08-102159City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Electrical Permi: 08-102159-00-E
Inspection Request Li 3) 835-3050
Project Name: MUTUAL INSURANCE SERVICE
Project Address: 1108 S 322ND PL rcel Num 150260
Project Description: Add 400amp panel to existing 400amp se "ice, rQvide ( ated circ to fisting
space. ` �
Owner
Applicant
Contractor
LEAVI"I'T LAND & INVESTMENT
FOX ELECTRIC
N
X ELECT
216 S 200 W
PO OX 630
FOX 7 /30/08
CEDAR CITY UT
KEN98032
63
S,
847214k
N
KENT 9
Service greater than 1000 Amps? ....................
201
I hereby
, the ocL
or agent:
and the use
'Q • wow
}
�- THIS CARD IS T EMAIN ON 43ITE -,
CITY OF *Community Develop ent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08 -102159 -00 -EL
Owner: LEAVITT LAND & INVESTMENT
Address: 1108 S 322ND PL
FEDERAL WAY, WA 98003-8472
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.
❑ Final - Electrical (4055)
Approved
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
❑
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)
❑
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑ Final - Electrical (4055)
Approved
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
CIT' OR- V
Federed Way
ECE 9F MF CO ME PL EN F
COMMUNTYDEVELOPM ftA D PERMIT
.33J2AVEWES0UTH
FEDERAL WAY, WA 98063-9718 APPLICATION
.253-835-2607- FAX 2S3-835-2609
MAY 0
The following is required information
aamplete application will print legibly (in ink) or. type.
U
. ..... M -PROPERTY INFORMATION
SITE ADDRESS SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # LOT: SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
{Attach zep-atepage f-f&Wftlegal dmFiptiin)
TYPE OF PERMIT 0 BUILDING .0 PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL -0 ENGINEERING 0. FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION- (Provide detailed description of work iticludedon this permit only)
r�)ecl;e-q 4-1/
PROJECT, NAME (Name of,
PROPERTY
OWNER
CONTRACTOR
COPY otcvd requl"d E::*
with etch application
APPLICANT
PROJECT
CONTACT
LENDER
FNAMI
or Owner Last Namel_moLdaL:ZA.5or.a(,-e.-
NTEOPLE INFORMATION
TRESS
ITE, ZIP
r- 4
COMPANY NAME
Fg/ - E le- 4
AP JCA FNAM!)
V/ V"-CJ-
OFFICE PHONE
OFFICE PHONE
LINGI
A,jQRESs
Link 1,30.
CITY, STA E, P ZI;1A
K
RELATIONSHIP TO PROJECT
0 Architect o Tenant ❑ Agent 0 Other
CELL PHONE
-7
CTIMI OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXpIRAT10N DATE
FAX NUMBER
o
31 /by
y S3)S5
TRACTOR'S REGISTRATION NUMBER
EXPIRATION
DATE
E-MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
0 Architect o Tenant ❑ Agent 0 Other
FAX NUMBER
NAME PRIMARY PHONE E-MAIL ADDRESS
0
1349 6 Ado_.A4,,A cjA vom k�_ Wal
NAME
Per RCW 19,27. 095.,
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ -VALUE OF PROPOSED WORK $
I 'SPRINKLERED BUILDING? 0 YES o NO FIRE SUPPRESSION SYSTEM PROPOSED[P—EQUIRtl)? 0 YES
WATER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE Q TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER oLAKEHAVEN o HIGHLINE 0 PRIVATE (SEPTIC)
0110
r AREA DES. ION
EXIST
S i FM
-. PROPOSED TOTAL
SQ. FT. SO.- FT.
BASEMENT '. .
o NEW ❑ ADDITION
Value of Mechanical Work $
FIRST
URINALS • _MISC (Describe)
AIR HANDLING UNITS
EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
SECOND
BBQS
FANS GAS WATER HEATERS MISC (Describe)
p
THIRD.
