07-106419 •
City Federal Way Electrical Permit #: 07-1013410-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98(063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: MOMOTYUK
Project Address: 28616 28TH PL S Parcel Number: 332204 9214
Project Description: New 200A underground SF service
Owner Applicant Contractor
YURIY MOMOTYUK FIVE STAR ELECTRIC LLC FIVE STAR ELECTRIC LLC
27327 48TH AVE S 8032 S J ST FIVESSE946RF 12/6/08
KENT,WA 98032 TACOMA WA 98408 8032 S I ST
TACOMA WA 98408
Additional Permit Information
Service greater than 1000 Amps? No
Electrical Fixtures
Service: -Residential 1
PERMIT EXPIRES Sunday, November 23, 2008
Permit Issued on Thursday, November 29, 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
y and t'e City of Federal Way.
�;z ?
Owner or agent: - _ Date: // Z9 -
44a70,
FIN t._'D
• THIS CARD IS TO REMAIN ON-SITE r
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-106419-00-EL
Owner: YURIY MOMOTYUK
Address: 28616 28TH PL S
FEDERAL WAY, WA 98003
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 171 • 7 By Date
El Rough Electrical (4225) ❑ Ceiling Cover(4020) 0 E Final -Electrical(4055)
Approved Approved Approved
By /1 Date ` ' 7-e By Date 1321 . Date ?
—/z n
❑ UFER Ground (4295)
Approved
By R S Date
For inspector reference only
❑ Rough Electrical ❑ FINAL-Electrical
Approved
Approved
By Date By Date
t
FnEr ederalAky PERMIT C 25 Ani AYD S SOUTH SERVICES SF MF CO ME EL PL DE EN FP
r 333TS FEDERAL AY,WA N'63.97X9711 NOV 2 I LI CATI O N _ TD / �/ /
FEDERAL WAY,WA 98063.9774
753-835-7607'PAX 753-035-7609
pnuw.dtuoUedemilw ou.cou CITY OF FEDERAL Wh ,
t BUILDING D'
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
MI PROPERTY INFORMATION
SITE ADDRESS_ 2- Cil.-t' it/ Z /1:0'4 6 R c., 4+ SUITE/UNIT#
1 ASSESSOR'S TAX/PARCEL# - -- -- LOT SIZE(sn •
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach sepmubp^g✓r loNithY de /00N
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION )ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detail description of work included on this permit onlu)
,..Sr �31os S) •i 2 oc-c H .5,e-r✓r c-e- (mil n i 0,72 u,4 d
PROJECT.NAME(Name of Business or Owner Last Name) 7'IC 04 R la k
al PEOPLE INFORMATION
PROPERTY PRIMARY PHONE
NAME a "_
OWNER \I u c- / MCA w fL-< (Z5 ) 3s, 4 o/
MAILING ADDRESS i CITY,STATE,ZIP E-MAIL ADDRESS
21317 112 e- S. 1, W4 e2Zo32 —
CONTRACTOR PLICANT ME OFFICE PHONE
CO° NAME„,, , I �� L�y��, � uy (253)732 ���
MAILI O ADDRESS STATE,ZIP - CELL PHONE
v z S 5 " CO�,�e wA 9 3�e'°3 ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
v/
( )
/ CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
0 / FI Li z 55-C- `I L/4, 4-/- 1'�'t'',,?
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) .
MAILING ADDRESS CITY,STATE,ZIP -CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect El Tenant 0 Agent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( )
LENDER NAME Per RCW.19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
•r DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? D YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES D NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGIILINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION. _ .-.... .__:..,. -
EXISTING ..._ .
PROPOSED
BASEMENT SQ; SQ. TOTAL
SQ.FT.
•
FIRST
SECOND
.
THIRD
ADDITIONAL FLOORS(DESCRIBE) _ .
DECK(0 COVERED OR ❑UNCOVERED?) - .
GARAGE ❑ CARPORT ❑ -
1
NUMBER OF FLOORS I =MN I PROPOSES L xonu TOTAL=WINO er
TOTAL PROPOSED el TOM Cr
•
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE
■ FIXTURES
•
Indicate number of each type off cture 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 GA3 PIPE OUTLETS WOODSTOVES
FANS AS WATER HEATERS
BOILERS FIREPLACE INSERTS MISC(Describe)
COMPRESSORS HOODS(commercial
FURNACES RANGES
DUCTS GAS LOG SETS
REFI2IG.3Y3TEM3
PLUMBING
BATHTUBS/or Tub/Shower Combo) LAYS(Btlluoom Sinks)
DISHWASHERS URINALS MISC(Describe)
RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS
ELECTRIC WATER HEATERS WATER CLOSETS mosey
SINKS WASHING MACHINES
HOSE HIBBS SUMPS
SIGNATURE
•
I certify under penal of perjury
penalty f p Jury that I am the property owner or authorized agent of the property owner.I certify that to the best of my
knowledge, the information submitted In support of this permit application is true and correct.I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorised by the issuance of a permit.I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local,state,or federal laws regulating construction or environmental laws.
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, 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.
•
SIGNATURE: I & C �q
Property er and/or Authorized Agent DATE /
0 NEW o ADDITION o ALTERATION o REPAIR
a TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES a NO 1 BASIC PLAN?
ZONING DESIGNATION a YES n NO
CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU?
PLATTED LOT? a YES a NO o NO
DEMO PERMIT REQUIRED? ❑YES a NO
Bulletin#100_August 16,2007 Page 2 of 4
lalandoutsTennit Application
•
rt
II
1 . ELECTRICAL PERMIT INFORMATION •
RESIDENTIAL COMMERCIAL
1 NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE •
Single Family Square Feet ',5/0$ • Service or Feeder Each Add'n
(First 1300 ft2-$111.00;Each add'n 500 ft2-$35.50) ❑ 0 to 100 am $74.00
❑ Detached outbuilding or garage p $120.50
(Inspected with service) $47.00 ❑ 101-200 amp 149.50 94.50
CI Detached outbuilding or garage ❑ 201-400 amp 280.00 111.00
(Inspected separately) $74.00 ❑ 401-600 amp 327.00 131.00
❑ 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
ALTERED SINGLE/MULT7 FAMILY
❑ 0 to 200 amp ❑ 0 to 200 amp $120.50
❑ 201 -600 amp 280.50
Service or Feeder ❑ 601 - 1000 amp 423.00
$82.50 . ❑ over 1000 amp 471.00
❑ 201 -600 amp 149.50
C3 #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
❑ Mast or meter repair $55.00
❑ Service- 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK
ResidentiayMuiti•Famify $65.00
❑ #of service or feeders
(First service/feeder-$74.00;each add%-$48.00) Commercia
I/Industriat 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
tr7i #of Thermostats ❑ #of Signs
(First-$55:00;add 1-$17.00/ea)
Li Voltage (First sign-$55.00;add'n sign$26.00/ea)
Square Feet to be served by ❑ Swimming pool/hot tub. $111.00
y systems) (Includes additional circuit,if required)
Cl Fire Alarm System 9 1
❑ Security Alarm System ❑ Yard Pole meter loops $74.00
El
Cabling ❑ Additional Plan Review $111,00/hour
❑ Data Cabling (for modified submittals)
❑ ❑ Automation Fee on all Permits ..
1Ut 2500 ft9-$55.00; $5.00
Each add'n 2500 fta-17.00) •Per WAC 296-96910(5)(bM A ii)
Bulletin#100-August 16,2007 Page 3 of 4
klHandoutslPermit Application