07-106621 I unity evelopmenlS Electrical Permit #: 07-106621 -00-EL�' -�
Cof'.-,munity Developmen!Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph (253)835-2607 Fax (253)835-2609 lnspectio _ ••- (253) 835-3050
Project Name: FLIEGER
Project Address: 30212 21ST AVE S Parce .umber: 798290 0060
Project Description: Replace 200A panel & feeders " •
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Owner Applicant ontractor
SANDRA FLIEGER LANDER ELECTRIC SERVE C LANDE LECTRIC SERVICE LLC
30212 21ST AVE S 13359 NE 16TH ST LANDEES991BC 1/3/09
FEDERAL WAY WA 98003 BELLEVUE WA 98005 13359 NE 16TH ST
BELLEVUE WA 98005
dditional Pe pc
Service greater than 1000 Amps?
ctrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps-I
PIRES Thursday, December 4, 2008
ermit Issued on Monday, December 10, 2007
I hereby certify tha above i ormation is correct and that the construction on the above described property and
the occu ncy and use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
O or t: Date:__
See APPliCatiOti
DEC 102007
7C7/ 4-- ____C....:e.-7_7,(:)
. THIS CARD IS TO REMAIN ON-SITE
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CITY OF 1
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-106621-00-EL
Owner: SANDRA FLIEGER
Address: 30212 21ST AVE S
FEDERAL WAY, WA 98003-4249
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.
0 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 Date By Date - By Date
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❑ UFER Ground(4295)
Approved
By Date
•
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For inspector reference only i
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date y-//
CITY ge COMMUNITY DEVELOPMEENT BY t _ — _L 0_ i —1,.t ]_..
Fcderaf,Way PERMIT SF Ml CO ME �PL DE EN FP
COMMI�MTY DEVELOPMENT SERVICES !SEC 1 0 2007 -33325 FEDERAENUE SOUTH 88063 9718 18 APPLICATION T° / _.i
FEDERAL WAY,WA 7806:)-9718
753-835-1607•FAX 753835-7609
wmt8.0no17aderrJwm.rvm —
The oiiowin. is re.uired in ormation-an inco •lete a••Iication will not be acce•ted. Please •rint le•ibi (in in or •e.
IIII PROPERTY INFORMATION
�� SUITE/UNIT#SITE ADDRESS %}0 2 1 2 L 1 A V e, (0 ASSESSOR'S TAX/PARCEL # _� I 2 -L �_ _0 - � 0 6 0 LOT SIZE(s)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot .1)
(Aged,separate page for lengthy legal descnpncn)
■ PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRI ION (Provide detailed description of work ciuded on this ermlt on/ )
e I1 (9/ '10041q a0vl ����.4fetr5
PROJECT NAME (Name of Business or Owner Last Name) r I i e/ 5 r
• PEOPLE INFORMATION
1 PRIMA PHONE
OWNER NRM�GIftlrq rI ; e,1 & r ( 25-i) 2 3 1 - 5509
PROP MAILING ADDRESS CITY, ATE,ZIP / �� /7�QO '7
502 ► 2 21St Av. . Si re'Turgl VV'Y /S --
CONTRACTOR
COMPANY AME APPLICANT NAME J OFFICE PHONE
Lin4e1- Ele.c TM) G Svc. KI-i$tvh Fithnir (v-5) 56 - 1771
MAILING ADDRESS TY,STE, CELL PHONE
1 �W51 NE 10-6 St- e11 TA e///vu6,j WA. 980o5 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPNGITION DATE FAX NUMBER
0 - 0 7 - I 0 1 1 8 `t- B L I2 / ( / 07 (t25)5&2 -2866
EXPIRATION DATE
-
CONTRACTOR'S REGISTRATION NUMBER/copy of ea:djequBed with each appllcetlooi 1 / � / O OC LANDeilll
APPLICANT
COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
Simi; i5 coo trgctor
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) _
_
RELATIONSHIP TO PROJECT FAX NUMBER
) -
❑ Architect ❑ Tenant ❑Agent ❑ Other(Describe) -
NAME ., Q• PRIMARY PHONE I 1 I E-MAIL ADDRESS
CONTACT NAME, t h rimy)111 4 Y7 (` 251 56� I`
LENDER Pe " r *j *927095 LenderInJormation NAME
required t project vfafii ex,,ceeds$5.000 —
"' " nx � CITY,STATE,ZIP PHONE
■ MAILING ADDRESS ( )
f
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE --
EXISTING ASSESSED/APPRAISED VALUE $—_ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
1
e
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PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.VT. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
EXRPT1110 PROPOSED TOTAL TOTAL=STING sr TOTAL PROPOSED 9F r I9
NUMBER OF FLOORS
"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 $
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_ AIR HANDLING UNITS EVAPORATIVE CO.OLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commer.iot) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
_ COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/shower combo) SHOWERS WATER CLOSETS(roil ) MISC(Describe)
DISHWASHERS SINKS - DRINKING FOUNTAINS
_ GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS lBRth,00m Si ).u<o VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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 authorised 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.
/ � Jo7
NAME/TITLE 1,1 DATE _
(Signative) (Title)
RELATIONSHIP TO PROJECT U Owner ❑ Agent Ia.Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
❑ NEW i ADDITION ❑ALTERATION j REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? L3 YES ri NO BASIC PLAN? a YES (i NO
ZONING DESIGNATION CHANGE OF USE? ^ E YES n NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#100--January 1,2006 Page 2 of 4 k\Handouts\Permit Application
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ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft4-$111.00:Each add'n 500 fP-$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
❑ 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
❑ 601 -800 amp 262.00 140.50 ALTERED COMMERCIAL/INDUSTRIAL
❑ 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
Service or Feeder ❑ 601 - 1000 amp 423.00
s 0 to 200 amp $92.50 ❑ over 1000 amp 471.00
❑ 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)
❑ #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
❑ 4 of service or feeders
(First service/feeder-$74.00;each add'n-$48.00) Commercial/ndustrial 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
❑ 4 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 Hann System ❑ Additional Plan Review
ID Voice Cabling $I 11.00/hour
❑ Data Cabling (for modified submittals)
❑ Automation Fee on all Permits .. $5.00
1•I 2500 ft2-$65.00;
Each add'n 2500 ft2-17.00) •Per WAC 296 46-910(5)15)0&W
Bulletin#100-January 1,2007 Page 3 of 4 k\Handouts\Pennit Application