06-102329 City of Federal Way Electrical Permit #: 06-102329-00-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: GILMORE
Project Address: 30624 9TH AVE S Parcel Number: 174500 0050
Project Description: Add circuit to existing 125-amp panel.
Owner Applicant Contractor
LINDA GILMORE A+ELECTRIC SERVICE A+ELECTRIC SERVICE
30624 9TH AVE S MAL INC AELECS*994NO 8/25/07
FEDERAL WAY WA 98003-4117 7225 PACIFIC AVE SE MAL INC
LACEY WA 98503 7225 PACIFIC AVE SE
LACEY WA 98503
Additional Permit Information
Electrical Fixtures
Circuits-Residential 1
PERMIT EXPIRES Sunday, November 5, 2006
Permit Issued on Tuesday, May 9, 2006
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 b in accordance with the laws, rules and regulations of the State of Washington
( and the City of Federal Way.
Owner or agent: y ) ' S � O,C,
Date:
FINALED
THIS CARD IS TO REMAIN ON-SITE
CITY OF ', Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-102329-00-EL
Owner: LINDA GILMORE
Address: 30624 9TH AVE S
FEDERAL WAY, WA 98003-4117
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 By Date
❑ Rough Electrical (4225) ❑ Ceiling Cover(4020) ❑ Final -Electrical (4055)
Approved Approved Approved
By Date By Date By Date =/ 3z'(
❑ Under-slab groundwork (4295)
Approved
By Date
' 1
1
' A RECEIVED Y / , ,z__ %Federal
Way PERMIT
COMMUNITY DEVELOPMENT
SOPMENTSERVICES � 0 82006 SF MF CO ME�i PL DE EN FP
33325 8r8 AVENUE SOUTH•PO BOX 9718
FEDERALWAY,WA 9718 I_p
253-835-2607•fAX 29583°'8633 S-2i8TY OF ER/RI L I C AT I O N II
www.d[vo((ederalway.mm Bu'.D NG DEPT.
The ollowin. is re.wired in ormation-an income tete a.•Iication will not be acce•ted. Please •rint le.ibi (in in or
■ PROPERTY INFORMATION
SITE ADDRESS 60(OL. I 9 4, AA, e)
ASSESSOR'S TAX/PARCEL# 1 7 " „ O C\- O 0 ? LOITSI SIZE( #
7 1 J LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates, Lot 1)
(Attach separate page for lengthy kgal desmphonl
:■ PROJECT INFORMATION . . ..
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION kBLECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on`this permit only)
` (�.c Arc ,,. — X 2-5 2-ii& Y:= ,
PROJECT NAME(Name of Business or Owner Last Name) Cq) I lAtl.(,,r .
PEOPLE'INFORMATION
PROPERTY NAME -
OWNER PRIMARY PHONE
LL n C-3(,1 i-Yi ��v� 6530lss
MAILING ADDRESS TY,STATE,ZIP
fi4.04�1 ` `S [ ST‘ATE,E,ZI P 6 ! 4 06'003
CONTRACTOR COMPANY NAME APPLICANT NAME -
OFFICE PHONE
-t 6/ices 37,0,_-„,_ el-we„ (Apo )s"z -54k,
MAILING ADDRESS -6- CITY,STATE,ZIP
7725 ie, s ,C CELL PHONE —
CITY OF FEDERAL WAY BUSINE S LICENSE NUMBER X •i E O�-� �' )
U EXPIRATION DATE - FAX NUMBER
Q-c)-6-1 c L o 4 4-B' L " r 9 /3/ loci ( )iOl -/goo
ONTRACPORS REGISTRATION NUMBER(copy of card required with each application(
,(�. E / (� ! •* 9 /`FL/ / /r ^"...EXPIRATION DATE
IC C_- C� l_ -/ lJ (�]/ /ice ( C.J�
APPLICANT COMPANY NAME
' (i 0_55 a"-'c ti n APPLICANT NAME OFFICE PHONE
MAILING ADDRESS JC— CITY,STATE,ZIP — l` 1
CELL PHONE
(
RELATIONSHIP TO PROJECT )
O Architect ID Tenant O Agent ❑ Other(Describe) FAX NUMBER
( )
CONTACT I NAME I (PRIMARY PHONE -
E-MAIL ADDRESS
LENDER Baia :104 AA
�.�� le-ri CY �to ,, ! NAME
..,.,
MAILING ADDRESS CITY,STATE,ZIP
(' `:• I DETAILED BUILDING INFORMATION.
