09-101506 Electrical
City of Federal Way
Community Development Services Permit #: 09-101506-00-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: SERR/FERGUSON
Project Address: 920 S 315TH ST Parcel Number: 787540 0255
Project Description: Adding/altering 0-200 amp service
Owner Applicant Contractor
DIANE FERGUSON DIANE FERGUSON DIANE FERGUSON
920 S 315TH ST 920 S 315TH ST 920 S 315TH ST
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98003-5354 98003-5354 98003-5354
Additional Permit Information
Is Use Educational or Institutional`' No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps(F 1
PERMIT EXPIRES Thursday, April 22, 2010
Permit Issued on Wednesday, April 22, 2009
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
i and the City of Federal Way.
Owner or agent: 2 /. ='��� V-2Date: 0- l
-- , THIS CARD IS TO REMAIN ON-SITE
CITY OF
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 09-101506-00-EL
Owner: DIANE FERGUSON
Address: 920 S 315TH ST
FEDERAL WAY, WA 98003-5354
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 13) (-G Date ,5----Z --c,2 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) 0 Ceiling Cover(4020)
Approved Approved Approved
By c--, Date,Cb4 —a,S.6% ByC 3 Date et_ez 5....c . By Date
❑ Final-Electrical(4055)
Approved
•
By Date
For inspector reference only _
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
4kBuilding Division
CITY OF 33325 Eighth Avenue South
Fed a ra I lAIay•,' ._ Federal Way,WA 98063-9718
Phone 253-835-2607
Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: k J - s'lAs S4- PERMIT#: 9- to t S06--o
,k-AO a ks--.c , .A-,
IF YOU HAVE ANY QUESTIONS CALL (253) 835- a 2-1
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
(:1 L`" cS —E 0 .J
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
cruor "—, r 'Federal Ways V _ _ -_ _ / l/ / 5-06
COMMUNITY DEVELOPMENT SERVICES E R M I T SF MF CO M
33325 Snr AVEMIE SOUTH•PO BOX 971 NO DE EN FP
53-8 5-2607•FAX 253-835-2609 FR 2 2p PP L I C AT I O N TO
www.citrroffederalwati.con / /
The followittiliti required information-an incomplete application will not be accepted. Pleaserint legibly P 9 rJ(in ink)or type.
al PROPERTY INFORMATION
SITE ADDRESS -t g- ) SO 3 f S In - _ SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# g. 3-1. 4C2 _ O 2 .5L LOT SIZE(sfl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separatepoge for I.tgthy te9.1 desvipaon)
E PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
u„)re but i&( ^- et,ec1-1,14-44
4- cow QLtf 1bticp to+
i- �
P
PROJECT NAME(Name of Business or Owner Last Name) ['1 (,(J S.e.o. 7 D id(L' ' (;CfCf-cO K.1
II PEOPLE INFORMATION
PROPERTYPRIMANAME
OWNER lAU.'- y`-�Vim(u.SO�J (2G PHONE
MAILING ADDRESS 1 Q Y,STATE,ZIP ���� RE�� ��
LA.98403
E-MAIL ADDRESS
CONTRAC Rilt CIOMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY, ATE,ZIP CELL PHONE
, 4
F .;(Ie4-C. 46/4 Ca' l,�l(O_ Ka
/ CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER 7 -"� MI
EXPIRATION DATE FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
(
MAILING ADDRESS CITY.STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT
0 Architect ❑ Tenant a Agent o Other FAX NUMBER
PROJECT I NAME
CONTACT i/l. PRIMARY PHONE I E-MAIL ADDRESS
LENDER NAME
Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIPI PHONE
• DETAILED BUILDING INFORMATION
EXISTING USE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
I'` 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
67aHTDIO PROPOS= TOTAL TOTAL EXISTING sr TOTAL PROPOSGD SF TOTAL SF
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.
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(COQ
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shoe Combo) LAVS(Baeuoom sma URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roso
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 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, expenses, 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 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.
S
//:<`-e71&71'
c%a DATE 77/ ./A
SIGNATURE:
Property Owner and/or Authorized Agent
❑NEW a ADDITION o 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 a NO UP/SEPA/SU? ❑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\Pemtit 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
U Single Family Square Feet Service or Feeder Each Add'n
(First 1300 IV-$121.00;Each add'n 500 R2-$39.00) U 0 to 100 amp $131.50 $80.00
❑ 101-200 amp 163.00 103.00
U Detached outbuilding or garage(w/service) $51.00
U 201.-400 amp 305.50 120.50
U Detached outbuilding or garage(inspected separately) $80.00 ❑ 401-600 amp 356.00 142.50
U Swimming pool(w/service) $80.00 ❑ 601-800 amp 460.50 195.00
❑ Swimming pool(inspected separately) $120.50
U 801 - 1000 amp 562.50 235.50
U Hot tub/spa/sauna(w/service) $51.00
U Hot tub/spa/sauna(inspected separately) $80 ❑ Over 1000 amp 613.00 327.00
U 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
NEW MULTI-FAMILY(three units or more) ALTERED COMMERCIAL/INDUSTRIAL
Service Feeder (Does not include circuits.)
Service or Feeders
U Up to 200 amp $131.50 $39.00
U 0 to 200 amp $131.50
U 201 -400 amp 163.00 80.00
0 201 -600 amp 305.50
❑ 401 -600 amp 223.00 111.00
U 601 1000 amp 460.50
❑ 601 -800 amp 285.50 152.50
U over 1000 amp 513.00
U Over 800 amp 408.50 305.50
❑ #of circuits to be added/altered
ALTERED SINGLE/MULTI FAMILY (1-5 circuits-$103.00;Add'n circuits,$8.00/ea)
Service or Feeder COMMERCIAL/INDUSTRIAL PLAN REVIEW
0 to 200 amp $100.50 $103.00 plus 35%of Permit Fee
201 -600 amp 163.00 ❑ Service- 1,000 amps or greater
U Medical/Educational/Institutional Facility
U over 600 amp 245.50
❑ Additional plan review for
U #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 to 60 amp $ 71.00 $32.00
❑ Service or feeder only $80.00 ❑ 61-100 amp 80.00 39.00
U Service and feeder $131.50 ❑ 101-200 amp 103.50 51.00
U 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
Cl #of Thermostats
(First-$60.50;add'n-$18.50/ea) U #of Signs
U Low Voltage (First sign-$60.50;add'n sign$28.50/ea)
Square Feet to be served by system(s) ❑ Yard Pole/meter loops/pedestal $80.00
❑ Fire Alarm System ❑ Portable Generator(transfer equipment) $100.50
❑ Security Alarm System
U Ditch cover/inspection only $120.50
` ❑ Voice Cabling
❑ Data Cabling
0
1.'2500 ft2-$71.00; For fees not listed,contact the Permit Center at
Each add'n 2500 ft2-$18.50) 253-835-2607
Bulletin#100-January I,2009 Page 3 of 4 k\Handouts\Permit Application