07-100451 City oe Way Electrical Permit #: 07-100451 -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: BERNARDIS
Project Address: 2204 SW 309TH ST Parcel Number: 416790 0250
Project Description: Installation of(1) t-stat
Owner Applicant Contractor
PAUL W BERNARDIS ALL SEASONS,INC. ALL SEASONS,INC.
2204 SW 309TH ST 4851 S WASHINGTON ST ALLSEI*03055 12/17/07
FEDERAL WAY WA TACOMA WA 98407 4851 S WASHINGTON ST
98023-7823 TACOMA WA 98407
Additional Permit Information
Electrical Fixtures
Thermostat I
PERMIT EXPIRES Wednesday, July 25, 2007
Permit Issued on Friday, January 26, 2007
I hereby certify that the above infor :tion is correc .,d that the construction on the above described property and
the occupancy and the use will •- -• • •anc- w h the laws, rules and regulations of the State of Washington
and t - ity of Fed- - ay. )
Owner or agent: Pr Date: ( /O Z.
✓ !e — ' S -
• THIS CARD IS TO REMAIN ON-SITE '
CITY SF �
- Community Development Inspection Record
�
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-100451-00-EL
Owner: PAUL W BERNARDIS
Address: 2204 SW 309TH ST
FEDERAL WAY, WA 98023-7823
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 By _ Date la�l S-d 1
•❑ Under-slab groundwork (4295)
Approved
By Date
•
FeclerWay RECEtVED d5D 0 - ±6 a 1 C i
PERMIT '
COMMUNITY srgA AVENUE SOUTH BOX A N i� 6 2O� d) - Q;I$F MF CO ME E -P-L DE EN FP
33325'8t"AVENUE SY)UTH•PO BOX 9718
FEDERAL WAY,WA 98063 9 718 �� Q p`R L I C AT T O N _�y/".
.353-835-2607•FAX 753-835.2609 1 CyryJn^ 1 1 1 V(�lri'
'huvLallpdfedervAWn4.com 01TY O�D{NG DEPT. -} " o, /
•
The following is required information—an incomplete application will not be acrcepted. Please print legibly(in ink)or type.
L7— 0 IN PROPERTY INFORMATION C
SITE ADDRESS 2 0`/ St/ *r v 5T SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# l / 6 7 9 U - v '— S O LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
/AMA aepaa.,P^e•for ONOW loOddesviption)
■ PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING 0 PLUMBING ❑ MECHANICAL
❑ DEMOLITION ELECTRICAL ❑ ENGINEERING ❑,FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
/ 6`car a.Gte Ste,`� ilia dri 't., i r e s f/e' '
PROJECT NAME(Name of Business or Owner Last Name) ,
• • PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER G / �/yv? q p-�� 1,-55 )8",?
/ (�
MAIL ADDRESS CITY E-MAIL AD DRBS 2 2 te Sp y 1 _ , -'0 2,
CONTRACTOR COMP NAME APP CANT NAM
,(( Sea fer5 X /0 C OFFICE PHONE'
llliE,ZIP S�u` ( ms) ) gxt 7/Yy
MAILING ADDRFS C,I�r STATE,ZIP CELL PHONE
irs/ S I 4ftr4•'�g7`as1 S": /rc wa 9'&-cf ) 7 1y -
CI OF FEDERAL WAY BUSiyFSS LICENSE NUMBER EXPIRATION E FAX NU HER
1 f . 7 i0 C .7 ,C ?_ j ( 253) Z3$ ;5/,9._:;_s-
_
COPY of cud CONTRACTORS REGISTRATION NUMBER MAIL ADDRESS
required ,--.1� 1 S/}� / /� �, ['. EXPI ION TAE E•
wathrash app I... 7-1 1 _ ii / .t./ ..fIJ
APPLICANT COMPANY NAME APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect o Tenant ❑Agent ❑ Other ( ) -
PROJECT NAME PRIMARY PHONE
E-MAIL ADDRESS
CONTACT ( )
LENDER NAME
Pfr RCW 19,27.095:
Lender information is required if project oaiue 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? O YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN b HIGHLINE O TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC)
:5'S,r'.;.. t.,. ..a..,f..! ,. ma.:,.... ,..pro.,,.,.,..,m:....•. .......,.,,.. ------—
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ. FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
•
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑ COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT 0
EXISTING PROPOSED TOTAL TOTAL LISTING 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 $ (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(Commercid)
COMPRESSORS FURNACES RANGES
DUC'�Sf _ .T.__
GAS LOG SETS - REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shover Combo) LAVS)eo(Ivoom Sulks) URINALS MISC(Describe)
DISHWASHERS . RAINWATER SYST VACUUM BREAKERS - - -
•
DRINKING FOUNTAINS SHOWERS WATER CLOSETS
Hooey
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE HIBBS 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 made by any person,including the undersigned, and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,in •• rig its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application. -- -' -
NAME/TITLE � / DATE /�f 7
(Signature) — (Title) /
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor 0 Architect 0 Other
o NEW o ADDITION a ALTERATION o REPAIR ❑TENANT IMPROVEMENT. •
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION • CHANGE OF USE? a YES o NO
•
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
i
•
Bulletin#100—January 1,2007 Page 2of4 k\Handouts\Permit Application
- =- •:=:-' ELECTRIC • PERMIT INFORMATION • ' ,
•
: 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 add'n 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
❑ 0 to 200 amp $92.50
❑ 201 -600 amp 149.50 ❑ #of circuits to be added/altered
❑ over 600 amp .,225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
❑ it 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
f MOBILE HOME/RV PARK
Residential/Multi-Family $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 ' 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
i # of Thermostats ❑ 41 of Signs
(First-$55.00;add'n-$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 Alarm System ❑ Yard Pole meter loops $74.00
i ❑ Security Alarm System ❑ Additional Plan Review $111.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
❑ ❑ Automation Fee on all Permits .. $5.00
Iiii 2500 ft2-$65.00;
Each add'n 2500 ft2(17.00) •Per WAC 296-46-910(50)(i&ii)
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Bulletin MOO-January 1,2007 . Page 3 of4 k\Handouts\Permit Application
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