09-100337 Electrical
City of Federal Way
CommunityDevelopment Services #:
.o.Box 9718r,-9,--11Permit - 0337-00-EL
Federal Way,WA 98063-9718
E
Ph:(253)835-2607 Fax.(253)835-2609 ' Inspection Request Line: (253)835-3050
Project Name: WILSON
Project Address: 29826 4TH AVE SW Parcel Number: 720500 0200
Project Description: Replace 125amp service panel with a new 200amp service panel and breakers.Replacing
mast also.
Owner Applicant Contractor
ANTHONY WILSON ANTHONY WILSON OWNER IS CONTRACTOR
29826 4TH AVE SW 29826 4TH AVE SW
FEDERAL WAY WA 98023-3513 FEDERAL WAY WA 98023-3513
•
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Alt. Serv.IFeeder:• 0 to 200 amps(F 1 Mast or Meter Repair(Residential 1
PERMIT EXPIRES Tuesday, January 26, 2010
Permit Issued on Monday, January 26, 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 regulations of the State of Washington
and the ,ii of Federal Way.
Owner or agent: 447 C �� ��j, Date: 2(Ar
THIS CARD IS TO REMAIN ON-SITE , ,
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-100337-00-EL
Owner: ANTHONY WILSON
Address: 29826 4TH AVE SW
FEDERAL WAY, WA 98023-3513
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
0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
By Date
•
•
For inspector reference only
_
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
E I
an. - _00
F' lW'ay3AN 2 6 200 PERMIT ';t1>a°
COMA Wff DBV=PMENT SERVICES
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The following is required information -an incomplete application will not be accepted Please print legibly (in inkJ or type.
PROPERTY
• •) • INFORMATION
ei. • . •
SITE ADDRES <9 - ye s FjPd
(jea:e �� it112 SUITE /UNIT /
ASSESSOR'S TAX /PARCEL 0 Z Q U - Q a Cj LOT SIZE (sn I d/ t7 9
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) 94r,rl Zt d i 4 acs. d S b 4' c k Z. T u
(neQon sep—ty Pawlbr kVOW Ie•d d"a pdaN
PROJECT •• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
—
❑ DEMOLITION .L`ECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul 'r
! XIS(dre Zo-sco ltNtAtr �becc.luk 04" -Iel 02-la-102) LJ(A k-e4j
h a% lu, Le X 1. 6 I-eaAf I.S. an::%. j e-x" a.s k
PROJECT NAME (Name of Business or Owner Lost Name) 1,5-0 11
PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
NAME
A -E'�t o'Lr
W1� Sd h
OFFICE PHONE
( 1 -
PRIMARY PHONE
(P;3 1 S3
MAILINU ADDRESS
CELL PHONE
CITY STATE, Z
E -MAIL ADDRESS
COMPANY NAME
a re
APPLICANT NAME
OFFICE PHONE
( 1 -
MAILINO ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S RE0I877ATION NUMBER EXPIRATION DATE
E-MAIL ADDRESS
COMPANY NAME
AP CA7 NAME
OFFICE PHONE _
MARdNO ADDRESS
CITY, STATE,
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
( _
1 NAME . II // PRIMARY PHONE E-MAIL ADDRESS
H W I(Sdy I1cS $3 - 0.1 ?6 40115sh.4- @ wilt
NAME
Per RCW 19.57.095.
Lender information is required i f project value exceeds $5,000
MAILING ADDRE33
CITY, STATE, ZIP
PHONE
EXISTING USE y 014,teJ PROPOSED USE d e
EXISTING ASSESSED /APPRAISED VALUE $ X�102 , OVZJ VALUE OF PROPOSED WORK $--16 Gp
SPRINKLERED BUILDING? ❑ YES A O FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES Moto.
WATER SERVICJ: PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 11 HIGHLINE 0 PRIVATE SEPTIC)
AREA DESCRIPTION
FMSTINO
S . FT.
PROPOSED
8 . FT.
TOTAL
8 . FT.
BASEMENT
DYES a NO
BASIC PLAN?
FIRST
o NO
ZONING DESIGNATION
SECOND
CHANGE OF USE?
a YES
a NO
THIRD
a YES o NO
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
a NO
PLATTED LOT?
a YES a NO
DECK (❑ COVERED OR ❑ UNCOVERED ?)
