07-104297• 1
City ofFedb ,ent y Services Electrical Permit #: 07 -104297 -00 -EL
� Community Dev�lepfi�ent
P.O. Box 9713
Federal Way, WA 9805-9718
n: (les) 835-2607 Fax: (253) 835-2606 Inspection Request Line: (253) 835-3050
Project Name: SINGER Y
Project Address: 28306 15TH AVE S
Project Description: Add (1) circuit for heat pump and (1) t -stat
Parcel Number: 025130 0090
Owner
Applicant
Contractor
ANTHONY J SINGER
ALL SEASONS INC (ELECTRICAL)
ALL SEASONS INC (ELECTRICAL)
JANICE P SINGER
5118 N HIGHLAND ST
ALLSEI*035N5 8/25/05
28306 15TH AVE S
TACOMA WA 98407
5118 N HIGHLAND ST
FEDERAL WAY WA
TACOMA WA 98407
98003-3114
Additional Permit Information
Electrical Fixtures
Circuits - Residential ...................... 2Thermostat..................................... 1
PERMIT EXPIRES Sunday, July 27, 2008
Permit Issued on Thursday, August 2, 2007
1 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:- Q
-Z' 4 X O$-'Iz� 10-O*71 C V�'
r THIS CARD IS TO REMAIN ON -SIT '
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -104297 -00 -EL
Owner: ANTHONY J SINGER
Address: 28306 15TH AVE S
FEDERAL WAY, WA 98003-3114
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.
❑ Slab/Concrete Floor (4255) ❑ Ditch cover (4030) ❑ Pool Bonding (4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power (4275)
Approved
By Date
❑
Service (4235)
Approved
By
Date
❑ Feeders/Sub-panels (4045)
Approved .
By Date
❑ UFER Ground (4295)
Approved
By Date
For inspector reference only
O Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
Rough Electrical (4225)
❑
Ceiling Cover (4020)
❑
Final -.Electrical (4055)
Approved
Approved
Approved
By
Date
By
Date
Bya,
Date Q g ,p
❑ UFER Ground (4295)
Approved
By Date
For inspector reference only
O Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
Federal way RECEIVED PERMIT
COMMUMTY DEVELOPMENT SERVICES
335 S
FEDERAL WAY, A 98063A7189AIO U 0 2 20APPLICATION
253-6614115• FAX 25366/4/29
wurw. dhnlfederaFuvy.com
CITY OF FEDERAL WAY
The following is reQ( Mft& +on - an incomplete application will not be
SITE ADDRESS 0 C
ASSESSOR'S TAX/PARCEL # 0 -
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
o
SF MF CO ME (0 PL DE EN FP
)ted. Please print legibly (in ink) or tune.
SUITE/UNIT #
/�
Q 1L LOT SIZE (sj)
/Attach separate page for lengthy legal d—ripoon) -
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ P VMBING ❑ MECHANICAL
❑ DEMOLITION 41EECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Prouide detailed description of work included on Ods permit only)
PROJECT NAME (Name of Business or Owner Last Name)
PEOPLENF• •
PROPERTY
NAME PRIMARY PHONE
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
Per RCW 19.27.095. Lender information is NAME
required if project value exceeds $5,000
MAIUNG ADDRESS STATE, ZIP
EXISTING ASSESSED/APPRAISED VALUE $
PROPOSED USE V-5
VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? ❑ YES O NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE O TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
MAILING ADV
RES
Z FIOD6
CITY, WE. ZIP
COMPANY NAME
AU- SGASOIUS /AI C.
APPLICANT NAME
P06N be.,486/4te
OFFICE PHONE
(253) 8:79 - 9i44-
MAILING ADDRESS
119 N Sr
CITY, STATE, ZIP
TA-coMA 4j,4 cV4o7-
CELL PHONE
( � -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
1 9--3 $-1 ? 40 ?--B L f
FAX NUMBER
(2.53)
CONTRACTORS REGISTRATION NUMBER (copy of card required with each application( EXPIRATION DATE
f� si/P®� c� P / .2 �' / 6,9
PA NAME
LLS &Aso/j s / A) C-,
APPLICANT NAME
OFFICE PHONE
(253 ) 87-9 - 9/
MAILING ADDRESS
7eRELATIONSHIP
CITY, STATE, ZIP
CELL PHONE
TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
FAX NUMBER
(0�3) 8 - 9194 -
NAME
PRIMARY PHONE - � / �
E-MAIL ADDRESS
Per RCW 19.27.095. Lender information is NAME
required if project value exceeds $5,000
MAIUNG ADDRESS STATE, ZIP
EXISTING ASSESSED/APPRAISED VALUE $
PROPOSED USE V-5
VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? ❑ YES O NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE O TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ Single Family Square Feet
(First 1300 ft2- $87.00; Each add'n 500 ft2 - $28.00)
❑ Detached outbuilding or garage
(Inspected with service) $ 36.50
❑ Detached outbuilding or garage
(Inspected separately) $ 58.00
NEW MULTI -FAMILY (three units or more)
ALTERED SINGLE/MULTI FAMILY
Service or Feeder
0 t am .50
201 - 600
eamp 117.50
❑ over 600 amp 177.00
4�# of circuits to be added/altered
