09-101504City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
M �al�r
Project Name: CARSON 4
Q Elutrieal
Permit #: 09- 101504 -00 -EL
Inspection Request Line: (253) 835 -3050
Project Address: 1200 SW 331ST ST Parcel Number: 926495 0140
Project Description: Adding /altering (1) circuit for jacuzzi, jetted bathtub
Owner
Applicant
Contractor
POLLY CARSON
AZTEC ELECTRICAL SERVICES LLC
AZTEC ELECTRICAL SERVICES LLC
1200 SW 331ST ST
25314 45TH AVE S
AZTECES021DT 3/30/10
FEDERAL WAY WA
KENT WA 98032
25314 45TH AVE S
98023 -5340
KENT WA 98032
Is Use Educational or Institutiona l ? .......................No
Circuits - Residential ...................... 1
PERMIT EXPIRES Thursday, April 22, 2010
Permit Issued on Wednesday, April 22, 2009
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 regulation, s of the State of Washington
and the City of Federal Way.
Owner or agent: Date: 2
FINALED 5 /P /o9
` THIS CARD IS T (WMAIN ON -SITE '
CITY OF VP 10community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 09- 101504 -00 -EL
Owner: POLLY CARSON
Address: 1200 SW 331 ST ST
FEDERAL WAY, WA 98023 -5340
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.
❑
LIFER Ground (4295)
Approved
By
Date
❑
Pool Bonding (4195)
Approved
By
Date
By
Date
❑
Feeders /Sub - panels (4045)
Approved
By
Date
Approved
0
Final - Electrical (4055)
Date
Approved
By
Date 9
❑
Ditch cover (4030)
Approved
By
Date
❑
Temporary Power (4275)
Approved
By
Date
By
Date
❑
Rough Electrical (4225)
Approved
By
Date
❑
Slab /Concrete Floor (4255)
Approved to place concrete
IL By
Date
❑
Service (4235)
Approved
By
Date
❑
Ceiling Cover (4020)
Approved
By
Date
For in^ spector_reference only
O Rough Electrical 0 FINAL - Electrical
Approved Approved
By Date By Date
j0
CEIVEG�DMNUN19YO8Y81APbIBNTSBRVlCBS 1 E RM IT SF MF CO ME EL DE EN FP
3337FED AbB1YUY,WA i•L'O� 20 rr��APPLICATION
PEDSRAL WAY, WA 9Bo o Bg71N ` 2 U J
253435.2607• PAX - 253.835.2609
mwu.di cone f� � Q�(
The following is �'mat[onv- a {recomplate alppacation win not be adepts& Please Print legabi ln ird4 or tw&
SITE ADDRESS (J� �j / S/ surrE /U1RT #
ASSESSOR'S TAR /PARCEL #I 2 ! �— O L tL LOT SIZE (s))
LEGAL DESCRIPTION (e.g. Acme Estates, Lot I)
PROJECT .-
TYPE OF PERMIT ❑ BUILDING ❑ PLUMlMG ❑ MECHANICAL
❑ DEMOLITIONArELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION, (Provide detailed descWtwn of work included on 'this permit onlu)
aiz:Lm; cz L1 f 7---
i
1=11117111100-, ;4-2-1 e ti 'd l�
® PEOPLE INFORMATION
•�.
.����
X4
1�
PROJECT
CONTACT
LENDER
E METING USE
NAME P
PRIMARY PHONE
MPANY NAME APPLICANT NAME O PHONE
Z� G IN ( ( D) 7/8'
ADDRESS STATE, ZIP (x/1/7 CELL PHONS
l 9SINEEE lCrJr"" A
OF FEDER%Ai�. W^AY 3 LICENSE NUMBER EXPIRATION ATE FAX NUMBER
at V /C �Q -
CO R'B RZOISTRATION NUMBER TlO JATS E-MAIL ADDRESS
A2-7Z-C-& 5' (0 Z t P- r- 2-13 1 ,,)
COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY. STATE, ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
�rMI �
NAME Per RCW 19.27.095.
