08-104503 - ` Electrical
City of Federal Way Q
Community Development Services E N. Permit #: 08-104503-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718 y` Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: CHAMBERS
Project Address: 629 SW 293RD ST Parcel Number: 119600 1793
Project Description: Connect wheelchair lift. Install standby gentran switch.
Owner Applicant Contractor `
BARBARA CHAMBERS ZORKO ELECTRIC ZORKO ELECTRIC
629 S 293RD ST PO BOX 1808 ZORKOEII21OK(9/12/10)
FEDERAL WAY WA 98023-3538 WOODINVILLE WA 98072-1808 PO BOX 1808
WOODINVILLE WA 98072-1808
Additional Permit Information
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps(R 1
PERMIT EXPIRES Wednesday, September 23, 2009
Permit Issued on Tuesday, September 23, 2008
I hereby certify that the bove ormation is correct and that the construction on the above described property and
the occupancy - • r - use I'•- in a•'ordance ��' the laws, rules and regulations of the State of Washington
d th `ity of Federal Way.
YZ376:'Owner or agen/ 1''4 ,,� ' f, J / Date:
THIS CARD IS TO MAIN ON-SITE
I
CITY OF 4No...,1kk
itommunitY p P Developm t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-104503-00-EL
Owner: BARBARA CHAMBERS
Address: 629 SW 293RD ST
•
FEDERAL WAY, WA 98023-3538
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.
0 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) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By AUDate 7.74.,o0 By Date
•
❑ Final-Electrical(4055)
Approved
n
By / r Date��.:>e
•
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
i /►
SEP2 :12008
ag -103
car Of•
C�EIV CONST C:I ION PERMIT APPLICATION
APPLICATION NUMBER:
� L
uV �vECEIV
-
APPLICATION NUMBER: - -
CITY OF FEDERAL WAY APPLICATION NUMBER: — _ -
**The following iGQS-ed information-Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
V A ' C
SITE ADDRESS: (p 2..q 6 iV t 5 (Ld- --\- -ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
' : U `PRO]ECT INFORMATION'
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
St ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): OC)r(>-at V/J`Y` Ac...:W . J-
65(--,e,_A. 6.- ei T ,Q, 1 . L,,,;,,
PROJECT NAME:
■ PEOPLE INFORMATION
PROPERTY OWNER' NAME: ç ,,
� A. \�.s DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
(9 '-°‘ 5 J 'a-ct 34.1 6-- F,L.4. (AA4 y cN Oa3
CONTRACTOR: NAME: DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
` ) (9 , ( J) 'Dv 1/41c,-A( Sgt (47:5-)121q - o ((
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: ci. L Fel NUMBER: -
1.
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: l
(copy of card required) g-Q �/ e ^.L. i 7 1_ 0 '4- — ®9 / 'Z / /t
APPLICANT:
NAME: 4:0 DAYTIME PHONE:
. -- (LIN-) ---77/0MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVE ING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: /<"d (. EXISTING BUILDING ASSESSED/APPRAISED VALUATION.$
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDF.[VTIAL CONSTRUCTION O.* •
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROTECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
.: ......... ..._,:,.. .,_ :...r,� ,... -r.r.,:-., ��..:=.�,.,4s�.�:•�. �FIXTURES• _,,.. .<....r
•. �x:T,Y.•Ye yrta-+.:.is.H .. ,. i. AF.SSM'-w.#YfaT. .. ., w,.a.}v:+..n' r.'f-.+sti.
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
■ 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 I am authorized by the owner of the above premises to perform the work for which the permit application is made. I
further agree to hold harmless the City of Federal Way as to any daim(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the informationI
•d •_the city as a part this application.
NAME/TITLE:' /% `,/ _ . / Ii 9/73(C4)
❑ PROPERTY OWNER 0 APPLICANT ,ONTRACTOR
2FOROFFICE USE ONLY
lEW ADDITION ❑ALTERATION ;REPAIR Q ,L :TENANT IMPROVEMENT i
CENSUS�CODE 3 �
'-- OT SIZE - ;- `'b tr
�oNING EsgGt1ATIO : r ' G BYOB
�� _ � .BUILDING SNEL�.ONLY? �❑*ES � NO
.�; . P r ESIGN TION M MI NNI . BAS LAN' LYES 0 O ��
k. SECTION _ '� r x na h,R ,_-- y
TOWNSHIP RANGE ANEW ADDRESS REQUIRED? P ` ❑a(Wite NOS
PLATTEDLOT? ❑YES . .❑.NO CHANGE=OF USE?- ❑,.YES. _0 N0 .. - .I:
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253.661-4000•FAX:253-6614129
www.citvoffecleralway.com
• PROJECT FLOOR AREAS
a
AREA DESCRIPTION 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
ZEROING PROM/ID - TOTAL TOTAL 2II8I so er TOTAL PROPOSRDSIP TOTAL SP
NUMBER OF FLOORS
•
"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.
KCAL
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(cemmud p
COMPRESSORS • FURNACES RANGES
DUCTS. • GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/shower comm I.AVS psalm=smlra) URINALS MISC(Describe)
• DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(aoq •
•
ELECTRIC WATER HEATERS SINKS WASHING MACHINES .
HOSE BIBBS SUMPS
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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 Wag 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 • such c ,• , , which be made by any person, including the undersigned, and filed against the city, but only
where such claim aria3 of ? - of J ty,including its officers and employees,upon the accuracy of the information supplied to
the city as a part ofj • •- on. /
ie
r
SIGNATURE: DATE 9A5/04
Property Owner and/or Authorized Agent
•
a NEW a ADDITION a ALTERATION o REPAIR a.TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? o.YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SII? a YES a NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? a YES o NO
Bulletin#100—January 1,2008 Page 2 of 4 ldHandoutsi?ennit Application
ir.,ECTRICAL PERMIT INFORMA. .)N
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square FeetService or Feeder Each Add'n
(First 1300 ft2-$115.50;Each add'n 500 fri-$37.00) ❑ 0 to 100 amp $125.50 $76.50
❑ Detached outbuilding or garage ❑ 101-200 amp 155.50 98.00
• (Inspected with service) $48.50 ❑ 201-400 amp 291.00 115.00
❑ Detached outbuilding or garage 0 401-600 amp 339.50 136.00
(Inspected separately) $76.50 0 601-800 amp 439.00 186.00
O 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 0 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
❑ Over 800 amp 389:50 291.00 Service or Feeders
❑ 0 to 200 amp $125.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 291.00
O 601 - 1000 amp 439.00
Service or Feeder ❑ over 1000 amp 489.00
0to200amp $96.00
201-600 amp 155.50 ❑ #of circuits to be added/altered
O over"600 amp 234.00 (1-5 circuits-$98.00;Add'n circuits,$7.50/ea)
❑ #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
O Service- 1,000 amps or greater
❑ 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 ResidentialMulti Family $67.50
❑ #of service or feeders •
(First service/feeder-$76.50;each add'n-$50.00) Commercial/lndustrial Service or Feeder Ampacity
U 0-100 amps $76.50
O 101-200 amps 98.00
❑ 201-400 amps 115.00
❑ 401-600 amps 155.50
❑ 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 ❑ Swimming pool/hot tub $115.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $76.50
❑ Security Alarm System ❑ Additional Plan Review $115.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.50
1«2500 R2-$67.50;
Each add'n 2500 ft2-$17.50)•Per WAC 296-46410Mb*&a/
Bulletin#100-January 1,2008 Page 3 of 4 k\Handouts\Permit Application