08-101754City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: KACHMAN
Project Address: 30203 7TH AVE SW
Project Description: Install new 200 amp service
Electrical Permif#: 08- 101754 -00 -EL
Inspection Requ' ine: (2 35 -3050
NuIV 0560
10 r
Owner
Applicant
ontractor
THOMAS KACHMAN
THOMAS KACHMAN
THOMAS CHMAN
CLARA I KACHMAN
30203 7TH AVE SW
3 7T SW
30203 7TH AVE SW
FEDE L WAY WA
FAWRAL Y WA
FEDERAL WAY WA
9 -3920
3 -3920
98023 -3920
Service greater than 1000 Amps ?.......
Fixtures W1
0 THIS CARD IS T�MAIN ON- SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 101754 -00 -EL
Owner: THOMAS W KACHMAN
Address: 30203 7TH AVE SW
FEDERAL WAY, WA 98023 -3920
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.
❑ UFER Ground (4295)
❑
Ditch cover (4030)
❑
Slab /Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By Date
By
Date
By
Date
❑
❑
❑ Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
Approved
Approved
Approved
By Date
By
Date
By
Date
❑
❑
❑ Feeders /Sub - panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By Date
By
Date
By
Date
❑ Final - Electrical (4055)
- -.� Approved
By , Date
For inspector reference
O Rough Electrical O FINAL - Electrical
Approved Approved
By Date By Date
em or
kderal WfREC El\*- 1�ERMIT �1
CDYMUNII'Y DEVELOPMENT SERVICES �`;
3332S 818 WA i • PO BOX 9718 PR 1 24� P P LI C ATI 4 N
FEDERAL WAY, WA 98069.9718
253. 835 -2607• FAX 253- 835.7609
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SF MF CO M EL L DE EN FP
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Tha foilowilCX;sQ�tN d �A an incomplete application will not be accepted Please print lejibly (in into/ or type.
PROPERTY • •
SITE ADDRESS _a...� 0,2 (!) --S % -am /UNIT #
ASSESSOR'S TAX /PARCEL # .0 - LOT SIZE (s)?
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(A"°d`
PROJECT •• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION IN ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only
i0D cL�r k:2 dim
PROJECT NAME (Name of Business or Owner Last Namel s 1�cL
PEOPLE • •
/ PROPERTY
7 'OWNER
CONTRACTOR
" iAPPLICANT
4fROJECT
CONTACT
LENDER
EXISTING USE
NAME
PRIMARY PHONE
OFFICE PHONE -
MAILING ADDRESS
MAILING ADDRESS CITY, STATE, ZIP
E -MAIL ADDRESS
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
PAX NUMBER
COMPANY NAME
APPUCANT NAME
OFFICE PHONE -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
PAX NUMBER
OONTRACTOWS REGISTRATION NUMBER. & XPIRATION DATZ
E-MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
.STATE,
PHONE
MAIUNQ ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
(
NAME PRIMARY PHONE E-MAIL ADDRESS
NAME
per 19.27.096:
!T der ! ormation is required r e exceeds $5,000 '
LINO DREW
.STATE,
PHONE
EXISTING ASSESSED /APPRAISED VALUE $_
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICR PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
PROPOSED USE
VALUE OF PROPOSED WORK $
❑ IFGHLIKE ❑
13AIGHLINE ❑
PROPOSED /REQUIRED? ❑ YES a NO
❑ PRIVATE (WELL)
A DESCRIPTION
BASEMENT
EXISTING
3 . FT.
PROF6SED
. FT.
TOTAL
S . FT.
FIRST
WATER CLOSETS tr saq
SINKS
WASHING MACHINES
SECOND
d NO
ZONING DESIGNATION
THIRD
CHANGE OF USE?
a YES
a NO
ADDITIONAL FLOORS (DESCRIBE)
a YES a NO
UP /SEPA /SU?
DECK (O COVERED OR ❑ UNCOVERED ?)
a NO
PLATTED LOT?
a YES a NO
GARAGE 11 CARPORT O
DEMO PERIM REQUIRED?
o YES
a NO
NUMBER OF FLOORS`°
"�TOdfD
'n'"r
7O1AL�'87N° °'
}Ors' +u
rarscsr
"!NEW HOM NLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate. number of each
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS.
of fixture to be installed or relocated as part of this project Do not include existing fixtures to remain.
