07-100868 City of Federal Way Electrical Permit #: 07-100868-00-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: MANGIO
Project Address: 1903 SW 317TH PL Parcel Number: 179010 0040
Project Description: Alter(1) circuit for fireplace insert
Owner Applicant Contractor
JAMES MANGIO JAMES MANGIO JAMES MANGIO
1903 SW 317TH PL 1903 SW 317TH PL 1903 SW 317TH PL
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-5103 98023-5103 98023-5103
Additional Permit Information
Electrical Fixtures
Circuits-Residential 1
PERMIT EXPIRES Wednesday, August 15, 2007
Permit Issued on Friday, February 16, 2007
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the.pse will be in accordance with the laws, rules and regulations of the State of Washington
,i and the City of Federal Way.
i ' � —
Owner or agent: /��� y Date:
P+" ' w
. •,...... I
y,h
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development ment Ins ection Record
Inspection
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-100868-00-EL
Owner: JAMES MANGIO
Address: 1903 SW 317TH PL
FEDERAL WAY, WA 98023-5103
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 By Date By Date
❑ Rough Electrical (4225) ❑ Ceiling Cover (4020) /❑ Final -Electrical(4055)
Approved Approved Approved
By Date By Date 14 rC Date"2'.--'a•
•
❑ Under-slab groundwork(4295)
Approved
By Date
Federal Way'-�Gl/�►'E'vED PERMIT
COMMUNITY DEVELOPMENT SB1 IEV 6 `S '-MF CCr sNiE LPL DE EN FP
3332571TMAVENUE SOU771•PO BOX 6 200AP P LI CAT I ON TD
; _ .-f
FEDERAL WAY,WA 98063-9718
.253.835-1607•FAX 253.8J5-16 ❑ 1
www.dlwfrederniwnl:.com D
- The following is re ds f -an incomplete application will net be accepted. Please print legibly(in ink)or type.
• n PROPERTY INFORMATION
SITE ADDRESS ` ) c c �W J 4 i ---11.,_ '-_:, .J`t�_ _ SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT:SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) -
(Moth separate page fa-lengthy It description)
IN PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING El PLUMBING ❑ MECHANICAL
U DEMOLITIONS ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
A Le-17--;.17._I L C- C..(-2 c,t t
! PROJECT NAME(Name of Business or Owner Last Name) J I' )`'4 j ) C-1 ..." •
PEOPLE INFORMATION
PROPERTY NAME . PRIMARY PHONE
•OWNER �(9.\ .( `� \/�Cis-iG—IC �t`y (2-S3) 638-2-766
MAILING ADDRESS . CITY,STATE,ZIP 9 D V� E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
�. - ctLJ N ,7 ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( )
CONTRACTOR'S REGISTRATION NUMBER
COPY of easel requited _ - EXPIRATION DATE E-MAIL ADDRESS
with poe t application
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
--. t�., .- 6.UJ/-IIZ ( )
MAILING ADDRESS ' CITY,STATE,ZIP - CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant 0 Agent ❑ Other ( )
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required tf protect 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 o HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
•
PR•J . . w
m _ AREA DESCRIPTION EXISTING PROPOSED TOTAL
4:FT. SQ. FT. SQ.FT.
BASEMENT •
FIRST '
SECOND
THIRD
•
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
SRISTIRO PROPOSED TOTAL TOTAL WaSTINO Sr TOTAL PROPOSED Sr TOTAL Sr
NUMBER OF FLOORS
**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 fixtures to remain.
MECHANICAL
Value of Mechanical Work $ IA 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(commetdan
COMPRESSORS • FURNACES RANGES
Dt/C(S, „ GAS LOG SETS REFRIG.SYSTEMS
PLUMBING .
BATHTUBS(or Tub/Shower combo) LAYS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS rrou.s
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 mdde by any person,including the undersigned, and flied against the City of Federal Way,but only where such claim
arises out of the reliance oflt(he city,including i s officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLEiBnl'T DATE 1 /2_C G
a ure ll
(Mel '
RELATIONSHIP TO OJECT o Owner Agent ❑ Contractor ❑ Architect ❑ Other
_ _ I
❑NEW ❑ADDITION ❑ALTERATION ❑ REPAIR ❑TENANT IMPROVEMENT.
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? ❑YES ❑NO
-
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? ❑YES ❑NO
•
•
Bulletin#100—January 1,2007 Page 2 of4 k\Handouts\Permit Application .
