09-104805 3 ,
Electrical
City of Federal Way ^ w,
Community Development Services Permit #: 09-104805-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p 9
Project Name: CAMPBELL
Project Address: 505 S MARINE HILLS WAY Parcel Number: 515298 0060
Project Description: altering or adding(4)circuits for bathroom remodel
Owner Applicant Contractor
TERRY&ELLEN CAMPBELL MIKE'S CONSTRUCTION MIKE'S CONSTRUCTION
505 S MARINE HILLS WAY 116 RAINIER EST.CT MIKESEL959JM(4/14/11)
FEDERAL WAY WA 98003-3635 RAINIER WA 98576 116 RAINIER EST.CT
RAINIER WA 98576
•
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Is Use Educational or Institutional? No
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Circuits-Residential 4
PERMIT EXPIRES Thursday, December 9, 2010
Permit Issued on Wednesday, December 9, 2009
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: J te:'
FINALE- Z f j /I°
THIS CARD IS TO REMAIN ON-SITE , ,
CITY OF ., = r..,.; 0 Construction Ins tion Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 09-104805-00-EL Address: 505 S MARINE HILLS WAY
Owner: TERRY & ELLEN CAMPBELL FEDERAL WAY, WA 98003-3635
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.
❑ UFER Ground (4295) El Ditch cover (4030) "0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) ❑ Rough Electrical (4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date, 2—‘.,.t� .J.1. By Date
El Final-Electrical (4055)
Approved
Date" _ /7_�e„, �0
fl Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
A
Federal Way • PERMIT MF CO ME PL 'DE EN FP
COMMUNITY DEVELOPMENT SERVICES APPLICATION I
253-835-2607•FAX 253-835-2609
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SITE ADDRESS V Er
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SIIrZIVNTI'• ZONING R'S TAR/PARCEL Y C 0 9 20'4
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NAME or PROJECT 7/
(Tenant or Homeowner Name)
CAW/4
❑BUILDING ❑ PLUMBING ❑ MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION *ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
S/4 7/7/ ite-e i € /
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER (d «/J/� ( ) -
MAILING ADDRESS,CITY,STATE/ZIP E-MAIL
SL's .///3/c 06.1r Ai/t& i )i+67/
OWNER IS ALSO: o CONTRACTOR o ARpLI/CART [J PROJECT CONTACT
NAME( tU // - l ‘ - L/ /'r" (/�`S PRIMARY PHONE
S 6C-V-/ (zs3)7/1- /174S'6
MAILING CONTRACTOR CITY,STATE,ZIP FAX
( ) -
WA STATE CONTRACTOR'S LICENSE a EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE Y
j?1lI4S EL 9s 7 , •+a ij / ) /ze -20z2 7
&20
NAME MARY PHONE
APPLICANT /111/2-6 3 /A T�I (3 f7
7 '
MAILING ADDRESS,CITY,STATE,ZIP 1Z141#‘4 C.or FAX
i7r4/, ' c 6sr a7— Cr 441 98s'76 ( ) -
PROJECT CONTACT NAM PRIMARY PHONE
(The individual to receive and /4//L L LCL L I 077 (3W)'7C/ —
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) S
( )
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
PROJECT FINANCING NAME
OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW]9.27.095)
( ) -
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the
best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE:
DATE j ,L i
PRINT NAME: G[J/LG-4i1-4w 6-L'1 C / <
Bulletin#100—4/17/2009 Page 1 of 4 k:Handouts\Permit Application
• MECHANICAL FIXTURE
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING 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.
BATHTUBS(oub/ShowerCombo) LAVS)Hmtd Sinks) TOILETS
rT WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(Its Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL
FOR OFFICE USE
BASEMENT -------------------------------_.._...__ i
FIRST FLOOR(or Mobile Home) — — —
SECOND FLOOR --- — ----
COVERED ENTRY --- ---_----
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
--
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Construction # of
in Square Feet Occupancy Group(s) Type Stories Additional Information
NEW BUILDING
ADDITION
COMMERCIAL- REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction # of
in Square Feet Occupancy Group(s) Type Stories Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—4/17/2009 Page 2 of 4 k:\Handouts\Permit Application
• ELECTRICAL •
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet 18,Service/Feeder Additional Feeders
(including attached garage): 0- 100 amp x$131.50 x$ 80.00
FEES: First 1300 ft2-$121.00; 101- 200 amp _x$163.00 _x$103.00
Each additional 500 ft2-$39.00 201- 400 amp _x$305.50 x$120.50
NEW MULTIFAMILY (3 units or more) 401- 600 amp x$356.00 x$142.50
1st Service/Feeder Additional Feeders 601- 800 amp _x$460.50 x$195.00
0- 200 amp x $131.50 x $ 39.00 801- 1000 amp x$562.50 x$235.50
201 -400 amp x $163.00 x $ 80.00 Over 1000 amp _x$613.00 _x$327.00
401 -600 amp x $223.00 x $111.00
601 -800 amp x $285.50 x $152.50 Over 600 volts surcharge x$103.00
Over 800 amp _x $408.50 x $305.50
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
Is'Service/Feeder Additional Feeders 1 Service/Feeder Additional Feeders
0- 200 amp _x $100.50 -x $ 39.00 0- 200 amp x$131:50, _x$103.00
201 -600 amp _x $163.00 _x $ 80.00 201- 600 amp x$305.50 _x$142.50
Over 600 amp x°$245.50' x $111.00 601-1000 amp x$460.50 _x$235.50
Over 1000 amp x$513.00 x$327.00
Added or Altered Circuits
1-4 circuits$80.00;each additional$8.00 Added or Altered Circuits
1-5 circuits$103.00;each additional$8.00
Mast or meter repair $60.50
Mast or meter repair $111.00
MANUFACTURED HOMES PLAN REVIEW FEES
Service or feeder only x $ 80.00 35%$103.00 plus 35/0 of Permit Fee;Plan Review required for:
Service and feeder x $131.50
❑ New,or alteration to,service of 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
Plan review for modified submittals $120.50/hour
MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
❑ Fire Alarm System 1st Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling 0- 60 amp x $ 71.00 _x $ 32.00
❑ Other 61- 100 amp x $ 80.00 x $ 39.00
Area to be served by system:
101-200 amp x $103.50 x $ 51.00
13t 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50
201-400 amp x $120.00 x $ 60.50
#of Thermostats 401-600 amp x $163.50 _ x $ 80.00
First$60.50;each additional$18.50
Over 600 amp x $183.00 _x $ 92.00
#of Signs **NOTE: an automation fee of$6.00 will be charged
First$60.50;each additional$28.50 on all permits**
Yard Pole/meter loops/pedestal x$ 80.00
Portable Generator(transfer equipment)_x$100.50 For fixtures or fees not listed contact the Permit Center at
Ditch cover/inspection only x$120.50 253-835-2607
Bulletin#100-4/21/2009 Page 3 of 4 k:11landouts\Permit Application