09-104156City 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: ERICKSEN
Project Address: 1321 S 303RD ST FILE
Project Description: New 200 amp service & wiring for garage.
Electrical
Permit #: 09 -104156 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 025300 0250
Owner
Applicant
Contractor
GORDON J ERICKSEN
PATTY FULLER
FULLER ELECTRIC (ELECTRICAL)
PARVEEN ERICKSEN
FULLER ELECTRIC, INC.
FULI-EE1027BK 1/12/10
1321 S 303RD ST
37107 12'ITI AV 1: S
37107 12TH AVE S
FEDERAL WAY WA 9800 3-4 1 11
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Additional Permit Information t
Is Use Educational or Institutional?.......................No Service greater than 1000 Amps? ......... :......... ........ No
Electrical Fixtures
New Service: Residential............. 1
PERMIT EXPIRES Friday, October 22, 2010
Permit Issued on Thursday, October 22, 2009
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: ""`"l �• Date: j0-22 G 5'
R"'S,FD 1Z/15/d1
-'~►n•-�
CITY OF
Federal Way
PERMIT 4:
Owner:
THIS CARD IS TO -REMAIN ON-SITE
Construction h4ection Record
INSPECTION REQUESTS: (253) 835-3050
09 -104156 -00 -EL Address: 1321 S 303RD ST
GORDON J ERICKSEN FEDERAL WAY, WA 98003-4111
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.
rl
UFER Ground (4295)Ditch
cover (4030)
cl
Slab/Concrete Floor ( 5 )
Service (4235)
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
F]
Pool Bonding (4195)
Temporary Power (4275)
E]
Service (4235)
Right of Way
Approved
Approved
Date
Approved
Date
Approved
By
Date
By
Date
By
Date
Ceiling Cover (4020)
Rough Electrical (4225)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
B
r Date 10-2 3�
By
Date
Final - Electrical (4055)
Approved
B��� Date(-?
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
ELECTRICAL
RESIDENTIAL
COMMERCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet
(including attached garage): 0 (� S
1,1 Service/Feeder Additional Feeders
,�,
0 - 100 amp x $131.50 x $ 80.00
FEES: First 1300 ft2 - $121.00;
101 - 200 amp x $163.00 x $103.00
- Each additional 500 ft2 - $39.00
201 - 400 amp x $305.50 x $120.50
NEW MULTIFAMILY (3 units or more)
401 - 600 amp x $356.00 x $142.50
I', S ce/Feeder Additional Feeders
601 - 800 amp x $460.50 x $195.00
0 - 200 amp x $131.50 x $ 39.00
801 - 1000 amp x $562.50 x $235.50
201 400 amp x $163.00 x $ 80.00
Over 1000 amp x $613.00 x $327.00
401 600 wnp x $223.00 x $111.00
601 - 800 amp x $285.50 x $152.50
Over 600 volts surcharge x $103.00
Over 800 amp x $408.50 x $305.50
ALTERED COMMERCIAL
ALTERED SINGLE or MULTI FAMILY
Iar Segs ce/Feeder Additional Feeders
1st Service/Feeder Additional Feeders
0 - 200 amp 1/ a $100-30 x $ 39.00
0 -- 200 amp x $131.50 x $103.00
201 - 600 amp x $163.00 x $ 80.00
201 - 600 amp x $305.50 x $142.50
Over 600 amp _ _ x $245.50 x $111.00
601 - 1000 amp x $460.50 x $235.50
Over 1000 amp x $513.00 x $327.00
Added or Altered Circuits
1-4 circuits $80.00; each additional $8.00
Added or Altered Circuits
1-5 circuits $103.00; each additional $8.00
Mast or meter repair $60.50
Mast or meter repair $111.00
PLAN REVIEW FEES
MANUFACTURED HOMES
Service or feeder only x $ 80.00
0
$103.00 plus 35/0 of Permit Fee; Plan Review required for:
Service and feeder x $131.50
❑ New, or alteration to, service of 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
Plan review for modified submittals $120.50/hour