FIREPLACE INSERTS HOODS (commercial)
WASHING MACHINES
COMPRESSORS
ADDITIONAL FLOORS (DESCRIBE)
o YES ❑ NO
UP/SEPA/SU? `
o YES
DECK (O COVERED OR O UNCOVERED?)
PLATTED LOT? --
o YES o NO
DEMO PERMIT REQUIRED?
GARAGE O CARPORT ❑ ,
o NO
•
NUMBER OF FLOORS
EXISTING
PROPOSED
TOTAL
TOTAL ERISTTN6 ST
TOTAL PROPOSED ST
TOTAL ST
"PEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
DU•CSi
GAS LOG, SETS •
Indicate number of each type of facture to be installed or relocated as. part of this project, Do• not include existing fvctures tQx.remain.
MECHANICAL
o NEW ❑ ADDITION
Value of Mechanical Work $
(ACOP OF BID -OR ESTIMATE MUST BE INCLUDED WITHAPPLICATION)
URINALS • _MISC (Describe)
AIR HANDLING UNITS
EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
VACUUM BREAKERS
BBQS
FANS GAS WATER HEATERS MISC (Describe)
WATER CLOSETS (railet)
BOILERS
FIREPLACE INSERTS HOODS (commercial)
WASHING MACHINES
COMPRESSORS
FURNACES RANGES '
o YES ❑ NO
DU•CSi
GAS LOG, SETS •
REFRIG. SYSTEMS
PLUMBING
o NEW ❑ ADDITION
BATHTUBS * 7.T /sho r combo)
LAVS pa'throom sinks)
URINALS • _MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (railet)
ELECTRIC WATER HEATERS
SINKS_
WASHING MACHINES
HOSE BIBS
SUMPS
o YES ❑ NO
UP/SEPA/SU? `
o YES
❑ NO
I certify under -"penalty of'perjury that the information furnished by me is true •and correct to the .best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way, 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.
NAME/TITLEDATEC
ature) (Title)
RELATIONSHIP T46 -PROJECT ❑ Owner ❑ Agent ❑ Contractor O Architect ❑ Other___
Bulletin #100—January 112007
Page 2 of Mhandouts\Permit Application .
o NEW ❑ ADDITION
❑ ALTERATION
o=REPAIR o TENANT IMPROVEMENT.
BUILDING SHELL ONLY?
DYES ONO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
ONO
NEW ADDRESS REQUIRED?
o YES ❑ NO
UP/SEPA/SU? `
o YES
❑ NO
PLATTED LOT? --
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin #100—January 112007
Page 2 of Mhandouts\Permit Application .
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2- $115.50; Each add'n 500 W - $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
❑ 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
201 - 600 amp 291.00
❑ 601 - 1000 amp 439.00
Service or Feeder
❑ 0 to 200 amp $ 96.00
❑over 1000 amp 489.00
❑ 201 - 600 amp 155.50
❑# of circuits to be added/altered
❑ over 600 amp 234.00
(1-5 circuits - $98.00; Addh circuits, $7.50/ea)
❑ # of circuits to be added/altered
COMMERCIAL/INDUSTRUL PLAN REVIEW
(1-4 circuits -$76.50; Addh 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
Residentla quit{ -Family $67.50
❑ # of service or feeders
(First service/feeder-$76.50; each add'n -$50.00)
CommerciaWndustriaf 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; 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)
❑ Fire Alarm system
❑ Yard Pole meter loops ..................... $76.50
❑ Security Alarm system
❑ Additional Plan Review $115.00/hour
❑ Voice Cabling
❑ Data Cabling13
r modified submittals)
utomation Fee on all Permits .. $5.50
lot 2500 ft2-$67.50;
Each add'n 2500 ft2 - $17.50) • Per WAC 29646-910(5)(b)( Bs iif
r'
Bulletin #100 - January 1, 2008 Page 3 of 4 k\Handouts\Permit Application