08-101704City of Federal Way
Electrical trical Permit 0 08- 101704 =E L
Community Development Services
L' ec -00
P.O. Box 9718
Federal Way, WA 98063 - 9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Inspection Reques 5 -3050
Project Name: JENSEN
Project Address: 1266 SW 304TH ST
Pare u 0 0375
Project Description: Replacement of 200A panel to include transfer switch
Owner
Applicant tractor
JEFF JENSEN
JEFF JENSEN JEF NSEN
1266 SW 304TH ST
1266 SW 304T11 ST 1 66S TH ST
FEDERAL WAY WA
FEDERAL WAK WA E AY WA
98023 -3417
'I
Service greater than 1000 Amps ......... ...........I
Alt. Serv./F der: 0 to 200 amr)%sbbb..
Owner
98023 -3 23 -3417
ermit In n
.trio fixtures
h
MW
EXPIRES
ssued on VY
THIS CARD IS T EMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 101704 -00 -EL
Owner: JEFF JENSEN.
Address: 1266 SW 304TH ST
FEDERAL WAY, WA 98023 -3417
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.
0 UFER Ground (4295)
Approved
By Date
[]
Ditch cover (4030)
Approved
By
Date
Slab /Concrete Floor (4255)
Approved to place concrete
By Date
Q.
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
IL
By
Date
By
Date
Final - Electrical (4055)
Approved
By
Date % �6
For inspector
❑ Rough Electrical
Approved
By Date
reference
❑ FINAL - Electrical
Approved
By Date
CITY or REC � � -4641-
�' R M I T SF MF CO ME L DE EN FP
COYANM7Y DEVELOPMENT SBRV/C8S
3337 SOUTH • BOX 9718 APR o 9 FED RAL WA Y, 98063 .9718
7S3435-1607• FAX 20- 835.4609 APPLICATION
Uww,CRw&k*mi`6L676ry OF
The follouringr is required op"goh =' �n A Iete aPP lication will not be accepted. Please print legibly ({n in J or
type.
SITE ADDRESS �' �i --30 Y,44 . ie SUITE /UNIT i
ASSESSOR'S TAX /PARCEL it _ _ _ _ , - _ _ LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Maly. --te PWf-i VOWtvddewtp oN
PROJECT •• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION �OLECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul
Zoo 7,--j4c r S�,✓�
PROJECT NAME (Name of Business or Owner Last Name) fr'^?.5��' "7
PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
NAME
•�,sr�
PRIMARY PHONE
(2.,53) 9z, i - /6 7 f
MAILING.
t f�
CITY. ST F� �
E-MAIL ADDRESS
� � �S �� �� ✓ .,
FAX NUMBER
COMPANY NAME
UCANT NAME
OFFICE PHONE
( -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S RE0I8TRATION NUMBER LBPIRATION DATE
E-MAIL ADDRESS
COMPANY NAME
�
APPLICANT NAME
OFFICE PHONE
CITY, STATE, ZIP
PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
.54/309'
"
z.S3 97-1 -
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
( -
PROJECT NAME PRIMARY PHONE E•MAILADDRESS
CONTACT - 1
LENDER
EXISTING USE
NAME
Per RCIV 19.27.096:
Lender tq/ortnadon is required if project value exceeds 05,000
MAILINO ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
3 . FT.
PROPOSED
3 . FT.
TOTAL
SO. FT.
BASEMENT
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
FIRST
FIREPLACE INSERTS
HOODS (comuwc1 q
COMPRESSORS
SECOND
RANGES '
DUCTS
GAS LOG SETS
THIRD
a YES a 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
nMaa
raorosra
TOTAL
TOTAL ruamtofir
ror¢rsoroessar
TOTAL AT
"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.
Value of Mechanical Work $
to COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATl011n
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (comuwc1 q
COMPRESSORS
FURNACES
RANGES '
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS (orTab /S- .Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
LAVS (Bathroom sh*4
URINALS MISC (Describe)
RAINWATER SYST
VACUUM BREAKERS
SHOWERS
WATER CLOSETS froneq
SINKS
WASHING MACHINES .
SUMPS
o NO
I eerft under penalty of peyurV that I am the property owner or authorised agent of the property owner. I
knowledge, the Wormation submitted in support of this permit application is true and correct I ce cl coo that to all best c my
City of Federal Way regulations pertaining to the work authorised rder that I wall he comply ante all applicable
perta tug by the issuance q f a permlk I understand that the Issuance of this permit
does not remove the owner's rosponsibilitg for compliance with beat, state, or federal laws regulating construction or environmental laws.
I further agree to hold harmless the City of federal Way as to any elatm (including costs, expenses, and attorneys' fees incurred in the
investigation and defense of such claim), which may be made by any person, including the undondgned, and fated 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 a part of this application.
SIGNATURE:''/ �-;_. DATE�j
a NEW o 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 k\11andout0ermit Application
RESIDENTIAL
COMMERCIAL
IAL SERVICE
NEW COMMERCIALMMUSTRIAL 8ERVICE
;"Singl mily Squ are Feet 130
Service or Feeder Each Add'n
(First 1300 ft2- $115.50; Each add'n 500 ft2 - $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
13 801 - 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
L] 601 - 1000 amp 439.00
Service or Feeder
0 to 200 amp $ 96.00 j
❑over 1000 amp 489.00
/�/
❑ 201 - 600 amp 155.50 Y I.,It �,� c ►
❑ over 600 amp 234.00 ,
J�
❑ # of circuits to be added /altered
(1 -5 circuits - $98.00; Addh circuits, $7.50 /ea)
❑ # of circuits to be added altered I
COMMERCIAL /INDUSTRIAL PLAN REVIEW
(1 -4 circuits - $76.50; Add'n circuits $7.50 /ea) 1- V
$98.00 plus 350/o 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
ResWentla 1/Muiti- Famiiy $67.50
❑ # of service or feeders
(First service/ feeder - $76.50; each add'n 450.00)
CommereiaWndustriaf Service or Feeder Ampacity
❑ 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
❑ Additional Man Review $115.00 /hour
❑ Voice Cabling
❑ Data Cabling
(for modified submittals)
❑ Automation Fee on all Permits .. $5.50
1K 2500 R2- $67.50;
Each add% 2500 ft2 - $17.50) • Per WAC 29646.910(5Nb# & H)
Bulletin #100 - January 1, 2008 Page 3 of 4 MandoutsTermit Application