12-1039610 0
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2807 Fax (253) 835-2609
Project Name: JOHNSON
Project Address: 30623 IST PL SW
Electrical
Permit #: 12 -103961 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 556000 0890
Project Description: Addinglaltering (4) circuits for associated remodel permit #12-103960-00 SF
Owner
ARRIIcan
Contractor
EDWARD JOHNSON
EDWARD JOHNSON
OWNER IS CONTRACTOR
7945 45TH AVE S
7945 45TH AVE S
SEATTLE WA 98118
SEATTLE WA 98118
Additional Permit Information
Is Use Educational or Institutional? ....................... No
Electrical Fbctures
Circuits - Residential ...................... 4
PERMIT EXPIRES Saturday, February 23, 2013
Permit Issued on Monday, August 27, 2012
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 Date:
91.rtI12-
CITY OR
Federal Way
TMS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 12 -103961 -00 -EL Address: 30623 1 ST PL SW
Project: EDWARD JOHNSON FEDERAL WAY, WA 98023-3902
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 - Electric
Approved
Date r
LIFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electric
Approved
Date r
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
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 - Electric
Approved
Date r
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF —
Fede® ELECTRICAL
AUG 2 7 2012 PERMIT APPLICATION
CITY OF F�� WAY
ost electrical permits may be obtained on-line at www. citvoffederalway.com
•;i:,. �.,r..Y'£ .."r -x> a �S a(.�rys>," � :� ; AS.r%i h ,i riv 5,,,. ^i „
"" � y Ji; i�'�.k.�., J•.,iF:r Y �;'I�,,.., J3'. , ��,'r`'r`r�rr .%5�>ti:;}3
s �x.;-� t,., r£ �` ''^. _, J'4i-lir"� '•;•,3.
,
G
" 3
li
' Y�„,�,t. �'�>„"vr � - .3 s
” �,�,,,, ,..sa ;,� �, s °=:;�'€;•..%fe`r%<,:,;i„ j;: r.� 8.<za: �r".c. ski,
^,; �,F`� .�. £y -•.-r Jf .,*�y �r'�,,"j j � �^,ie'�:
t'
SITE ADDRESS: 3 0 2 3
1 `�
W
e,a E4r C,
CL �-oL�
SUITEMNIT/SPACE •
ASSESSOR'S TAE/PARCEL i
CURRENT/PROPOSED USE
,r _,';�
r ,'sr:�rrr f= iu' '"•..!'i 4,-r' r`1• '
, £' .:r;rrr•,x'whi ;; n• �;. :=-i"^';'>y.
,S -.,r> r/,.,_
tat-i"
� 'A^iFr K 'fy, ails, `i, ;�'r, £ 5; !: � J
r,;;,c
,.'i. t. .,/'`,, r2• �:>~.; •: S -..r3^ "?'''i iI :*f' ,{!t�.
PROJECT NAME
(Tenant or Homeowner Last Name)
\vN
's Q
PROJECT DESCRIPTION
Detailed description of work to
+ �� r
a �, r
Q,,
be included on this permit only
%'�fv :?�..� ✓ ON's';, i's£d ;z' :5':� ":T �yc � ..� -.. �'/..�'% :•SM,.sCss•4 �
' H i �fi s•• Z`,i' a..lir,'.;; r,-, ", ,,,/i
rF h'-�'•�rL:`�--s.>�Y�?'r �43Z �, :fi^.'.'�, �E_s%,.-„_ihrc A
- £h rYr=' � ,�'; ;'e.d'>r'a- 'I � 3.
�„ ,w. r � .�'',.-;n:f,'£� rL. .,rFf'�c,;W r'x,.: J. v: � � J �i
�; � sem'•;., �£;''-try .;;.�.;^•y�,•,�. ;=z.,
•j ,.... ���.y ,;�; >', /�>u �” -�/.y.
�
PROPERTY OWNER
NA=
�}//
C�
PRUMART PHONE
( ) -
NAUMM ADDRESS
S
r
Lj (f
E -MA U.
CITY
4 N
[STATE
W
ZIP
C��t�fs
FAX
t 1 -
NAME
PRAHART PHONE
t -
MAUdNG ADDRESS
E-MAIL
ELECTRICAL
CONTRACTOR
CITY
STATE
ZIP
FAX
t � -
WA STATE CONTRACTOR'S LICENSE * EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE i
NADIE
rnniART PHONE
APPLICANT
t -
MAU.ING ADDRESS
gMAL
CIT!
STATE
W
/ FAX
l � -
PROJECT CONTACT
Y)
PRIMARY PHONE
(20(p) ISO -
I certIfrj under penalty of perjure, f that I am the property owner or authorized agent of the property owner. I certVy 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 apart of this application.
