09-102381 Electrical
City of Federal Way Q
Community Development Services Permit #: 09-102381 -00-EL
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: BARBIN
Project Address: 5017 SW 310TH STFILE Parcel Number: 184090 0055
Project Description: Adding/altering(1)circuit
Owner Applicant Contractor
PETER BARBIN LUCKY ELECTRIC LUCKY ELECTRIC
LAUREN M BARBIN 2914 136TH ST CT E LUCKYE*016RF(12/13/09)
5017 SW 310TH ST TACOMA WA 98446 . 2914 136TH ST CT E
FEDERAL WAY WA 98023-2028 TACOMA WA 98446
�E Additional
Is Use Educational or Institutional? No
ied4 yR i 'lectriealFi t f* 44' y %�
Circuits-Residential 1
PERMIT EXPIRES Thursday, June 24, 2010
Permit Issued on Wednesday, June 24,..2009
I hereby certify that the abo a information is co a 4 that the construction on the above described property and
the occupancy and the u W" .- in .0 ors_note `ithe i_ I~ _ d regulations of the State of Washington
-
gidI-- Ci ofF-derf :y.
Owner or agent: - , �1tp� Date: f ti*Cr- 7
THIS CARD IS TWEMAIN ON-SITE y
CITY OF -.
• Construction Mpection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 09-102381-00-EL Address: 5017 SW 310TH ST
Owner: PETER BARBIN FEDERAL WAY, WA 98023-2028
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.
E UFER Ground (4295) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) 0 Temporary Power(4275) E Service(4235)
Approved Approved Approved
By Date By Date By Date
Feeders/Sub-panels(4045) El Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
Ill Final-Electrical(4055)
Approved
Bye .ia _ Date (p _ w...09
•.
•
For inspector reference only
. 0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
ar,a. III _ _ 102 "
FeD PERMIT
COeMdUNITYDEVELOPMENT SERVICES
SF MF CO ME PL DE EN FP
3332E 83AVENUEFAXSOU25 BO , APPLICATION
FEDERAL WAY,FAX
98063-9W0 / /
2609
www.cittroflademh�uaau.com
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•
AY
The fo1cas �Il , , V van incomplete application will not be accepted. Please print legibly(In ink)or
N
• PROPERTY INFORMATION
SITE ADDRESS a rO/ 7 -S-w- ,/ 47-
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# / ZS 4-v - 0. _ LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
peach seParats~fur length!,legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work E included on this permit only)
#) • ( V C0/7--
PROJECT NAME(Name of Business or Owner Last Name) 013/Fik.A.l,IJ
■ PEOPLE INFORMATION
PROPERTY NAME ?,, J PRIMARY PHONE
E >
OWNER — fA£/N (2a h ) yS -) - 7JjL/
MAILING ADDRESS 6f 7 Cid` 3 /V 6' - C C=4t Ay %76x( E-MAIL ADDRESS
<)
CONTRACTOR COMPANY NAME N OFFICE PHONE
L v c L--7C..Lr-C 7t/C� r c OVVcf//<'4 t �3 7 -9/ 9g
IIIAIREU CITY,STATE, CELL PHONE
/�3� 'z�r—7—MEW?"' ` 7 c 1� �9 577(17, 74.
b2S3)�(�7 �3yS
(7J
CITY OF EDERAL WAY B SIN LICEN NU ER EXPIRATION DATE FAX NUMBER -
7
CO TION NUMBER E7�ATION DATE E-MAIL ADDRESS
�Uc � � D/� �� /IpocC (59
APPLICANT COMPANY S NAMEAPPLICANTAPPLICANT NAME OFFICE PHONE t-[ n c ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
CI Architect ❑Tenant ❑Agent ❑ Other ( ) -
PROJECTN PRIMARY PHONE , / E-MAIL ADDRESS
CONTACT C ( )J'E-�' f/k4 NA�)(?.67-(31/.57)
LENDER NAME Per RCW 19.37.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE ..
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES a NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN o HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑LAKEHAVEN a HIGHLINE ❑ PRIVATE(SEPTIC)
it PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
BASEMENT SQ.FT SQ.FT. SQ.FT.
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS sasrao- raoro® "
re` TOTAcsa "ar TOTAL PRordeirIll ?MAL SP
"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.
