08-102915City oedy Electrical Permi • 08 -102915 -00 -EL
Community Devevelopmentpment 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: MIKRUT
�``
Project Address: 32219 16TH PL SW �; � � � Parcel Number: 010450 0330..;„�
Project Description: Installation of security system
Owner
Applicant
Contractor
JOHN J MIKRUT
PROTECTION ONE ALARM
PROTECTION ONE ALARM
DIONNE R MIKRUT
6844 S 220TH ST
PROTEOA033BP (1/17/09)
32219 16TH PL S
KENT WA 98032
6844 S 220TH ST
FEDERAL WAY WA 98023-5417
KENT WA 98032
Additional Permit Information
Service greater than 1000 Amps?...........................No
Electrical Fixtures
Low e Burglar Alarm (lis wF.
P EXPIRES S day, December 14, 08
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heroccupancx � uoee. o n� n is n t , .. he they u taZrn. t ,sof th at a d
and the City of Federal Way. / �^
Owner or agent: date: 6
THIS CARD IST MAIN ON-SITE
CITY OF *Communi Develo ent Inspection Record
tY p P
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08 -102915 -00 -EL
Owner: JOHN J MIKRUT
Address: 32219 16TH PL SW
FEDERAL WAY, WA 98023-5417
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.
❑ LIFER Ground (4295)
Approved
By Date
❑
Ditch cover (4030)
Pool Bonding (41 95)
Approved
By
Date
❑ Slab/Concrete Floor (4255)
Approved to place concrete
By Date
—
❑
Pool Bonding (41 95)
❑
Temporary Power (4275)
❑
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
Feeders/Sub-panels (4.045)
❑
Rough Electrical (4225)
❑
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑ Final - Electrical (4055)
Approved
i
By Date�%Dz__e
For infector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
0. A
0
ECEIVED !
�FederalWay PERMIT 1 `�� ----
COMMUNITYDEVELOPMENTS Sl 7 2006 �� SF MF CO �VIE�PL DE EN FP
33325'8TM AVENUE SOUTH • PO 9718P L I C AT I O N
FEDERAL WAY, WA 98063-9718 Tp /
.253-835m-2 ,OPEDERAL
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The following is requited 1Mformation - an incomplete application will not be accepted. Please print legibly (in ink) or, type.
SITE ADDRESS
ASSESSOR'S TAX/PARCEL
LEGAL DESCRIPTION (e.g. Acme Estates, Lot IJ
SUITE/UNIT #
LOT' SIZE (sj
(AH -A seP-ate page fw lengthy lege( d--Wft-V - -- .
PROJECT INFORMATION
TYPE OF PERMIT O BUILDING O PLUMBING 0 MECHANICAL
❑ DEMOLITIONZI:6kECTRICAL ❑ ENGINEERING Q FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul '
PROJECT NAME (Name of Business or Owner Last Nam el �'(,(_L
PEOPLE•- •
PROPERTY L / NAME- e _ PRIMARY PH NE
OWNER FA r--% I 1 I Y"{ A 71�
CONTRACTOR
00�-qx
COPY o(e—d »gn.nd
a Ith each applleatlon
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
PLI NT NAME
mE
COMPANY NAME
APPLICANTNAME
OFFICE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PH ONE
RELATIONSHIP TO PROJECT
13
MAILI ADDRESSATE,
ZIP
CELL PHONE
CITY OF FEDERA BUSINESS LICEN UMBER
PIRATION DATE
FAX
�AY
_NUMBER
C TRACTORS REGISTRATION NUMBER
PIRAT N DATEE-MAIL
ADDRESS
1ridkN
PLI NT NAME
mE
COMPANY NAME
APPLICANTNAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PH ONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
PAMP,
NAME PerRCW 19,27.095:
Lender i IfOrmation is required ifproject 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? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE
o TACOMA ❑ PRIVATE (WELL)
13 PRIVATE (SEPTICI
One
�& ,
'r M
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2- $111.00; Each add'n 500 1`9 - $35.50)
❑ 0 to 100 amp $120.50 $ 74.00
❑ Detached outbuilding or garage
❑ 101 - 200 amp 149.50 94.50
(Inspected with service) $47.00
❑ 201 - 400 amp 280.00 111.00
