10-101797City of Federal Way
Community Development Services
P.O Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Electrical
Permit #: 10 -101797 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: TUCKER
Project Address: 30804 22ND AVE S
Project Description: Add/alter up to (4) circuits for lighting, outlets, etc. for remodel.
Parcel Number: 053700 0415
Owner
Atonlicant
Contractor
CURTIS & CRYSTAL TUCKER
M C ELECTRIC
M C ELECTRIC
c/o FEDERAL NATIONAL MORTGAGE
27313 135TH AVE SE
MCELEL*990KC (5/3/11)
ASSOC
KENT WA 98042
27313 135TH AVE SE
PO BOX 650043
KENT WA 98042
DALLAS TX 75265-0043
Additional Permit information
Is Use Educational or Institutional?.... ................... No
Circuits - Residential.........
Electrical Fixtures
4
PERMIT EXPIRES Tuesday, May 3, 2011
Permit Issued on Monday, May 3, 2010
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 ty of Federal Way.
Owner or agent: Date:
;&�CITY OF 0
Federal Way
PERMIT #:
Owner:
THIS CARD IS TO REMAIN ON-SITE
Construction Ins yction Record
INSPECTION REQUESTS: (253) 835-3050
10 -101797 -00 -EL Address: 30804 22ND AVE S
CURTIS & CRYSTAL TUCKER FEDERAL WAY, WA 98003-4931
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 Final - Electrical (4055)
Approved
By Date
❑
UFER Ground (4295)Ditch
cover-(4030)-Slab/
Electrical
Approved
Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
o Final - Electrical (4055)
Approved
By Date
❑
Pool Bonding (4195)
Temporary Power (4275)
Electrical
Approved
Service (4235)
Approved
By
Approved
Approved
By
Date
By
By Date
By
Date
Ceiling Cover (4020)
Rough Electrical (4225)
❑
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
Byl� Date--�.- fij
By
Date
o Final - Electrical (4055)
Approved
By Date
❑
Rough Electrical
Approved
L1Final
Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CF, 101FD
CITY 0. Re
Federal Way v o "ELECTRI CAL
/D --Z0/ -�/ 9 z
CI.r,� ���1PPLICATIOPi
**Most electrical permils maybe obtained on-line at www.ci o ederalw .com**
1 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 apart of this application.
SIGNATURE: 4# - DATE
'
PRINT NAME: _ c a., er
333258 1h Avenue South ♦ PO Box 9718 ♦ Federal Way ♦ WA ♦ 98063-9718 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin # 160 — April 9, 2010 Page 1 of 2 k:\Handouts\Electrical Permit Application
W
SITE ADDRESS:0�
G�✓
SUITE/UNIT/SPACE #
ASSESSOR'S TAR/PARCEL #
CURRENT/PROPOSED USE
PROJECT INFORMATION
PROJECT NAME
(Tenant or Homeowner Last Name)
ZI•��
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PEOPLE
PROPERTY OWNER
NAME
6,e/ iS T`( G��z
PRIMARY PHONE
(�sj) 9x/ - 9r;10
MAILING ADDRESS
E -MAH,
gD 4 - �LZc�-s
CITYn�
STATE
ZIP
FAX
NAME
PRIMARY PHONE
MAILING ADDRESS
Z _ / Sr e 567
E-MAIL
ELECTRICAL
CONTRACTOR
CITY
ZAP
FAx
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
f
PRIMARY PHONE
APPLICANT
( )
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
( FAX
l � -
PROJECT CONTACT
NAME
Ak e
PRIMARY PHONE
��
1 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 apart of this application.
SIGNATURE: 4# - DATE
'
PRINT NAME: _ c a., er
333258 1h Avenue South ♦ PO Box 9718 ♦ Federal Way ♦ WA ♦ 98063-9718 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin # 160 — April 9, 2010 Page 1 of 2 k:\Handouts\Electrical Permit Application
W
RESIDENTIA,U
Ct FAMERCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet
(including attached garage):
1s' Service/Feeder Additional Feeders
0 - 100 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
601 - 800 amp x $463.00 x $196.00
0 - 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
Over 1000 amp x $616.00 x $328.50
401 - 600 amp x $224.00 x $111.50
601 - 800 amp x $287.00 x $153.50
Over 600 volts surcharge x $103.50
Over 800 amp x $410.50 x $307.00
ALTERED SINGLE or MULTI FAMILY
ALTERED COMMERCIAL
1s1 Service/Feeder
1st Seruice/Feeder Additional Feeders
0 - 200 amp x $101.00
0 - 200 amp x $132.50 x $103.50
201 - 600 amp x $164.00
201 - 600 amp x $307.00 x $121.00
Over 600 amp 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:
Service and feeder x $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
SERVICEIE UIPMENT
LOW VOLTAGE
TEMPORARY SERVICE
❑ Fire Alarm System
❑ Security Alarm System
Is' Service/Feeder Additional Feeders
❑ Voice/Data Cabling
0 - 60 amp x $ 71.00 x $ 32.00
❑ Other
Area to be served by system:
61 - 100 amp x $ 80.50 x $ 39.00
1st 2,500 ft2-$71.00; each additional 2,500 ft2- $18.50
101 - 200 amp x $103.50 x $ 51.00
201 - 400 amp x $121.00 x $ 60.50
# of Thermostats
First $60.50; each additional $18.50
401 - 600 amp x $164.00 x $ 80.50
Over 600 amp x $184.50 x $ 92.00
FEE CALCULATIONS
# of signs
First $60.50; each additional $28.50
• Fees are determined by the scope of work as indicated.
Yard Pole/meter loops/pedestal x $ 80.50
• A $6.00 Automation Fee will be added to all permits.
Portable Generator (transfer equipment) x $101.00
• For assistance in calculating fees or completing the
application form, contact the Permit Center at
Ditch cover/ inspection only x $121.00
253-835-2607
33325 81' Avenue South ♦ PO Box 9718 ♦ Federal Way ♦ WA ♦ 98063-9718 ♦ 253-835-2607 1 fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin #160 - April 9, 2010 Page 2 of 2 k:\Handouts\Electrical Permit Application