08-102691` a
City 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: COLEMAN
Project Address: 1725 S 376TH ST
Project Description:
Owner
ROBERT S & CATHERINE L COLEMAN
1725 S 376TH ST
FEDERAL WAY WA 98003
Service greater than 1000 Amps ?............... No
use will be in
Owner
f
Electrical Permi : 08- 102691 -00 '-EL
Inspection Request Line: (253) 835 -3050
I arce tuber:
I
Applicant XO!P ra ctor � ELK PLAIN ELECTRIC C PLAIN TTj� 31724 39TH E E ELLPE959P 4107)
EATONVILLE 98328 24 39TH VE E
,l�t�VILLE WA 98328
it Infd%?!["15n Ok I
lures 4\�
rday, November 29,
and the City of Federal Way.
0770
THIS CARD IS T f MAIN ON -SITE
cl OF Community Develop t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 102691 -00 -EL
Owner: ROBERT S & CATHERINE L COLEMAN
Address: 1725 S 376TH ST
FEDERAL WAY, WA 98003
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)
Approved
By Date
❑ Ditch cover (4030)
Approved
By Date
❑ Slab /Concrete Floor (4255)
Approved to place concrete
By Date
❑
❑
Pool Bonding (4195)
Approved
❑
Temporary Power (4275)
❑
❑
Service (4235)
Approved
By("
. oe�a)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
Feeders /Sub - panels (4045)
Approved
By
Date
❑
Final - Electrical (4055)
Approved
By("
. oe�a)
❑ Rough Electrical (4225)
Approved
By Date 3
❑ Ceiling Cover (4020)
Approved
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
CRT ffA
U DIVE PERMIT
comet /m" s SF MF CO ME (:& PL DE EN FP
33325 8m AV8NU8 SOUTH • PO BOX 9718
FSDBRALWAY, WA 980Qj 9yaq O zn-
453.835 -2607• FAX253.8. U x. APPLICATION
round.d1&affhdembmu, A r C—' -
ThetwfopjnsCn7efg@AMP Vn incomplete application will not be accepted. Please print legibly (in inkj or type.
PROPERTY • •
SITE ADDRESS _/ 7 374 r" S T
RftiTiE /ftNiT e
ASSESSOR'S TAX /PARCEL 9 � � � 2 D _ —1-70
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
■ PROJECT INFORMATION
LOT SIZE (sn
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
Q DEMOLITION (ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlui
1
PROJECT NAME (Name of Business or Owner Last Name) �� L.
PEOPLE • •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
pole,-+ Co I*- r�nJ
PRIMARY PHONE
) _
MAiLIN(} ADDRESS
)7 ,?-,5- 376" Sr
CITY, STATE, ZIP
&dA (.1,4 97&,x,3
E -MAIL ADD S
COMPANY NAME
caL-k- PL"1-14V
APP' j�""T NAME
OFFICE PHONE
MAILING ADDRESS
3/7�Z mle
CITY. STATE, ZIP
E4 -1-70iv✓j4- WP M
CELL PHONE
CITY OF FEDERAL WAY BUSINE39 LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
CONTRACTOR18 REOISTRATION NUMBER.
EXPIRATION DATE
E-MAIL ADDRESS
;& e A-Pa- 9S 7 ,Pr,
/0 / 0?
Fee Pl:)irv�as � c F�J
COMPANY NAME
APPLICANT NAME
OFFICE PHONB ALdrm 11-1
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
PAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
( ) -
NAME PRIMARY PHONE E- - LADDRESS
V, G �s � 9—j— a, 6 — --U g
NAME
Per RCW 19.27.096:
Lander if4/ormation is required {%project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES o NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES O NO
WATER SERVIC)& PROVIDER ❑ LAKEHAVEN O HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 13 LAKEHAVEN 13 HIGHLINE ❑ PRIVATE (SEPTIC)
i , Lo"
AREA DESCRIPTION
BASEMENT
EXISTING
SO. FT.
PROPOSED
S . FT.
TOTAL
8 . FT.
FIRST
a YES a NO
BASIC PLAN?
SECOND
o NO
ZONING DESIGNATION
THIRD
CHANGE OF USE?
a YES
a NO
ADDITIONAL FLOORS (DESCRIBE)
a YES a NO
UP /SEPA /SU?
DECK (❑ COVERED OR ❑ UNCOVERED
a NO
PLATTED LOT?
a YES a NO
GARAGE ❑ CARPORT ❑
DEMO PERMIT REQUIRED?
a YES
a NO
NUMBER OF FLOORS
OHO
*sOrO�°
TOii°
t'w'"LSanMar
rorecrxororsasr
for asr
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SEIZING PRICE $
Indicate. number of earn type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS.
BATHTUBS IorT,,b /shmrarcomb,I
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS GAS PIPE OUTLETS
FANS GAS WATER HEATERS
FIREPLACE INSERTS
FURNACES
OAS LOO SETS
LAVS (gat."
RAINWATER SYST
SHOWERS
SINKS
SUMPS
HOODS (commrdq
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS (rosaq
WASHING MACHINES .
WOODSTOVES
MISC (Describe)
MISC (Describe)
I eert(/y under Penalty of perjury that l am the property owner or authorised agent of the property owns: I cort(jy that to the best of my
knowisdge, the in{fonmatton submitted in support Of this permit application is true and correct. I eert!Vk that I will oompk with all applicable
City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the issuance of this permit
does not remove the owner's responsibility 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 attorneys' 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
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 q f this application.
SIGNATURE:
a NEW a ADDITION
a ALTERATION
a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
a YES a NO
BASIC PLAN?
a.YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
a NO
NEW ADDRESS REQUIRED?
a YES a NO
UP /SEPA /SU?
o YES
a NO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED?
a YES
a NO
Bulletin #100 — January 1, 2008 Page 2 of 4 MandoutsTentlit Application
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ Single Family Square Feet
(First 1300 ft2- $115.50; Each add'n 500 ft' - $37.00)
❑ Detached outbuilding or garage
(Inspected with service) $48.50
❑ Detached outbuilding or garage
(Inspected separately) $76.50
NEW MUM - FAMMY
(three units or more)
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
Service or Feeder
❑ 0 to 200 amp $ 96.00
❑ 201 - 600 amp 155.50
❑ over *600 amp 234.00
�# of circuits to be added /altered
(1 -4 circuits - $76.50; Add% 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 Sadt Add%
❑ 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
❑ 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 COMMERCIAL/1111)USTRIAL
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)
COWERCIAL /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 Residentfaj/Muld- Fancily $67.50
❑ # of service or feeders
(First service /feeder-$76.50; each add n -$50.00) Comnterciat9ndustrial Service or Feeder Ainpaeity
❑ 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; add h- $17.50/ea)
❑ Low Voltage
Square Feet to be served by system(s)
❑ Fire Alarm System
❑ security Alarm system
❑ Voice Cabling
❑ Data Cabling
❑
let 2500 it2- $67.50;
Each add"n 2500 ftz - $17.50) *Per WAc 296-16A7o(Si(# & q
❑ # of Signs
(First sign457.50; add'n sign $27.00 /ea)
❑ Swimming pool /hot tub ................
(Includes additional circuit, if required)
❑ Yard Pole meter loops .....................
❑ Additional Plan Review
(for modified submittals)
❑ Automation Fee on all Permits ..
$115.00
$76.50
$115.00 /hour
$5.50
Bulletin #100 -January 1, 2008 Page 3 of 4 kWandoutsTertnit Application