Lender iq formation is required { j project oalw wmeeds $5,000
MAILING ADDRESS CITY, STATE, ZIP PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORE: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEe[ PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGEMMM ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKERIVEN ❑ HIGHLUM ❑ PRIVATE (SEPTIC)
COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY. STATE, ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
�rMI �
NAME Per RCW 19.27.095.
Lender iq formation is required { j project oalw wmeeds $5,000
MAILING ADDRESS CITY, STATE, ZIP PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORE: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEe[ PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGEMMM ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKERIVEN ❑ HIGHLUM ❑ PRIVATE (SEPTIC)
�rMI �
NAME Per RCW 19.27.095.
Lender iq formation is required { j project oalw wmeeds $5,000
MAILING ADDRESS CITY, STATE, ZIP PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORE: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEe[ PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGEMMM ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKERIVEN ❑ HIGHLUM ❑ PRIVATE (SEPTIC)
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORE: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEe[ PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGEMMM ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKERIVEN ❑ HIGHLUM ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
BASEMENT
EXISTING
30. FT.
PROPOSED
. 8T.
TOTAL
. FT.
FIRST
GAS WATER HEATERS MISC (Down'be)
BOILERS
FIREPLACE INSERTS
SECOND
COMPRESSORS
FURNACES
RANGES
THIRD
GAS LOG SETS
REMO. SYSTEMS
a YES
ADDITIONAL FLOORS (DESCRIBE)
NEW ADDRESS REQUIRED?
o YES a NO
DECK (❑ COVERED OR ❑ UNCOVERED
a YES
a 80
PLATTED LOT?
GARAGE ❑ CARPORT ❑
DEMO PERMIT REQIIIRm?
a YES
NUMBER OF FLOORS
rennosso
Tor=
roraeearnasr
10mimmonwer
aorecsr
"fiEW HOIIIES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type offucture to be installed or relocated as part of this Project. Do not vwh de exMWW f to remain.
I I/attce of Medwnimd Work $ (A (�YOFBID OR ES77X4 E MUST BE INCLUDED WITHAPPLICAT701M
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLET$ WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Down'be)
BOILERS
FIREPLACE INSERTS
HOODS lcmem.ety
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REMO. SYSTEMS
BATHTUBS (wT Wm ..c.
LAVS pea... xwM
URINALS hasc (mil
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS m s,q
ZLZCTBIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
CHANGE OF USE?
Z cmrtift Touter penalty of popwV than r am the property owner or auteort:ed agent of the --
p7e-- owner. I that to the best of
�e �°^'�On � � >uppe� of �* tJe+"dt � true sled cofreee. r that r will comply with all itrb�ie
INty of slederad Way rsgulatioRa pertaining to the work autlwrt:.at by the issuance of a permit: r understand that the issuance o this
does not � owner's � for compliance with iooai, state, or fodsrat taws regulating � or � permit
City of dedenal Way as to any claim (including costs, expanses, and attorneys' fees incurred In the
whwggation and d*M" of such claim)' which may be made bg any person, bwft It W the erode signed, and flied against the dtaf, but only
where such claim arises out of the reliance of the eitgs including its *Bice* and employees, upon the accuracy of the b4brmation, suPpliod to
the aft as a part o tion.
SIGIrATQItE: Aj- A,
DATE
Property Owner or Authorized Agent
a NEW a ADDITION
a ALTERATION
a REPAIIt a TENANT DAPROVENZNT
BUILDING SHELL ORLY?
a YES a NO
BASIC PLAN?
a YES
a NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
a 80
NEW ADDRESS REQUIRED?
o YES a NO
UP /SEPA /SU?
a YES
a 80
PLATTED LOT?
a YES a 80
DEMO PERMIT REQIIIRm?
