06-101454City of Federal Way .electrical Permit #• 06-101454-00-EL Community Development Services •
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: LEVY
Project Address: 30245 25TH AVE SW Parcel Number: 893760 0170
Project Description: Altering up to (4) circuits for kitchen remodel
Owner
Applicant
Contractor
PAUL LEVY
DAVID S. OTTERSON INC
DAVID S. OTTERSON INC
MAXINE LEVY
704 87TH AVE NE SUITE 76
DAVIDS0962JZ 04/09/06
30245 25TH AVE SW
EVERETT WA 98025
704 87TH AVE NE SUITE 76
FEDERAL WAY WA
EVERETT WA 98025
98023 -2316
Additional Permit Information
PERMIT EXPIRES Saturday, September 23, 2006
Permit Issued on Monday, March 27, 2006
hereby certify that the above information is .correct and that the construction on the above described property and
the occupancy and th se will be ' accor nce with the laws, rules and regulations of the State of Washington
d the City of Federal Way.
Owner or agent: Date:
1 1
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community- ,D�yelopment Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 06- 101454 -00 -EL
Owner: PAUL LEVY
Address: 30245 25TH AVE SW
FEDERAL WAY, WA 98023 -2316
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)
Approved
By 17W�,/ Date' 131
Under -slab groundwork
Approved
By Date
❑ Ceiling Cover (4020)
Approved
By Date
Final - Electrical (4055)
Approved
By Date —O
OTT of
CON
N
R
Federal Wad Zoos PERMIT
COMMUM7YDEVELOPMEW SSRVICBS BAR 2
3334 FEDERAL WAY, A 9. 63 BOX 9718 'L I C AT I O N
FEDERAL WAY, WA 98063 -9718.
2S3-83S-2607- www.da/fcdemhimu3mm609 G,� g ; p NG `
The ollowin q1sre Iredinf ormation-aniard1plete, licatioff will not be acce
PROPERTY •- •
SITE ADDRESSi�
ASSESSOR'S TAX /PARCEL lk $ -0- -%
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) r
q
SF MF CO ME hart, WL DE EN FP
Please print leaiblu !in inkl or
SUITE /UNIT # ;
LOT SIZE (sj)
TYPE OF PERMIT ❑ BUILDING PLUMBING ❑MECHANICAL
❑ DEMOLITION '� ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT. DESCRIPTION (Provide detailed description of work included on this permit onlvl
PROJECT NAME (Name of Business or Owner Last N41me)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
kRY PHONE
3) X.1- 4M
COMPANY NAME
AEpLICANT( NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE"
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant
CITY OF FEDERAL' AY
1 ES3 LICENSE NUMBER EXPI IO DATE
FAX NUMBER
— — — - --
— — — — --B L ' l l
(� ) 3' -�
/
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each appllcatloaj
EXPIRATION DATE
COMPANY NAME
kp 41
APPLICANT NAME
OFFICE PHONE
-
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE"
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant
❑ Agent ❑ Other (Describe)
USE
EXIST SED /APPRAI VALUE $ VALUE F PROPOS WORK t$_
PRINKLERED BUIL N ❑ YES ❑ NO SUPPRESSION SYSTE R SED %REQUIREI
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKF -rAVEN . ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
❑ NO
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED ?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
sxan•o
moroseo
TWAT.
"NEW HOMES ONLY" NUMBER OF BEDROOMS STIMATED SELLING PRICE $
Indicate
Value of Mechanical Work
AIR HANDLING UNITS
BBQS /
BOILERS
of fixture to be jX taUed or relocated as part
EVAPORATIVE COOLERS OAS LOGS
FANS HOODS Icon
FIREPLACE INSERTS RANGES
FURNACES GAS WATER
GAS PIPE OUTLETS
not
remain.
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
BATHTUBS *Tub /shoasreombo) SHOWERS WATER CLOSETS (roaeq 080 (Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS _T SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
I,AVS",ag CUUM BREAKERS ELECTRIC WATER HEATERS
BLOCK
I certify under penalty of perjury that the ormation 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 ty c ding its officers and employees, upon the accuracy of the igformation supplied to the city as a part of
this application.
NAME /TITLE /i✓ DATE
ature (Tim)
RELATIONSHIP TO PR6JECT Q Owner ❑ Agent ontractor ❑ Architect ii Other
nfA 4 \ddo..Annte \Pnr.nit Annliratinn
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- $107.50; Each add`► 500 ft2 - $34.50)
❑ 0 to 100 amp $117.00 $ 71.50
❑ Detached outbuilding or garage
❑ 101.7- 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
❑ 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 SINGLE /MULTI FAMILY
❑ 201 - 600 amp 272.00
❑ 601 -.1000 amp 410.00
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% circuits, $7.00 /ea)
❑ # of circuits to be
COMMERCIAL/INDUSTRIAL PLAN REVIEW
added /altered
(1 -4 circuits- $71.50; Add% circuits $7.00 /ca)
$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 PARK
Residential/Multi-Family $63.00
❑ # of service or feeders
(First service /feeder - $71.50; each add'h - $46.50)
Com»terciaWndustriai 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'n- $16.50 /ea)
(First sign- $53.50; add'h 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)
0 Fire Alarm system
❑ Yard Pole meter loops ..................... $71.50
13 Security Alarm System
.0
❑ Additional Plan Review $107.50 /hour
Voice Cabling
(for modified submittals)
Q Data Cabling
El Automation Fee on all Permits .. $5.00
(Per Syatem(s) 1-t 2500 ft2- $63.00;
Each add% 2500 ft2- 16.50) `Per WAC 296- 46910(5)(bffi m ii)