07-104309City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
t
Electrical Permit #: 07 -104309 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: O'BRIEN - L
Project Address: 1846 S 296TH ST
Project Description: Service panel change and re -wire partial house.
Parcel Number: 304020 0180
Owner
Applicant
Contractor
LEIGHTON O'BRIEN
MATTHANNUM
RIMROCK ELECTRICAL
1433 SW 344TH PL
RIMROCK ELECTRICAL
RIMROES975MT (7/30/07)
FEDERAL WAY WA 98023
PO BOX 13327
PO BOX 13327
DES MOINES WA 98198
DES MOINES WA 98198
Additional Permit Information
Electrical Fixtures
Alt. Servffeeder: 0 to 200 amps- I 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
//,t the City of Federal Way.
Owner or agent: Date:
T'
THIS CARD IS TO REMAIN ON-SITE '
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -104309 -00 -EL
Owner: LEIGHTON O'BRIEN
Address: 1846 S 296TH ST
FEDERAL WAY, WA 98003-3847
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
Rough Electrical (4225)
Approved
By (/)/) j Date
❑ UFER Ground (4295)
Approved
By Date
❑ Ceiling Cover (4020)
Approved
By Date
❑ Final - Electrical (4055)
Approved
By Date
For inspector reference only _
D Rough Electrical D FINAL - Electrical
Approved Approved
By Date By Date
❑
❑
❑
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)
Service (4235)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date OX js:a
By
Date
Rough Electrical (4225)
Approved
By (/)/) j Date
❑ UFER Ground (4295)
Approved
By Date
❑ Ceiling Cover (4020)
Approved
By Date
❑ Final - Electrical (4055)
Approved
By Date
For inspector reference only _
D Rough Electrical D FINAL - Electrical
Approved Approved
By Date By Date
FederalWay P E ECEIV R M.IT 3 q-91
1
COMMUNITY DEVELOPMENT SERVICES SF MF CO ME6) PL DE EN FP
33325AVENUE SOUTH . 97I8 Q AP P L I C A T I O N
FEDERAL WAY, WA 9806363 -97]971 8 �-16 O (/ TD
253-835.2607• FAX 253-835-2609
unnw.dfyolfedemhuau.mm
0ITY OF FEDERAL WAY
The fallaitiing is requiAUIkAyd4&A*RT� an incomplete application will not be accepted. Please print legibly (in ink) or type..
SITE ADDRESS /f- / W 71 SUITE/UNIT #
ASSESSOR'S TAX/PARCEL #` O LOT SIZE (sf
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
fi ff- i SW—tepa9ef- lengthy legal dmaiphorq
PROJECT• •
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION,,VELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only) ff 11
U i u Da A e— G Iw ti a A 4.v.j
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
COPY of —d -gob d
with each eppli—ti—
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
0 PEOPLE INFORMATION
NAME / „ I
L +
PRIMARY PHONE
(7 )73 Z -)&o il
MAI G ADDRESS
r'!/
CITY, STAiTEE, ZIP OO
e�1
E-MAIL ADDRESS
C PANY NAME
A P (CANT NAME
OFFICE PHONE
MAI INO DRESS
� t ","',
CELL PHONE
(70&) 730 -
31 l
PLING ADDRESS
c ja-117
C ATE, 1
� &:? '5
CELL PHONE
( -Z &Z 30 -
3z/y
CITY OF FEDERAL WA BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
s1/0 -
85,51.
C97RACTORZ REGISTRATION NUMBE,RR
EXPIRATION DATE
E-MAIL ADDRESS
—
�1 )M 9-C' 5 —5—^ f
0 •7 6/o
CO ANY NAME
r1'ac
APPLICANT NAME
OFFICE PHONE
( G4) % 36 - 3 2
MAI INO DRESS
CITY, STATE, P
CELL PHONE
0 0?C 5i z 7
7?0 - 3 2
RELATIONSHIP TO PROJ CT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
yyAME / r PRIMARY PHONE E-MAIL ADDRESS
LQ 6 ///}'c✓i 1267,320 717- - l Go
NAME
Per RCW 19.37.095.
