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04-102529
City of Federal Way Community Development Services Electrical Permit #:04 - 102529 - 00 - EL 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.661.4000 Fax.253.661 4129 Inspection request line: 253.835.3050 Project Name: BENSON Project Address: 1324 SW 353RD 4- Parcel Number: 502860 0960 Project Description: Install circuit for new furnace/air-conditioning unit. Owner Applicant Contractor David H Benson Sr. &Surang M Benson DAVID BENSON David H Benson Sr. 1324 SW 353RD ST 1324 SW 353RD ST 1324 SW 353RD ST FEDERAL WAY WA FEDERAL WAY WA 98023-6948 \FEDERAL WAY WA 98023 Electrical Fixtures Description Quantity Description 1Quantity Description _ Quantity II Circuits-Residential 1 PERMIT EXPIRES December 21,2004. Permit issued on June 24,2004 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: ,,?C.-.2 c�J, Date: 2 9'J yiV.2, 2 OC( Fc-- -04 - 2y 6 v-trr (ii C'--c- S 4A.I� ov k, , p s Qc P(u�.� 2icexbe30 ut.) e7 aY Z� imp zro 4.4 e /D (-)r\ c6-f � a c), WALED THIS CARD IS TO REMAIN ON-SITE . • CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04-102529-00-EL Owner: DAVID BENSON Address: 1324 SW 353RD ST FEDERAL WAY, WA 98023-6948 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. 0 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) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055) Approved Approved Approved By Date By Date By Date • • .I ❑ Under-slab groundwork(4295) Approved By Date • Federal Way PERMIT C 0.1.-5_ C�OMM1fN17YDEVELOPMEM'SERVICES RECEIVED MF CO ME O)pL DE EN FP 33530 FIRST WAY SOUTH•PO BOX 9718 FEDER RAL-41W5.FAX 253-661-4129AY,WA 980 -9718A P P L I C A T I Q J Vly, 2 atyofederalwoy Com 2t1f1 / / www The ollowin• is re.uired in ormation-an into .tete a..lica 2cH �Y"©F' a:'; Please •rint le.ibi (in ink)or PROPERTY INFOF::J*►►;lf)' • SITE ADDRESS f 3 2y -C,W, sg-SZ2 rd s r, - rpdc,c/4,r41 t'r, 9802,3 SUITE/UNIT It ASSESSOR'S TAX/PARCEL# _ — — LOT SIZE(s./) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal desotpoo,,/ - PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING -- UMBING 0IKIECHANICAL ❑ DEMOLITIO IeE ', TRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlq) dr i1 . •u/ -frCI rkN4c�� PROJECT NAME(Name of Business or Owner Last Name) g (N s(,nt PEOPLE INFORMATION . PROPERTY NAME OWNER PRIMARY PHONE d t-k�V `gr2:2) c?y - Z722-, MAILING ADD )RESS RESS CITY,STATE,ZIP 1 Z `fit Lel �?33'?'l`C-Ir. �.-2z ��tl.e—c/1/r.�t Lr/�'. 2 a"C�23 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE ( ) MAILING ADDRESS CITY,STATE,ZIP CELL PHONE CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMB ER CONTRACTOR'S / REGISTRATION NUMBER(copy of card required with each application( / ) EXPIRATION DATE / / APPLICANT COMPANY NAME APPLICANT NAME [/}� OFFICE PHONE / MAILING ADDRESS P�rLF� •-��J,'/iJ WOG 14 r� L QQ 33 /� CITY,pSTATE,ZIP ,."' �7+$ CELL PHONE V RELATIONSHIP XV,O ,iS:3Rf `r'f of / e `!eq. 4,Cc/I ter, r(*v 12 2C-C. -erla T FAX NUMBER 0 Architect e'Cenant 0 Agent 0 Other(Describe) (.?ls )0 Nr _ ???2- 7 CONTACT NAME PRIMARY PHONE I E-MAIL ADDRESS frit,"; 14 LENDER Per RCW 19.27.095: Lender information is NAME required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP - DETAILED BUILDING INFORMATION • _ _ EXISTING USE it 424 tic w 14 ( PROPOSED USE Ar /g EXISTING ASSESSED/APPRAISEDVALUE $ ?/dam O VALUE OF PROPOSED WORK $ 2,-SO SPRINKLERED BUILDING? 