08-103672 City of Federal Way Electrical Pert #: 08-1 0367 2-00-EL
Community Development Services
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: QWEST DSL
Project Address: 35438 18TH AVE SW Parcel Number: 926975 0410
Project Description: Underground service installation located in between 35438 18th Avenue SW and 35502 18th
Avenue SW
Owner Applicant Contractor
GAIL M MUNSON KEN BOBKO ELECTRIC CO INC KEN BOBKO ELECTRIC CO INC
35438 18TH AVE SW PO BOX 7009 KENBOEC066BA( 1/1/10)
FEDERAL WAY WA 98023-6903 TACOMA WA 98406-0009 PO BOX 7009
TACOMA WA 98406-0009
Additional Permit Information
Service greater than 1000 Amps? No
Electrical Fixtures
Alt. Serv./Feeder 0 to 200 amps(C 1
r„-
PERMIT EXPIRES Wednesday, 5,August 2009
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Permit Issued on Tuesday, August 5, 2008 t §,
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I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the e will be i accor ance wi the laws rules and regulations of the State o as rgton
d the ity of Fe I a
Owner or agent: Date: 9
Fil"Pa 'ED
‘b. • - -.
THIS CARD IS TO AIN ON-SITE
CITY OF •' PommunitY p it Develo me Inspection Record
p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050.
PERMIT#: 08-103672-00-EL
Owner: GAIL M MUNSON
Address: 35438 18TH AVE SW
FEDERAL WAY, WA 98023-6903
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. ‘) .06 By .... 2„ Date g • i da By Date
— 0 Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) 0 Rough Electrical (4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
�� Date,e---"77:IV
•
For inspector reference only _
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
1
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4 GTI�oF 9��6 — t 0 3 �V 7 2
Peder^ai Wa
Y ECEI\�
PERMI' SF MF CO ME
COMMUNITY DEVELOPMENT SERVICES
t�'LD E EN FP
33325 eff AVENUE SOUTH•PO BOX 9718
FEDERAL WAY,WA 98063.9718 APPLI CATI O NG 0 4 2or / /
253.835-2607•FAX 253-835.2609
www.dtuofedemlwatl.corn
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The following is required information—an incomplete application will not be accepted. Please print legibly(in ink)or type.
III+ -- ' / PROPERTYjINFORMATION (SITE ADDRESS�IAJ c�S 6d ) ' - /61 / < s , . 35/3 (3
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL
.0? 42. 7 �S v� IY----aee . LOT SIZE(s�
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) ' �
(Attach separate page for lengthy legal description,
• PROJECT INFORMATION •
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT D SCRIP/TION(Prov' etaileci es tion of work included on this ermit oniti) ` 1
C2 lot
.i// 1
PROJECT NAME(Name of Business or Owner Last Name) e_s
`
(r),,o `
al PEOPLE INFORMATION
PROPERTY NAMVeN
U.3
11 PRIMARY PHONE
OWNER W l� ( ) _
MAILING DDRE TY,STATE,ZIPE-MAIL ADDRESS
!005s (7 1,st.�ev -,.., /57 c, P6atic:-r Cp C,7,
CONTRACTOR PA NAME CI
APPLICANT , `
� :� ���CI'�'\C,,41,„ K�h � OFFICE 75'6 —1*4/
(LINO RESS (TY,STATE CELL PHONE
7 ,�C__lam>� 8 ��� 9 ) -
C Y Of,FE ERAL AY BUSINESS LICENSE NUMBER EXPIRATION ATE FAX NUMBER
� -/o `Zr a� /,,,9.,M., l 0 ( ) -
. 6r)KCOI RA,�!'IN[IM 1ON DATE E-MAIL ADDRESS
/ � t— 0 lJ`�s � / (/ c /o
APPLICANT COMPANY N APPLICANT NAME OFFICE PHONE
M GADDR - )
_ CITY,STATE,ZIP CELL PHONE
R ONSHIP TO PROJECT FAX NUMBER
o Architect ❑ Tenant ❑Agent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER ME ^,..�
,`r Per RCIV 19.27.095:
Lender information is required if protect value exceeds$5,000
0 ADDRESS CITY,STATE,ZIP PHONE
)
III DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
a �i.i
::. -�ir:j3LvE i•LCiuti cal
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 EXISTING PROPOSED TOTAL TOTAL EXISTING Sr TOTAL PROPOSED Sr TOTAL sr
**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(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/shower Combo( LAVS(subroomsus URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(rdleq
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 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 harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the
investigation and defense f such aim), wh may be made by any person, including the undersigned, and filet'(agai st the city, but only
where such eta' arises ut of reit• -- the city,= eluding`deers and employees, upon the accuracy • the i ormation supplied to
the city asap oft appli on ,,,•
�t/
0,4101
SIGNATU ��Z� r
DATEdil
Property Owner and/or Authorized Agent
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a 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\Permit Application
• •
:''ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet )1Service or Feeder Each Add'n
(First 1300 ftp-$115.50;Each add'n 500 ftp-$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 ❑ 401-600 amp 339.50 136.00
(Inspected separately) $76.50 ❑ 601-800 amp 439.00 186.00
❑ 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 ❑ Over 600 volts surcharge $98.00
❑ 201 -400 amp 155.50 76.50 ❑ Mast or meter repair $106.00
O 401 - 600 amp 212.50 106.00
❑ 601 -800 amp 272.00 145.50 ALTERED COMMERCIAL/INDUSTRIAL
❑ 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 ❑ over 1000 amp 489.00
❑ 0 to 200 amp $96.00
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)
❑ #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
❑ #of service or feeders
(First service/feeder-$76.50;each add'n-$50.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $76.50
❑ 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)
❑ Low Voltage U Swimming pool/hot tub $115.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $76.50
❑ Security Alarm System ❑ Additional Plan Review $115.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling0 ❑ Automation Fee on all Permits .. $5.50
1st 2500 ft2-$67.50;
Each add'n 2500 ft2-$17.50) •Per WAC 296-46-910(5)(b)a&ti)
Bulletin#100-January 1,2008 Page 3 of 4 k\Handouts\Permit Application