06-100907clrr tip
FederaMay FEE cE,v-D PERMIT
COMM -AV DEVELOPMENT SERVICES
LIGATION
33325 D RAL wA; , IvA H • PO BOX 9718 F Eg 2 7
FEDERAL WAY. WA 98063 -9718
253- 835 -2607• FAX 253- 835 -2609
WwW.cifuo &dera(wau.com At-v
CITY o�f` e0►EDEFT.
The foilowina is reaut 'a ion - an incomplete application will not be
1
SF MF CO ME PL DE EN FP
ted. Please print leaiblu (in ink) or tupe.
SITE ADDRESS Ai-( e. s' SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # - LOT SIZE (si
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal descriptioal
PROJECT • •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION i9-fLECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT, DESCRIPTION (Provide detailed description of w(orrk included on this ermit onlud
Q v2 fie)/; tyi' L / CC , e �1 e- GOB e-e Ls%t"�
PROJECT NAME (Name of Business or Owner Last Name) _jot IA IA(/`fi'Y
PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAB.- ,� PRIMARY PHONE
MAILING ADDRESS C ST ZIP
3 2s7'z - 3 v r-y ,- --5r!,f /t/6 IVA `fie e zo
CCItgANY NAME
APPLICANT NAME
APPLICANT NAME
OFFICE PHONE
44,/
-719/
MAILING ADDRESS
MAILING ADDRESS
C STATE. ZIP _
CELL PHONE
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
2 L -B
EXPI ON DATE
FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application)
EXPIRATION DATE
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant
❑ Agent ❑ Other (Describe)
EXISTING ASSESSED /APPRAISED VALUE $
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER
SEWER SERVICE PROVIDER
—9-10000W�-Z•1
• LAKEHAVEN
• LAKEHAVEN
PROPOSED USE
VALUE OF PROPOSED WORK $
FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
• HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
• HIGHLINE ❑ PRIVATE (SEPTIC)
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 ft2 - $33.50)
❑ 0 to 100 amp $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 COMMERCIAL /INDUSTRL4L
❑ 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
❑ 601 - 1000 amp 398.50
Service or Feeder
❑ over 1000 amp 443.50
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)
❑ # of circuits to be added /altered
COMMERCIAL /INDUSTRIAL PLAN REVIEW
(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
Residential/Multi- Family $61.00
❑ # of service or feeders
(First service /feeder - $69.50; each add'n - $45.00)
Commercial/Industrial 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; add'n 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
(for modified submittals)
❑ Data Cabling
❑ Automation Fee on all Permits .. $5.00
(Per System(s) 1st 2500 ft2- $61.00;
Each add'n 2500 ft2- 16.00) • Per WAC 296- 46- 910(5)(b)(i & iU
Bulletin #100 - January 7, 2005 Page 3 of 4 k\Handouts\Permit Application
1'
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR
FIRST
BUILDING SHELL ONLY? ❑ YES ❑ NO
SECOND
❑ YES
❑ NO
ZONING DESIGNATION
THIRD
CHANGE OF USE ?
❑ YES
FOURTH
NEW ADDRESS REQUIRED? ❑ YES o NO
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DECK (COVERED ?)
❑ YES
❑ NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
HEISTING
PROPOSED
TOTAL
TOTAL RXISTIN11 OF
TOTAL PROPOSED W
TOTAL 8F
* *NEW HOMES ONLY ** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of f xture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or Tub /Shower Combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (Bathroom Sinks)
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS (Commemiaq
RANGES
GAS WATER HEATERS
WATER CLOSETS (To110 _
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certify under penalty of perjury that the igformation 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, incldaing its officers and employees, upon the accuracy of the irtj'ormation supplied to the city as a part of
this application. _ /7
NAME /TITLE / I L`fKI L V ' .('1
(Signatul!)
RELATIONSHIP TO PROJECT ❑
t
(Title)
❑ Agent Infractor ❑ Architect ❑
/-O�
FOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR
❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE ?
❑ YES
❑ NO
NEW ADDRESS REQUIRED? ❑ YES o NO
UP /SEPA /SU?
❑ YES
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 — January 7, 2005 Page 2 of 4 MandoutsTermit Application
City of Federal Way
Community Development Services Eldctrical Permit #: 06-100907-00-EL
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 8355 -30550
Project Name: GUNNETTE
Project Address: 32512 30TH AVE SW
Project Description: Upgrading to 200amp service
Parcel Number: 873190 2190
Owner
Applicant
Contractor
IRENE E GUNNETTE
FULLER ELECTRIC
FULLER ELECTRIC
32512 30TH AVE SW
37107 12TH AVE S
FULLEEI027BK 1/12/08
FEDERAL WAY WA
FEDERAL WAY WA 98003
37107 12TH AVE S
98023 -2562
FEDERAL WAY WA 98003
Additional Permit Information
Electrical Fixtures
Alt weeder: 0 to 200 amps ""I I", 'T
PERMIT EXPIRES Saturday, August 26, 2006
Permit Issued on Monday, February 27, 2006
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 ac rdance with the laws, rules and regulations of the. State of Washington
and the City of Federal Way.
Owner or agent. �� �` Date:
. 2 -7 ,6
Y
ft
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community, Development Inspection Record
Federal Way IVR INSPrCT`I,ON REQUEST PHONE # (253) 835 -3050
PERMIT #: 06- 100907 -00 -EL
Owner: IRENE E GUNNETTE
Address: 32512 30TH AVE SW
FEDERAL WAY, WA 98023 -2562
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)
Approved
Approved
By
Date
By JL
Date 5 La P
❑
Rough Electrical (4225)
❑
Ceiling Cover (4020)
Approved
Approved
By
Date
By
_ Date
❑
Under -slab groundwork (4295)
Approved
By
Date
❑ Feeders /Sub - panels (4045)
Approved
By Date
Final - Electrical (4055)
Approved ` 1
B Date 3 OI