08-103165City of ea y � Electrical Permit A8-103165-00 -EL
' "CoMnSunity Dee velopment pment Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: NGO
Project Address: 33024 47TH AVE SW Parcel Number: 189890 0130
Project Description: Reattaching meter base to wall
Owner
Applicant
Contractor
SHELLY NGO
L & D ELECTRIC
L & D ELECTRIC
33024 47TH AVE SW
757 116TH ST S
LDELE * *055ME (2/5/09)
FEDERAL WAY WA 980 230
TACOMA WA 98444
757 116TH ST S
TACOMA WA 98444
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• THIS CARD IS TJWMAIN ON -SITE
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 103165 -00 -EL
Owner: SHELLY NGO
Address: 33024 47TH AVE SW
FEDERAL WAY, WA
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
❑
❑
0 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 g> -.Cn'
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
CUT OF A RECEI E #2- D3 6—"
Fedi vty 3 5
COMMUNITY DEVELOPMENT SERVICES RM IT y� SF MF CO MEO PL DE EN FP
933158ERALW AVENUE SOUTH • 63971 9718 JUL 01 APPLICATION
53435 -L WAY, WA 980.75.26 8 U
?53495- ?607• FAX Y59d36.2609
OF FEDERAL WAY
The following is required inf'IC5Son -an incomplete application will not be accepted. Please print legibly (in inP4 or type.
PROPERTY • •
SITE ADDRESS - 0c;t 9 Y-2
At-SUITE/UNIT i
ASSESSOR'S TAX /PARCEL 9 , _ _ _ _ - _ , _ _ LOT SIZE (si
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
■ PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION Ck ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
DESCRIPTION (Provide detailed description of work included on this permit onlul
1AC-k-,
PROJECT NAME (Name of Business or Owner Last Namel , A•
PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME,
kc L-L f "A e3c,
PRIMARY PHONE
s3 ) . S-D - <0 SG,
MAILING ADDRESS L
ZV 4) . ue—
77,i'.S ATE, ZIP
kC -, L_ L\!A Ott
E -MAIL ADDRE33
,COMPANY NAM�Er
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
) f - (,zoo
MAILING ADDRESS _
5 ( (1�.T I.
CITY, STATE, ZIP ,
/fill:. y1 1._�.Q /�L�
CELL PHONE
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EMRATION DATE
FAX NUMBER
CONTRACTOR•6 IMISTRATION NUMBER
Z"IRATION DATE
EMAIL ADDRESS
C,6C -x 0 � m
/o5- / 01,
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
E ) -
NAME PRIMARY PHONE EMAIL ADDRESS
NAME
Per RCW 19.27.095.
Lender ir{formation is required 1{f project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? ❑ YES O NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? O YES o NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTICI
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
SO. FT.
TOTAL
S . FT.
BASEMENT
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
FIRST
FANS
(SAS WATER HEATERS MISC (Describe)
BOILERS
SECOND
HOODSIcommsrd.q
COMPRESSORS
FURNACES
THIRD
DUCTS.
GAS LOG SETS
REFRIG. SYSTEMS
ADDITIONAL FLOORS (DESCRIBE)
o NO
PLATTED LOT?
o YES a NO
DECK (❑ COVERED OR ❑ UNCOVERED?)
DEMO PERMIT REQUIRED?
o YES
ONO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
t�usrnru
TRO�ObLD
TWAL
rorecsaZrn=sr
MALveorex=ar
ramcsr
"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.
AWCHAMCAL
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
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
(SAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODSIcommsrd.q
COMPRESSORS
FURNACES
RANGES '
DUCTS.
GAS LOG SETS
REFRIG. SYSTEMS
PLi JWAVG
BATHTUBS (or Tub /shower com" LAVS (Bathmm sbao URINALS MISC (Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS troneq
ELECTRIC WATER HEATERS SINKS WASHING MACHINES.
HOSE BIBBS SUMPS
I cwt(& under penaiW of psilwT that I am the property owner or authorised agint of the property owner. I cert(& that to the best of my
knowledge, the Warmation submitted in support of this permit application is true and correct I cartUk that I will comply with all applicable
City of l7ederai 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 ownses responsibility for compliance with local, state, or federal laws regulating construction or environmental laws.
I further agree to hold harmless the City of Aderai Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and defense of such claiN, which may be made by any person, including the undersigned, and filed against the city, but only
where such claim arisgsopt of the reliance of the city, including its ofjleers and employees, upon the accuracy of the information supplied to
the city as apart ofpiication.
DATE 7—,/
O
o NEW a ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES ONO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES a NO
UP /SEPA /SU?
o YES
o NO
PLATTED LOT?
o YES a NO
DEMO PERMIT REQUIRED?
o YES
ONO
Bulletin #100 — January 1, 2008 Page 2 of 4 k\Handouts\Permit Application
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIALIINDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2- $115.50; Each addh 500 W - $37.001
❑ 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
❑ 601 - 1000 amp 439.00
Service or Feeder
❑ 0 to 200 amp $ 96.00
❑ over 1000 amp 489.00
❑ 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
(1 -4 circuits - $76.50; Add'n circuits $7.50 /ea)
$98.00 plus 35% of Permit Fee
Mast or meter repair $57.50
❑ Service - 1,000 amps or greater
❑
Medical /Educational /Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ Service and feeder $125.50
TEMPORARY SERVICE
MOBILE HOME /RV PARK
Residentfal,/1lfultf- Family/ $67.50
❑ # of service or feeders
(First service/ feeder - $76.50; each add'n - $50.00)
CommerciaWndustrial Service or Feeder Anq aeifly
❑ 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; 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)
13
❑ Automation Fee on all Permits .. $5.50
la 2500 M- $67.50;
Each addh 2500 ft2 - $17.50) -Per WAC 296.46.910(SOAI a ii)
Bulletin #100 - January 1, 2008 Page 3 of 4 k\HandoutsTennit Application