(1-4 circuits -$58.00; Add'n circuits $6.00/ea)
❑ Mast or meter repair $ 43.50
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$ 74.00 plus 35% of Permit Fee
MOBILE HOMES
❑ Service or feeder only $ 58.00
❑ Service and feeder $ 94.50
COMMERCIAL
NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ 0 to 100 amp
❑ 101 - 200 amp
❑ 201 - 400 amp
❑ 401 - 600 amp
❑ 601 - 800 amp
❑ 801 - 1000 amp
❑ Over 1000 amp
Service or Feeder Each Add'n
$ 94.50
Service
Feeder
❑ Up to 200 amp
$ 94.50
$ 28.00
❑ 201 - 400 amp
117.50
58.00
0 401 - 600 amp
161.00
80.00
❑ 601 - 800 amp
206.00
110.00
❑ Over 800 amp
294.50
220.50
ALTERED SINGLE/MULTI FAMILY
Service or Feeder
0 t am .50
201 - 600
eamp 117.50
❑ over 600 amp 177.00
4�# of circuits to be added/altered
(1-4 circuits -$58.00; Add'n circuits $6.00/ea)
❑ Mast or meter repair $ 43.50
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$ 74.00 plus 35% of Permit Fee
MOBILE HOMES
❑ Service or feeder only $ 58.00
❑ Service and feeder $ 94.50
COMMERCIAL
NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ 0 to 100 amp
❑ 101 - 200 amp
❑ 201 - 400 amp
❑ 401 - 600 amp
❑ 601 - 800 amp
❑ 801 - 1000 amp
❑ Over 1000 amp
Service or Feeder Each Add'n
$ 94.50
$ 58.00
117.50
74.00
220.50
87.00
256.50
103.00
332.00
140.50
405.50
169.50
442.00
236.00
❑ Over 600 volts surcharge $ 74.00
❑ Mast or meter repair $ 80.00
ALTERED COMMERCIAL/INDUSTRIAL
Service or Feeders
❑ 0 to 200 amp $ 94.50
❑ 201 - 600 amp 220.50
❑ 601 - 1000 amp 332.00
❑ over 1000 amp 369.50
❑ # of circuits to be added/altered
(1-5 circuits - $74.00; Add'n circuits, $6.00/ea)
COMMERCIAL/INDUSTRIAL PLAN REVIEW
$ 74.00 plus 35% of Permit Fee
❑ Service over 200 amps
❑ Medical/Educational/Institutional Facility
TEMPORARY SERVICE
MOBILE HOME/RV PARK
Commercial
Ll 0
Residential
❑ # of service or feeders
- 100 $ 58.00
El
$ 51.00
(First service/feeder-$58.00; each add'n -$37.50)
101 - 200 74.00
51.00
❑ 201 - 400 87.00
n/a
❑ 401 - 600 117.50
n/a
❑ over 600 127.00
n/a
MISCELLANEOUS SERVICE/EQUdPMENT
Y --L# of Thermostats
(First -$43.50; add'n-$13.50/ea)
❑ Low Voltage
Square Feet to be served by system(s)
❑ Fire Alarm System
❑ Security Alarm System
❑ Voice Cabling
❑ Data Cabling
(Per System(s) 1- 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) • Per WAC 29646-910(5/(b)(i & ii)
❑ # of Signs
(First sign -$43.50; add'n sign $20.50/ea)
❑ Swimming pool/hot tub ................ $87.00
(Includes additional circuit, if required)
❑ Yard Pole meter loops ..................... $58.00
❑ Additional Plan Review $87.00/hour
(for modified submittals)
Bulletin # 100 - March 30, 2004 Page 3 of 4 k\Handouts - Revised\Permit Application
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
o ALTERATION
o REPAIR ❑ TENANT IMPROVEMENT
FIRST
BASIC PLAN? o YES
o NO
ZONING DESIGNATION
SECOND
CHANGE OF USE? o YES
o NO
NEW ADDRESS REQUIRED? o YES o NO
THIRD
o NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED? o YES
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
TOTAL rxtSTDIG
TOTAL. PROPOSED
TOTAL MSTDIG AND PROPOSED
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fx ure to be installed or relocated as part
MECFIAMCAL
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS -
BATHTUBS )orTub/shower combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
EVAPORAT E COOLERS
FANS
FIREPLACE IN RTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS e
VAMJUM BREAKERS
is project. Do not incl
GAS LO�
HOO (commercial)
GES
GAS WATER HEATERS
WATER CLOSETS posey _
DRINKING FOUNTAINS
Ibk�NWATER SYST
HOS-&k1BBS
ELECTIOC WATER HEATERS
to remain.
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
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 perforin 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 filed against the City of Federal Way, but only where such claim
arises out of the reliance of the city, including its officers ancl.1hl ogees, upon the accuracy of the Information supplied to the city as a part of
this application. �'� _ /7//
NAME/TITLE 07� - "' -�/yam
(Signature) �
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent *, ontractor
DATE
(Title)
❑ Architect ❑ Other
FOR OFFICE USE ONLY
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
o NO
NEW ADDRESS REQUIRED? o YES o NO
UP/SEPA/SU? o YES
o NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED? o YES
o NO
Bulletin #100 - March 30, 2004 Page 2 of 4 k\Handouts - Revised\Permit Application