10-103105Electrical
City of Federal Way`t'1 ��.//.
Community Development Services Permit #: 10-1 03105 -00 -EL
P.O Box 9718 r•�'°"
Federal Way, WA 98063-9718 E..,,�., , Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253.1835-2609
to p a
O •..dellf ri�i�
Project Name: McAMMOND
Project Address: 28847 22ND AVE S
Project Description: Installing a new 200 amp panel
Parcel Number: 422270 0050
Ownr
Applicant
Contractor
BARBARA J MCAMMOND
A -PHASE ELECTRICAL
A -PHASE ELECTRICAL
28847 22ND AVE S
4742 42ND AVE SW SUITE 6) 0
PHASEEL911NJ (3/27/11)
FEDERAL WAY WA 98003-3845
SEATTLE WA 98116
4742 42ND AVE SW SUITE 610
SEATTLE WA 98116
Additional Permit Information
Is Use Educational or Institutional?.,.. . .................. No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps (F 1
PERMIT EXPIRES Friday, July 22; 2011
Permit Issued on Thursday, July 22, 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 City of Federal Way.
Owner or agent: Date: �— 2 /�
FINALED 'iIVOI/O
THIS CARD IS TO P'MAIN
j ON-SITE
CITY OF _ Construction Inst-sect;on Record
Federal WayINSPECTION REQZaTS: (253) 835-3050
PERMIT #: 10 -103105 -00 -EL Address: 28847 22ND AVE S
Owner: BARBARA J MCAMMOND FEDERAL WAY, WA 98003-3845
Scheduled inspections may be failed if this card is not on-site. DQ NOT LOSE TH IS CAS 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 are unsure about anyof the i�tions or the inspection segthe i�tions or the inspection sequence. On-going inspections are logged on the back of this card.
❑
UFER Ground (4295)
❑ Ditch cover P630
Slab/Concrete Floor (425 5)
Temporary Power (42 75)
Approved
Approved
Approved to place concrete
Date
By Date
By Date
By Date
By
❑
Pool Bonding (4195)
E]
Temporary Power (42 75)
Service (4235)
Right of Way
Approved
Approved
Date
Approved
Date
Approved
By
Date
By
Date
By
Date
E]
Ceiling Cover (4020)
❑
Rough Electrical (4225)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
B Date
F1
Rough Electrical
Approved
E]
Final Electrical
Approved
1:1
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF�� E�
-I-0 - 1 031 0 ,5-
Fed � YY
ELEC'T'RICAL
JUL L SPR IT APPLICATION
W
CITY 0**Mps RAcal permits may be obtained on-line at www. cityof ederalway.com**
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 cert{fy 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
tfie city as apart of Phis-gppltc"on.
SIGNATURE:
PRINT NAME:
LATE
33325 8"' Avenue South ♦ PO Box 9718 0 Federal Way ♦ WA ♦ 98063-9718 ♦ 253-835-2607 ♦ fax: 253-835-2609 0 www.cityoffederalway.com
Bulletin #160 — April 9, 2010 Page 1 of 2 UHandouts\Electrical Permit Application
-PROPERTY INFORMATION
SITE ADDRESS:
SUITE/UNIT/SPACE #
ASSESSOR'S TAR/PARCEL #
CURRENT/PROPOSED USE
PROJECT INFORMATION
PROJECT NAME
(Tenant or Homeowner Last Name)
Eei �P,; rcnn- 1' C 4 VAC)
PROJECT DESCRIPTION,
Detailed description of work to
be included on this permit only
PEOPLE
PROPERTY OWNER
NAME//
(/� / r C-V�-lvl wt u 4�
PRI�M/ARY PHONE
(2DIU) 2-W - "
MAILING ADDV1 0
.� RgqESS
<iF
E-MAIL
CITY
STATE
ZIP
FAX
ELECTRICA4L
CONTRACTOR
NAVINPRIMARY
PHONE
MAILING ADDRESS /�
(� C f 2- " �✓ i { S �� �p i_o
E-MAIL -0
� 1J;tt��(�t - %V e -t`
G
STATE
�U
ZIP
q 1116,
FAX
( )
A STATE CONTRACTOR'S LICENSED# ] EXPIRATION DATE
(P14�'5��� Y l tJV 2,
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
PRIMARY PHONE
( )
DREss
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
PRIMARY PHONE
( )
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 cert{fy 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
tfie city as apart of Phis-gppltc"on.
SIGNATURE:
PRINT NAME:
LATE
33325 8"' Avenue South ♦ PO Box 9718 0 Federal Way ♦ WA ♦ 98063-9718 ♦ 253-835-2607 ♦ fax: 253-835-2609 0 www.cityoffederalway.com
Bulletin #160 — April 9, 2010 Page 1 of 2 UHandouts\Electrical Permit Application
RESIDENTI. _.
C(YMMERCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet
(including attached garage):
1,1 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
1 I 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
ls'Service/Feeder Additional Feeders
Tovice/Feeder
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
SERVICE/ EQUIPMENT
LOW VOLTAGE
TEMPORARY SERVICE
❑ Fire Alarm System
❑ Security Alarm System
ls' 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
15t 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
0 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 8'h Avenue South ♦ PO Box 9718 ♦ Federal Way ♦ WA ♦ 98063-9718 ♦ 253-835-2607 ♦ far: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin # 160 - April 9, 2010 Page 2 of 2 k:\Handouts\Electrical Permit Application