❑ Detached outbuilding or garage
❑ 401 - 600 amp 327.00 131.00
(Inspected separately) $74.00
❑ 601 - 800 amp 423.00 179.00
❑ 801 - 1000 amp 516.50 216.00
NEW MULTI -FAMILY (three units or more)
El Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $ 35.50
❑ Over 600 volts surcharge $94.50
❑ 201 - 400 amp 149.50 74.00
❑ Mast or meter repair $102.00
❑ 401 - 600 amp 205.00 102.00
❑ 601 - 800 amp 262.00 140.50
ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 375.50 280:50
Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY
❑ 201'- 600 amp 286.50
Service or Feeder
❑ 601 - 1000 amp 423.00
❑ over 1000 amp 471.00
❑ 0 to 200 amp $ 92.50
❑ 201 - 600 amp 149.50
❑ # of circuits to be added/altered
❑ over 600 amp 225..50
11-5 circuits - $94.50; Add'n circuits, $7.00/ea)
❑ # of circuits to be added/altered
MMERCCOIAL INDUSTRIAL PLAN REVIEW
/
(1-4 circui0-•$74.00; Add'n circuits $7.00/ea)
$94.50 plus 35% of Permit Fee
❑ Service - 1;000 amps or greater
❑ Mast or meter repair $55.00
❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK
Residential/Multi-Family $65.00
❑ # of service or feeders
(First service/feeder-$74.00; each add'n -$48.00)
Commercial/1'ndustrial Service or Feeder.Ampacity
❑ 0 - 100 amps $ 74.00
❑ 101 - 200 amps 94.50
❑ 201 - 400 amps 111.00
❑ 401 - 600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats
❑ # of Signs
(First -$55.00; add'n-$17.00/ea)
(First sign -$55.00; add'n sign $26.00/ea)
Low Voltage
❑ Swimming pool/hot tub ................ $111.00
Square Feet to be served by system(s) ..
(Includes additional circuit, if required)
AFire Alarm System
Security Alarni System
❑ Yard Pole meter loops ............... $74.00
❑ Additional Plan Review
11
$111.00/hour
Voice Cabling
El Data Cabling
(for modified submittals) •.
Automation Fee on all Permits $5.00
1-12500 ft27$65.00;
Each add'n 2500 fti{ 17.00) • Per WAC 296.46-9I0(5)(bNi 4 ii)
Bulletin 4100 -January 1, 2007. Page"3 of k\Handouts\Permit Application
AREA DESCRIPTI
EXISTING PROPOSED
S : FT. SQ. FT.
TOTAL
SQ. T.
BASEMENT
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
FIRST
BOILERS
FIREPLACE INSERTS
HOODS (commercial)
SECOND
FURNACES
RANGES '
Dint :.r
THIRD
REFRIG. SYSTEMS
a; _
iY
ADDITIONAL FLOORS (DESCRIBE)
PLUA?BING
DEMO PERMIT REQUIRED?
a YES
DECK (O COVERED OR O UNCOVERED?)
LAVS.(Bitiuoomsk,k.)
URINALS MISC (Describe)
DISHWASHERS
GARAGE 11 CARPORT Q
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
NUMBER OF FLOORS
E7O$TOO
PROPOSED
TOTAL
TOTAL z=7Wo SP
TrilAL PROPOSED SP
TOTAL sr
•"NEW HOMES ONLY"* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fvdure to be installed or relocated as part of this project. Do, not include existing fixtures to remain.
Value of Mechanical Work $
(ACOP 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 '
Dint :.r
GAS LOG SETS
REFRIG. SYSTEMS
a; _
iY
..
PLUA?BING
DEMO PERMIT REQUIRED?
a YES
BAT14TUBS (or Tub/showercombo)
LAVS.(Bitiuoomsk,k.)
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (Toileq
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
I cert(& 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, ding its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
r
NAME/TITLEDATE `CC
(Title( .
RELATIONSHIP TO PROJECT O O er o Agent
o Architect O Other
o NEW o ADDITION
o ALTERATION
o REPAIR ❑ TENANT IMPROVEMENT.
BUILDING SHELL ONLY?
o YES o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
❑ NO
NEW ADDRESS REQUIRED?
❑ YES 1 o NO
UP/SEPA/SU?
o YES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
a YES
o NO
Bulletin #100— January 1; 2007 Page 2 of 4 k\Flandouts\Permit Application .