07-101288 •
City of Federal Way Electrical Permit #: 07-101288-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (25 )835-3050
Project Name: BEAULAC
Project Address: 2241 S 292ND ST Parcel Number: 422290 0250
Project Description: Panel upgrade, 125 to 200 amp
Owner Applicant Contractor
D BRIAN BEAULAC COPPER CREEK ELECTRIC INC COPPER CREEK ELECTRIC INC
2241 S 292ND ST P O BOX 1773 COPPECE984KP 5/17/08
FEDERAL WAY WA 16809 249TH ST E P 0 BOX 1773
98003-3822 ORTING WA 98360 16809 249Th ST E
ORTING WA 98360
Additional Permit Information
Electrical Fixtures
Alt. Sery/Feeder: 0 to 200 amps-1 1
PERMIT EXPIRES Saturday, September 8, 2007
Permit Issued on Monday, March 12, 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 t City of Federal Way.
Owner or agent: - A'' ---- Date:_ //z•/07
•
•
•
THIS CARD IS TO REMAIN ON-SITE r
CITY OF Community Development Inspection Record _
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-101288-00-EL
Owner: D BRIAN BEAULAC
Address: 2241 S 292ND ST
FEDERAL WAY, WA 98003-3822
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
El Temporary Power (4275) ❑ Service(4235) e 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 Bye ��s Date.9.,l _�.
❑ Under-slab groundwork(4295) ,
Approved
By Date
CITY OF
Federal y - PERMIT SF MF CO MI CV DE EN FP
33C3OM5 UAITY VE DNUEVE E LSOOUTPH VX SI 2007
.APPLICATION FEDERAL WAY,WA 98063-9718 T°
253-835-2607•FAX 253-835-2609
unouthttloffeeiTM.OF FEDERAL WA
BUILDING DEPT.
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type:
r �n1 C•l PROPERTY INFORMATION
r SITE ADDRESS t��q 1 C.� t O; l 2,Y\ SUITE/UNIT I
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sj)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page far lengthy legal descnpnon)
■ PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑.PLUMBING ❑ MECHANICAL
O DEMOLITION ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PRO ECT DE RIPTION(Prow' a detailed description of work included on this permit onitt)
PROJECT NAME(Name of Business or Owner Last Name) - ea lac
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER ( t o...A/� Ga.� �0_c_ (P53) Sa q 1 - a l
MAILING ADDRESS
CITY,STA ZIP E-MAIL ADDRESS •
a2"-y t * D9 r_, c'eck
CONTRACTOR MPANY NAME APPLICANT NAME OFFICE PHONE -
e1.�fc e K-Elcck U,C c.�J �l,�.At sc erg . (3lct�) 13 -(s799 CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER XPIRATION DATE F NUMBER
, -CD -05-/6 -7o 00 &L /2-3/-07 (o) ot//
COPY a(evd sagn[red r-� CQ�NTRACrORS REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
tvlth each.pplle.ttan �/ ?low eCe. iS y�C P 05/CA _
APPLICANT - `COMPANY NAM . APPLICANT NAME OFFICE PHONE
MAIUNO ADDRESS . • CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT • - _ FAX NUMBER '
a Architect ❑ Tenant gent ❑ Other ( ) -
PROJECT /nom PRIMARY PHONE . Gi E-MAIL ADbRESS
CONTACT NAI:Grt)( ;. LLI.t Nk SCYe`C (ZS.7)KacrCo -C�/ / / .
LENDER NAME - . _. Per 12CW 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? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE O TACOMA O PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . 0 HIGHLINE ❑ PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION • EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL=SURD SF TOTAL PROPOSED Sr TOTAL Sr
"*NEW HOMES ONLY NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
1
nininumommincsawaimininimme
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing factures 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(commvcis,)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Slnks1 URINALS MISC(Describe)
DISHWASHERS- RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS trans
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 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 o xcers and employees, upon the accuracy of the information supplied to the city as a part of
this application. Pge //�NAME/TITLE $l Ct%/(/L,i DATE 5//r?JI U 7
(Signature (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent ‘tractor ❑ Architect ❑ Othet
❑NEW a ADDITION a ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? a YES ❑NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? ❑YES a NO DEMO PERMIT REQUIRED? o YES a NO
Bulletin#100—January 1,2006 Page 2 of4 k\Handouts\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE .
Seruice or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$107.50;Each add'n 500 ft2-$34.50) ❑ 0 to 100.amp $1,17,00 $71.50
❑ Detached outbuilding or garage ❑ 101 -200 amp 145.00 91.50
(Inspected with service) $45.50 ❑ 201 -400 amp 272.00 107.50
❑ Detached outbuilding or garage ❑ 401 -600 amp 317.00 127.00
(Inspected separately) $71.50 •❑ 601-800 amp 410.00 173.50
❑ 801 - 1000 amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $34.50 ❑ Over 600 volts surcharge $91.50
❑ 201 -400 amp 145.00 71.50 ❑ Mast or meter repair $99.00
❑ 401 -600 amp 198.50 99.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 -800 amp 254.00 136.00
❑ Over 800 amp 364.00 272.00 Service or Feeders
❑ 0 to 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 272.00
❑ 601 - 1000 amp 410.00
S- ' - - ---d e r ❑ over 1000 amp 456.50
0 to 200 amp $89.50
❑ 201 -600 amp 145.00 ❑ #of circuits to be added/altered.
❑ over 600 amp 218.50 (1-5 circuits-$91.50;Add'n circuits,$7.00/ea)
COMMERCIAL/INDUSTRIAL PLAN REVIEW
❑ #of circuits to be added/altered $91.50 plus 35%of Permit Fee
(1-4 circuits-$71.50;Add'n circuits$7.00/ea)
1 ❑ Service- 1,000 amps or.greater
❑ Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $71.50
❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK ResidentiaWulti-Family $63.00
❑ #of service or feeders
(First service/feeder-$71.50;each add'n-$46.50) Commercial/Industrial Service or Feeder Ampacity
❑ 0- 100 amps $71.50
. ❑ 101 -200 amps 91.50
❑ 201-400 amps 107.50
❑ 401-600 amps 145.00
❑ over 600 amps 157.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats ❑ #of Signs
(First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n'sign$25.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $107.50
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $71.50.
• ❑ SecurityAlarm System • • ❑ Additional Plan Review • $107.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
❑ .
1•i 2500 ft2-$63.00; .
Each add'n 2500 10-16.50) •Per WAC 296-46-910(5)04i&,)
Bulletin#100-January I,2006 Page 3 of 41 k\Handouts\Permit Application