06-101181r
City 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: HANSON
Project Address: 28230 15TH AVE S
Project Description: Add circuit for room addition.
Electrical Permit #: 06- 101181 -00 -EL
Inspection Request Line: (253) 835 -3050
Parcel Number: 025130 0060
Owner
Applicant
Contractor
BRIAN L & TANYA A HANSON
BRIAN L & TANYA A HANSON
BRIAN L & TANYA A HANSON
28230 15TH AVE S
28230 15TH AVE S
28230 15TH AVE S
FEDERAL WAY WA 98003 -6182
FEDERAL WAY WA 98003 -6182
FEDERAL WAY WA 98003 -6182
Additional Permit Information
Electrical Fixtures
Circuits - Residential ...................... 1
ONS:
Permit Issued on Monday, March 13, 2006
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:_ f
L 'C% - 0 2-- o " C- \At
V
THIS CARD IS TO REMAIN ON -SITE ,
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 06- 101181 -00 -EL
Owner: BRIAN L & TANYA A HANSON
Address: 28230 15TH AVE S
FEDERAL WAY, WA 98003 -6182
This card is part of your required inspection documents. 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.
❑ Slab /Concrete Floor (4255) ❑ Ditch cover (4030) ❑ Pool Bonding (4195)
Approved to place concrete Approved Approved
By Date By - Date By - Date
❑ Temporary Power (4275) ❑ Service (4235) ❑ Feeders /Sub - panels (4045)
Approved Approved Approved
By Date By Date By Date
Rough Electrical (4225)
Approved
B�,� Date
Under -slab groundwork (4295)
Approved
By Date
[ff Ceiling Cover (4020)
Approved
By ;� J Date �Ioj
❑ Final - Electrical (4055)
Approved
By Date 2 _o
i
RE'CEI'VE®
cry or �^
Federal way p PERMIT 0 `�[ (( -j /—
COMAR AMDEV&OPMEfirSBRVICWMAR 13 2006 SF MF CO M EL P DE EN FP
3337 "3'. ENUE s0(r17f • PO BOX 978 R PLICATION
FEDERAL WAY, WA 98063- p /
253 -83s 4607• FAX Ys3 835 -36d9 T �3F CEDE
` wwm d(vp eddrdwau m- BUILDING DEFT.
The following is required information -art incomplete application will not be accepted. Please print legibly (in ink) or tune.
SITE ADDRESS _ 2823o (S�4%je `i-> SUITE/UNITli
ASSESSOR'S TAX /PARCEL # J`i J_ 3 - Q O (p b LOT SIZE (sj) L (p
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) A? PL 0 t,E,T (p
(Aaaah feperata PW ra kn9W9 SW& desai W-)
PROM INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DMORIPTION (Provide detailed description of work included on this permit onlul
r_s r,7A 12.o avvi --- ((o) rsurr 1'1L j i ,_ ,L- a Z'v.) ftvv
AtD"D (S) 4*0 -p o1U. 'D&-r'z4¢s3 -Tb , Z "—' _
PROJECT NAME (Name of Business or Owner Last Name)
PEOPLE •- •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LXNDM
NAME PRI(�3) 57- 7 - Z(( MARY PHONE
X321 +Ml CSo�,
MAILING ADDRESS CITY, STATE, ZIP
21323o 1 s A.VE s W,14 -T i C-02>
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAt INO ADDRESS
CITY, STATE, ZIP —
CELL PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
-
-
— --- B L
CONTRACTORS REGISTRATION NUMBER leopy of cud required with each appucattoaq EXPIRATION DATE
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAt INO ADDRESS
CITY, STATE, ZIP —
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent o Other (Describe)
( )
NAME PRIMARY PHONE E-MAIL ADDRE33
2 k,xF.; %` (r „1rFKX•X � ai!t. >L1dZxy�kr����1.X� %�: �' � �
f 1 f «
EXISTING ASSESSED /APPRAISED
SPRINKLERED BUILDING? ❑ YES p NO
WATER SERVICE PROVIDER [3 LANE
SEWER SERVICE PROVIDER -- ❑ LAKEHAVEN
PROPOSED USE
VALUE OF PROPOSED
FIRE SUPP SED /REQUIRED? o YES ❑ NO
INE 17 TACOMA ❑ PRIVATE (WE
0 HIGHLINE 13 PRIVATE (SEPTIC)
s
PROPOSED
(SECOND
THIRD I I l+
ADDITIONAL FLOORS (DESCRIBE) \
DECK (COVERED?)
