07-105192 •
CommunitityyofDevFederalWaelopmentSyervic, erm
es Electrical Pi •• 07-105192-01 -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: HERNANDEZ
Project Address: 4851 SW 315TH PL Parcel Number: 189870 0220
Project Description: Repair/replace wiring damaged from tree falling. REVISED permit on 11/16/07 to change
out 200 amp service panel.
•
Owner Applicant Contractor
ADONIS&MARIA HERNANDEZ ADONIS-8c MARIA HERNANDEZ ADONIS&MARIA HERNANDEZ
MARIA C HERNANDEZ 4851 SE 315TH PL 4851 SE 315TH PL
4851 SW 315TH PL FEDERAL WAY WA 98023-2019 FEDERAL WAY WA 98023-2019
FEDERAL WAY WA
98023-2019
Additional Remitinformation
Service greater than 1000 Amps? No
' Electrical Fixture a�
Alt. Serv./Feeder: 0 to 200 amps-1 1 Mast or Meter Repair-Residential 1
PERMIT EXPIRES Monday, November 10, 2008
Permit Issued on Friday, November 16, 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
and the City of Federal Way.
Owner or agent: Date: /7/4w 7
THIS CARD IS TOAIN.ON-SITE
CITY OF Pommunit3Developp me t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-105192-01-EL
Owner: ADONIS & MARIA HERNANDEZ
Address: 4851 SW 315TH PL
FEDERAL WAY, WA 98023-2019
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
_ 0 Temporary Power(4275) 0 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
❑ UFER Ground (4295)
Approved
By Date
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
411
City of Federal Way Electrical Permit• 077105,192-00-EL
Conimunity Development Services y ' •
• 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: HERNANDEZ A'
j
Project Address: 4851 SW 315TH PL p Parcel Number: 189870 0220
Project Description: Repair/replace wiring damaged from tree falling.
Owner Applicant Contractor
ADONIS&MARIA HERNANDEZ ADONIS&MARIA HERNANDEZ ADONIS&MARIA HERNANDEZ
4851 SE 315TH PL 4851 SE 315TH PL 4851 SE 315TH PL
FEDERAL WAY WA 98023-2019 FEDERAL WAY WA 98023-2019 FEDERAL WAY WA 98023-2019
' Additional Permit information
Service greater than 1000 Amps? No
'k Electrical Fixtures
Mast or Meter Repair-Residential 1
PERMIT EXPIRES Friday, September 12, 2008
Permit Issued on Tuesday, September 18, 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 W shington
• and the City of Federal Way.
Owner or agent: Date: lid U 7
THIS CARD IS TO WAIN.ON-SITE -
CITY OF1/4 Y tommunitY DevelopmentInspection Ins Record .
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-105192-00-EL
Owner: ADONIS & MARIA HERNANDEZ
Address: 4851 SW 315TH PL
FEDERAL WAY, WA 98023-2019
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 n ,* Date l d_ , By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By j Date �` _(11 By Date B \isAA.1 Date 1,1—
0 UFER Ground(4295)
Approved
By Date
•
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
•
• _e_2. -
�N�M9M .._La_ 5 i 2_ -0, .
emr Or
•
COMMUNITY DEMO. SERVICES PERMIT
SF MF CO ME •L DE EN FP •
399?SBNAVENUE SOU771.1O1�971a �
FSDSRAL WAY,WA 98063-9718 AppLIPATION TD
253.8352607•FAX 253-035.7609
.dluoAE y.8mn x'
The following is required information—an incomplete application will not be accepted. Please print legibly(in ink)or type.
111 PROPERTY INFORMATION
SITE ADDRESS_ t 4 5 / SLv 'I�� FL �.e 7 SUITE/UNIT
,�_ 1 ASSESSOR'S TAX/PARCEL# . 1 .8_ 9 Y} / 0- U Z _2- 0 • LOT SIZE op11, c8 o
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)7)0 "(-1eb I (17' 9e.ty k 3 s.... ii 2) 3 Lt±#•Z 2-
(mach a f.peaeforYI,gaod..alfOon)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 P UMBING . 0 MECHANICAL
• ❑ DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE FREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of wor inclu ed on this permit onlu)
• / vt li) Qy41.1.- . /1-s _a,�I vcC' Fri-. bPr A
PROJECT.NAME(Name of Business or Owner Last Name) •
• PEOPLE INFORMATION
PROPERTY NAME
�`,� ,1 PRIMARY PHONE
WI OWNER I1 S f] Pw til /1�'AGee Z (v53) e,'/ - 7-751
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
gr c Zci/443 r-e-�-c A I L .44 '4 ?t ) 4C/,)vi)$_V (C9 A nut,
CONTRACTOR CQMPAIofI NAMEv cit.) y I AP/P CANT NAME OFFICE PHONE
� - t (: 145.7
MAILING AUuxrao CITY,STATE,Gilt CELL PHONE` •
CITY OF FEDER '-S,-"l ' -'ICENSE NUMBER EXPIRATION DATEFA:NUMba..