MISCELLANEOUS
SERVICE/ EQUIPMENT
LOW VOLTAGE
TEMPORARY SERVICE
❑ Fire Alarm System
la' Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/ Data Cabling
0 - 60 amp x $ 71.00 x $ 32.00
❑ Other
61 - 100 amp x $ 80.00 x $ 39.00
Area to be served by system:
16t 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 $120.00 x $ 60.50
# of Thermostats
401 - 600 amp x $163.50 x $ 80.00
First $60.50; each additional $18.50
Over 600 amp x $183.00 x $ 92.00
# of signs
"NOTE: an automation fee of $6.00 will be charged
First $60.50; each additional $28.50
on all permits"
Yard Pole/meter loops/pedestal x $ 80.00
Portable Generator (transfer equipment) x $100.50
For fixtures or fees not listed contact the Permit Center at
Ditch cover/inspection only x $120.50
253-835-2607
Bulletin #100 - 4/21/2009 Page 3 of 4 k:\Handouts\Permit Application
cffyo'o2V.F C EIVF.�PERMIT
Federal Wayff yyr }
COMMUMTYDEVELOPMENT SERVI As I, 2 2� 1 AP P L I CSA T I O N
253-835-2607• PAX 253-835-2609
WAY
SITE ADDRESS
-s-
SUITE/ MIT
SUITE/UNIT 0
NAME OF PROJECT
(Tenant or Homeowner Name)
TYPE OF PERMIT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
OWNER IS ALSO:
0 CONTRACTOR
APPLICANT
PROPERTY
S1 :SIF CO ME L L DEEN FP
.1a34�957•
ZONING ASSFrSSOR'S TAR/PARCEL M O ^
-- -- ----- -- 1'RoiTECT✓� -
- �,L,-soy
❑ BUII.DING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION P-19LECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
W 2p4 4wI Sc,�u✓ct � �llt-� r��.. -,�.t c�fr�4 2
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
concerning this application)
PROJECT FINANCING
Required for projects with
value of $5,000 or more
(RCW 19.27.095)
PEOPLE
NAMES
(�QKcC6n C ie.rG�So/`i
MAILING ADDRESS, CITY, STATE, ZIP
13.1-1- S. 3 b 3 "Sf.
❑ CONTRACTOR
NAME
//e leheti,,-
MAILING ADDRESS, CITY, STATE, ZIP
WA STATE CONTRACTOR'S LICENSE X
_ P U I -L Iw Cr T -7131L
NAME
MAILING ADDRESS, CITY, STATE, ZIP
PRIMARY PHONE
( y -
JJ J1 E-MAIL
L%'BOID
APPLICANT PROJECT CONTACT
/ PRIMARY PHONE
LIl L ,
'
r FAX
�al2till 44 Sd� -
EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE N
/ /2 11.0/4
MAILING ADDRESS, CITY, STATE, ZIP
3 -7 l c'7 -12 % K A --V— S•
ALTERNATE CONTACT NAME:
NAME
MAILING ADDRESS, CITY,
F.WfAwl W4 "/bm)
PRIMARY PHONE
I
PRIMARY PHONE
FAX
PRIMARY PHONE
FAX
- 41.f
E-MAIL
Ro6.44L1,1eA -f-
[-]
f-❑ OWNER -FINANCED
PRIMARY PHONE
I certify under penalty of Perjury that I am the property owner or authorized agent of the proparty owner. I certify that to the
best of my knowledge, the ir}formation submitted in support of this permit application is true and correct. I certVy 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 ownces responsibility for compliance with Iocal, state, or federal laws regulating
construction or environmental laws. ses, and attorneys' fees incurred
I further agree to hold harmless the City of Federal Wc{r♦ as to any claim (including costs, e undersigned; andfiled against the
in the investigation and defense of such claim] which may be made by any ,person, incfluding the un
city, but only where such claim arises out o the reliance of the city, including its officers and employees, upon the accuracy of the
!r3 formation supplied to the as impart f his application.
SIGNATURE: [[ DATE r�
PRINT NAME: 6 � �� M /d S e `
Bulletin #100 — 4/17/2009 Page 1 of 4 k:\IIandouts\Permit Application