' *DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES
CITY OF 33325 8th Avenue South
PO Box 9718
Federal Way Federal Way WA 98063-9718
253-835-2607;Fax 253-835-2609
www.cityoffederalway.com
Affidavit in Lieu of General Contractor Registration
State of Washington )
County of King )
I, rr/y CJ�c ' ,state as follows:
(Print name as signed)
I have made application for a building permit from the City of Federal Way, Washington.
2. I understand that state law requires that all building construction contractors be registered with the
State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the
Revised Code of Washington(RCW),a copy of which is printed on the reverse side of this affidavit.
3. I understand that prior to issuance of a building permit for work that is to be done by any contractor,
the City of Federal Way must verify either that the contractor is registered by the State of
Washington, or that one of the exemptions stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Federal Way of my compliance with this requirement,I
hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090,I
consider the work authorized under this building permit to be exempt under No. // ,and will
therefore, not be performed by a registered contractor.
I understand that I may be waiving certain rights that I might otherwise have under state law in any
decision to engage an unregistered contractor to perform construction work.
LAIII,74' E. AMA (-./ C
APPLICANT'S SIGNATURE
Signed and sworn to before me this
/0"C-Day,'of /.t ,�2M7..
ii//1/./,,.:, —c u4.)1/ ■ welly/
1t%II1I I o..... Notary's Name(Print)
. � _
Not F. � II
�I d1 i
9q� •
Notary's Signature
• m
Not s Si na
ter : h , 31 `
� °y 4-1C ' v� NOTARY PUBLIC in and for the State of
..�9. O�iI+ Washington,residing at l� County
My Commission expires: DE0
Bulletin#116-October 1,2004 Page I of 2 k:\.Handouts\Contractor's Affidavit
Revised Code1of Washington .
18.27.090 Exemptions. The registration provisions of this chapter do not apply to:
1) An authorized representative of the United States other work upon land in rural districts for fire prevention
government, the state of Washington, or any purposes; except when any of the above work is
incorporated city, town, county, township, irrigation performed by a registered contractor;
district, reclamation district, or other municipal or 1 I) )An owner who contracts for a project with a registered
political corporation or subdivision of this state; contractor,except that this exemption shall not deprive
2) Officers of a court when they are acting within the scope the owner of the protections of this chapter against
of their office; registered and unregistered contractors;
3) Public utilities operating under the regulations of the 12) Any person working on his or her own property,whether
utilities and transportation commission in construction, occupied by him or her or not,and any person working
maintenance, or development work incidental to their on his or her personal residence,whether owned by him
own business; or her or not but this exemption shall not apply to any
4) Any construction,repair,or operation incidental to the person otherwise covered by this chapter who constructs
discovering or producing of petroleum or gas, or the an improvement on his or her own property with the
drilling,testing,abandoning,or other operation of any intention and for the purpose of selling the improved
petroleum or gas well or any surface or underground property;
mine or mineral deposit when performed by an owner or 13) Owners of commercial properties who use their own
lessee; employees to do maintenance, repair, and alteration
5) The sale or installation of any finished products, work in or upon their own properties;
materials,or articles of merchandise that are not actually 14) A licensed architect or civil or professional engineer
fabricated into and do not become a permanent fixed acting solely in his or her professional capacity, an
part of a structure; electrician licensed under the laws of the state of
6) Any construction,alteration,improvement,or repair of Washington,or a plumber licensed under the laws of the
personal property performed by the registered or legal state of Washington or licensed by a political
owner,or by a mobile/manufactured home retail dealer subdivision of the state of Washington while operating
or manufacturer licensed under chapter46.70 RCW who within the boundaries of such political subdivision.The
shall warranty service and repairs under chapter 46.70 exemption provided in this subsection is applicable only
RCW; when the licensee is operating within the scope of his or
7) Any construction, alteration, improvement, or repair her license;
carried on within the limits and boundaries of any site or 15) Any person who engages in the activities herein
reservation under the legal jurisdiction of the federal regulated as an employee of a registered contractor with
