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08-102909 City of Federal Way • Community Development Services Electrical Permit #: 08-102909-00-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: PATRICK x.* i a k' Project Address: 34909 27TH AVE SW `` �` Parcel Number: 502945 1030 Project Description: ALT-total rewire of kitchen,replace/add (12) circuits. Owner Applicant Contractor ` ESTHER PATRICK R H CUSTOM ELECTRIC R H CUSTOM ELECTRIC 34909 27TH AVE SW 1015 S 124TH ST RHCUSCE944QN(11/15/2008) FEDERAL WAY WA FEDERAL WAY WA 1015 S 124TH ST 98023-3079 FEDERAL WAY WA Additional Permit Information Service greater than 1000 Amps9 No Electrical Fixtures Circuits-Residential 12 PERMIT EXPIRES Saturday, December 13, 2008 • Permit Issued on Monday June 16, 2008 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use 1 be in ace° a ce with the laws, - les and regulations of the State of Washington the-City of Way. --� Owner or agent: A / r \ Date: 6"---/ 0 ‘11/ Ink THIS CARD IS TO RFAIN ON-SITE CITY OF tlit mmunity DevelopmeM Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 08-102909-00-EL Owner: ESTHER PATRICK Address: 34909 27TH AVE SW FEDERAL WAY, WA 98023-3079 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. O UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date — 0 Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235) Approved Approved Approved By Date By Date By Date ❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) Approved Approved Approved 4 By Date By cp Date 1 • / ••e By Date O Final-Electrical(4055) Approved ( j By CIA W (C).-12- i Date � .-12- " For inspector reference only 0 Rough Electrical 0 FINAL-Electrical Approved Approved By Date By Date .. ... I vy •RECE 0, Federal W --,0 -- -... "1 Q - COMMUNI7YDEVELOPMIENTSERVICES6juN 16 2008 PERMIT SF MF CO M° PL DE EN FP 33325 ifm FEDERAENUESDUTH•PO BOX A980639718 ®E 'PLICATION FEDERAL WAY,WA 98063-97]8 "� FAX 253-835-2809®� FED .c_____---/,----------/-- 253-835-2607.Theer following is required i 1 Lr i a.�iOn-an incomplete application will not be accepted. Please rint legibly(in ink)or type. • PROPERTY INFORMATION SITE ADDRESS 3- q DI 21th IW. S>A) SUITE/UNIT# ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estntas,Lot 1) 5 F R (Anon separate page for lengthy legal descrf tfon! • PROJECT INFORMATION TYPE OF PERMIT ❑BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION,,ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit oral)) QrrL GOibe- 0-1 Vic Veilei,te Li. nR 'm Uk- PROJECT NAME(Name of Business or Owner Last Name) PA YR 1 (, MI PEOPLE INFORMATION PROPERTY NAME/ PRIMARY PHONE OWNER r P� -r ` C k (253)63& - MAILIlV DRESS CITY STATE,ZIP v./R E-MAIL ADDRESS ae ?ox l34a re dex,t I ati va,93 CONTRACTOR COn N APPLICANT OFFICE PHONE D s7 o,n� CICCT/ )C Ron)Helmet et a�►- e r c (loo) gzr/ - ewe?7 MAIL PHONE 13k 4 S. t? '` S Sia IA 9816, (20�+) 778 - 05 i CITY• FED WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER CONT .•'S REGISTRATION NU[MJER EXPIRATION DATE E-MAIL ADDRESS lk R C-vff`SC G� , i / /5 ©Er tk\L.,'�.1 e APPLICANT COMP RE s r c APPLICANT NAME OFFICE PHON•1 IIE MAILADDRESS CITY,STATE,ZIP CELL PHONE ( ) RELATIONSHIP TO PROJECT FAX NUMBER ❑Architect a Tenant ❑Agent ❑ Other ( ) PROJECT N'"- PRIMARY PHONEMAIL rD• CONTACT ..� r.�., air Ii:.. ( o , ) $'- C) , , r c 1 . .. 