07-101411 •
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City of Federal Way Electrical Permit #: 07-101411 -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: BRONITSKY
Project Address: 33407 42ND AVE SW Parcel Number: 286730 0110
Project Description: New residential service, t-stat,and low voltage for security/fire/data/phone systems.
Owner Applicant Contractor
PAVEL BRONITSKY PAVEL BRONITSKY PAVEI,BRONITSKY
11502 SE 254TH PL 11502 SE 254TH PL 11502 SE 254TH PL
KENT WA 98030 KENT WA 98030 KENT WA 98030
Additional Permit Information
Electrical Fixtures
Low Voltage Burbler Alarm-Resi 4,565 Service: -Residential 4,565 Thermostat 1
PERMIT EXPIRES Wednesday, September 12, 2007
Permit Issued on Friday, March 16, 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: ( Date: -�l �Q
--'�®� THIS CARD IS TO REMAIN ON SITE
CITY OF R 'ssa=r A
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-101411-00-EL
Owner: PAVEL BRONITSKY
Address: 33407 42ND AVE SW
FEDERAL WAY, WA 98023
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
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❑ Temporary Power (4275) ❑ Service (4235) ❑ Feeders/Sub-panels (4045)
Approved Approved Approved
By Date Bye _ Dateti—»,(1 , By Date
,
❑ Rough Electrical (4225) ❑ Ceiling Cover (4020) ❑ Final -Electrical(4055)
Approved Approved Approved
Bye Date n -`Z-,,, , By Date ` By CS*,,,f Date 5 _1,,.
❑ Under-slab groundwork(4295)
Approved
BY 0_, ^, Date 3__ lot-b`)
�Iryoa," RECEIVED , U 2 - 0 0 ■ ' ,1.
Federal Way PERM*IT '
COMMUNITY DEVELOPMENT SERVICES MAR 1 AIPLICATION 2 Q7 _ SF MF CO ME 6 PL DE EN FP
33375'BTM AVENUE SOUTH•P0BOX 9718
FEDERAL WAY,WA 98063-9718 TD /
.253-835-7607•FAX 253-835-7609 _.(-- -"°
unuwaleuJ(eedrmiwmtmm CITY OF FEDERAL WAY /// 1
BUILDING DEPT.
The following is required Information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
S PROPERTY INFORMATION
SITE ADDRESS ?' "A� l [-Oink ( 5-Lci SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 2 U — -? "-�2 C'n - C'� Ct \ �) LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) u-KQIrIc(2 V nT# `\ .
tAttr,aeparnes page/a lengthy legal dnmpdon)
- IN PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING O P UMBING 0 MECHANICAL
0 DEMOLITION, LECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
ail izie,M cid wo(,te.. re 41,.t. ()a-0'rd— .
a 1
PROJECT NAME(Name of Business or Owner Last Name) a CI-01"-s.) .
El PEOPLE INFORMATION
PROPERTY NA 4E /PRIMARY PHONE
OWNER l?.)Ye( t77+�t:(11-uti ( 2 ) T - -2-'
MAILING ADDRESS • CITY,STATE,ZIP E-MAIL ADDRESS n
110Q, .0 a"'z' 1 P( R - w A 93 o1j0 "i ,-ll� a►^oo c.,:ww
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
( ) _
COPY atsvd ngolnd CONTRACTORS REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
.dthn e:PPll=Wea
•
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
QtA‘-R GJJ CA-12r1002- ( )
. MAILING ADDRESS - CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
o Architect ❑ Tenant ❑Agent ❑ Other ( )
PROJECT NAME
PRIMARY PHONE
E-MAIL ADDRESS •
CONTACT ' GLt..✓ (05.5 A" T =A-Q-)7( fad?.M d5�
ja
tAxo'coo-
LENDER MAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
a-So5 sc
ak Z 4. S+ Siu k No t e. t coo., C A .91035 (? . )5.1-at I( 00
■ DETAILED BUILDING INFORMATION
EXISTING USE • PROPOSED USE '
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES gfNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES et:11O .
WATER SERVICE PROVIDER -e LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ;. LAKEHAVEN 0 HIGHLINE ❑PRIVATE(SEPTIC)
( 3 LE Co
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ;FT. SQ. FT. SQ.FT.
BASEMENT •
FIRST 'c
SECOND •
THIRD 4
ADDITIONAL FLOORS (DESCRIBE) a /
DECK(0 COVERED OR ❑UNCOVERED?) • z'
GARAGE ❑ CARPORT ❑ �� ,.
narrow PROPOSED I TOTAL. ToaLi.c.7CIanxo OF TOTAL PROraess SF TOTAL I!?
NUMBER OF FLOORS C
*"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ 7 t CDD
II FIXTURES
Indicate number of each type of fixture to be i . tailed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL •
Value of Mechanical Work $ (A COPY 0 :ID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE C'OLERS - GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERT HOODS(commercial)
COMPRESSORS FURNACES RANGES
DUCTS;, - GAS LOG 3 REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAYS(Bathroom Sinw) - URINALS -MISC(Describe)
DISHWASHERS . RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS ' SHOWERS WATFrg CLOSETS crones
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, including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
• NAME/TITLE •I� /7 'K( (/ DATE 3//010
(Signature) (Title)
RELATIONSHIP TO PROJECT $)Owner ❑ Agent Contractor ❑ Architect ❑ Other
o NEW o ADDITION o ALTERATION o REPAIR a TENANT IMPROVEMENT.
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
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Bulletin#100-January 1,2007 - Page 2of4 k\iandouts\Permit Application .
4
- '° • -- ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE 4 S 5 NEW COMMERCIAL/INDUSTRIAL SERVICE
Single Family Square Feet Service or Feeder Each Add'a
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 ❑ 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
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❑ 601 - 1000 amp 423.00
Service or Feeder
CI to 200 amp $92.50 ❑ over 1000 amp 471.00
❑ 201 -600 amp 149.50 CI # 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
❑ 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) • 6 S( First sign-$55.00;add'n sign$26.00/ea)
ow Voltage ❑ Swimming pool/hot tub $111.00
quare Feet to be served by system(s) 'ells G (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 1t2t17.00( •Per WAC296-46-91o(5)1 W(i&ii)
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Bulletin#100-January 1,2007 . Page 3 of 4 k\Handouts\Permit Application