09-103978 i
• Electrical
City of Federal Way jj��``�� ''9 p
Community Development Services Permit #: 09-10390 8-00-EL
P.O.Box 9718 FILE
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-260" Inspection Request Line: (253) 835-3050
Project Name: `GEMCARE AFH
Project Address: 30440 11TH AVE S Parcel Number: 091900 0215
Project Description: Altering the service for hardwired smoke detectors
Owner Applicant Contractor
BEVERLY A FIGUREAS BEVERLY A FIGI.'Fl AS BEVERLY A FIGUREAS
30440 11TH AVE S 30440 1 ITH AVE S 30440 11TH AVE S
FEDERAL WAY WA 98003-4120 FEDERAL WAY WA 98003-4120 FEDERAL WAY WA 98003-4120
Additional Permit Information
is I c Educational or IntitilUtlunnl.' No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps(F 1
PERMIT EXPIRES Tuesday, October 12, 2010
Permit Issued on Monday, October 12, 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
and the City of Federal Way.
Owner or agent: '�'��T .. �.�� Date: /41/42-1/
0°41. \as'ir.113
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• THIS CARD IS TO MAIN ON-SITE -
Cei-Y OF Y Construction In ection Record =.
FederalWay INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 09-103978-00-EL Address: 30440 11TH AVE S
Owner: BEVERLY A FIGUREAS FEDERAL WAY, WA 98003-4120
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.
El UFER Ground (4295) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) ❑ Temporary Power(4275) El Service (4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) El Rough Electrical (4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
BN Date By Date By Date
El Final-Electrical (4055)
Approved
y,-----(,---7 Date (6/-19"—e.,7
Rough Electrical Final Electrical n Right of Way
�' I Approved Approved I Approved
By Date _ By Date By Date
i, -/
• PERMIT - -°
Cr:
MF CO ME D., PL DE EN FP
Federal Way
- COMMUNITY DEVELOPMENT SERVICES nil' 1 ?APPLICATION / /
253-835-2607•FAX 253-835-2609
www.attioffederalway.corn
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SITE ADDRESS
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SU1TE/UNIT# ZONING ASSESSOR'S TAX/PARtEL#
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(Tenant or Homeowner Name) — &
NAME OF PROJECT A _ it...,, ryletadiet We-/
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C1 BUILDING. 0 UMBING 0 MECHANICAL p PREVENTION
TYPE OF PERMIT
0 DEMOLITION . LECTRICAL 0 ENGINEERING 0
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PROJECT DESCRIPTION
Detailed description of work to
be included an this permit only
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PHONE
NAME
PROPERTY OWNER 11-7t-VU7K LI / J(\) -Pt 67 07--T-A-4-7 ( ) -
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
OWNER IS ALSO: 0 CONTRACTOR )(APPLICANT 0 PROJECT CONTACT
NAME PRIMARY PHONE
( ) -
CONTRACTOR MAILING ADDRESS,CITY,STATE,ZIP
FAX
( ) -
WA STATE CONTRACTOR'S LICENSE q EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME
PRIMARY PHONE
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APPLICANT ()(7- >
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LING ADDRESS,CITY, FAX
,ESTE,ZIP . Ai,...e
17. 6 0 tf, 5-5 1' —) 1 ( )
PROJECT CONTACT NAME PRIMARY PRONE
( ) -
(The individual to receive and (;144V9
FAX
respond to all correspondence MAILING ADDRE ,STATE,ZIP .
concerning this application) ati ( ) -
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
( ) -
PROJECT FINANCING NAME
5VOWNER-FINANCED
Required for projects with P?(V-14.771, t,1/4/ A7Ni il\ ---M. 1,LA OKA ')
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW I 9 27.095)
( )
I certify under penalty of perjury that I am the propertyf this
ror permitauthorized agent of the property owner..I certify that to the
best of my knowledge, the information submitted in supportapplication is true and correct.I certify that I will comply
with all applicable City of Federal Way regulationsethepertaining to the work authorized by the issuance ofaee permit. I understand that
owner's responsibility for compliance with local, state, f:deral laws regulating
the issuance of this permit does not remove
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred
in the Investigation and defense of such claim), which may be made by arty person, including the unersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE:"- DATE / "//? A '1/ it)7v Pi
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PRINT NAME: , _
Bulletin#100-4/17/2009 Page 1 of 4 k:\Handouts\Permit Application
MECHANICAL FIXTUR0. � 3
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.. •
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(coo)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
- PLUMBING 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.