4 , 4, COtC/ f LENDER NAME Per RCW I9.27.095: �� Lender information is required(f project value exceeds$5,000 fMAILING ADDRESS CITY,STATE,ZIP PHONE ( ) • DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE a TACOMA a PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC) • a 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 EXISTING PRO TOTAL TOTAL EXLWLNO SF TOTAL PROPOSED SI, TOTAL HF **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$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC(Describe) BOILERS FIREPLACE INSERTS HOODS(commorctaq COMPRESSORS FURNACES RANGES DUC:Ib GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS(or Tub/shower Combo) LAYS Bathroom sham) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet) ELECTRIC WATER HEATERS 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 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 made by any person, including the undersigned, and faded against the city, but only where such claim arises out of the reliance of t ,including its officers and employees, upon the accuracy of the information supplied to the city as a part of this , ., r. don. SIGNATURE: / . tf117‘/ �' ` DATEProp er and/ uthorized Agent FOR OFFICE USE ONLY o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? ❑YES o NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO PLAITED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO Bulletin#100-January 1,2008 Page 2 of 4 k\Handouts\Permit Application • ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE U Single Family Square Feet Service or Feeder Each Add'n (First 1300 ft2-$115.50;Each add'n 500 ft2-$37.00) Li0 to 100 amp $125.50 $76.50 ❑ Detached outbuilding or garage L3101-200 amp 155.50 98.00 (Inspected with service) $48.50 ❑ 201-400 amp 291.00 115.00 ❑ Detached outbuilding or garage ❑ 401-600 amp 339.50 136.00 (Inspected separately) $76.50 ❑ 601-800 amp 439.00 186.00 U 801 - 1000 amp 536.50 224.50 NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 584.50 311.50 Service Feeder ❑ Up to 200 amp $125.50 $37.00 U Over 600 volts surcharge $98.00 ❑ 201 -400 amp 155.50 76.50 ❑ Mast or meter repair $106.00 ❑ 401 600 amp 212.50 106.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ 601 -800 amp 272.00 145.50 U Over 800 amp 389.50 291.00 Service or Feeders ❑ 0 to 200 amp $125.50 ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 291.00 ❑ 601 - 1000 amp 439.00 Service or Feeder ❑ 0 to 200 amp $96.00 U over 1000 amp 489.00 U 201 -600 amp 155.50 ❑ #of circuits to be added/altered ❑ over 600 amp 234.00 (1-5 circuits-$98.00;Add'n circuits,$7.50/ea) l v#of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits-$76.50;Add'n circuits$7.50/ea) $98.00 plus 35%of Permit Fee ❑ Service- 1,000 amps or greater U Mast or meter repair $57.50 ❑ Medical/Educational/Institutional Facility MANUFACTURED HOMES U Service or feeder only $76.50 ❑ Service and feeder $125.50 TEMPORARY SERVICE MOBILE HOME/RV PARK Residential/Multi-Family $67.50 ❑ #of service or feeders (First service/feeder-$76.50;each add'n-$50.00) Commercial/Industrial Service or Feeder Ampacity U 0-100 amps $76.50 U 101-200 amps 98.00 ❑ 201-400 amps 115.00 U 401-600 amps 155.50 U over 600 amps 168.00 MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Thermostats ❑ #of Signs (First-$57.50;add'n-$17.50/ea) (First sign-$57.50;add'n sign$27.00/ea) U Low Voltage U Swimming pool/hot tub $115.00 Square Feet to be served by system(s) (Includes additional circuit,if required) 0 Fire Alarm System U Yard Pole meter loops $76.50 ❑ Security Alarm System U Additional Plan Review $115.00/hour ❑ voice Cabling (for modified submittals) Data Cabling U Automation Pee on all Permits .. $5.50 13 1st 2500 ft2-$67.50; Each add'n 2500 ft2-$17.50)•Per WAC 296-46.910(5)2V(t&til Bulletin#100-January 1,2008 Page 3 of 4 IdllandoutsTermit Application