07-100464U
t
City of Federal Way Electrical Permit #: 07-100464-00-EL
Community DevebpmentSe ices
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: KOEHNKE
Project Address: 29914 2ND PL SW Parcel Number: 720530 0080
Project Description: Replacing a 125 amp service panel
Owner Applicant Cont • ctor
DEE ANN KOEHNKE PACIFIC SUN SERVICES LL, ' CIFIC SU SERVICES C
29914 2ND PL SW 4408 S 282ND ST IF ' ''5R •
FEDERAL WAY WA AUBURN WA 98001 , f: S 2
98023-3571 AUBURN 9 001
Additional Permit t I mati'
Electrica t
Alt. Serv./Feeder: 0 to 200 ps-I tal>2
ER EXPIRES Saturday, July 28, 2007
ermit1ssued on Monday, January 29, 2007
I her certi t the above information is correct and that the construction on the above described property and
t cupancy the useyy✓ill be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way. /
Ow r agent: A ) U�'1 Orvi' Date: !/o2 4i /07
THIS CARD IS TO REMAIN ON-SITE 4 ,
CITY OF ::. , Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-100464-00-EL
Owner: DEE ANN KOEHNKE
Address: 29914 2ND PL SW
FEDERAL WAY, WA 98023-3571
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) 0 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 cAp,,...s Date By Date
'❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) \ ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By G rd Date a 1,
❑ Under-slab groundwork(4295)
Approved
By Date
rc1AUF_4 ^Y RECEIVED L(-- 6 q ,
- _� ( 0 C�
I Federal Way PEP .MIT'
1 • COMMUNITY DEVELOPMENT SERVICES SF MF CO M EL PL DE EN FP
I 3JJ258^t AVENUE SOUrH•PoBOX97" JAN 2 9A° I'LI-CATION
PEDEAV WAY,WA 98063-9778 TD
263-8JS2607•FAX 25J-8JS2609 WAY
/ o _ I
vnuur.cilWllenrmlmwc m CITY OF F6O RAL WAT -f
The following CITY DEPT=
f g is require n ormation-an incomplete application will not be accepted. Please print legibly(In ink)or type.
Ll I
IN PROPERTY INFORMATION
I SITE ADDRESS 2I!_1 l q 2n c Pt- SLO - E,2flt0 LAW 93 00 3J9 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sJ)
LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1)
/nand,separate page far lengthy legal des peon)
■ PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING ❑ MECHANICAL
❑ DEMOLITION 9(ELECTRICAL ❑ ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit ont ii
ep,ALE &i sn n A 125 ARA P .St12)1-E 1.0 r1")4 NELJ 125 AMP SF•1etJ l ie
PROJECT NAME(Name of Business or Owner Last Name) 40 e V∎1L Le-^ •
NI PEOPLE INFORMATION
PROPERTY NAME q PRIMARY PHONE
OWNER I�'SVI 0 4 CiEEE AMU ko e k-e. (7-5-3)gc'i - Ip(o 7y
MAILING ADDRESS -- CITY,STATE,ZIP E-MAIL ADDRESS
7Rgi 14 ZAd Pc- S t.J .F O tt. LJA.y KM 9800
CONTRACTOR COMPANY NAME - APPLICANT NAME OFFICE PHONE
i3c-i Pr c Sid Sir c • 1.i_c 1�,y))11,i ram S,TAI)14 AS (2531851e - 7397
MAILING ADDRESS Cr1Y,STATE,ZIP CELL PHONE
4405 s- ag.nd �t: Aklbj ui 48001 (263 )(053 - `)'432
CITY F FEDERAL WAY BUSINESS LIC NSE UMBER EXPIRATIO DA FAX NUMBER
J111c l/2`fir0} /21131/07- ( )
COPY of nand,egafrod ORS RE RATION NU BER EXPIRATION DATE E-MAIL ADDRESS
with each application
PAe..(r SS q 4s gc - ) 2. Z o0
Z.�) � i , U�;csun ctJlcCs.�L(.�
APPLICANT COMPANY NAME APPLICANT NAME - h FFICE PHONE•r)z'l' •
K.e CCW%/77240,-Cj ( )
MAILING ADDRESS - ' CITY,STATE,ZIP - CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMB)B ER
O Architect ❑ Tenant o Agent ❑ Other ( ) -
PROJECT NAME - PRIMARY PHONE E-MAIL ADDRESS
CONTACT SCe. Cop./ ,G ( ) -
LENDER NAME.. `` /^ Per RCP/19,27.095:
$3//
. A- Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
U -DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO .
WATER SERVICE PROVIDER ❑ LAKEHAVEN IJ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑PRIVATE(SEPTIC)
•
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ. FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
•
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED I TOTAL TOTAL EXISTING Sr TOTAL PROPOSED Sr TOTAL Sr
"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(Cowmerda"
COMPRESSORS FURNACES RANGES
DUC'K'S: . GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or lob!Shaae.Combo) LAYS(Bathroom sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS trains
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS JJ
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,including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
E/TITLE t/ dl DATE // /D 7
111 (Signature) (title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent tContractor ❑ Architect ❑ Other
r r
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES ci NO
ZONING DESIGNATION CHANGE OF USE? o YES a 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
•
Bulletin#100—January 1;2007 Page 2 of k\l-landouts\Permit Application
sA.
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Single Family Square Feet
0
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
- 4.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) .
❑ #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 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
( ❑ o- 100 amps $74-00
❑ l01-200 amps 94.50
1 ❑ 201 -400 amps 111.00
f ❑ 401 -600 amps 149.50
❑ over 600 amps ' 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ 4 of Thermostats ❑ Il 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 •
❑ Security Alarm System ❑ Additional Plan Review $111.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
❑ ❑ Automation Fee on all Permits .. $5.00
1•,2500 ft2-$65.00;
Each add'n 2500 ft2 17.00) •Per WAC 296-46-910(5)(10&iiI
Bulletin#100-January 1,2007 . Page 3 of4 k\Handouts\Permil Application