07-101025 l I
t
City of FedNal Weep Electrical Permit 14: 07-101025-00-E L.
' Community Dedelo�`ment Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2669 ' ' ' Inspection Request Line: (253) 835-3050
Project Name: DAVID
Project Address: 33831 37TH AVE SW Parcel Number: 921150 0490
Project Description: Adding multiple circuits
Owner Applicant Contractor
MICHAEL J&SHANNON R DAVID MICHAEL J&SHANNON R DAVID MICHAEL J&SHANNON R DAVID
33831 37TH AVE SW 33831 37TH AVE SW 33831 37TH AVE SW
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-2919 98023-2919 98023-2919
Additional Permit Information
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps-I 1
PERMIT EXPIRES Sunday, August 26, 2007
Permit Issued on Tuesday, February 27, 2007
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Ay(,i--✓) 3- Date: Z - Z-, _ `" 7
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THIS CARD IS TO REMAIN ON-SITE
CITY OF . Community Development Inspection Record.
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-101025-00-EL
Owner: MICHAEL J & SHANNON R DAVID
Address: 33831 37TH AVE SW
FEDERAL WAY, WA 98023-2919
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 14;, Date 3 _8 By Date By i;l 'ç; Date l —31
❑ Under-slab groundwork(4295)
Approved
By Date
` 3332 Eighth Dith Avenue CITY OF • 33325 Eighth Avenue South.
Fed^ l VVay Fe Box 9718
c C a Q • Federal Way 98063-9718
Phone 253-835-2607
Fax 253-835-2609
INSPECTION NOTICE
ADDRESS: 3 3 $ 3 3 154 ■A w #: r Z�
I-CA-l�N.,. GL-C
IF YOU HAVE ANY QUESTIONS CALL (253) 835-
Call for reinspection before cover
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD
FOR DETAILS.
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
Building Division
Aih,
CITY OF 33325 Eighth Avenue South
� .. Federal Way Fe
PO
Box 9718
Federal Way 98063-9718
Phone 253-835-2607
Fax 253-835-2609 •
INSPECTION NOTICE
ADDRESS: ?) `) $ 3 #: 2li -\ 1 2a 011,e
lo-
IF YOU HAVE ANY QUESTIONS CALL (253) 835-
Call for reinspection before cover
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD
FOR DETAILS.
'3 -01 `-o'l C W--
DATE INSPECTOR
• DO NOT REMOVE THIS NOTICE
Page of
ecek r o - W d / o
Federal Wai 200 PERMIT
SF MF CO M Pe PL DE EN FP
COMMUNITY DEVELOPMENT SERV f D J ' �j
33325 EN AVENUE SOUTH•PO BO TD /
FEDERAL WAY,WA 98063-9718 P P L I C AT I ON
453-835-1607•FAX 253835-2609 FepERP
tgwut.dhro(tedernhunt- J Z0 Or,1NC,Oti
The following is requV'red information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
S PROPERTY INFORMATION
SITE ADDRESS 1.7)'1)3 t 1-h- t S. `"-*; r•:.1-4-.A L.,-",...-1 , c__:-... -.2E0 2 3 SUITE/UNIT# •
( ASSESSOR'S TAX/PARCEL# - _ _ _ LOT SIZE(sn _
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) - •
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
❑ DEMOLITION l9ECTEICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) ll
-4-'1-1*—c) 1.---.--. G A.,t.v-• e,. ^-/_(^< 1ii.._kl C'1- 4t..., l--.e. .-S�• - 14 1.v k J....) s;, e�..ri o•... t
C-✓'}'tr ('j i„+1 ,_-,},Lci :n . ✓vf.t t-,,.,, 1,-.5• :..�J a, oe— sec.-ce eC.r c-.rc-r ke-e 1,1?.7e--.-
et f«F-:i�Ft r,i..5 . .A., .,:ii.b,t> ( .A-r; SV , .t.. pcc.c I 4, ,h,L.1,(.
PROJECT NAME(Name of Business or Owner Last Name) N. ..- f
U PEOPLE INFORMATION
PRIMARY PHONE
PROPERTY NAME _ . (2s-) ) 8 3 S - •t Y z t
OWNER AA.--..1.....,/. �` E-MAIL ADDRESS
MAILING ADDRESS CITY,STATE,ZIP
7.3 ', I ?'7 1-' ,4.t. S- �e.4.-I G_-..7i (-. c_ i6 2 )
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
(
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE `FAX NUMBER
( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
COPY of acrd litatnd
with eeeh•ppOmtba
COMPANY NAME - APPLICANT NAME OFFICE PHONE
APPLICANT 4 c ( )
MAILING ADDRESS - CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER •
❑ Architect 0 Tenant 0 Agent ❑ Other ( ) -
PROJECT NAME
PRIMARY PHONE E-MAIL ADDRESS •
CONTACT C y"--_- ( )
LENDER NAME Per RCW 19.27.095:
Lender information is required if 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? O YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN O HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
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AREA DESCRIPTION EXISTING PROPOSED TOTAL
BASEMENT SQ.FT: SQ.FT. SQ.FT.
FIRST ` •
SECOND -
THIRD •
ADDITIONAL FLOORS(DESCRIBE) .
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE 0 CARPORT
NUMBER OF FLOORS EEIe7RG PROPOSED TOTAL TOTAL EASnAO St TOTAL PROPOSED Sr TOTAL 177
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"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
MI FIXTURES
•
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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(C,mmerd,)
COMPRESSORS • FURNACES RANGES
DUCTS,, - GAS LOG SETS . REFRIG.SYSTEMS
PLUMBING
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BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) - URINALS .MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(man
ELECTRIC
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 1
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.
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NAME/TITLEo h-t/ / T DATE 2-2 I - 7
(Signature) (Title) •
RELATIONSHIP TO PROJECTwner ❑ Agent . ❑ Contractor ❑ Architect ❑ Other
o NEW a ADDITION a ALTERATION a REPAIR o TENANT IMPROVEMENT. •
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BUILDING SHELL ONLY? a YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? . • a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
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• Bulletin#100-January 132007 Page 2 of4 Jalandouts\Permit Application
I
H
t - ELECTRICAL PERMIT.INFORMATION -
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet 112- Service or Feeder Each Add'n
(First 1300 112-$111.00;Each addh 500 �-$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
CI
- 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
... 0to200amp $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)
i J�fttfc sits 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
f/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 .
❑ #of Thermostats ❑ #of Signs
1 (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 Alarni 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)(b)(t'A ii)
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Bulletin#100-January 1,2007 . Page 3 of4 k\Handouts\Permit Application • -
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