08-105034City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
0. Electrical
Permit #: 08- 105034 -00 -EL
Inspection Request Line: (253) 835 -3050
Project Name: HELM
Project Address: 31401 7TH PL SW Parcel Number: 731640 0010
L.�:,�
Project Description: Relocate panel from outside to the insile, a`fso : AAffing (2) GFI recepticles (2 circuits).
caner
Applicant
Contractor
LINDA HELM
FULLER ELECTRIC (ELECTRICAL)
FULLER ELECTRIC (ELECTRICAL)
31401 7TH PL SW
37107 12TH AVE S
FULLEEI027BK 1/12/10
FEDERAL WAY WA 98023 -4623
FEDERAL WAY WA 98003
37107 12TH AVE S
FEDERAL WAY WA 98003
Alt. Sera /Feeder: 0 to 200 amps (f 1
PERMIT EXPIRES Friday, October 23,
I hereby certify that the above informi
the occupancv'and the use will be in
the City of Federal Way. - Ajg� Owner or agent:
6�,, /`�'`'
its
he above described property and
ions of the State of Washington'
Date: / O -v23 -o,C>
THIS CARD IS TO REMAIN ON -SITE - -
CITY OF *OMMu'nity DevelopHat Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 105034 -00 -EL
Owner: LINDA HELM
Address: 31401 7TH PL 'SW
FEDERAL WAY, WA 98023 -4623
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 inspect reference only
fit r ref -
D Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
CM, OF ECEIV&D _ o
QDYIIU""TDBYBLOPMBNT38Rx PERMIT 6 SF MF CO ME PL DE _EN FP
333 2S 8►� AVBNUB SOU1!! • P� �XT 2 � �� 0 �
53.835L L07- WA 88063.9918 A P P LI C AT I O N
253 -835 -2609• FAX 253. 835 -2609
FEDERAL WAY
The fotl0u*W is requireCo nation -an incomplete application wits not be accepted. Please Print kglbiy (in ink) or type.
Q/ PROPERTY INFORMATION
SITE ADDRESS l y O l % 4 (mac C e sLeJ SUITE /UNIT #
ASSESSOR'S TAX /PARCEL ik `� �h LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) W"�"' ,1 _ ���e IR-L—e- A'04
r .._ _
I PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL -
❑ DEMOLITION KIELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work inchtded on this hermit onlu►
jX o v-e.. P&,et Fro w. i & 5;c(e . po o ,_,4S ,dl p 0 d �9'rnP
14
PROJECT Ounw Last ' V
PEOPLE INFORIIIATION
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
PRIMARY PHONE
MAILING ADDRESS
3 I'M ( 7 f-"- Yl a c e Sw
CITY, STATE, ZI
e�(eru� Cv G✓fi 9pe.23
E-MAIL ADDRESS
I
ia-77 � � ll�
OFFICE
�.Uj) PHONE / -7 /dP/
MAILING ADDRESS
3910'? / 2i'" f vr- S a
7rc[�a.C� GJa, LJg %/w3
,2v4 ) PHONE -839Y
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
17-13 -•/0 3 X y --006
EXPIRATION DA
12/3/7200 ''
FAX NUMBER
W3 ) 66 i - &1Ys�
CONTRACTOR18 REOUrMATION NOlIBER
ruj(e&oz-761-,-
ZXPMTION DATE
/- /L -d0/2
E-MAIL ADDRESS
I �k/ /�Qflo.(Co
COMPANY NAME
APPLICANT NAME
OFFICE NONE
MAILINO ADDRESS
CITY, STATE, ZIP
CELL PHONE
-
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
( ) -
NAME PRIMARY PHONE E-MAIL ADDRESS
NAME ®�
Per RCW 19.27.095:
-ZomAtw info--Non is required ( f projmt value =weds 05,000
MAILIN DRESS
C17Y, ST up
PHONE
EXISTING ASSESSED /APPRAISED VALUE $
SPRINIKLERED BUILDING? ❑ YES ❑ NO FIRE
WATER SERVICjg PROVIDER ❑ LAKEHAVEN ❑
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑
USE
OF PROPOSED WORK $
❑ TACOMA ❑ PRIVATE (WELL)
13 PRIVATE ISEPTICI
❑ YES ❑ NO
AREA DESCRIPTION
EXISTING
8 . FT.