BATHTUBS(or Tub/Shower combo) LAVS(Hood Sinks) TOILETS WATER PIPING
DISHWASHERS r RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION -
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$ $
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
' .,g, ,; RESIDENTIAL
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL
FOR OFFICE USE
BASEMENT — ---
FIRST FLOOR(or Mobile Home) —
SECOND FLOOR
COVERED ENTRY — ---- — —
DECK
GARAGE ❑ CARPORT Cl
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL- NEW/ADDITION
AREA DESCRIPTION Area Construction # of
in Square Feet Occupancy Group(s) Type Stories Additional Information
NEW BUILDING
ADDITION
COMMERCIAL -REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction # of
in Square Feet Occupancy Group(s) Type Stories Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—4/17/2009 Page 2 of 4 k:\Handouts\Permit Application
• ELECTRICAL410
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet 1st Service/Feeder Additional Feeders
(including attached garage):
0- 100 amp x$131.50 x$ 80.00
FEES: First 1300 ft2-$121.00; 101 200 amp x,$I63.00; x$103.00
Each additional 500 ft2-$39.00 201- 400 amp x$305.50 x$120.50
NEW MULTIFAMILY (3 units or more) 401- 600 amp x$356.00 x$142.50
1s,Service/Feeder Additional Feeders 601 800 amp x$460.50 x$195.00
0- 200 amp x; $131.50 x $ 39.00 801- 1000 amp x$562.50 x$235.50
201 -400 amp x $163.00 x $ 80.00 Over 1000 amp x$613.00 x$327.00
401 -600 amp x $223.00 x $111.00
601 800 amp x $285.50 x $152.50 Over 600 volts surcharge x$103.00
Over 800 amp x $408.50 x $305.50
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1 s,Service/Feeder Additional Feeders 1 st Service/Feeder Additional Feeders
0- 200 amp x $100.50 x $ 39.00 0- 200 amp x$131.50 x$103.00
201 -600 amp x $163.00 x $ 80.00 201- 600 amp x$305.50 x$142.50
Over 600 amp x $245.50 x $111.00 601-1000;amp x$460.50 x$235.50
Over 1000,amp x$513.00 x$327.00
Added or Altered Circuits
1-4 circuits$80.00;each additional$8.00 Added or Altered Circuits
1-5 circuits$103.00;each additional$8.00
Mast or meter repair $60.50
Mast or meter repair $111.00
MANUFACTURED HOMES PLAN REVIEW FEES
Service or feeder only x $ 80.00 0
$103.00 plus 35%of Permit Fee;Plan Review required for:
Service and feeder x $131.50
❑ New,or alteration to, service of 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
Plan review for modified submittals $120.50/hour
MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
❑ Fire Alarm System
1s,Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling 0- 60 amp x $ 71.00 x $ 32.00
O Other 61 - 100 amp x $ 80.00 x $ 39.00
Area to be served by system:
101 -:200 amp x $103.50 x $ 51.00
1st 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50
201 -400 amp x $120.00 x $ 60.50
#of Thermostats 401 -600 amp x $163.50 x $ 80.00
First$60.50;each additional$18.50
Over 600 amp x $183.00 x $ 92.00
#of Signs **NOTE: an automation fee of$6.00 will be charged
First$60.50;each additional$28.50 on all permits**
Yard Pole/meter loops/pedestal x$ 80.00
Portable Generator(transfer equipment) x$100.50 For fixtures or fees not listed contact the Permit Center at
Ditch cover/inspection only x$120.50 253-835-2607
Bulletin#100-4/21/2009 Page 3 of 4 k:\Handouts\Permit Application