government; wages as his or her sole compensation or as an employee
8) Any person who only furnished materials,supplies,or with wages as his or her sole compensation;
equipment without fabricating them into,or consuming 16) Contractors on highway projects who have been
them in the performance of,the work of the contractor; prequalified as required by RCW 47.28.070, with the
9) Any work or operation on one undertaking or project by department of transportation to perform highway
one or more contracts, the aggregate contract price of construction,reconstruction,or maintenance work;
which for labor and materials and all other items is less l7) A mobile/manufactured home dealer or manufacturer
than five hundred dollars,such work or operations being who subcontracts the installation,set-up,or repair work
considered as of a casual, minor, or inconsequential to actively registered contractors.This exemption only
nature.The exemption prescribed in this subsection does applies to the installation, set-up, or repair of the
not apply in any instance wherein the work or mobile/manufactured homes that were manufactured or
construction is only a part of a larger or major operation, sold by the mobile/manufactured home dealer or
whether undertaken by the same or a different manufacturer;
contractor, or in which a division of the operation is 18) An entity who holds a valid electrical contractor's
made into contracts of amounts less than five hundred license under chapter 19.28 RCW that employs a
dollars for the purpose of evasion of this chapter or certified journeyman electrician,a certified residential
otherwise.The exemption prescribed in this subsection specialty electrician,or an electrical trainee meeting the
does not apply to a person who advertises or puts out requirements of chapter 19.28 RCW to perform
any sign or card or other device which might indicate to plumbing work that is incidentally, directly, and
the public that he or she is a contractor,or that he or she immediately appropriate to the like-in-kind replacement
is qualified to engage in the business of contractor; of a household appliance or other small household
10) Any construction or operation incidental to the utilization equipment that requires limited electric power
construction and repair of irrigation and drainage ditches and limited waste and/or water connections. An
of regularly constituted irrigation districts or reclamation electrical trainee must be supervised by a certified
districts;or to farming,dairying,agriculture,viticulture, electrician while performing plumbing work.
horticulture,or stock or poultry raising;or to clearing or
Bulletin#116—October 1,2004 Page 2 of 2 k:\Handouts\Contractor's Affidavit
- - ELECTRICAL PERMIT. ORMATION -
• .._6 --- .
•
- RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2-$111.00;Each addh 500 ft2-$35.50) ❑ 0 to 100 amp $120.50 $74.00
❑ Detached outbuilding or garage ❑ 101 -200 amp 149.50 94.50
(Inspected with service) ,. $47.00 ❑ 201-400 amp 280.00 111.00
❑ Detached outbuilding or garage ❑ 401 -600 amp 327.00 131.00
(Inspected separately) $74.00 ❑ 601 -800 amp 423.00 179.00
. ❑ 801 - 1000 amp 516.50 216.00
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 563.00 300.00
Service Feeder '
❑ Up to 200 amp $120.50 $35.50 ❑ Over 600 volts surcharge $94.50
❑ 201 -400 amp 149.50 74.00 ❑ Mast or meter repair $102.00
❑ 401 - 600 amp 205.00 102.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 -800 amp 262.00 140.50
❑ Over 800 amp 375.50 280.50 Service or Feeders
. ❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY ❑ 201.-600 amp 280.50
• ❑ 601 - 1000 amp 423.00
Service or Feeder ❑ over 1000 amp 471.00
❑ O to 200 amp $92.50
❑ 201 -600 amp 149.50 ❑ 4 of circuits to be added/altered
. ❑ over 600 amp 225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
El # of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$74.00;Add'n circuits$7.00/ea) $94.50 plus 35%of Permit Fee
❑ Service- 1;000 amps or greater
❑ Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00 •
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residentia
i/MuiH•Famiiy $65.00
❑ #of service or feeders
(First service/feeder-$74.00;each add'n-$48.00) Commercial/Industrial Service or Feeder.Ampacity
❑ 0- 100 amps $74.00
❑ 101-200 amps 94.50
❑ 201 -400 amps 111.00 .
❑ 401 -600 amps 149.50
❑ over 600 amps 4 162.00
MISCELLANEOUS SERVICE/EQUIPMENT .
❑ # of Thermostats ❑ M of Signs
• (First-$55.00;addh-$17.00/ea) ' (First sign-$55.00; add'n sign$26.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $111.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Mann System ❑ Yard Pole meter loops $74.00 '
❑ Security Alarni System • ❑ Additional Plan Review $111.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
o 1•,2500 ftL-$65.00;
Each add'n 2500 ft2 17.00) •Per WAC 296-46-9101.5)1W 4 of
•
•
Bulletin#100-January I,2007 . Page 3 of 4 k\Handouts\Permit Application r