
❑ Voice Cabling
❑ Data Cabling
❑ For fees not listed,contact the Permit Center at
1�2500 fn-$�l.00;
Each add'n 2500 it2-$18.50) 253-835-2607
' Bulletin#100-January 1,2009 Page 3 of 4 ldHandouts\Permit Application