PROPOSED
SQ. FT.
TOTAL
S . FT.
BASEMENT
GAS WATER HEATERS MISC (Describe)
BOARS'
FIREPLACE INSERTS
FIRST
COMPRESSORS
FURNACES
RANGES
SECOND
OAS LOG SETS
REFRIG. SYSTEMS
o NO
THIRD
a YES a NO
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
o NO
PLATTED LOT?
a YES a NO
DECK (❑ COVERED OR ❑ UNCOVERED ?)
DEMO PERMIT MUZI ED?
o YES
a NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
smrua
rsorosso
corm
IWAL ceamev ar
TWAL moroasn sr
Toren err
**NEW HOMES ONLY"` NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate. number of each type of future to be installed or relocated as part of this project. Do not include existing fvdums to remain.
aIUKYAffiCAL
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOARS'
FIREPLACE INSERTS
HOODS tcosiAmdq
COMPRESSORS
FURNACES
RANGES
DUCTS.
OAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS (arTub /-Camber) LAVS pkdva atdo
DISHWASHERS RAINWATER SYST
DRINKING FOUNTAINS SHOWERS
ELECTRIC WATER HEATERS SINKS
HOSE BIBBS SUMPS,
URINALS MISC (Describe)
VACUUM BREAKERS
WATER CLOSETS ireuA
WASHING MACHINES .
I cer ft under penalty of perjury that I am this property owner or authorised agent qj the property owner. I certVy that to the best q f my
knowledge, the b}formation submitted in support of this permit application is true and correct I cerl(N that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorised by the issuance q f 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 di fsnse of such claim), which may be made by any person, including the undersigned, and Plod against the city, but only
where such claim arises out of the reliance of qw city, including its officers and employees, upon the accuracy of the information supplied to
the city as apart of this ap PUAation.
SIGNATURE-
Authorized
1 -0 �6
o NEW a ADDITION
o ALTERATION
a REPAIR q TENANT EM PROVFJIM
BUILDEW SHELL ONLY?
a YES a NO
BASIC PLAN?
o.YES
6110
ZONING DESIGNATION
CHANGE OF USE?
a YES
o NO
NEW ADDRESS REQUIRED?
a YES a NO
UP /SEPA /SU?
o YES
o NO
PLATTED LOT?
a YES a NO
DEMO PERMIT MUZI ED?
o YES
a NO
Bulletin #100 — January 1, 2008 Page 2 of 4 MHandoutsTernnit Application
,i
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/Imusn IAL SERVICE
❑ Single Family Square Feet
Add
Service or Feeder Eacl t 'n
(First 1300 ft2- $115.50; Each add4r 500 fl.2 - $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 MIILTI- 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
ALTERED COMMERCIAL / INDUSTRIAL
❑ 601 - 800 amp 272.00 145.50
❑ 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
❑ 601 - 1000 amp 439.00
VI'DService or Feeder
❑ over 1000 amp 489.00
to 200 amp $ 96.00
❑ 201 - 600 amp 155.50
❑ # of circuits to be added /altered
❑ over 600 amp 234.00
(1 -5 circuits - $98.00; Add'n circuits, $7.50 /ea)
❑ # of circuits to be added /altered
COMMERCIAL /INDUSTRIAL PLAN REVIEW
$98.00 plus 35% of Permit Fee
(1-4 circuits - $76.50; Addh circuits $7.50 /ea)
❑ 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
AMILE HOME /RV PARR
Resident1aVMu1ti -Fam{bj $67.50
❑ # of service or feeders
(First service /feeder-$76.50; each addh -$50.00)
Commerciat4ndustrial Service or Feeder Anrpaeity
❑ 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; addn- $17.50 /ea)
(First sign - $57.50; addh 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
❑ Additional Plan Review $115.00 /hour
❑ Voice Cabling
❑ Data Cabling
(for modified submittals)
❑ Automation Fee on all Permits .. $5.50
❑
s ,.
In 2500 ft 2-$67.50;
Each addb 2500 ft2 - $17.50) • Per WAC 296.46.910(5((b)p & 61
Bulletin #100 - January 1, 2008 Page 3 of 4 k\Iandouts\Pelmit Application