08-101191 R •
0 •
CltyofFederalway
DevelopmentServices Electrical Permit #: 08-101191 -00-EL
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:Community(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: JOHNSTON
Project Address: 28511 10TH AVE S Parc 15296 0710
Project Description: Altering 200A to include transfer switch for generator
Owner Applicant Cont or
GIL JOHNSTON RUDD ELECTRIC RUDD E .
28511 10TH AVE S 17927 26TH ST CT E •UUD*R.' .DP(10/3 •
FEDERAL WAY WA LAKE TAPPS WA 9839 17` H T E
98003-3138 . TAPPS
•
Additional Pe `t informat
Service greater than 1000 Amps? No
El 'XtLire
Alt. Serv./Feeder: 0 to 200 amp; t 1
ES Friday, March 6, 2009
•r>ai'� _ d on Tuesday, March 11, 2008
I h "a t`at °le a 6 - info anon I ported and thatconstruction on theabove describedb ro rty and
t cupa - d the'' -4 ill ill be in accordance with the Jaws, rules and regulations of the State of Was Washington
Tand the City of Federal Way.
Sal/- U8
Owne -gent: -.' Date:
A.. . THIS CARD IS T(OEMAIN ON-SITE
CITY OF n-
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-101191-00-EL
Owner: GIL JOHNSTON
Address: 28511 10TH AVE S
FEDERAL WAY, WA 98003-3138
This card is part of your required inspection documents. Scheduled inspections maybe 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 Slab/Concrete Floor(4255) ❑ Ditch cover(4030) 0 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 Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By cio. .....) Date
O UFER Ground(4295)
Approved
By Date
•
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
tr� . EI /PS' - i01. / 2 _Z_
r= PERMIT -�
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3332FED RAL WAY,WA 9•PO 971 'YLI CATION TD
FEDERAL WAY,WA 98063.9718 A / /
Z59-d9S2607•FAX Z538352609 Y�Drn�i
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The following is requireciGa5nation-an incomplete application will not be accepted. Please print legibly(in ink)or type.
IN PROPERTY INFORMATION
SITE ADDRESS A 8 5-l I IGT I(>A.h )# SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - __ __ LOT SIZE(st)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal dsustpeon)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION XELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed des • ' n of work included on this Herm' o:Ily)
'' e- "€--y r• '•p POCA. J4 f i - c°r 614r/ AC L
PROJECT NAME(Name of Business or Owner Last Name) J 6)h S
al PEOPLE INFORMATION
PROPERTY NAMES i PRIMARY PHONE
OWNER !/ .Z>1,1✓1S -A (2S'3)c '4" -3'C)43
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
07 867/ ,'O qv, 6. Fed .Wok/ WA,y86,,)3
CONTRACTOR COMPANY NAMEAPPLICANT NAME OFFICE PHONE
LA u Q neck.),r L. ,S tc It i -u u V.6-.1 ) 3- -t,�/&3®
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
�� /7 �7 ��±' .&-,E. x<iT. s wct 98;91 (. ) 69/ - /aof
/ CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER PIRATION DATE FAX NUMBER
- ( )
CONTRACTOR'S REGISTRATION NUMBER /6,,30�gp{PIRATION DATE E-MAIL ADDRESS
)Zl-+.uo al( is-30p -6-61T2 - 6-c) I - J--1-4 oq, - 3)6-®a — -Ti
APPLICANT COMPANY NAME , NAME OFFICE PHONE
7104Y) rl �r;� (67s3)S6'3 --6jt5Ca
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
17y9? -2LT-''s&.c L.E 134717;71,d, LocA. 9839/ WS3 )t W- -/AS I{
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect ❑Tenant ❑Agent ❑ Other (.3-3)863 - 0 y
PROJECT .. i PRIMARY PHONE E-MAIL ADDRESS
CONTACT NAM 1� i�)1- �“.1,.4 0 (6Z6-3) /(/ - 1.61/ 140.4t)dee
//
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
l I
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? El YES Cl NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
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
NUMBER OF FLOORS imamrsoros= TOTAL TOTAL szrsrnw al TOTAL raoroesa Sr TOTAL SP
"*NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicatenumber of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHA117CAL
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(commeed q
COMPRESSORS FURNACES RANGES
DUCTS. GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(oriub/shower combo LAVS(Bathroom shim URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS gone)
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.Ibest
knowledge, the information submitted in supportthispermit application is true and correct.I certify comply that with the applicable my
City of Federal Way of certlifi that I will all
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 apart of th lice n.
SIGNATURE: DATE 3 //-o?
7
Property Owne aTth/az luthorized Agent
o NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Pertnit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
0 Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$115.50;Each add'n 500 ft2-$37.00) ❑ 0 to 100 amp $125.50 $76.50
❑ Detached outbuilding or garage 0 101-200 amp 155.50 98.00
(Inspected with service) $48.50 0 201-400 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
O 801 - 1000 amp 536.50 224.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 584.50 311.50
Service Feeder
911 Up to • amp $125.50 $37.00 ❑ Over 600 volts surcharge $98.00
0 400 amp 155.50 76.50 0 Mast or meter repair $106.00
❑ -600 amp 212.50 106.00 ALTERED COMMERCIAL/INDUSTRIAL
0 601-8 I, :..p 272.00 145.50
❑ Over 800 am. 389.50 291.00 Service or Feeders
❑ 0 to 200 amp $125.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 291.00
Service or Feeder 0 601 - 1000 amp 439.00
❑ over 1000 amp 489.00
❑ 0 to 200 amp $96.00
la 201-600 amp 155.50 ❑ #of circuits to be added/altered
0 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
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $57.50 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ Service and feeder $125.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $67.50
O #of service or feeders
(First service/feeder-$76.50;each add'n-$50.00) Commerciai/lndustrial Service or Feeder Ampacity
O 0-100 amps $76.50
O 101-200 amps 98.00
O 201-400 amps 115.00
❑ 401-600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE/EQUIPMENT
O #of Thermostats ❑ #of Signs
(First-$57.50;addh-$17.50/ea) (First sign-$57.50;add'n sign$27.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $115.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
O Fire Alarm System 0 Yard Pole meter loops $76.50
O Security Alarm System ❑ Additional Plan Review $115.00/hour
0 Voice Cabling (for modified submittals)
0 Data Cabling ❑ Automation Fee on all Permits .. $5.50
0
1.12500 ft2-$67.50;
Each add'n 2500 ft2-$17.50)•Per WAC 296.46-910(5)%b)F d.6)
Bulletin#100-January 1,2008 Page 3 of 4 k\Handouts\Permit Application