07-105684City rif Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: BROWN
Project Address: 421 S 304TH ST
Electrical Permit #07'1 05-684 - -EL -
Inspection Request Line: (253) 835 -3050
r J L, -=�-3 L- Parcel Number: 232950 0040
Project Description: Changing service panel from 100A to 200A * ** *11/14/07 REVISED to include electrical for
hottub * * **
Owner
Applicant
Contractor
GREG BROWN
GREG BROWN
GREG BROWN
421 S 304TH ST
421 S 304TH ST
421 S 304TH ST
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Addi# anal permit Mformatioq -,
Owner or agent: A Al
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 08063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
f i
Electrical Permit *7-il 05684-00-EL
Inspection Request Line: (253) 835 -3050
Project Name: BROWNS
Project Address: 421 S 304TH ST
Project Description: Changing service panel from 100A to 200A
Parcel Number: 232950 0040
Owner
Applicant
Contractor
GREG BROWN
GREG BROWN
GREG BROWN
421 S 304TH ST
421 S 304TH ST
421 S 304TH ST
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
i?dlttona! Pe !t [ncaatl0►i
Service greater than 1000 Amps ? ...........................No
ti
Q
viii U
Alt. Serv./Feeder: 0 to 200 amps -1 1
THIS CARD IS T MAIN ON, -SITE -
CITY OF Community Develop ent Ins Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105684 -00 -EL
Owner: GREG BROWN
Address: 421 S 304TH ST
FEDERAL WAY, WA 98003 -4017
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.
❑ Slab /Concrete Floor (4255) ❑ Ditch cover (4030) ❑ Pool Bonding (4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power (4275) ❑ Service (4235) ❑ Feeders /Sub - panels (4045)
Approved Approved Approved
By Date B Date _ By Date
❑ Rough Electrical (4225) ❑ Ceiling Cover (4020) ❑ Final - Electrical (4055)
Approved Approved Approved
Date/ 45-- By Date— e— /�(6 By Date
❑ UFER Ground (4295)
Approved
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
RECEIV�'[1 �)
FederaIWay OCT z 5
ODYNUNIil'DBYEIAPi�B1Y7 20p7 PERMIT SF MF CO M I, PL DE EN PP
33325 dTM AVBflUE SOW • PO ��
20- d9�S?L607rAAX ?53-US -2669 ®vl�6 tp�R,�LI CATI O N
G p PT,
The following is required in formation - an incomplete application will not be accepted. please print, legibly (in ink) or type.
PROPERTY INFORMAT•
Ll
SITE ADDRESS _I r ► �y d^ �5' SUITE /UNIT' #
ASSESSOR'S TAR /PARCEL # 3 °� Cr - t O - v ( LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
■ PROJECT INFORMATION
TYPE OF PERMIT O BUILDING O PLUMBING . o MECHANICAL
o DEMOLITION A ELECTRICAL O ENGINEERING 13.F= PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit only)
PROJECT. NAME (Name of Business or Owner Last Namel
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
PEOPLE INFORMATION
NAME PRIMARY PHONE
C7(- t3Q1",V; o6 )JS 3 - 166 rr
MAILING ADD CITY, ATE, 21P E-MAIL ADDFESS
S.
3o-It' S' ?• P�a� n- iii -I. VK y;P b� ^,�r►�+
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
CONTRACTOR'8 REGISTRATION 8 R. XXPJRAT10N DATE
EMAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
CITY, STATE, ZIP
PHONE
l )
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect O Tenant O Agent ❑ Other
I NAME PRIMARY PHONE E -MAIL ADDRESS
�^tvn
NAME
SG
Per RCW 19.97.095:
Lender information 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? D YES �JNO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? o YES O NO
WATER SERVICE PROVIDER J�LAKEHAVEN o HIGHLINE o TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE gl PRIVATE (SEPTIC)
PROJECT ••- ARrAs
AREA DESCRIPTION •EXISTING
S : FT.
PROPOSED
80. FT.
TOTAL
S . FT.
BASEMENT
BUILDING SHELL ONLY?
o YES. a NO
FIRST
a YES
o NO
ZONING DESIGNATION
SECOND
CHANGE OF USE?
D YES
THIRD
NEW ADDRESS REQUIRED?
a YES a NO
ADDITIONAL FLOORS (DESCRIBE)
o YES
a NO
PLATTED LOT?
DECK (❑ COVERED OR ❑ UNCOVERED ?)
