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12-101317 1 gry • o'; ' Electrical City of Federalay Community&Econ.Dev.Services f0 Permit #: 12-101317-00-EL 33325 8th Ave S Federal Way,WA 98003 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (2 53)835-3050 Project Name: GRISWOLD Project Address: 28226 15TH AVE S Parcel Number: 025130 0050 Project Description: Installing a new 200 amp panel and rewiring the entire house after a fire. Also,installing a new security system. Owner Applicant Contractor JAMIE GRISWOLD R&R ELECTRIC R&R ELECTRIC 28226 15TH AVE S 11809 116TH ST E RRELERE963CF(2/8/14) FEDERAL WAY WA 98003-6182 PUYALLUP WA 98371 11809 116TH ST E PUYALLUP WA 98371 Additional Permit Information Is Use Educational or Institutional? No Electrical Fixtures Low Voltage-Burglar Alarm(Res 1 New Service:Residential 1 PERMIT EXPIRES Wednesday, September 19, 2012 Permit Issued on Friday, March 23, 2012 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and th- -- l •- . accordance with the laws, rules and regulations of the State of Washin ton and the City of Federal Way. Owner or agent:• / Date: &f /t z • THIS CARD IS TO MAIN ON-SITS' I CITY OF IA o Construction I ection Record Federal Way INSPECTION REQUE 'TS: (253)835-3050 PERMIT#: 12-101317-00-EL Address: 28226 15TH AVE S Project: JAMIE GRISWOLD FEDERAL WAY, WA 98003-6182 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. o LIFER Ground(4295) El Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date El Service(4235) 0 Feeders/Sub-panels(4045) : ❑ Rough Electrical(4225) Approved Approved Approved By e,.4 ',yet"�Date 1.....t, _Li _ 4 By Date 4 By �%, � Date 41-- ,�(c. • • ❑ Ceiling Cover(4020) El Final-Electrical(4055) ' ApprovedApproved By Date Date L _. L._ i Z - . El Rough ElectricalEl Final Electrical Right of Way Approved Approved Approved By Date By Date By Date ' * lkk '.*"' 4. •2IL CITY OF �Federal V ECTRI CAL MAR Pr`ritMIT APPLICATION CIAY t FEDERAL DERAermits maybe obtained on-line at www.cityo ederalwa .com** ..t� tv y SITE ADDRESS: 2 ez,Z4 ��` SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE PROJECT NAME �2./.c W1 v (4 Tenant or Homeowner Last Name) /2_- W;, , (A-E_ 40 ,2 /.2>1--,'h PROJECT DESCRIPTION ,43,Artio. td j, 24E, sem• s S 4 Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER 6-re_,--s u..3 3 1 b ( ) - MAILING ADDRESS E-MAIL CITY STATE ZIP FAX / / 11/9-- IA/4 ( ) - NAME PRIMARY PHONE /21-2 E/re,/74. - (zs3) 87S' Z is 0 MAILING ADDRESS E-MAIL ELECTRICAL if zz 7 S. /41 ,'/, i7Li su. Zig vh✓-ekt6/c> i/ CONTRACTOR CITY STATE ZIP FAX /��{ 64-M- 98373 (Zs3 ) BYs=zv / A STI►TE CONT CTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# IZ E//,rZZ 9c3 ei 7, 1 ia '17 NAME PRIMARY PHONE APPLICANT ( )MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( ) - NAME PRIMARY PHONE PROJECT CONTACT /.44.7e7 /ior ( ZS3) ZSS- y5-7 S— 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. SIGNAT - DATE 3/Z,3 z— PRINT NAME: 33325 8th Avenue South♦Federal Way♦WA♦98003-6325♦253-835-2607♦fax:253-835-2609 1 www.cityoffederalway.com Bulletin#160-January 1,2011 Page 1 of 2 k:\Handouts\Electrical Permit Application .46 RESIDENIOL •MMERCIAL NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL (22 Total Square Feet 2J 34 1st Service/FeedAdditional Feeders including attachedgarage): er FEES: First 1300 ft2-$122.00; 1Ort,'206'41AP x$103.50 Each additional 500 ft2-$39.00 NEW MULTIFAMILY (3 units or more) 40t1- 6000.trip• x; 358 00 „x,. x$143.50 [yam 1st Service/Feeder Additional�Fieeders :av a0 Za) FF , 468 00 ' ;, .!!D G $236.50 201400 amp x.;$164;00 x .$ 80:50 feA8Miait �.��t7 � 06t� $1111t0 6(1 800 amp •x $2$7.00, x $153:50 ©ver:600 voltssuteharg ,,. x$103.50 ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL Pt Service/Feeder 1st Service/Feeder Additional Feeders 01-406: 311,1: k �. a titt6 .00 � ` 11,E: , $103 501 2014:"600 azttp ... .;. ,x."x$307.00 x$121.00 'aa' x r we' m+pikq .k # .sas's.. ' .+ .,r .>s.». a W rs7 46'Q.0. fuer:;1000 snip ,yu..,., 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 cir feeder,onty„ x. : $1'80.50 Plan Review required only for: i * �� r a�,a °$132.50 • 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 ❑ Fi Alarm System 6( 1s1 Service/Feeder Additional Feeders Security Alarm System _ ❑ Voice/Data Cabling , :0: .,,:,Ay.,»%4 4.tit .vsw>Fi.t r x, 3 .00 ❑ OtherZ 300 61 160 amp $ 80 So x $ 39 00 Area to be served by system: � � 1st 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50 �' " ``, 01' <�" � irA , 1 0 $ 60.50 #of Thermostats "012 W. ileY +p4f0792L ig rt" lak 0 First$60.50;each additional$18.50 Over 6QQ amp ',Mad* $1845(Y. ."' ^''� $ 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—January1,2011 Page 2 of 2 k:\Handouts\Electrical Permit Application