r, . _ a.„
I P '7
CONTRACTOR'eIMMOAweaaawn.....LEL.. — EXPIRATION D,,., E-MAIL ADDRESS
APPLICANT COMP(INY NAME / APPLICANT NAME OFFICE PHONE
COS
l/ ( ) _
MAILING ADDRESS CITY,STATE,ZIP •CELL PHONE
(
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect 0 Tenant 0 Agent ❑ Other ( ) -
PROJECT RIME PRIMARY PHONE
E-MAIL ADDRESS
CONTACT ONert S /14414."(5- (lb b )?b `F - z-`l'a 4e/046.yr e ,,,i,,,,,.C.,.-
LENDER NAE r p Per RCW 19.2.7.095:
v•id r 1 • Ste/L-' t $ V4.1 AZ Lender information is required if project value exceeds$5,000 •
MAILING ADDRESS ' ! CITY,STATE,ZIP • PHONE
. (cge ) _
• DETAILED BUILDING INFORMATION .
• EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK i$
SPRINKLERED BUILDING? o YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? Cl YES Cl NO
WATER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE Cl PRIVATE(SEPTIC)
■ PROJECT FLOOR AREAS
•
AREA DESC• •N EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
•
FIRST
SECOND
THIRD •
ADDITIONAL FLOORS(DESCRIBE) -
DECK(0 COVERED OR 0 UNCOVERED
GARAGE 0 CARPORT 0
NUMBER OF FLOORS MOST= r TOTAL TOTAL=MVO TOTAL PROPOSED MALI
•
"NEW HOMES ONLY'" . NUMBER OF BEDROOMS ESTIMATED '' NO PRICE $
■ fIXTURES •
Indicate number of each type of fixture to be installed or relocated , part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID O I TE .I ST BE INCLUDED WITH APPLICATION)
•
AIR HANDLING UNITS EVAPORATI OOLERS r ' PIPE OUTLETS WOODSTOVES
BBQS FANS GA= ATER HEATERS MISC(Describe)
BOILERS FIREP E INSERTS HOOD ommerdafl
COMPRESSORS FU•• CES RANGES
DUCTS G LOG SETS REFRIG.SY' 5
•
PLUMBING
BATHTUBS IorTub/Shower Combo) LAVS(Bathroom sink. URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS rad)
ELECTRIC WATER HEA e S SINKS WASHING MACHINES
HOSE BIBBS SUMPS •
SIGNATURE
•
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, exp , 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 th 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 9 e ° 7
PropertyOwner and/or Authorized Agent
o NEW o ADDITION o ALTERATION. a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES.o NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? a YES o NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES a NO•
Bulletin#100_August 16,2007 Page 2 of 4 , k'Ilandouts\Permit Application
,
0 : 1 •
ELECTRICAL PERMIT INFORMATION '
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$111.00;Each add'n 500 ft2-$35.50) ❑ 0 to 100 amp $120.50. $74.00
❑ Detached outbuilding or garage 0 101-200 amp 149.50 94.50
(Inspected with service) $47.00 0 201-400 amp 280.00 111.00
❑ Detached outbuilding or garage 0 401-600 amp 327.00 131.00
(Inspected separately) $74.00 0 601-800 amp 423.00 179.00
O 801-1000 amp 516.50 216.00
NEW MULTI-FAMILY(three units or more) 0 Over 1000 amp 563.00 300.00
• Service Feeder
❑ Up to 200 amp $120.50 $35.50 0 Over 600 volts surcharge $94.50
❑ 201 400 amp 149.50 74.00 0 Mast or meter repair $102.00
0 401 -600 amp 205.00 102.00
❑ 601 -800 amp 262.00 140.50 ALTERED COMMERCIAL/INDUSTRIAL
❑ Ove ' 280.50 Service or Feeders
0 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY 0 201-600 amp 280.50
O 601- 1000 amp 423.00
Service or Feeder ❑ over 1000 amp 471.00
❑ 0 to 200 amp $92.50
❑ 201-600 amp 149.50 0 fi of circuits to be kidded/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/Institutivna]Facility
' • -ACTURED HOMES ,i
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK ResidentiaVMulti-Family $65.00•
0 fi of service or feeders '
(First service/feeder-$74.00;each add'n-$48.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $74,00
❑ 101-200 amps 94.50
❑ 201-400 amps 111.00
0 401-600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats " ❑ #of Signs
(First-$55:00;add'n-$17.00/ea) (First sign-$55.00;addh sign$26.00/ea)
0 Low Voltage ❑ Swimming pool/hot tub. $111.00
Square Feet to be served by system(s) . ' •(Includes additional circuit,if required)
❑ Fire Alarm System 0 Yard Pole meter loops $74.00
❑ Security Alarm System • ❑ Additional Plan Review $111.00 hour
El Voice Cabling (for modified submittals) /
❑ Data Cabling
❑ ❑ Automation Fee on all Permits .. $5.00
1.t 2500 ftl-$65.00;
Each add'n 2500 ft2-17.00)*Per WAC 296-46-910(50)118 i) '
Bulletin#100-August 16,2007 Page 3 of 4 0 k\Handouts\Permit Application