DEMO PERMIT REQUIRED?
o YES
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
stoensa
rsorwso
Tor►r
rarasasmwsr
rorarsaroessas
ror'csr
• "NEW HOMES ONLY"., NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of facture 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 WITHAppMCATl01q
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS )or7Lb /shower combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOO SETS
LAVS pahroom slake)
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (commerdq
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS p'oseq
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
I cerft under penalty of perjury that I am the property owner or authorized agent of the property owner. I certVy that to the best of my
knowledge, the Information submitted in support of this permit application is true and correct. I certVy 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
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 apart of thisgpplieation. If
SIGNATURE:
or
/U - /S- 7
o NEW o ADDITION
o ALTERATION
a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES. a NO
BASIC PLAN?
a YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
D YES
D NO
NEW ADDRESS REQUIRED?
a YES a NO
UP /SEPA /SU?
o YES
a NO
PLATTED LOT?
o YES a NO
DEMO PERMIT REQUIRED?
o YES
a NO.
Bulletin # 100 _ August 16, 2007 Page 2 of 4 . k\Handouts\Pennit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL.
NEW RESIDENTIAL SERVICE
Of Single Family Square Feet._
(Mat 1300 its- $111.00; Each add'n 500 ft2 - $35.50)
❑ Detached outbuilding or garage
(Inspected with service) $47.00
❑ Detached outbuilding or garage
(Inspected separately) $74.00
NEW MULTI- FAMILY
(three units or more)
280.00
Service
Feeder
❑ Up to 200 amp
$120.50
$ 35.50
13 201 - 400 amp
149.50
74.00
❑ 401 - 600 amp
205.00
102.00
❑ 601 - 800 amp
262.00
140.50
❑ Over 800 amp
375.50
280.50
ALTERED SINGLE /MULTI FAMILY
Service or Feeder
0 to 200 amp $92.50.
❑ 201 - 600 amp 149.50
❑ over 600 amp 225.50
❑ # of circuits to be added /altered
(1 -4 circuits- $74.00; Add'n circuits $7.00 /ea)
❑ Mast or meter repair $55.00
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
COMMERCIAL
NEW COMMERCIALIINDUSTRiAL SERVICE
❑ 0 to 100 amp
❑ 101 - 200 amp
❑ 201- 400 amp
❑ 401- 600 amp
❑ 601- 800 amp
❑ 801 - 1000 amp
(3 Over 1000 amp
Service or Feeder Each Add'n
$120.50. $ 74.00
149.50
94.50
280.00
111.00
327.00
131.00
423.00
179.00
516.50
216.00
563.00
300.00
❑ Over 600 volts surcharge $94.50
❑ Mast or meter repair $102.00
ALTERED COMMERCIAL INDUSTRIAL
Service or Feeders
❑ 0 to 200 amp $120.50
❑ 201 - 600 amp 280.50
❑ 601 - 1000 anip 423.00
❑ over 1000 amp 471.06
❑ # of circuits to be gdded /altered
(1 -5 circuits - $94.50, Add'n circuits, $7.00 /ea)
COMMERCIAL/INDUSTRIAL PLAN REVIEW
$94.50 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Medical /Educational /Institutional Facility
TEMPORARY SERVICE
MOBII.E HOME /RV PARK Residentiai/lifuiti Family $65.00
❑ # of service or feeders
(First service /feeder - $74.00; each addh - $48.00) Commerciatandustrial Service or Feeder Ampaeity
❑ 0 - 100 amps $ 74,00
❑ 101- 200 amps 94.50
❑ 201 - 400 amps 111.00
❑ 401 -•600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE /EQUIPMENT
❑ # of Thermostats
(First - $55 ;00; add'n- $17.00 /ea)
❑ Low Voltage
Square Feet to be served by system(s)
❑ Fire Alarm* system
13, Security Alarm System
❑ Voice Cabling
❑ Data Cabling
ld 2500 82- $65.00;
Each add% 2500 ftr- 17.00) • Per WAC 29&4fa910i5Nb i 3 ii)
❑ # of Signs
(First sign- $55.00; add'h sign $26.00 /ea)
❑ Swimming pool /hot tub ................. $111.00
*lodes additional circuit, if required)
❑ Yard Pole meter loops ....... : ............. $74.00
❑ Additional Plan Review $111.00 /hour
(for modified submittals)
❑ Automation Fee on all Permits .. $5.00
Bulletin #100- August 16, 2007 Page 3 of4 klHandouts\Perinit Application