10-100509City of Federal Way
Community Development Services
P O Box 9718
Federal Way, WA 98063-9718
Ph (253) 835-2607 Fax: (253) 835-2609
Project Name: WARD
Project Address: 726 S 291ST ST
Project Description: Adding (4) circuits to residence
Electrical
Permit #: 10 -100509 -00, -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 515291 0010
Owne
Applicant
Contractor
D JOHN WARD
HOME ELECTRIC
HOME ELECTRIC
726 S 291ST PL
PO BOX 447
HOMEEL*015RT (2/8/13)
FEDERAL WAY WA 98003-3695
MONTESANO WA 98563
PO BOX 447
MONTESANO WA 98563
Additional Permit Information
Is Use Educational or Institutional?....................—No
Electrical Fixtures
Circuits- Residential....... ............... 4
PERMIT EXPIRES Friday, February 4, 2011
Permit Issued on Thursday, February 4, 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
?nd the City Of Federal Way.
Owner or agent: �� �� Date: 2 'L/0
1�
CITY. PP
Federal Way
PERMIT #:
Owner:
THIS CARD IS TO T'EMAIN ON-SITE
Construction In pection Record
INSPECTION REQU TS: (253) 835`3050
10 -100509 -00 -EL Address: 726 S 291ST ST
D JOHN WARD FEDERAL WAY, WA 98003-3695
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.
Final - Electrical (4055)
Approved
Dat e
El
FER Ground (4295)
Ditch cover (4030)
■
Slab/Concrete Floor ( 255)
❑
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
Dat e
El
Pool Bonding (4195)
Temporary Power (4275)
❑
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045) Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
Date —,
By
Date
Final - Electrical (4055)
Approved
Dat e
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
Orr or W AK
Federal Way
C0A9& NffYDEVELOHdENT SERVICES
253-835.2607• M253-835-2609
m;y-9.0-d Lolf'nif MM--USOA
PERMIT
APPLICATION
Sly iF CO ME L DE EN FP
---------------5.
SITE ADDRESS
z _ Zell' 5T FEB 0 4 2010
SUITE/UNIT M
ZONING ASSESSOR'S TAX/PARCEL M
-
CITY OF FEDERAL WAIF
- �.
..
NAMEAR-
OF PRCI% LCT
(Tenant or Homeowner Name)
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
TYPE OF PERARIT
❑ DEMOLITION KELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
i• f
PAN F.,.
PIkOPERTY OWNER
NAME PRIMARY PHONE
..J. o K o
MAILING ADDRESS, CITY, STATE, ZIP
S "
E-MAIL
- %] {--1,-, • z 1�,j 1 SL:
APPLICANT C] PROJECT CONTACT
OWNER IS ALSO:CONTRACTOR
NAVE
PRIMARY PRONE
6�t7-�'
or)) sl;o-1'7Gs
D
MMLINRESS, CITY, STATE, ZIP ef �JiaJ
FAX
lb CONTRACTOR
r
WA STATE CONTRACTOR'S LICENSE M
EXPIRA(TIDATE
FEDERWAY BUSINESS LICENSE ►
FEDERAL WAY
61
mc—EL—
2�
NAME�`
[k0 --'rs YZ-IAC-
PRIMARY PHONE
APPLICANT
I L:i-40':-wLT'
SA�5- &R-6- 6
MAILING ADDRESS, CITY, STATE, ZIP L14j� SLj'3
FAX
(9. � 4 H� �Vlo� ► x, c��(l
(-,)'5 3-g -b
PROJECT CONTACT
NAME
PRIMARY PHONE
_(The_individual_to_r-eceive.and- -
-
MAILING ADDRESS, CITY, STATE, ZIP
FAX
respond to all correspondence
concerning this application)
_
ALTERNATE CONTACT NAME:
PRIMARY PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required for projects with
MAILING ADDRESS, CITY, STATE, ZIP
PRIMARY PHONE
value of $S, 000 or more
MCW 19.27.095)
1 _
I certify underpenalty ofperjury 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 wher such claim arises out a the reliance of the city, including its oDUers and employees, upon the accuracy of the
informationsuppll tot gcity as apart of ap lication.