EXISTING USE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE i$
VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAXEHAVEN ❑ HIGHLINE ❑ TACOMA O PRIVATE(WELL)
SEWER SERVICE PROVIDER O LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) a
I ■
•
PROJECT FLOOR AREAS . I
AREA DESCRIPTION EXISTING PROPOSED TOTAL
S e.FT. SQ. $T. SQ.FT.
BASEMENT
FIRST .
SECOND
THIRD
FOURTH •
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(COVERED?)
GARAGE ❑ CARPORT❑
EXISTING PROPOSED TOTAL
NUMBER OF FLOORS
"NEW HOMES ONLY" NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE $
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 $
GAS LOGS REFRIG.SYSTEMS
AIR HANDLING UNITS EVAPORATIVE COOLERS W FRIG.SYSTEMS
FANS HOODS(co.:m.1 q
BOILERS RANGES - - MISC(Describe)
BOILERS FIREPLACE INSERTS '
COMPRESSORS
FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING WATER CLOSETS(fou�y MISC(Describe)
BATHTUBS(or T,b/Shower Combo( SHOWERS
SINKS DRINKING FOUNTAINS
DISHWASHERS RAINWATER SYST
GAS PIPE OUTLETS SUMPS
URINALS HOSE BIBBS
UR
WASHING MACHINES ELECTRIC WATER HEATERS
LAVS(Bathroom sinks VACUUM BREAKERS
- . 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
am authorized by the owner of the above premises to perform the work for which the permit application isthe made.
Iif --the agrde to hold ld of
harmless the City of Fe. ral Way as t' any aim(including costs, expenses, and attorneys'f
such claim), which may be ade by any •erson,`inciuding the undersigned, and filed against the City of Federal Way,but only where such claim
arises out of the reliance • the city, inc ding 1 s officers and employees, upon the accuracy of the information supplied to the city part of
this application. - 7^h/J
DATE
/i l
NAME/TITLE ��\����_1. (Title(
(Signature)
RELATIONSHIP Te PROJECT ❑ S ❑ Agent Contractor ❑ Architect ❑ Other
v^ .),MVI.co11A0%off@.
[TitISI�.,. ° b���1y„i l ..._ oli t1�.. a�4 t;fi f. �...y e..•r
I �"�•�+..\, o �:.
C. jA l�g �.ld�..ikO m-`S-: ,i m u.u-...y. _-,_
E�i i B kCg�grt s,r®ie*0 iSQC� 17V i iL0 r } § T cW° „.
[4.0.i1 )AWi rtga..stT .m 77. ,'--,;1',:',... i � Nigwyy1 _ L - r a10
t 'x o � -.yl 41 D .e�tNe °liR't. r� ."a 7m v { x } 1.4,, " JI Qyr i i® '':1'r;,-;47.
._.,..,_�1
11.4,: i::14...0.0 ivIrit 1 t•-." lF tiley0 1V115.4 i0f1 ■ 41 .:;
•r
Bulletin#100—Ianuary 7,2005
Page 2 of 4 k\HandoutsUBermit Application
r
. • • - • - • 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 $113.50 $69.50
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50)
❑ Detached outbuilding or garage ❑ 101-200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 601-800 amp 398.50 168.50
❑ 801 - 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00
Service Feeder -
❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
❑ 401 - 600 amp 193:00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 -800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0to200amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
❑ 0 to 200 amp $87.00
❑ 201 -600 amp 141.00 ❑ #of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
COMMERCIAL/INDUSTRIAL PLAN REVIEW
g. l #of circuits to be added/altered
$89.00 plus 35%of Permit Fee
(1-4 circuits-$69.50;Add'n circuits$7.00Jea) ❑ Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
❑ Service and feeder $113.50 TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $61.00
❑ # of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Cornmercial/Industrial Service or Feeder AmpaCity
❑ 0- 100 amps _ $69.50
❑ 101-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $104.50
❑ Security Alarm System ❑ Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
o
(Per System(s) 1.t 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) `Per WAC 29646-910(50Xi&li) •
Bulletin#100-January 7,2005 Page 3 of 4 k\IIandouts\Permit Application .