06-101302I
City of Federal Way
Community Development Services Electrical Permit #: 06- 101302 -00 -EL
` P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection request Line: (253) 8355 -3050
Project Name: HAVARD
Project Address: 731 SW 328TH PL Parcel Number: 683782 0120
Project Description: Rewiring house damaged by fire (200amp service)
Additional Permit Information
Electrical Fixtures
Alt. Servo eder: 0 to 200 amps -J 1;
", _
ITIONS:
PERMIT EXPIRES Wednesday, September 13, 2006
Permit Issued on Friday, March 17, 2006
l hereby certify that the above information is correct and that the construction on the above described property and
the occupancy an use will be in accordance with the laws, rules and regulations of the State of Washington
n (�� and tpe City of Federal Way.
Owner or
FVALZOD
Date: 2 /l % A d 4r�
Owner
Applicant
Contractor
PERRY & SHARMAN HAVARD
MADSEN ELECTRIC
MADSEN ELECTRIC
731 SW 328TH ST
3939 S ORCHARD ST
MADSEE*140P8 4/30/06
FEDERAL WAY WA 980
TACOMA WA 98466
3939 S ORCHARD ST
TACOMA WA 98466
Additional Permit Information
Electrical Fixtures
Alt. Servo eder: 0 to 200 amps -J 1;
", _
ITIONS:
PERMIT EXPIRES Wednesday, September 13, 2006
Permit Issued on Friday, March 17, 2006
l hereby certify that the above information is correct and that the construction on the above described property and
the occupancy an use will be in accordance with the laws, rules and regulations of the State of Washington
n (�� and tpe City of Federal Way.
Owner or
FVALZOD
Date: 2 /l % A d 4r�
4%1�
THIS CARD IS TO REMAIN ON -SITS:
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 06- 101302 -00 -EL
Owner: PERRY & SHARMAN HAVARD
Address: 731 SW 328TH PL
FEDERAL WAY, WA 98023 -5225
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) ❑ Ceiling Cover (4020) [] Final - Electrical (4055)
Approved Approved Approved
Date a By Date Date /v—,I¢•
Under -slab groundwork (4295)
Approved
By Date
N; e)ral 'Way
COAfiNNAY fJSYELOPIBNT SBRYIGBS
93925 8n AVE= SOUM • PO BOX 9728
FRIMU WAY, WA- 98063-9718.
2S3.89S -2607• PAX 2S9. 835.2609
ynOW.etfp(f UMY.COIN
The following is require
RECE1y RMIT
a,VjYfI CATI O N
CITY OF - FEDE yygY
n, ., ,- RAL
z =1?
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SF MF CO MWfL DE EN FP
will not be accepted. Please
or
SITE ADDRESS
BUTTE /UNIT i«
ASSESSOR'S TAX /PARCEL — — — —• — —. LOT SIZE (si)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Ada& separuft ~f- IwVft legal dawrWw4
PROJECT •• •
TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION KELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul
PROJECT NAME (Name of Business or Oumer Last Name)
PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME' PRIMARY PHONE
MAILING ADDRESS CITY, STATE, ZIP
COMPANY NAME
nnaa-sen
4r� c
APPLICANT NAME
42 atA-4e r\
OFFICE PHONE
c� 33$3
-�rsy
AIL1N0 ADDRESS
3
Sg ®'c�c
CITY, 9TAT 1
c o
CELL PHONE
�
_ '
CITY OF FEDERAL WAY BUSINESS /LICENSE NUMBER EXPI TIOONDATE
130 l Cn{/
FAX NUMBER
(A5366 �
JJ 0 L
CONTRACTORS REGISTRATION NUMBER (copy of card required with "ch &OPU cation)
EXPIRATION DATE
/ /
m d'
8
COMPANY NAME
APPLICANT NAME
OFFICE PHONE '
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE_
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect o' Tenant o Agent ❑ Other (Describe)
EXISTING USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINHLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
i
SECOND
THIRD
FLOORS
NUMBER OF FLOORS
Indicate number of each type of fixture to be installed or
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS
BBQS FANS
BOILERS FIREPLACE INSERTS
COMPRESSORS FURNACES
DUCTS GAS PIPE OUTLETS
pLi711Z m
BATHTUBS (w Tub /showorcombo
SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
LAVS modummank4 -
VACUUM BREAKERS
as part
TOTAL
not
GAS LOGS REFRIG. SYSTEMS
HOODS pmomercio4 WOODSTOVES
RANGES MISC ( Descnbe)
GAS WATER HEATERS
WATER CLOSETS froileq MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
EXECTRIC WATER HEATERS
I certj under penalty of perjury that the information furnished bg me is true and correct to the best of my knowledge, and furthsr. thatl
fy
am authorised by the owner of the above premises to perform the work for which the permit application is .inads. I further agree to hot)
harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense o
such claim), which may be made by any person, including the undersigned, and Jiied against the City of Federal Way, but only where such claft
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 a
this application.
// \
n n \ / 0.— TIATF c l / ! oV
TO PROJECT Q Owner o Agent Contractor t] Architect o
Bulletin #100 —January 1, 2006
Page 2 of 4
Mliandoutswernul
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIALANDUSTRIAL SERVICE
Service or Feeder Eadt Add'n
❑ Single Family Square Feet
(First 1300 ft2- $107.50; Each add$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
13 801 - 1000. amp 500.50 209.50
NEW MULTI- FAMILY (three units or more)
❑ Over 1000 amp 546.00 291.00
Service Feeder
to 200 amp .$117.00 $ 34.50
L3 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
ALTERED C0MMERCI4L /INDII3TRIAL
Q 601 - 800 amp 254.00 136.00
❑ over 800 amp 364.00 272.00
Service or Feeders
❑ 0 to 200 amp $117.00
ALTERED SINGLE /MIILTI FAMILY
❑ 201 - 600 amp 272.00
❑ 601- .1000 amp 410.00
Service or Feeder
❑ over 1000 amp 456.50
200 amp $ 89.50
❑ 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
COMMERCIAL/INDUSTRIAL PLAN REVIEW
(14 circuits - $71.50; Add'n circuita $7.00 /ea)
$91:50 plus 350/a of Permit Fee
13 Service - 1,000 amps or greater
❑ Mast or meter repair $53.50
❑ Medical /Educational /Institutional Facility
MOBILE HOMES
❑ Service or feeder only. $71.50
0 Service and feeder $117.00
TEMPORARY SERVICE
MOBMB HOME /RV PARK
Residentfal/Multi- Family $63.00
❑ # of service or feeders
(Mrst service /feeder471.50; each add'a - $46.50)
Commercial,/1'ndustriai Service or Feeder Ampacity
❑ 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'h- $16.50 /ea)
(First sign- $53.50; addh 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)
13 Fire Alarm System
m
❑ Yard Pole meter loops ..................... Vim
❑ Security Alarm System
❑ Additional Plan Review $107.50 /hour
D voice Cabling
(for modified submittals)
0 Data Cabling
❑ Automation Fee on all Permits .. $5100
(Per 3ysted(s) 1- 250011+ -$63.00;
Each add% 2500 ft;'- 16.50) ' Per WAC 296- 46.910(5)(b) ft 6 rii
Bulletin #100 = January 1, 2006 - W Page 3 of 4 mandoutsTemiit Aumication