18-103486a + �
JCity of FederalWay,See Electrical Perm #: 68 -103486 -00 -EL
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax. (253) 835-2609 Insp6ction Request Lille: (253) 8355-3050
Project Name: LEACH"
Project Address: 29812 5TH AVE SW ri Parcel Number: 062104 9124
Project Description: Alter panel to install a 60 amp panel in the detached garage.
Owner
Applicant
Contractor
DENNIS & SUSAN LEACH
DENNIS & SUSAN LEACH
DENNIS & SUSAN LEACH
29812 5TH AVE SW
29812 5TH AVE SW
29812 5TH AVE SW
FEDERAL WAY WA 98023-3516
FEDERAL WAY WA 98023-3516
FEDERAL WAY WA 98023-3516
Additional Permit Information
Service greater than 1000 Amps?...........................No
. THIS CARD IS TO UMAIN ON-SITE
CITY OF ommunity Developm t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08 -103486 -00 -EL
Owner: DENNIS & SUSAN LEACH
Address: 29812 5TH AVE SW
FEDERAL WAY, WA 98023-3516
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.
❑ UFER Ground (4295)
❑
Ditch cover (4030)
❑
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By Date
By
Date
By
Date
_
❑ Pool Bonding (4195)
❑
Temporary Power (4275)
❑
Service (4235)
Approved
Approved
Approved
By Date
By
Date
By
Date
❑ Feeders/Sub-panels (4045)
❑
Rough Electrical (4225)
E]
Ceiling Cover (4020)
Approved
Approved
Approved
By �, Date . �� _ 6�
By
Date - —
By
Date
❑ Final - Electrical (4055)
Approved
By Dated
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
i
By Date By Date
I
CEI\JEDO nor -
V" OF -
Federal PERMIT
COMMONITYDEVELOPMENTSERIi71C.'(�S 2 2 2008 SF MF CO ME '� PL DE EN FP
33325 D AVENUE SOUTH • 63 9718 �}g PLICATION TD
FEDERAL WAY, WA 98063-9718
253-835-2607• FAX 253-835-2609
mww.atuo'e r � FED
The followin�quinqmotion -an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS "/ g/ a 5±" A ja SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # _ _ _ _ _ ' — — — — LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
PROJECT• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION X ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul
PROJECT NAME (Name of Business or Owner Last Namel
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
PEOPLE INFORMATION
NAMEPRIMARY
�►n 5 La4 l
PHONE
(,53) 93 - 5 -go
MAILING ADDRESS/ j �� ���
CITY STATE, ZIP � � ����
E-MAIL ADDRESS if A4o) i
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
( )
MAILINGWOORESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
( )
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE
E-MAIL ADDRESS
COMPANY NAMN
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
NAM )
PRIMARY PHONE -
3 v¢ 0
E-MAIL ADDRESS
NAME
Per RCW 19.27.095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
( )
EXISTING ASSESSED/APPRAISED VALUE $
SPRINKLERED BUILDING? ❑ YES ❑ NO
PROPOSED USE
VALUE OF PROPOSED WORK $
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
,hLO�
151
AREA DESCRIPTION
EXISTING
PROPOSED
-' TOTAL
SO. FT.
S . FT.
80. FT.
BASEMENT
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES o NO
BASIC PLAN?
i
ZONING DESIGNATION
FIRST
CHANGE OF USE?
❑ YES ❑ NO
NEW ADDRESS REQUIRED?
o YES ❑ NO
/
UP/SEPA/SU?
SECOND
Ile
i'
❑ YES ❑ NO
THIRD
❑ YES ❑ NO
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
EXISTING
PRG -TOTAL
TOTAL MUSTMG SF
TOTAL PROPOSED SF
TOTAL SF
NUMBER OF FLOORS
"*NEW HOMES ONLY" NUMBER OF BEDROO M ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project.,,Do not include existing fixtures to remain.
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (or Tub/Shower Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
COPY OF BID OR ESTIMATE MUST BE.111CLUDED WITH APPLICATION)
/i
EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
FANS GAS WATER HEATERS MISC (Describe)
�IREPLACE INSERTS 7 HOODS (commercial)
FURNACES / RANGES
GAS LOGS' S % REFRIG. SYSTEMS
LAVS (Bathroom :)URINALS MISC (Describe)
RAINWATE YST VACUUM BREAKERS
SHOWERS WATER CLOSETS (Toilet)
SINKS,,/'_ WASHING MACHINES
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 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 uses out of the relianc4,Qf the city, including its officers and employees, upon the accuracy of the information supplied to
the city as a part o his application. e
SIGNATURE•!
DATE
Property Owner and/or Authorized Agent
sY
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES o NO
BASIC PLAN?
❑ YES o NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES ❑ NO
NEW ADDRESS REQUIRED?
o YES ❑ NO
UP/SEPA/SU?
o YES ❑ NO
PLATTED LOT?
❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES ❑ NO
Bulletin #100 — January 1, 2008 Page 2 of 4 k\Handouts\Pennit Application
ft • 0
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTL91 SERVICE
NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ 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
❑ 101 - 200 amp 155.50 98.00
(Inspected with service) $48.50
❑ 201 - 400 amp 291.00 115.00
1Detached 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
❑ 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
❑ 601 - 1000 amp 439.00
Service or Feeder
❑ over 1000 amp 489.00
to 200 amp $ 96.00
❑ 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)
CommerciaWndustrial 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
❑ 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
❑ Data Cabling
(for modified submittals)
❑ Automation Fee on all Permits $5.50
❑
Pt 2500 ft2-$67.50;
Each add'n 2500 ft2 - $17.50) *Per WAC 296-46-910(5)(b)(i & ii)
Bulletin #100 - January 1, 2008 Page 3 of 4 k\Handouts\Permit Application