BATHTUBS (o ub/sh~com"
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
(4 COPY OF BID OR ESTIMATE MUIGAS INCLUDED WITH APPLICATION)
EVAPORATIVE COOLERS PIPE O UTL WOODSTOVES NS - HEATERS MISC (Describe)
FI CE jDiBER'FS HOODS Icommrdq
Fv' IjDik(. RANGES
----OAS LOG SETS REMO. SYSTEMS
LAVS (Bathroom stotq
URINALS MI SC (Describe)
RAINWATER SYST
VACUUM BREAKERS
SHOWERS
WATER CLOSETS tr saq
SINKS
WASHING MACHINES
SUMPS
d NO
I eer tVy under penalty of perjury that I am the prop" owner or authorized agent of the property owner. I certVy that to the best of my
knowledge, the L formation submitted in support of this permit application is true and correct I certt that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of a permit ! understand that the iseuanes W this permit
does not meow the owner's responsibiitty for compliance with local, state, or federal laws regulating construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attornoge fees incurred in the
investigation and defense of such claim), which may be made by any person, including the undersigned, and flied against the city, but only
when 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.
SIGNATURE:
DATE
a NEW a AbDPPION
a ALTERATION
a REPAIR a. TENANT IMPROVEMENT
BUILDING 8111" ONLY?
a YES a NO
BASIC PLAN?
a. YES
d NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
a NO
NEW ADDRESS REQUIRED?
a YES a NO
UP /SEPA /SU?
a YES
a NO
PLATTED LOT?
a YES a NO
DEMO PERIM REQUIRED?
o YES
a NO
Bulletin #100 - January 1, 2008 Page 2 of 4 Mandout0ermit Application
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ Single Family Square Feet
(First 1300 tt2- $115.50; Each addh 500 ft' - $37.00)
❑ Detached outbuilding or garage
(Inspected with service) $48.50
❑ Detached outbuilding or garage
(Inspected separately) $76.50
NEW MULTI- FAMILY (three units or more)
S-enw - or-l\eder
$ 96.00 ,
Service
Feeder
❑ Up to 200 amp
$ 125.50
$ 37.00
❑ 201 - 400 amp
155.50
76.50
❑ 401 - 600 amp
212.50
106.00
❑ 601 - 800 amp
272.00
145.50
❑ Over 800 amp
389:50
291.00
ALTERED SINGLE /MULTI FAMILY
❑ 0 to 200 amp
S-enw - or-l\eder
$ 96.00 ,
❑ 201 - 600 amp
155.50
❑ over 600 amp
234.00
❑ # of circuits to be added /altered
(1 -4 circuits - $76.50; Addb circuits $7.50 /ea)
❑ Mast or meter repair $57.50
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ Service and feeder $125.50
COMMERCIAL
NEW COMMERCIAL /INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ 0 to 100 amp $125.50 $ 76.50
❑ 101- 200 amp 155.50 98.00
❑ 201- 400 amp 291.00 115.00
❑ 401- 600 amp 339.50 136.00
❑ 601- 800 amp 439.00 186.00
13 801 - 1000 amp 536.50 224.50
❑ Over 1000 amp 584.50 311.50
❑ Over 600 volts surcharge $98.00
❑ Mast or meter repair $106.00
ALTERED COMMERCLAWIINDUSTRL�II.
Service or Feeders
❑ 0 to 200 amp $125.50
❑ 201 - 600 amp 291.00
❑ 601 - 1000 amp 439.00
❑ over 1000 amp 489.00
❑ # of circuits to be added /altered
(1 -5 circuits - $98.00; Add'n circuits, $7.50 /ea)
COMMERCIAL /INDUSTRIAL PLAN REVIEW
$98.00 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Medical /Educational /Institutional Facility
TEMPORARY SERVICE
MOBILE HOME /RV PARK ResidenttaVMuUi- Family $67.50
❑ # of service or feeders
(First service /feeder - $76.50; each addb - $50.00) CommereiaWndustrial Service or Feeder Ampaeity
❑ 0 - 100 amps $ 76.50
❑ 101- 200 amps 98.00
❑ 201- 400 amps 115.00
❑ 401- 600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE /EQUIPMENT
❑ # of Thermostats
(First - $57.50; adds- $17.50 /ea)
❑ Low Voltage
Square Feet to be served by system(s)
❑ Fire Alarm system
❑ Security Alarm System
❑ Voice Cabling
❑ Data Cabling
❑
11, 2500 ft2- $67.50;
Each addb 2500 ftl - $17.50) • Per WAC 296-46.9J0(5)(b)iP & it)
❑ # of Signs
(First sign- $57.50; addh sign $27.00 /ea)
❑ Swimming pool /hot tub ................ $115.00
(Includes additional circuit, if required)
❑ Yard Pole meter loops ..................... $76.50
❑ Additional Plan Review $115.00 /hour
(for modified submittals)
❑ Automation Fee on all Permits .. $5.50
Bulletin #100 -January 1, 2008 Page 3 of 4 M%knAjMNPermit AVpHC8fi=