SIGNATURE:
PRINT NAME:
- Z(G-61,
33325 e Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 1253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin #160 — January 1, 2011 Page I of 2 kAHandouts\Electrical Permit Application
RESIDENTIL
WOMMERCL&L
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet
1- Service/Feeder Additional Feeders
(including attached garage):
_
FEES: First 1300 ft2 - $122.00;
1(J1 ^ 2¢O Vii;' ',' .. , zt "; 164;00; ' x $103.50
Each additional 500 ft2 - $39.00
s a._•w w ., , ^; ..
Y1,;y' ,f;':;' x;�l•�l;
x 3500",; : ' , x $143.50
NEW MULTIFAMILY (3 units or more)
Is, Service/Feeder Additional Feeders
g71-•1{1(�{���}'�'_,'�, ",�..•„5. x$236..,0
Q�p9:�0(0�
64.iN ' Y 40.�+FV
__
1 F a y �G t " ,"; •. ,. r wry j
$153.50
C} r;5iltl voltsqureh�rge
"^iy +"yT�e',
ALTERED SINGLE or MULTI FAMILY
ALTERED COMMERCIAL
tat Service/Feeder
t4t-'�`
, _ . _ 1`4 Service/Feeder Additional Feeders
� ' ,.
2U1 "'o ' "' _ ... X' 164.00
,� ,;,:
?Ala-, -,'. �_ ,$3t#7Ofi.. - _:x$121w00
.ice...l64.
ppyyo� ��}}��},,, a �,d wr...T
,......w,...,,.^..•"{w`+"..:�^`/w�.�.Y;ef�..w,: <�:..�1�',A.„~JVs S(`1�'
...: : `,•"'aS.ut:2'i..i..^..�.»,
1'E.M...'YXSF`."jtr.... .. w..:..T'://,..�]]4 wwMw
Added or Altered Circuits,. {✓
yyyy�y,�,,
1-4 circuits $80.50; each addi ' nal $8.00
Added or Altered Circuits
1-5 circuits $103.50; each additional $8.00
Mast or meter repair $60.50
Mast or meter repair $111.50
MANUFACTURED HOI ES
PLAN REVIEW FEES
Sezvice or feeder isnly ; -• x ” $ ' 80.50
Plan Review required only for:
"' - "r ' "' "- -"
• New, or alteration to, service of 1,000 amps or greater
• Medical/Educational/Institutional Facility
$103.50 plus 35% of Permit Fee
(Permit Fee x 35% _ + $103.50 = Plan Review Fee)
Plan review for modified submittals $105.50/hour
MISCELLANEOUS
SERVICE/ EQUIPMENT
LOW VOLTAGE
TEMPORARY SERVICE
❑ Fire Alarm System
13t Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling
✓ c$4 f?"°` -«� ...M` 71,E -t'. :. x:3` :i3�?
❑ Other
atop $ 39.00
Area to be served by system:
1=t 2,500 ft2-$71.00; each additional 2,500 ft*2 - $18.50
_$'60.50
# of Thermostats
First $60.50; each additional $18.50
99(yam
{✓L VVi,+•�`a: .• .. !V.l.i$i'1 ti ,.. _. .. _ °'SSA M, 00
FEE CALCULATIONS
Yard Pole/meter loops/pedestal x $ 80.50
• Fees are determined by the scope of work as indicated.
Portable Generator (transfer equipment) x $101.00
• A $6.00 Automation Fee will be added to all permits.
Ditch cover/inspection only x$121.00
• For assistance in calculating fees or completing the
application form, contact the Permit Center at
253-835-2607
33325 a Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 + 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin #160 —January 1, 2011 Page 2 of 2 k:\HandoutslElectrical Permit Application
1'
an� .. GENE® ftERMIT
• Federal W
t co 8�6Q� �ME$ SE e 2 7 m2APPLICA'TION
um'u.. dtyoffedervtv'ou.cOrn
CITY OF FEDERAL WAY
me
12, _-LQ-3 9(o 0
P)AF
Q CO ME PL �DE/ EN FP
'�I 1 � " t%!iLA�J.Jc
SITE ADDRESS , , \ A
S , ` s r�dQ �/�►
SUITE/UNIT /
k6'/
PROJECT VALUATION
ZONINGASSESSOR'S
TAX/PARCEL i
D
TYPE OF PERMIT
W BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of u)ork to
( ( G r \ A/ e
be included on this permit only
PROPERTY OWNER
NAME ! { SC A
pi
PRIMARY PHONE
MAILING AD(D C, V1
C
e
STATE
U6f\-
ZIP
a&(t
NAME
PHONE
MAILING ADDRESS
Z_MAIL
CONTRACTOR
CIT!