M$CBAHICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITHAPPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commabq
•
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Bras) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS memo
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorised 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 flied 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
Property Owner and/or Authorized Agent
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT t
BUILDING SHELL ONLY? a YES a NO BASIC PLAN?
a YES'.. a NO
ZONING DESIGNATION CHANGE OF USE?
❑YES a NO
NEW ADDRESS REQUIRED? a YES a NO IIP/SEPA/SU? a YES a NO
;PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2009 Page 2 of 4 k\Handouts\Permit Application
- # #
ELECTRICAL PERMIT INFORMATION
*NOTE:an automation fee of$6.00 will be charged for all permits.
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2-$121.00;Each add'n 500 in $39.00) ❑ 0 to 100 amp $131.50 $80.00
O 101-200 amp 163.00 103.00
❑ Detached outbuilding or garage(w/service) $51.00 0 201-400 amp 305.50 120.50
U Detached outbuilding or garage(inspected separately) $80.00
0 401-600 amp 356.00 142.50
❑ Swimming pool(w/service) $80.00 ❑ 601-800 amp 460.50 195.00
❑ Swimming pool(inspected separately) $120.50
o Hot tub/spa/sauna(w/service) $51.00GI 801- 1000 amp 562.50 235.50
❑ Over 1000 amp 613.00 327.00
LI Hot tub/spa/sauna(inspected separately) $80.00
LI Septic pumping system(w/service) $51.00 ❑ Over 600 volts surcharge $103.00
❑ Septic pumping system(inspected separately) $80.00 ❑ Mast or meter repair $111.00
ALTERED COMMERCIAL/INDUSTRIAL
NEW MULTI-FAMILY(three units or more) (Does not include circuits.)
Service Feeder Service or Feeders
❑ Up to 200 amp $131.50 $39.00 ❑ 0 to 200 amp $131.50
0 201-400 amp 163.00 80.00 0 201-600 amp 305.50
❑ 401-600 amp 223.00 111.00 0 601- 1000 amp 460.50
0 601-800 amp 285.50 152.50 ❑ over 1000 amp 513.00
❑ Over 800 amp 408.50 305.50
❑ #of circuits to be added/altered
ALTERED SINGLE/MULTI FAMILY (1-5 circuits-$103.00;Add'ncircuits,$8.00/ea)
Service or Feeder COMMERCIAL/INDUSTRIAL PLAN REVIEW
0 0 to 200 amp $100.50 $103.00 plus 35%of Permit Fee
❑ 201 -600 amp 163.00 LIService- 1,000 amps or greater
LI over 600 amp 245.50 LIMedical/Educational/Institutional Facility
0 Additional plan review for
)4
#of circuits to be added/altered modified submittals $115.00/per hour
(1-4 circuits-$80.00;Add'n circuits$8.00/ea)
❑ Mast or meter repair $60.50 TEMPORARY SERVICE
Service or Feeder Each Add'n
MANUFACTURED HOMES 0 0 to 60 amp $ 71.00 $32.00
0 Service or feeder only $80.00 0 61-100 amp 80.00 39.00
❑ Service and feeder $131.50 0 101-200 amp 103.50 51.00
O 201-400 amp 120.00 60.50
MOBILE HOME/RV PARK ❑ 401-600 amp 163.50 80.00
❑ #of service or feeders ❑ Over 600 amp 183.00 92.00
(First service/feeder-$80.00;each add'n-$52.50)
MISCELLANEOUS SERVICE/EQUIPMENT
U #of Thermostats
(First-$60.50;add'n-$18.50/ea) 0 #of Signs
O Low Voltage (First sign-$60.50;add'n sign$28.50/ea)
Square Feet to be served by system(s) 0 Yard Pole/meter loops/pedestal $80.00
O Fire Alarm System ❑ Portable Generator(transfer equipment) $100.50
❑ Security Alarm System Q Ditch cover/inspection only $120.50 `
❑ Voice Cabling
❑ Data Cabling Y
❑ For fees not listed,contact the Permit Center at
la 2500 fn-$71.00;. . '
Each add'n 2500 ft2-$18.50) 253-835-2607
Bulletin#100-January 1,2009 Page 3 of 4 k\Handouts\Pei mit Application