08-102874 .
s..
City of Federal Way Electrical Permit": 08-102874-00-EL
Community Development 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: DIACONOU ADU ' .
Project Address: 30024 20TH PL SW '' Parcel Number: 012103 9115
Project Description: Installation of L/v security and stereo wiring for detached ADU.
Owner Applicant Contractor
TERRY JENSEN CONSTRUCTION CORP A S D SYSTEMS INC A S D SYSTEMS INC
PO BOX 1326 314 182ND AVE E SUITE B ASDSYI*077MJ (7/21/09)
ISSAQUAH WA 98027 LAKE TAPPS WA 98391 314 182ND AVE E SUITE B
LAKE TAPPS WA 98391
Additional Permit Information
Service greater than 1000 Amps? No
Electrical Fixtures
Low Vol e-Burglar Alarm(Res I;,
'
PERMIT PERMIT.f.XPIRES Wednesday, December 10,552008
Permit Issued 1n=Friday , June 1 ,,
I hereby bettify that the above informa n is correct and that the construction trne above, cn E r J rty ld
the occupancy am d"the use will be in accordance-+ ith the tom;rules and l gulations of theiatate of ifiva
and the City of Federal Way.
Owner or agent Date:
PINA
-3 V/42/
PiC)
` THIS CARD IS TO EMAIN ON-SITE '
CITY OF °Communi Y DevelopiNnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-102874-00-EL
Owner: TERRY JENSEN CONSTRUCTION CORP
Address: 30024 20TH PL SW
FEDERAL WAY, WA 98023-3404
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 e 7 Date?--q 0� By Date
❑ Final-Electrical (4055)
Approved
By Date ?---/ 745
•
•
•
For inspector reference only
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
• RECEIVED B
•
III
COMMUNITY DEVELOPMENT TMENT ��//(/
CITY OF i .d:.:«>- D s— l 0 /
Federal Way JUN 1 3 2008 PERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF CO ME/ PL DE EN FP
3332E D AVENUE SWATH•63971 9718 APPLI CATI ON ------..,
FEDERAL WAY,WA 98063-9718 �
253-835-2607•FAX 253-835-2609
www.cituoftederalwau.com
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS_ o21 � 'P L �1 A) SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION VELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
LCIttp Vo , See.1.iii{l * &krcc7 --- ,r wrca
4-d
PROJECT NAME(Name of Business or Owner Last Name) _1 A +0AL -J Ili►1 +' h II Lk 0
• PEOPLE INFORMATION
PROPERTY ,, ,` PRIMARY PHONE
OWNER NAME \t,hS-t.�1 'J` ') ('riS,+c7� -4;61431)
MAILING RESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME
NAME APPLICANT NAME OFFICE PHONE
_ ASD s K —111,*, (as3) 50-t,� - tono
MAILINt,nuurcraa TATE CELL PHONE
31 OD C t-e' 'r.e• • O' A l FAX NUMBER
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
'0__OD 1Di140- 00-la_ /4511ot ( 53) g)to -leis
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
ast 4Zt 0"1-1 rwt3 -?lei I zoo0i
APPLICANT MPANY NAME APPLICANT NAME OFFICE PHONE
MAILING DRESS CITY,STATE,ZIP CELL PHONE
( ) -
REIATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant ❑Agent ❑ Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT at, A, C (4Lp)i l(.P -S 1c 6J
LENDER NAME Per RCW 19.27.095:
Lender information is required(f project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ 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 ❑ HIGHLIP?E ❑ PRIVATE(SEPTIC)
I
S
III PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
-
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS ESISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing futures to remain.
MECHANICAL
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)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(ormb/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS _ RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toile)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized 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 filed against the city, but only
where such claim ' es 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 o this application. �r
SIGNATURE: DATE 1 /0 7
Property Owner and/or Authorized Agent
FOR OFFICE USE ONLY
❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application
•
• S
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
1:1 Single Family Square Feet 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
❑ 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 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
Service or Feeder ❑ over 1000 amp 489.00
❑ 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/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
❑ 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 Residential/Multi-Family $67.50
❑ #of service or feeders
(First service/feeder-$76.50;each add'n-$50.00) Commercial/Industrial 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)
YLLLLLow Voltage ( ❑ Swimming pool/hot tub $115.00
Square Feet to be served by system(s) Cl-1�} (Includes additional circuit,if required)
O Fire Alarm System ❑ Yard Pole meter loops $76.50
Security Alarm System ❑ Additional Plan Review $115.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.50
1st 2500 ft2-$67.50; C12-Each add'n 2500 ft2-$17.50)•Per WAC 296-46-910(5)(b)(t&ii) Z
Bulletin#100-January 1,2008 Page 3 of 4 laIandouts\Permit Application