08-103420 • City of Federal Way •Community Development Permi : 08-103420-06-EL
ment Services Electrical
P
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: BURRUS-PALIN
Project Address: 30705 12TH PL SW ; ; Parcel Number: 178830 0155
Project Description: Repair damaged mast
Owner Applicant Contractor
ANDREA BURRUS C&W ELECTRIC LLC C&W ELECTRIC LLC
CLINT PALIN PO BOX 127 CWELEL*990CF (2/9/09)
30705 12TH PL SW EATONVILLE WA 98328 PO BOX 127
FEDERAL WAY WA EATONVILLE WA 98328
98023-8231
Additional Permit Information
Service greater than 1000 Amps? No
Electrical Fixtures
Mast or Meter Repair(Residential/ 1
PERMIT EXPIRES Thursday, July 17,2008
Permit Issued on Wednesday, July'(6,2008
. Id
I hereby certify that the above information is correct and that the construction�i the above cn � r r n`�`
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington.
r- -• the • of Federal Way.
Owner or agent: , j ��- 4 t/4•/ C L_-�--- Date: 7/;
• THIS CARD IS T MAIN ON-SITE
CITY OF ^- ilk
Community Develop ent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-103420-00-EL
Owner: ANDREA BURRUS
Address: 30705 12TH PL SW
FEDERAL WAY, WA 98023-8231
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 ..,, i,,,.., Date c-i,(4
i
For inspector reference only ---_.- ------ -_----------------_
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
emror dit, 1,� p7- 613
COMANINlflf DEVELOPMENT SERVICES
iltRivirrr SF MF CO ME PL DE EN FP
33325 Sri AVENUE SOUTH•PO BOX 9718
FEDERAL 253-835-2607.PAX2 26 JUL ' s 'PLICATIDN /
WEEPAEleadatikatom
The following cielWirt2griFg12,f,,KPalrfrtloapYbrte application will not be accepted. Please print legibly(in ink)or type.
• PR OPERTY INFORIVIATION
SITE ADDRESS_ 3(.1767 c /2 ' /1C./, 5 'c. sUITE/IIAIT•
ASSESSOR'S TAX/PARCEL# - — —— LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
pima •aro iorkn uw&addm /
II PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
❑ DEMOLITION gI-EaCTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Pmvicle detailed description of work veduded on this Dean ^it onlUI
PROJECT NAME(Name of or Owner tas�t,J►'U S P te)Lini
U PEOPLE INFORMATION
PROPERTY NAME d /— 1, 8,�+r'/ PRIMARY PHONE
OWNER -'_-- _ el (� ( )
MAILING ADDRESS CITY,ST TE,ZIP `' C 3 E-MAIL ADDRESS -
70?c c /2 f4.PL S /-;,�,P'/Z.(/r Z(J
CONTRACTOR COMPANY NAME APPLICANT NAME , PHONE
ec7L� L c 6 `-, , P(/,��.rs ( ) -
•i .ADDRESS CITY,STATE,ZIP CELL PHONE
a'X / ? 7 •
COY 0 J• WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX 1- `
QO>tTSACTO/' �'
C. 44 ,±"--- C 0 C.c 2. /J/, C'41 - O Cccv)9.c4.s P f
APPLICANT COMPANY NAME APPLICANT ANT NAME OFFICE PHONE
Ill ( )
MAILING ADDRESS art,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
) -BER
a Architect 0 Tenant a Agent 0 Other ( ) -
PROJECT NAME I PRIMARY'HONE - I E-MAIL ADDRESS
CONTACT )
LENDER NAME Per RCW 19.27.095:
Lender bfon Batton is regeired((project value waxed*415,000, ..
MAILING ADDRESS CRY,STATE,ZIP PHONE
i ( ) -
• DETAILED BUILDING INFORIGIATION
EXISTING USE PROPOSED USE
E8I8TZNG ASSESSED/APPRAISED VALUES VALUE OF PROPOSED WORK $
SPRINKLIBRED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ; 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 RGHLINE a TACOMA Cl PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAI�HAVEN a HIGHLINE a PRIVATE(SEPTIC)
■ PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
8Q.Ti. SQ.FT. SQ.FT.
BASEMENT
FIRST
ND .
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
Tcru. _. romstartaIOer rOr.4Lr 0r001Da7 Iona sr
cameo I recreant ;,I .
NUMBER OF FLOORS
"NEW I QME3 ONLY"' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of future to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECIIANICAL
Value of Mechanical Work$ (A COPY OP BID OR ESIYMATE MUST BE INCLUDED WITHAPPLFCAT1ON)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS .�— MISC(Describe)
BOILERS _._. :..` HV ERIE HOOn PrOratodalt
COMPRESSORS FURNACES RANGES
DUCTS. GAS LOG SETS REFRIG.SYSTEMS
PLUMBING URINALS MISC(Describe)
BATHTUBS ortusnewar caw* LAVS( Sinksi
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS curs
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBS SUMPS
SIGNATURE
I certifg under penalty of perjury that I am the property owner or authorised agent of the property owner.I carte;that to the best of my
tbnowlodge,the information submitted in support of this permit application is true and correct I ter!{f that I will comply with all applicable
City of Federal W regulations pertaining to the Work dutianis d by the issuance of a permit I understand'that the issuance of this permit
does not remove the owner's responsibihtpfor compliance with local,state,or federal laws regulating construction or environmental law&
I farther agree to hold harmless the City of Federal Wag as to any claim(Ynelading costs, expense s4 and attorneys'fees incurred in the
investigation and defense of such claim), which may be made by anng 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 this application.
SIGNATURE: DATE
Property Owner and/or Authorized Agent
o NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
Busrari t SHELL ONLY?` - a YES o NO BASIC PLAWP EiTtis `o NO
•ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIXED? i YES a NO TIP/SEPA/SU? a YES a NO
PLATTED LOT? - a YES o NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Peunit Application
I
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add%
❑ Single Family Square Feet ❑ 0 to 100 amp $125.50 $76.50
(First 1300 ft2-$115.50;Each"add"n 500 ft2-$37.00)
T r
❑ 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
O 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 0 Mast or meter repair $106.00
❑ 401-600 amp 212.50 106.00 ALTERED COMMERCIAL/DIDUSTRW,
❑"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
f t
sd< ❑ 601- 1000 amp 439.00
Service or Feeder ❑ over 1000 amp 489.00
tom'0 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/x)
❑ #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
❑ Service- 1,000 amps or greater
i 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 Residential/Multi-Family $67.50 •
❑ #of service or feeders t Service or reader Ampacity
(First service/leeder$76.50;each add'n-$50.00)
❑ 0-100 amps $76.50
O 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 alga-$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)
O Fire Alarm System
❑ Yard Pole meter loops $76.50
Cl SecuiityAlaru System ❑ Additional Plan Review $115.00/hour
O Voice Cabling; (for modified submittals)
O Data Cabling
a CI Automation Fee on all Permits .. $5.50
1'2500,£t2-$67.50:
Each add'n 2500 ftM-$17.50)*Per WAC 29646410(500&el
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Bulletin#100-January 1,2008 Page 3 of 4 l\Handouts\Permit Application