07-103662City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Electrical Permt: 07- 103662 -00 -EL
Inspection Request Line: (253) 835 -3050
Project Name: PERRY y
Project Address: 1818 SW 355TH PL Parcel Number: 926975 0260
Project Description: Adding & altering circuits to accommodate additon to existing residence.
Owner
Applicant
Contractor
CHRISTOPHER & CAMILLE PERRY
CHRISTOPHER & CAMILLE PERRY
CHRISTOPHER & CAMILLE PERRY
CAMILLE K PERRY
1818 SW 355TH PL
1818 SW 355TH PL
1818 SW 355TH PL
FEDERAL WAY WA 98023 -6905
FEDERAL WAY WA 98023 -6905
FEDERAL WAY WA
98023 -6905
....... 1
Additional Permit Information
Electrical Fixtures
q�o-
20
THIS CARD IS T EMAIN ON -SITE
CITY OF *community Develop nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 103662 -00 -EL
Owner: CHRISTOPHER & CAMILLE PERRY
Address: 1818 SW 355TH PL
FEDERAL WAY, WA 98023 -6905
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)
Approved to place concrete
By Date
❑ Ditch cover (4030)
Approved
By Date
❑ Pool Bonding (4195)
Approved
By Date
❑
Temporary Power (4275)
Approved
❑
Service (4235)
❑
❑
Feeders /Sub - panels (4045)
Approved
Approved
Date
Approved
Approved
By
Date
By
Date
By
Date
❑ Rough Electrical (4225)
Approved
By
/
Date ` ("
❑
UFER Ground (4295)
Approved
By
Date
❑ Ceiling Cover (4020)
Approved
By Date
❑ Final - Electrical (4055)
Approved
By Date
For inspector reference one
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
CITY OF RECEIVE[
Federal Way * PERMIT
'OM'NITYDBV"0 MENTSERYICE SF MF CO ME EL PL DE EN .FP
33325 8T" AVENUE SOUTH • 63 971 9�U L U 6 2 0 APPLICA1*10N FEDERAL WAY, WA 98063 -9718
253- 835 -2607• FAX 253 -835 -
ululumatya�ederuluau. Il 4�} Y OF FEDERAL WAY
BUILDING [)FPT
The following is required inforfi a%M fi -an incomplete application will not be accepted. Please print legibly (in ink) or type..
SITE ADDRESS
ASSESSOR'S TAX /PARCEL #
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
SUITE /UNIT # _A[,_
(Attach sepamlepage fm lengthy legal description) .
PROJECT • •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION I ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide de ailed description of work included on this yqnnit onl
r
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
NAME rl
OFFICE PHONE
MAILING ADD SS
PRIMARY PHONE
OWNER
Y
`I
EXPIRATION DATE
FAX NUMBER
EXPIRATION DATE
MAILING ESS _ _
CITY, ATE, 1
E -MAIL AD ESS r
CONTRACTOR
COPY of card regalred
with each applic.tloa
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
COMPANY NA
APPLICANT NAME
OFFICE PHONE
MAILING ADD SS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
E -MAIL ADDRESS
COMPANY NAME n ,f
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX.NUMBER
❑ Architect ❑ Tenant 0 Agent ❑ Other
( ) -
NAME PRIMARY PHONE E -MAIL ADDRESS
NAME
Per RCW 19.27.095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE!
SPRINKLERED BUILDING? ❑ YES
7A•7
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
PROPOSED USE
VALUE OF PROPOSED WORK $
FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? ❑ YES ❑ NO
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE ,(WELL)
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
co,
REARM
AREA DESCRIPT EXISTING PROPOSED TOTAL
S . FT.
AiL S • . FT. S . FT.
BASEMENT
FIRST
.SECOND
THIRD
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED ?)
GARAGE ❑ CARPORT ❑
NUMBER OFFLOORS sxtsrsio rxorosao TOTAL TOTAL s=nsssr mrntr{topossssr ToT.mer
* *NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part'of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $'
AIR HANDLING UNITS
BBQS•
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (orwb /sho combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WI?`H APPLICATION)
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
FANS
GAS WATER-HEATERS MISC (Describe)
FIREPLACE INSERTS
HOODS (comet ,d4
FURNACES
RANGES
T_ GAS LOG SETS
REFRIG. SYSTEMS
LAV.S pwhroom sink.)