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 Q
VALUE OF PROPOSED WORK $ 8600
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
S . FT.
so. FT.
BASEMENT
FIREPLACE INSERTS
COMPRESSORS
FURNACES
FIRST
GAS LOG SETS
G
CHANGE OF .USE?
.SECOND
LAV.S (Bathroom sinks)
DISHWASHERS
RAINWATER SYST
THIRD
SHOWERS
ELECTRIC WATER HEATERS
SINKS
ADDITIONAL FLOORS (DESCRIBE)
SUMPS
o YES
o NO
DECK (0 COVERED OR 0 UNCOVERED?)
GARAGE O CARPORT 0
NUMBER OF FLOORS
saisnso
rsoroaso
TOTAL
turn" ruararo sr
Toru. nroroeav ar '
rorAL ar
••NEW HOMES ONLY- NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part'of this project. Do not include existing furfures to remain.
Value of Mechanical Work t (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
BBQS.
FANS
BOILERS
FIREPLACE INSERTS
COMPRESSORS
FURNACES
DUCTS T_
GAS LOG SETS
G
CHANGE OF .USE?
BATHTUBS (or Tub/Shower combo)
LAV.S (Bathroom sinks)
DISHWASHERS
RAINWATER SYST
DRINKING FOUNTAINS
SHOWERS
ELECTRIC WATER HEATERS
SINKS
HOSE BIBBS
SUMPS
GAS PIPE OUTLETS WOODSTOVES
GAS WATER HEATERS MISC (Describe)
HOODS (commerd.p .
RANGES
REFRIG. SYSTEMS
URINALS MISC (Describe)
VACUUM BREAKERS
WATER CLOSETS rroneq
WASHING MACHINES
I cert(& under penalty ofperjury that the information furnished by me is true and correct to the best of my knowledge, and further, that 1
am authorised 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 bf 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 and employees, upon the accuracy of the information supplied to the city as a part of
this application. _ _ r .
NAME/TITLE
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent J11 Contractor ❑ Architect ❑ Other
o NEW o ADDITION
a ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES o NO .
BASIC PLAN?
o YES
n NO
ZONING DESIGNATION
CHANGE OF .USE?
Q 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
i
Bulletin #100— April 2, 2007. Page 2 of 4 k\Handouts\Permit Application
EI:ECTRICAV PERMIT INFORMATION'`.
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 ft2- $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
11 801 - 1000 amp 516.50. 216.00
NEW MULTI -FAMILY (three units -or more)
❑ 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
0 401.= 600 amp 205.00 102.00
13601 - 800 amp 262.00 140.50
ALTERED'COMMERCL?AL%INDUSTRIAL
❑ Over 800 amp 375.50 280.50
Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY
❑ 201 - 600 amp 280.50
❑ 601 - 1000 amp 423.00
Service or Feeder
❑ over 1000 amp 471.00
0 to 200 amp $ 92.50
❑ 201 - 600 amp 149.50
❑ 600
❑ # of circuits to be added/altered
over amp 225.50
(1-5 circuits - $94.50; Add"n circuits, $7.00/ea)
of circuits to be added/altered
COMMERCIAL/INDUSTRIAL PLAN REVIEW
4 circuits -$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/WH-Family $65.00
❑ it.of service or feeders
(First service/feeder-$74.00; each add"n -$48.00)
Commercia-Wndustrial Service or Feeder Ampacity
❑ 0 - 100 amps $ 74:00
❑ 101 - 200 amps 94.50
0 201 - 400 amps 111.00
❑ 401 - 600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats
❑ q 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 systems)
(Includes additional circuit, if required)
❑ Fire Alarm System
❑ Yard Pole meter loops ..................... $74.00
❑ Security Alarm System
❑ Voice .Cabling
❑ Data Cabling
0 Additional Plan Review $1 our
(for modified submittals)
11
❑ Automation Fee on all Permits. .. $5.00
P, 2500 ft2-$65.00;
Each add'n.2500 ft2-•17.00) • Per WAC 29646.910(5)(b)# A ii/
Bulletin 6100- April 2, 2007 Page 3 of 4 k\HaridoutsTermit Application