06-101210City 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: BURKS
Project Address: 30825 7TH AVE SW
Project Description: Replace electrical panel.
Electrical Permit #: 06- 101210 -00 -EL
Inspection Request Line: (253) 835 -3050
Parcel Number: 555770 0230
Owner
Applicant
Contractor
JEREMY M BURKS
JEREMY M BURKS
JEREMY M BURKS
30825 77TH AVE SW
30825 77TH AVE SW
30825 77TH AVE SW
FEDERAL WAY WA
FEDERAL WAY WA
FEDERAL WAY WA
98023
98023
98023
Additional Permit Information
0"% 3- V 5- 0 (O e Vi-.
I
THIS CARD IS TO REMAIN ON -SITE
ClW OF Community Development Inspection Record
Federal Wav IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 06- 101210 -00 -EL
Owner: JEREMY M BURKS
Address: 30825 7TH AVE SW
FEDERAL WAY, WA 98023 -4603
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
B*,3 Date
B Dat
By Date
❑ Rough Electrical (4225)
❑ Ceiling Cover (4020)
[ Final - Electrical (4055)
Approved
Approved
Approved
c. �.�.► 3 — ► 5-0 �
By Date
By Date
Date
❑ Under -slab groundwork (4295)
Approved
By Date
i
RECEIVED
GTY OP
FederalWay MAR 14 2006 PERMIT
COMMUMN DEVELOPKW SERVICES
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FBDBRALWAY, WA 98063 -97®j ®�EDE
253. 835 -2607• PAX 253.835 -2609 6U)I.D�N�
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The following is required information -an incomplete application will not be accepted. Please print legibly (in ink) or type.
firPROPERTT III FOPINIATI01V
SITE ADDRESS d "` /%V��.�LJ SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # S S -7 - LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
µaacha�ere� /aYI�
PROJECT •- •
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION T ,ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
PROJECT NAME (Name of Business or Owner Last Name) 121,, r-
PEOPLE INFORMATION
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME PRIMARY PHONE
MAILING ADDRESS h CITY, S ZI
pTATSTATE, P
A Ur� � er.(e�r 4� 6-4
COMPP7APPLICANT
OA /�
NAME
OFFICE PHONE
( -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
B L'
CONTRACTORS REGISTRATION NUMBER (copy of card required with e;Lch application) EXPIRATION DATE
COM NAM
A�
APPLICANT NAME
OFFICE PHONE '
-
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE '
RELATIONSHIP TO PROJECT
❑ Architect ❑. Tenant ❑ Agent ❑ Other (Describe)
FAX NUMBER
NAME PRIMARY PHONE E -MAIL ADDRESS
EXISTING USE
EXISTING ASSESSED /APPRAISED VALU
SPRINKLERED BUILDING? ❑ NO FIRE S
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . ❑ HIGHLINE
PROPOSED USE
VALUE OF PROPOSED WORK $
M SYSTEM PROPOSED %REQUIRED? ❑ YES ❑ NO
a'TACOMA ❑ PRIVATE (WELL)
❑ PRIVATE (SEPTIC)
i I
I
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
3 . FT.
TOTAL
8 . FT.
BASEMENT
MISC (Describe)
GAS WATER HEATERS
FIRST
SECOND
WATER CLOSETS poae4
%
THIRD
RAINWATER SYST
FOURTH
ELECTRIC WATER HEATERS
ADDITIONAL FLOORS (DESCRIBE),
DECK(COVERED ?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
stnsrnra
rar /.
"NEW HOMES ONLY" NUMBER OF BEDROOMS E MATED SELLING PRICE $
number of each type of fixture to
Value of Mechanical Work $
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLTTMBI111G
BATHTUBS
GAS PIPE3XJTLETS
WASHINd MACHINES
relocated a.' -part of this project. Do not include existing
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
Combo) SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
to remain.