DEMO PERMIT REQUIRED?
a YES
a NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
t osrsre
mOeO6sD
Mu'
MAL X081010 eJ
MAL Faarosea sF
MAL sr
**NEW HOMES ONLY*" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing futures 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 (or75,b /3h.W.C...W)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
OAS LOG SETS
I.AVS (sa hmm sh*4
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GAS PIPE OUTLETS
(SAS WATER HEATERS
HOODS (commo,dq
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS (Tosoq
WASHING MACHINES .
WOODSTOVES
MISC (Describe)
MISC (Describe)
I cart{ fy under penalty of perjury that I am the property owner or authorised agent of the property owner. I cer ft that to the best of my
knowledge, the hWormation submitted in support of this permit application is true and correct. I certvm that I will comply 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
doss not remove the owner's responsibilitg 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 di fmse of such claim), which may be made by any person, including the undersigned, and filed against the city, but only
when such claim arises out of the reliance of the city, including its o fieers and employees, upon the accuracy of the information supplied to
the city as a part of this applicption. f
SIGNATURE:
/2 <0
a NEW a ADDITION
a ALTERATION
a REPAIR a• TENANT IMPROVEMENT
BUILDING SBELL ONLY?
DYES a NO
BASIC PLAN?
o. YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
a NO
NEW ADDRESS REQUIRED?
a YES o 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 k\HandoutslPermit Application
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL /INDUSTRIAL 8ERVICE
❑ Single Family Square Feet
Service or Feeder Rach Add"n
(First 1300 ft2- $115.50; Each add'n 500 W - $37.00)
❑ 0 to 100 amp $125.50 $ 76.50
❑ Detached outbuilding or garage
❑ 101- 200 amp 155.50 98.00
.(Inspected with service) $48.50
❑ 201- 400 amp 291.00 115.00
❑ Detached outbuilding or garage
❑ 401 - 600 amp 339.50 136.00
(Inspected separately) $76.50
❑ 601 - 800 amp 439.00 186.00
❑ 801 - 1000 amp 536.50 224.50
NEW MULTI- FAMILY (three units or more)
❑ Over 1000 amp 584.50 311.50
Service Feeder
❑ Up to 200 amp $125.50 $ 37.00
❑ Over 600 volts surcharge $98.00
❑ 201 - 400 amp 155.50 76.50
❑ Mast or meter repair $106.00
❑ 401 - 600 amp 212.50 106.00
❑ 601 - 800 amp 272.00 145.50
ALTERED COMMERCIAL /INDUSTRIAL
❑ Over 800 amp 389:50 291.00
Service or Feeders
❑ 0 to 200 amp $125.50
ALTERED SINGLE /MULTI FAMILY
❑ 201 - 600 amp 291.00
Service or Feeder
El 601 - 1000 amp 439.00
�,�
lL� 0 to 200 amp $ 96.00
❑over 1000 amp 489.00
❑ 201 - 600 amp 155.50
❑ over 600 amp 234.00
❑ # of circuits to be added /altered
(1 -5 circuits - $98.00; Add'n circuits, $7.50 /ea)
❑ # of circuits to be added /altered
COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1 -4 circuits - $76.50; Add'n circuits $7.50 /ea)
$98.00 plus 350/6 of Permit Fee
❑ Service - 1,000 amps or greater
Mast or meter repair $57.50
❑ Medical /Educational /Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ Service and feeder $125.50
TEMPORARY SERVICE
MOBILE HOME /RV PARK
❑
ResidentiaVMulti- Family $67.50
# of service or feeders
(First service /feeder - $76.50; each addh - $50.00)
Commereiat4ndustrial Service or Feeder Arnpaeity
❑ 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
❑ # of Signs
(First - $57.50; add'n- $17.50 /ea)
(First sign- $57.50; add"n sign $27.00 /ea)
❑ Low Voltage
❑ Swimming pool /hot tub ................ $115.00
Square Feet to be served by system(s)
(Includes additional circuit, if required)
❑ Fire Alarm system
❑ Yard Pole meter loops ..................... $76.50
❑ Security Alarm System
❑ Voice Cabling
❑ Additional Plan Review $115.00 /hour
❑ Data Cabling
(for modified submittals)
(3
❑ Automation Fee on all Permits .. $5.50
114 2500 ft2- $67.50;
Each add% 2500 ft 2- $17.50) • Per wAC 296.46- 910(5)(ry)# a 6)
Bulletin #100 - January 1, 2008 Page 3 of 4 Wiandouts\Pemrit Application