GARAGE 13 CARPORT O
NUMBER OF FLOORS °°s wo !ROV*Z=
*NEW HOMES ONLY" NUMBER OF BEDROOMS
Indicate number of each type of fixture to be
AMCELAMCAL
Value of Mechanical Work $
PRICE
or relocat9d'as part of this projeb, Do not
existing factures to
AIR HANDLING UNITS EV TIVE COOLERS GAS LOGS REFRIG. SYSTEMS
BBQS S HOODS (commerciaq WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC (Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
BATHTUBS b /ShovuecComho)
SHOWERS
WATER CLOSETS (retkQ MISC
DISHW .AARERS
SINKS
DRINKING FOUNTAINS
PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS IBaftoomSi dco
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I eert(fy under penalty of perjury that the te{ formation furnished by me is true and correct to the best of my knowledge, and further, that I
am authorised by the owner of the above premises to perform the work for which the permit application is made. 1 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 of Federal Way, but only where such claim
arises out of the reliance of the city, including its officers and employees, upon the accuracy of the taformation supplied to the city as a part of
this application.
NAIWTITLE DATE
(Sits tune) (Title) Tl-
RELATIONSW TO PROJECT Owner ❑ Agent ❑ Contractor ❑ Architect I] Other
But # (00 — January 7, 2005 Page 2 of 4 MandoutAPermit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL /INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2- $104.50; Each add'n 500 fig - $33.50)
❑ 0 to 100 amp 1 $113.50 $ 69.50
❑ Detached outbuilding or garage
❑ 101 - 200 amp 141.00 89.00
(Inspected with service) $44.00
❑ 201 - 400 amp 264.50 104.00
❑ Detached outbuilding or garage
❑ 401 - 600 amp 308.00 123.50
(Inspected separately) $69.50
❑ 601 - 800 amp 398.50 168.50
❑ 801 - 1000 amp 486.50 203.50
NEW MULTI- FAMILY (three units or more)
❑ Over 1000 amp 530.50 283.00
Service Feeder
-
❑ Up to 200 amp $113.50 $ 33.50
❑ Over 600 volts surcharge $89.00
❑ 201 - 400 amp 141.00 69.50
❑ Mast or meter repair $96.00
❑ 401 - 600 amp 193 ;00 96.00
❑ 601 - 800 amp 247.00 132.00
ALTERED COMMERCIAI. /INDUSTRIAL
❑ Over 800 amp 353.50 264.50
Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE /MULTI FAMILY
❑ 201 - 600 amp 264.50
L3 601 - 1000 amp 398.50
Service or Feeder
over 1000 amp 443.50
C1 0 to 200 amp $ 87.00
❑ 201 - 600 amp 141.00
❑ # of circuits to be added /altered
❑ over 600 amp 212.50
(1 -5 circuits - $89.00; Add'n circuits, $7.00 /ea)
It of circuits to be added /altered
COMMERCIAL /INDUSTRIAL PLAN REVIEW
-j--#
(1 -4 circuits- $69.50; Add'n circuits $7.00 /ea)
$89.00 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Mast or meter repair $52.00
❑ Medical /Educational /Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME /RV PARK
ResidentiallMuld- Family $61.00
❑ # of service or feeders
(First service /feeder- $69.50; each addh - $45.00)
CommerciaWndustrial Service or Feeder Ampacity
❑ 0 - 100 amps _ $ 69.50
❑ 101- 200 amps 89.00
❑ 201 - 400 amps 104.50
❑ 401 - 600 amps 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE /EQUIPMENT
❑ # of Thermostats
❑ # of Signs
(First - $52.00; add'n- $16.00 /ea)
(First sign- $52.00; addh sign $24.50 /ea)
❑ Low Voltage
❑ Swimming pool /hot tub ................ $87.00
Square Feet to be served by system(s)
(Includes additional circuit, if required)
❑ Fire Alarm System
❑ Yard Pole meter loops ..................... $104.50
❑ Security Alarm System
❑ Additional Plan Review $104.50 /hour
❑ Voice Cabling
C3 Data Cabling
-for modified submittals)
Automation Fee an all Permits .. $5.00
(Per System(s). IA 2500 ft2- $61.00;
Each add'n 2500 ft2- 16.001 • Per wAC 2964&910(500 8, W
Bulletin #100 - January 7, 2005 Page 3 of 4 kg4=doutsTcffnit Application