0 YES //O FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED. 0 YES 0 NO WATER SERVICE PROVIDER I>JLAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER R'LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) • PROJECT FLOOR AREAS • AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST /*) 6 SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) - DECK(COVERED?) GARAGE/CARPORT go 0 HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ - - -FIXTURES _ Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ q.s-t)o ( .7- AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(Coomorm yl WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Descnbe) COMPRESSORS I I� FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/showcrcombo) SHOWERS WATER CLOSETS(malt( MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom Sulks) VACUUM BREAKERS ELECTRIC WATER HEATERS - DISCLAIMER/SIGNATURE BLOCK I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 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 information supplied to the city as a part of this application. r '/ i NAME/TITLE � DATE '? V14N•Q/ Z OJ tl (Signature) (Title) RELATIONSHIP TO PROJECT ttr6wner ❑ Agent 0 Contractor ❑ Architect ❑ Other FOR OFFICE USE ONLY o NEW o ADDITION o ALTERATION ❑ REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES a NO BASIC PLAN? o YES a NO ZONING DESIGNATION CHANGE OF USE? o YES a NO NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES ❑NO PLATTED LOT? a YES ❑NO DEMO PERMIT REQUIRED? o YES ❑NO Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Pcrmit Application ELECTRICAL PERMIT INFORMATION t -0. RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE ❑ Single Family Square Feet Service or Feeder Each Add'n (First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00 ❑ Detached outbuilding or garage ❑ 101 -200 amp 117.50 74.00 (Inspected with service) $36.50 ❑ 201 -400 amp 220.50 87.00 ❑ Detached outbuilding or garage ❑ 401 -600 amp 256.50 103.00 -(Inspected separately) $58.00 ❑ 601 -800 amp 332.00 140.50 NEW MULTI-FAMILY(three units or more) ❑ 801 1000 amp 405.50 169.50 Service Feeder ❑ Over 1000 amp 442.00 236.00 ❑ Up to 200 amp $ 94.50 $ 28.00 ❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00 ❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00 ❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ Over 800 amp 294.50 220.50 Service or Feeders ALTERED SINGLE/MULTI FAMILY 0 0 to 200 amp $ 94.50 ❑ 201 -600 amp 220.50 Service or Feeder ❑ 601 - 1000 amp 332.00 Ca/ 0 to 200 amp $ 72.50 U over 1000 amp 369.50 ❑ 201 -600 amp 117.50 ❑ o -•I amp 177.00 ❑ #of circuits to be added/altered (1-5 circuits-$74 00,Add'n circuits,$6.00/ea) irto be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW acuits-$S8.00,Add'n circuits$6.00/ea) $74.00 plus 35%of Permit Fee ❑ Mast or meter repair $43.50 0 Service over 200 amps ❑ Medical/Educational/Institutional Facility SINGLE/MULTI FAMILY PLAN REVIEW ❑ Service Over 400 amps $74.00 plus 35%of Permit Fec MOBILE HOMES ❑ Service or feeder only $58.00 TEMPORARY SERVICE ❑ Service and feeder $94.50 Commercial Residential MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00 ❑ #of service or feeders ❑ 101 -200 74.00 51.00 (First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00 n/a ii 401 600 117.50 n/a 1 ❑ over 600 127.00 n/a MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Thermostats ❑ #of Signs (First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/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 $58.00 ❑ Security Alarm System ❑ Additional Plan Review $87.00/hour ❑ Voice Cabling (for modified submittals) ❑ Data Cabling CI (Per System(s) 1•,2500 ft2-$51.00, Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5)(6/0&ii( Bulletin#100-March 30,2004 Page 3 of 4 k\Handouts-Revised\Permit Application