GAS-tQGS
REFRIG. SYSTEMS
HOODS jcoin..d.q
WOODSTOVES
RANGES
MISC (Describe)
GAS WATER HEATERS
WATER CLOSETS poae4
MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
I certify under penalty of perjury that the iryk neation furnished by nee is true and correct to the best of my knowledge, and further, that I
am authorised by the owner of the above promises 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 dny 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 ir{formation supplied to the city as a part of
this application. A,2,`
NAME /TITLE I.V DATE
SCAN IMF - �.ltlel
I
RELATIONSHIP '1'6'I''RO. ZQT IJ Owner b Agent O Contractor O Architect 17 Other
n..I7_.:_ &I nn T......... I HAA[ D.— I of A 1e%WQn/IAesfe%1 -rm;f AinnNestonn
ELECTRICAL PERMIT INFORMATION'
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAWINDUSTRIAL SERVICE.
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2- $107.50; Each add'n 500 ft2 - $34.50)
❑ 0 to 100 amp $117.00 $ 71.50
❑ Detached outbuilding or garage
❑ 101,- 200 amp 145.00 91.50
(Inspected with service) $45.50
❑ 201- 400 amp 272.00 107.50
❑ Detached outbuilding or garage
❑ 401 - 600 amp 317.00 127.00
(Inspected separately) $71.50
❑ 601- 800 amp 410.00 173.50
❑ 801 - 1000, amp 500.50 209.50
NEW MULTI- FAMILY (three units or more)
❑ Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $ 34.50
❑ Over 600 volts surcharge $91.50
❑ 201 - 400 amp 145.00 71.50
❑ Mast or meter repair $99.00
❑ 401 - 600 amp 198.50 99.00
0 601 - 800 amp 254.00 136.00
ALTERED COMMERCIAL /INDUSTRIAL
❑ Over 800 amp 364.00 272.00
Service or Feeders
❑ 0 to 200 amp $117.00
ALTERED SINGLE /MULTI FAMILY
❑ 201 - 600 amp 272.00
❑ 601 - .1000 amp 410.00
Service or Feeder
0 to 200 amp $ 89.50
❑ over 1000 amp 456.50
201 - 600 amp 145.00
❑ # of circuits to be added/ altered
❑ over 600 amp 218.50
(1 -5 circuits - $91.50; Add'n circuits, $7.00 /ea)
❑ # of circuits to be added /altered
COMMERCUL/INDUSTRULL PLAN REVIEW
(1 -4 circuits - $71.50; Add'n circuits $7.00 /ea)
$91.50 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Mast or meter repair $53.50
❑ Medical /Educational /Institutional Facility
MOBILE HOMES
❑ Service or feeder only . $71.50
Q Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME /RV PARK
Residential/Multt- Family $63.00
❑ # of service or feeders
(First service /feeder - $71.50; each add'n - $46.50)
CommereiaWndustrial Service or Feeder Antpacity
❑ 0 -100 amps $71.50.
❑ 101- 200 amps 91.50
❑ 201- 400 amps 107.50
❑ 401 - 600 amps 145.00
❑ over 600 amps 157.00
MISCELLANEOUS SERVICE /EQUIPMENT
❑ # of Thermostats
❑ # of Signs
(First - $53.50; add)n- $16.50 /ea)
(First sign- $53.50; adds sign. $25.00 /ea)
❑ Low Voltage
❑ Swimming pool /hot tub ................ $107.50
Square Feet to be 'served by system(s)
(Includes additional circuit, if required)
❑ Fire Alarm system
❑ Yard Pole meter loops ..................... $71.50
❑ security Alarm System
❑ Additional Plan Review $107.50 /hour
❑ Voice Cabling
(for modified submittals)
Q Data Cabling
13
Automation Fee an all Permits .. $5.00
(Per $ystem(e) 1K 2500 ft2-$63.00;
Each addb 2500 ft2- 16.50) "PerWAC296- 46b910(5)(b#&N)