07-101216■
4
City or Federal way Electrical Permit #: 07-101216-00-EL
• Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: CARING ABODE
Project Address: 33719 32ND AVE SW Parcel Number: 954280 1180
Project Description: Installation of(5) interconnected smoke alarm detectors
Owner Applicant Contractor
MONINA FERRER MONINA FERRER MONINA FERRER
33719 32ND AVE SW 33719 32ND AVE SW 33719 32ND AVE SW
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Additional Permit Information
Electrical Fixtures
Circuits-Residential 5
PERMIT EXPIRES Monday, September 3, 2007
Permit Issued on Wednesday, March 7, 2007
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the,u a will be in accordance with the laws, rules and regulations of the State of Washington
�` and th �Gity of Federal Way. —
Owner or agent— Date:
THIS CARD IS TO REMAIN ON-SITE
cirrOF -- Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-101216-00-EL
Owner: MONINA FERRER
Address: 33719 32ND AVE SW
FEDERAL WAY, WA 98023-7723
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) N ❑ Service (4235) ❑ Feeders/Sub-panels (4045)
Approved Approved Approved
By Date By Date By Date
El Rough Electrical (4225) El Ceiling Cover(4020) ,❑ Final -Electrical (4055)
Approved Approved Approved
By Date By Date , Byc, .) Date S'_c1 rL,
❑ Under-slab groundwork (4295)
Approved
By Date
1
Federal Way ��G VV� �oo� PERMIT SF MF CO ME PL DE EN FP
3325(NN17YDBVELOFMENTSBOX 971 IrD /
3332FED AVENUE SOUTH•63 9 971"P�o o�L I C AT I O N ./
- -
FEDERAL WAY,WA 98063-9718
.253-835-2607•FAX 253835-2609
The following is requisedd rination-an incomplete application will not be accepted. Please print legibly(in ink)or type.
S PROPERTY INFORMATION
Gl T SUITE/UNIT#
\ 9,11`1 J2.I"� Ave. �71,v FL-7:1,-)1-71:441-/ L��I�r 6%A L�
SITE ADDRESS
_ LOT SIZE(4)ASSESSOR'S TAX/PARCEL# — —' —
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate pogo for lveMaoa P60^1
II PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0�ttPLUMBING 0 MECHANICAL
0 DEMOLITION p LECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu) 1 QrY/1 *le G [ rs .
/ I
L1'Ic1�7At--GAIN'- CF 1v1 ' r 1n c-fed �d)ztia -i I
• � r � II�
PROJECT NAME(Name of Business or Owner Last Name) �
. mu PEOPLE INFORMATION
_ r PRIMARY PHOpNE �" �/
PROPERTY NAME y\ f c r J i kJ /i I -y \ (dS� a 'J
OWNER `O, D ( CITY START ,,ZIP E-MAIL ADDRESS
"�" N A 1 1 c1 S-"tY flV .4'" 1 F-t= 6". c IA,A/, 10,. picly,nGAFe re t� 'hel
APPLICANT NAME OFFICE PHONE
CONTRACTOR COMPANY NAME ( )
•
CITY,STATE,ZIP CELL PHONE
MAILING ADDRESS ( )
CITY OF FEDERAL WAY BUSINESS LICENSE •
NUMBER
EXPIRATION DATE FAX NUMBER
CONTRACTORS REGISTRATION NUMBER '
EXPIRATION DATE • E-MAIL ADDRESS
COPY ofe.p•U tI '
wltl..ce..PP11c�Hen
-
APPLICANT NAME - OFFICE PHONE
APPLICANT COMPANY NAME f ) -
CITY,STATE,ZIP - ' CELL PHONE
MAILING ADDRESS ( ) -
FAX NUMBER
RELATIONSHIP TO PROJECT 1 1) -
o Architect o Tenant o Agent o Other 1
P )PRIMARY PHONE I E-MAIL ADDRESS I
PROJECT NAME
CONTACT
NAME Per RCW 19.27.095:
LENDER - Lender information is required if prefect value exceeds 55,000
MAILING ADDRESS
CITY,STATE,ZIP JI I PHONE
•
-
.. DETAILED BUILDING INFORIYIATION
PROPOSE])USE •
EXISTING USE
EXISTING ASSESSED/APPRAISED VALUE $ - VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
AREA DESCRIPTION EXISTING PROPOSED
BASEMENT TOTAL
SQ.
SQ. FT. SQ.FT.
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(D COVERED OR El UNCOVERED?)
GARAGE D CARPORT 9
NUMBER OF FLOORS I EXISTING PROPOSED I TOTAL
TOTAL LASTlNO Rr 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
BBQS FANS GAS PIPE OUTLETS WOODSTOVES
BOILERS GAS WATER HEATERS MISC(Describe)
FIREPLACE INSERTS HOODS(commercial)
COMPRESSORS FURNACES
DUO'S, � RANGES
;, GAS LOG SETS - REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAYS(Bathroom Sinks) URINALS
DISHWASHERS RAINWATER SYSTMISC(Describe)
DRINKING FOUNTAINS VACUUM BREAKERS
SHOWERS WATER CLOSETS
ELECTRIC WATER HEATERS SINKS !ES
HOSE BISBS WASHING MACHINES
SUMPS
SIGNATURE •
I certify under penalty o - er u
. ............
P y f p fry 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 reliant of the city,including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application. ' (,(�y��,{//�,/,
'NAME/TITLE " ' C� t " � •
' (Signature) DATE
RELATIONSHIP TO PROJECT (Title)
1-OOwner Agent ❑ Contractor ❑ Architect ❑ Other
o NEW a ADDITION a ALTERATION o REPAIR
CI TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑YES ❑NO BASIC PLAN?
ZONING DESIGNATION a YES a NO
CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? ❑YES ❑NO
PLATTED LOT? UP/SEPA/SU? o YES a NO
❑YES o NO DEMO PERMIT REQUIRED? a YES ❑NO
•
•
Bulletin#100—January I;2007 Page 2 of 4
k\Nandouts\Permit Application
•
ELECTRICAL PERMIT INFORMATION :
RESIDENTIAL COMMERCIAL
( NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet ❑ 0 to 100 amp $120.50 $74.00
(First 1300 ft2-$111.00;Each add'n 500 ft2-$35.50) P
❑ Detached outbuilding or garage ❑ 101 -200 amp 149.50 94.50
(Inspected with service) $47.00 ❑ 20.1-400 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
❑ ov- -.00 amp :2.25.50 -(1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
COMMERCIAL/INDUSTRIAL PLAN REVIEW
�: 10 # of circuits to be added alter $94.50 plus 35%of Permit Fee
' -4 circuits-$74.00;Add'n circuits$7.00/ea)
❑ 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
❑ if 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
(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 ft2i17.00) •Per WAC 296.a69J0f5)f6)fi&ii)
s
Bulletin#100-January 1,2007 . Page 3 of 4 k\Handouts\Permit Application ,