SIGNATURE: DATE G
PRINT NAME:
Bulletin #100 -January 1, 2010 Page 1 of 4 kAHandouts\Permit Application
ELECTRICAL
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
(including attached garage):
FEES: First 1300 fCa - $122.00;
Each additional 500 fta - $39.00
NEW MULTIFAMILY (3 units or more)
1j1 Service/Feeder Additional Feeders
0 - 200 amp
]c $132;50
x $ 3%00
2011.= 40(Z azup
x $164.40 ;;
x $ 8(1.50
4031 := 6470 amp
>E $224 00.
x $11 I S:0
60100, p...
;W.7 41...
—X _0
_. _..........
4Q1'?:600aing;::::::::::
:. ... - ...
X:..358;00 ::::::::::::::''.
__
x:$t43�59
ALTERED SINGLE or MULTI FAMILY
7*1 Sen4w/Feeder Additional Feeders
.(3 - 200 -amp x :$4011:00 x $ 39:00
2:61 - 6:00) adg x:::$:164;00::::::::::: x .:::80:50
0Ver 660):smp �x :$246.50 x $1 L 1.50
Added or Altered Circuits... L 'So ......
1-4 circuits $80.50; each additional $8.00
Mast or meter repair $60.5
MANUFACTURED HOMES
...........
8ervice::or:feeder:only ::::::::::::::::::: x:::: :::. s
Servimand:;fteder x $132.:60
MISCELLANEOUS
LOW VOLTAGE
❑ Fire Alarm System
❑ Security Alarm System
❑ Voice/Data Cabling
❑ Other
Area to be served by system:
1rt 2,500 ft2-$71.00; each additional 2,500 fta - $18.50
# of Thermostats
First $60.50; each additional $18.50
# of Signs
First $60.50; each additional $28.50
Yard Pole/meter loops/pedestal x $ 80.50
Portable Generator (transfer equipment) x $101.00
Ditch cover/inspection only x $121.00
-
QVer:fi00 �!olts 3EltChaige 7!:• ,30....- •
ALTERED COMMERCIAL
Iat ServicelFeeder Additional. Feeders
..0- 200 arap
1.1 Service/Feeder
Additional Feeders
0 — i00 arup
x .(.32.50
x $ 80.5()
101-20O.a
x; 503
--------- x $103.50
21714 400:151m
;W.7 41...
—X _0
_. _..........
4Q1'?:600aing;::::::::::
:. ... - ...
X:..358;00 ::::::::::::::''.
__
x:$t43�59
6431 ; 800.asr�g::
x,$ .......
-----------------
:::: Il:: $ 92;Q0
--:801
.:...sse
X325 54
-
QVer:fi00 �!olts 3EltChaige 7!:• ,30....- •
ALTERED COMMERCIAL
Iat ServicelFeeder Additional. Feeders
..0- 200 arap
............................
Asa::-1003nmg f
.................... .......
..................
.6.01 I)OClac:.$396.L1.Q
x; 503
x: $ 9--im
...............................
100D Amp..
ac $5155(1.....
...
Added or Altered Circuits
1-5 circuits $103.50; each additional $8.00
Mast or meter repair $111.50
PLAN REVIEW FEES
$103.50 plus 35% of Permit Fee; Plan Review required for.
❑ New, or alteration to, service of 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
Plan review for modified submittals $105.50/hour
TEMPORARY SERVICE
IM ServicelFeeder Additional Feeders
**NOTE: an automation fee of $6.00 will be charged
on all permits**
For fixtures or fees not listed contact the Permit Center at
253-835-2607
Bulletin #100 -January 1, 2010 Page 3 of 4 kUHandoutMern it Application
............................
Asa::-1003nmg f
................................
x:$SOi50:::�
.. ..: ...........
x$:39i00
1Q1 2013 amp
x; 503
x: $ 9--im
_..........
2(?! 1:400autip1 ::::
............... ...............
x: $121;(?0
...................
ai:$ fi0;
40:1 6010:amp
..64.Q0
X4f30.5f1�
...........
C1veri 60Q amp
..... ...... ..
. .
... k:: $184 50
-----------------
:::: Il:: $ 92;Q0
**NOTE: an automation fee of $6.00 will be charged
on all permits**
For fixtures or fees not listed contact the Permit Center at
253-835-2607
Bulletin #100 -January 1, 2010 Page 3 of 4 kUHandoutMern it Application