06-101420City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Electrical Permit #: 06- 101420 -00 -EL
Inspection Request Line: (253) 835 -3050
Project Name: GREEN LAND ADULT FAMILY HOME CARE
Project Address: 32019 5TH AVE SW Parcel Number: 926490 0430
Project Description: Alter circuit for the installation of hardwired smoke detectors.
Owner
Applicant
Contractor
RAFAEL YUMO
RAFAEL YUMO
RAFAEL YUMO
MARITA YUMO
32019 5TH AVE SW
32019 5TH AVE SW
32019 5TH AVE SW
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
FEDERAL WAY WA 98023
Additional Permit Information
PERMIT EXPIRES Wednesday, September 20, 2006
Permit Issued on Friday, March 24, 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
of Federal Way.
Owner or agent: � Date: -24 kll't a CP
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11
Electrical Fixtures
Circui" sidential
1
...................
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PITIONS:
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PERMIT EXPIRES Wednesday, September 20, 2006
Permit Issued on Friday, March 24, 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
of Federal Way.
Owner or agent: � Date: -24 kll't a CP
0 /�
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11
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Wav IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 06- 101420 -00 -EL
Owner: RAFAEL YUMO
Address: 32019 5TH AVE SW
FEDERAL WAY, WA 98023 -5615
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
❑ Service (4235)
❑ Feeders /Sub - panels (4045)
❑
Temporary Power (4275)
Approved .
Approved
Approved
By
Date
By Date
By Date
❑ Ceiling Cover (4020)
Final - Electrical (4055)
❑
Rough Electrical (4225)
Approved
Approved
Approved
By
Date
By Date
By
Date
❑
Under -slab groundwork (4295)
Approved
By
Date
cin or RECEIVED
federal Wes► —
AR 4 ZA PERMIT SF MF CO M EL PL DE EN COA(MGMTY DBYBLOPkSNf SBRV /CBS +' }
3332 MWbUNUB, WA -9. 63BOX 9718r LI C AT I O N
FBDBRAL WAY, WA 98063 -9718 . 253.835.2607• FAX 253.835-2 w.difau.amTY OF FEDE
BUILDING DEPT.
The fo llowinq is re iced in ormation - an incoMplete a lication will not be accented. Please Tint Te fbI n in or
PROPERTY INFORMATION
SITS ADDRESS 2� (� - /�•�f: • HIV �6i.. Vt W ► .q���j SUITE /UNIT f .
ASSESSOR'S TAX /PARCEL #k _ _ _ _ _ - _ — LOT SIZE (s,)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
fAeuch «pa+ro~fir lowft kaW d— OptioN
PROJECT .- •
T ps—OI' - PERMIT ❑ BUILDING ❑ PL ING ❑ MECHANICAL
❑ DEMOLITION =CAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
P;#CRIPTION (Provide detailed description of work included on this permit only)
tNSc�.VI�� 1�4C� GCrlg1��G.�� �,N►.�1� O��G'TO1z.5-
P. WW NAME (Name of Business or Owner Last Name) 61 4 " L,& VS D A Oki �T 'F,.lV► 1 k-'/ CLaf2j---
PROMMTY
OWNER
LENDER
NAME PRIMARY PHONE
�+R. -;- M �s . ���� °s• Y� � (2�� � t - 020 (
MAILING ADDRESS CITY, STATE, ZIP
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
sx2vE efzoPQzr< owi�eTz,
( -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
❑ Architect ❑. Tenant o Agent ❑ Other (Describe)
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with apch application) EXPIRATION DATE
COMPANY NAME
APPLICANT NAME
OFFICE PHONE '
o v3 N'w
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
PAX NUMBER
❑ Architect ❑. Tenant o Agent ❑ Other (Describe)
NAME PRIMARY PHONE E -MAIL ADDRESS
Fv-0fv12T-ypW0p-=T( A.
NAME
MAILING ADDRESS CITY, STATE, ZIP /PHONE
EXISTING itym PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE >� VALiTE OF lrRR)PO!!ED WORK !�
SPJ2INKLERED BUILDING? t3 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSEWREQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
i
•
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
3 . FT.
BASEMENT
FANS
HOODS (commerdq
WOODSTOVES
FIRST
FIREPLACE INSERTS
RANGES
MISC (Describe)
SECOND
FURNACES
GAS WATER HEATERS
THIRD
GAS PIPE OUTLETS
FOURTH
SHOWERS
WATER CLOSETS rroue4
MISC (Describe)
ADDITIONAL FLOORS (DESCRIBE)
SINKS
DRINKING FOUNTAINS
DECK (COVERED ?)
SUMPS
RAINWATER SYST
GARAGE O CARPORT O
URINALS
HOSE BIBBS
sxtsnsa Morosso Tom
NUMBER OF FLOORS
"NEWHOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
of each type of fixture to be (ristalled or relocated as part of this project. Do not include existing fxit,ires to
Value of Mechanical Work $
AIR HANDLING UNITS
EVAPORA'T'IVE COOLERS
OAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS (commerdq
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES
GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
s
BATICTIJBS (orTublsho~comb.)
SHOWERS
WATER CLOSETS rroue4
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
AAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS (Bwb,.m sal
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I cert(fy under penalty of perjury that the irljormation furnished by me is true and correct to the best of ins 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. 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 apart of
this application.
RAMS /TITLE f' k- DATE
(signature) (Title)
RELATIOMHIP TO ROJECT 0 OWner O Agent 13 Contractor 13 Architect 0 Other
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIALANDUSTRUL 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
Q 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 SINO:LE /MULTI FAMILY
E3 201 -! 600 amp 272.00
❑ 601- 1000 amp 4.10.00
Service or Feeder
❑ over 1000 amp 456.50
❑ 0 to 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)
I►,of circuits to be added /altered
COMMERCIALLNDUSTRUL PLAN REVIEW
11-4 cheW s•$71.50; Add'ncircuits $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
0 Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME /RV PARIi
Residentlal/Mui'N- Family $63.00
❑ # of service or feeders
(First service /feeder - $71.50; each add'n - $46.50)
CommerciaWndustriai Service or FeederAmpaeity
❑ 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; addh- $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
0
Automation Fee on All Permits .. $5.00
A
(Per System(s) In 2500 ft2- $63.00;
Each add'n 2500 ft2- 16.50) • Per WAC 296.46910(5)(b)# d 6)