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE M
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE /
NAME
PHONE
APPLICANT
V
MAILING ADDRESS
E-MAIL
CITS
STATE
ZIP
FAX
PROJECT CONTACT
(The individual to receive and
V1 IJ a
HONa
� ING I �- 11E
MAI
respond to all correspondence
concerning this application)
CITY
STATE
ZIF�
FAX
ALTERNATE CONTACT NAME:
PHONE
250
E-MAIL
� r
PROJECT FINANCING
xAME
[] OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 79.27.095)
I cert{ fry 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 Wormation 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 taws 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 flied 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 apart of this app on
/
SIGNATURE:q'cb� DATE
, n
PRINT NAME• V ! v %1
Bulletin #100 -January 1, 2011 Page I of 3 k:\Handouts\Peimit Application
(boo
0
Indicate how many of each type offixture to be' aped or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS * Tab/shower combo)Al
04161,11,14
Asa6
WATER PIPING
DISHWASHERS
VALDE OF MECHARICAL Worn $
URINALS
(a copy of bid or estimate must be provided)
Indicate how many of each type qrftxture
to be installed or relocated as part of this project not include existing fixtures to remain.
AIR HANDLING UNITS
FANS
GAS PI OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
DS (commercial)
BOILERS
FURNACES
�;HOTWATRRTANKS l+I
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
Indicate how many of each type offixture to be' aped or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS * Tab/shower combo)Al
S (H—d Sh*8)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
"'-i,
DRINKING FOUNTAINS
SINKS jKitchm/utmh
WATER HEATERS (Ete,t )
HOSE BIBBS f
SUMPS
WASHING MACHINES
o Yes 'A No
?.8 y
CRITICAL AREAS ON PROPERTY? WATER FMVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IK1R0VEXENT8
N 0
AREA DESCRIPTION (in square feet)
$
EXISTING/PREVIOUS USE
"'-i,
LOT SIZE (in Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
Stories
o Yes' No
o Yes 'A No
IRX
17,I;
`'.
riP
s«
CA
AREA DESCRIPTION (in square feet)
EXISTING PROPOSED
TOTAL FOR OFFICE USE
"'-i,
Additional Information
Aare Feet
in SqYK
Stories
FIRST FLOOR (or Mobile Home)
IRX
ADDITION
COVERED ENTRY
GARAGE $< CARPORT El
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
#
Additional Information
in Hare et
Area Totals
anernro
raoaom D
TOTAL
ESTIMATED SELLING PRICE $
# OF BEDROOMS
17,I;
i
.. I s 4
CA
3P,::
AREA DESCRIPTION Area
Occupancy Group(s)
Construe
Additional Information
Aare Feet
in SqYK
Stories
IRX
ADDITION
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
#
Additional Information
in Hare et
stories
TENAxTy>AREA o
}
CNN
ww
Bulletin #100 —January 1, 2011 Page 2 of 3 k-\Handouts\Pelmit Application
0
41k
CITY OF 4�
FedeSAlO%al Nay
DEPARTMENT OF COMMUNrrY DEVELOPMENT SERVICES
33325 8`b Avenue South
Federal Way, WA 98003-6325
253-835-2607; Fax 253-835-2609
www.cityoffederalway.com
RESIDENTIAL REMODEL
Submittal Requirements
A remodel involves changes within an existing building, such as adding or removing walls, doors, or windows,
or creating habitable space out of unfinished areas. Many remodels can be issued "subject to field inspection,"
while others will need to go through the plan review process. So that we can effectively determine the scope of
the work and applicable code requirements, please provide all of the requested information.
❑ Completed permit application.
Permit must include all plumbing and mechanical work associated with project.
❑ Check, cash, or Visa/MasterCard for applicable fees.
❑ Two copies of the drawings; assembled into complete sets.
❑ Two copies of Washington State Energy Code compliance forms, if required for project.
❑ Two copies of septic approval by the King County Health Department, if applicable to project.
MINIMUM DRAWING REQUIREMENTS
2 Plans shall be of sufficient clarity to indicate the location, nature and extent of the work proposed,
and shall demonstrate how the proposed work conforms to the provisions of adopted codes and
ordinances.
Rl Plans m ale (%4' = 1' minimum), dimensioned, and labeled.
inimum plan size 11 "�17
Plans s a me u e:
❑ Floor Plan for each story including:
All rooms shown and labeled as to use.
v Clearly delineated scope of work.
Size and height of bedroom windows.
Proposed (new or relocated) plumbing fixtures.
Proposed (new or relocated) mechanical equipment and appliances.
Existing and proposed smoke detectors.
❑ Cross-section showing footing, foundation, floor, wall, and roof construction.
❑ Framing details for wall, roof, and floor construction.
jy/A --❑ Stair and handrail detail, if applicable.
IA/A Elevation drawings of exterior walls modified by remodel.
Bulletin # 156 — January 1, 2011 Page I of I k:\Handouts\Residentiai Remodel Requirements