RAINWATER SYST
SHOWERS
SINKS
URINALS
VACUUM BREAKERS
WATER CLOSETS Troneq
WASHING MACHINES
MISC (Describe)
I certify under penalty of perjury that the information furnished by me is 'true and correct to the best of-y 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 maybe 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 a part of
this application.
NAME /TITLE DATE
_l " y�
)Signature) (Title)
RELATIONSHIP TO PROJECT *Owner 6 _ g t ❑ Contractor ❑ Architect ❑ Other
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY ?.
o YES o NO .
BASIC PLAN?
o YES
a NO
ZONING DESIGNATION
CHANGE OF .USE?
q YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP /SEPA /SU?
o YES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
d YES
o NO
Bulletin #100 —April 2, 2007 . Page 2 of MHandoutAPermit Application
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIALANDUSTRIAL SERVICE
C1 Single Family. Square Feet
Service or Feeder Each Add'n
(First 1300 ft2- '$111.00; Each add'n 500 W- $35:50)
❑ 0 to 100 amp $120.50 $ 74.00
❑ Detached outbuilding or garage
❑ 101 - 200 amp 149.50 94.50
(Inspected with service) $47:00
❑ 201 - 400• amp 280.00 111.00
❑ Detached outbuilding or garage
❑ 401 - 600 amp '327.00 131.00
(Inspected separately) $74.00
❑ 601- 800 amp 423.00 179.00
❑ 801 - 1000 amp 516.50. 216.00
NEW MULTI- FAMILY (three units-or more)
❑ Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $ 35.50
❑ Over 600 volts surcharge $94.50
❑ 201 - 400 amp 149.50 74.00
❑ Mast or meter repair $102.00
0 401.- 600 amp 205.00 102.00
❑ 601 - 800 amp 262,00 140.50
ALTERED COMMERCIAL %INDUSTRIAL
❑ Over 800 amp 375.50 280.50
Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE /MULTI FAMILY
❑ 201 - 600 amp 280.50
Service or Feeder
❑ 601 - 1000 amp 423.00
❑ 0 to 200 amp $ 92.50
❑ over 1000 amp 471.00
❑ 201 - 600 amp 149.50
❑,/over.
❑ # of circuits to be added /altered
600 amp 225.50
(1 -5 circuits - $94.59; Addb circuits, $7.00 /ea)
U # of circuits to be added /altered •- 4L,w
COMMERCIAL /INDUSTRIAL. PLAN REVIEW
(1- 4.circuits- $74.00; Add'n circuits $7.00 /ea) f v'e
$94.50 plus 35% of Permit Fee
,,�
❑
❑ Service - 1,000 amps or greater
Mast or meter repair $55.00
❑ Medical /Educatignal /Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE.HOME /RV PARK
ResidentialfMulti- Family $65.00
❑ #.of service or feeders
(First service /feeder - $74.00; each add n - $48.00)
CommerciaWndustrial Service or Feeder Ampacity
❑ 0 - 100 amps $ 74.00
❑ 101 - 200 amps 94.50
0 201 - 400 amps 111.00
❑ 401 - 600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE /EQUIPMENT
❑ # of Thermostats
❑ # of Signs
(First - $55.00; add'n- $17.00 /ea)
(First sign- $55.00; add'n sign $26.00 /ea)
❑ Low Voltage
❑ Swimming pool /hot tub ................ $111.00
Square Feet to be served by systems)
(Includes additional circuit, if required)
❑ Fire Alarm System
(TYard Pole meter loops ..................... $74.00
❑ Security Alarm System
13 voice Cabling
❑ Additional Plan Review $111.00 /hour
❑. Data Cabling
(for modified submittals)
11
Fee on all Permits .. $5.00
1.1 2500 ft2- $65.00;
Each add'n.2500 f12- •17.00) Per WAC 296- 46- 91015)fb)li 9 ii)
Bulletin #100- April 2, 2007 Page 3 of 4 k \Handouts\Permit Application