a YES
a NO
Bulletin #100 — January 1, 2009 Page 2 of 4 MandoutAPennit Application
P
an automation fee of
RESIDENTIAL
❑ Single Family Square Feet
(Pica[ 1300 itr- $121.00; Each add% 500 m - $39.00)
❑ Detached outbuilding or garage (w /Service) ......................... $51.00
❑ Detached outbuilding or garage (inspected Separately) ........ $80.00
❑ Swimming Ibd ( w/ sepice) ........................ ......................... $80.00
❑ Swimming pod (i apected separately) ............................... $120.50
❑ Hot tub /spa /sauna (w /awvicee) ................. ......................... $51.00
❑ Hot tub /apa/sauna (inspected separately) .......................... $80.00
❑ Sept pumping system (w /service) ..................................... $51.00
13 septic pumping �epa.t*) ..................... $80.00 pumping '
(m
NEW MULTI FAMMY (three units or more)
$ 71.00
Service
Feeder
❑ Up to 200 amp
$131.50
$ 39.00
❑ 201 - 400 amp
163.00
80.00
❑ 401 - 600 amp
223.00
111.00
❑ 601 - 800 amp
285.50
152.50
❑ Over 800 amp
408.50
305.50
ALTERED SIIrGLE /MULTI FAMILY
Service or Feeder
p $100.50
❑ 201 - 600 amp 163.00
❑ over 600 amp 245.50
X-i-# of circuits to be added /altered
(1-4 circuits- $80.00; Addn circuits $8.00 /ea)
❑ Mast or meter repair $60.50
MANUFACTURED HOMES
❑ Service or feeder only $80.00
❑ Service and feeder $131.50
MOBILE HOME /RV PARK
❑ # of service or feeders
Mrst service /feeder480.00; each add'n - $52.50)
Will be charged for all permits.
COMMERCIAL
NEW COMAE /INDIISTRIAL SERVICE
$ 71.00
$32.00
Service or Feeder
EachAddil
❑ 0 to 100 amp
$131.50
$ 80.00
❑ 101 - 200 amp
163.00
103.00
❑ 201 - 400 amp
305.50
120.50
❑ 401- 600 amp
356.00
142.50
❑ 601- 800 amp
460.50
195.00
❑ 801- 1000 amp
562.50
235.50
❑ Over 1000 amp
613.00
327.00
❑ Over 600 volts surcharge $103.00
Mast or meter repair $111.00
ALTERED COMMERCIAL /TrfDIISTRIAL
(Does not include circuits.)
Service or Feeders
❑ 0 to 200 amp $131.50
❑ 201 - 600 amp 305.50
❑ 601 - 1000 amp 460.50
❑ over 1000 amp 513.00
❑ # of circuits to be added /altered
(1 -5 circuits - $103.00; Addn circuits. $8.00 /er)
COM�RCIAL /MNDUSTRIAL PLAIT REVIEW
$103.00 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Medical /Educational /Institutional Facility
❑ Additional plan review for
modified submittals $115.00 /per hour
TEMPORARY SERVICE
or Feeder Each Add31
❑ 0 to 60 amp
$ 71.00
$32.00
❑ 61 -100 amp
80.00
39.00
Ll 101 - 200 amp
103.50
51.00
❑ 201 - 400 amp
120.00
60.50
❑ 401- 600 amp
163.50
80.00
❑ Over 600 amp
183.00
92.00
IMISCELLANEOUS SERVICE /EQUIPMENT
❑ # of Thermostats
(First -x•50; add"n- $18.50 /ea)
❑ Low Voltage
❑ gee Feet to be served by systems) Alarm System
❑ Security Alarm system
❑ Voice Cabling
❑ Data Cabling
1*' 2500 m- $71.00;
Each addn 2500 tr- $18.50)
❑ # of signs
(First sign - $60.50; addh sign $28.50 /ea)
❑ Yard Pole /meter loops/pedestal ................... $80.00
❑ Portable Generator (transfer equipment) ...... $100.50
❑ Ditch cover /inspection only ....................... $120.50
For fees not listed, contact the Permit Center at
253- 835 -2607
Bulletin #100 - January 1, 2009 Page 3 of 4 MandoutsWenrut Application