07-104797s
Cil of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835,2607 Fax: (253) 835-2609
Electrical Permit #: 07 -104797 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: MIN Fi
Project Address: 167 S 295TH PL t a. Parcel Number: 543721 0090
Project Description: Install upto (4) circuits for smoke detectors in basement
Owner
Applicant
Contractor
PAUL MIN
PAUL MIN
PAUL MIN
167 SW 295TH PL
167 SW 295TH PL
167 SW 295TH PL
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Addjt oinal Permit Information
Service greater than 1000 Amps?...........................No
El�actricel: Fixtures
Circuits - Residential ...................... 4
F114ALF-D
B
above described property and<
is of the State of Washington
te: �V3 d ( b 2
• THIS CARD IS TO REMAIN ON-SITE `
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -104797 -00 -EL
Owner: PAUL MIN
Address: 167 S 295TH PL
FEDERAL WAY, WA 98003-3659
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)
Service (4235)
❑ Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By Date
❑
❑
Rough Electrical (4225)
Ceiling Cover (4020)
❑ Final - Electrical (4055)
Approved
Approved
Approved
By
Date
By
Date
Date j^r/
❑
UFER Ground (4295)
Approved
By
Date
For infector reference only
❑ Rough Electrical O FINAL - Electrical
Approved Approved
By Date By Date
ran or VF -w
Fade raI W, by —
OOMMUNfiYDEVELOPMBNT PERMIT SF MF CO. ME L L DE EN PP
33325 •n AV$AUS SOUTH • POhFADE//�� T
S343S-L WAY, FAX
9343397]8 �� n� O` n nZ.1 Y P T_ I C A T I 0 N D
259�d3S2607• FAX 259d35.26� �LX�IWAI(�/ � 1 JJ 1 r
tawa.dteotriderohuw. cpm
The following iw"W incomplete application will not be accepted Please print. legibly (in ink) or type.
SITE ADDRESS / % Z 9 ��%i P4 SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # - C, LOT SIZE (s)?
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(A# -h• ~f->-oNrWddwtan)
PROJECT• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING. . ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlvl
• /��' S � � kt ��e �e c-/t� h -s a�- 6 a str /Yl t ••. >�-
PROJECT- NAME (Name of Business or Owner Last Namel
N PEOPLE INFORMATION
•
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
W-�l /�A�`C
(}S3 )
MA LINO ADDRESS
CrrY, STATE, ZIP
CLL PHONE
i,/--c7w.
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S REGISTRATION NUKRZR
XXPIRkTION DATE
E-MAIL ADDRESS
COMPANY NAME
qH
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
NAME PRIMARY PHONE E-MAIL ADDRESS
NAME
Per RCW 19.27.095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIPPHONE
EXIOTING USEl tir' fY Li oi+t a PROPOSED USE
IF
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ Z.SD • °-'
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
VfATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
O5`[
PROJECT •.•
AREA DESCRIPTION
BASEMENT
AREAS
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
•EXISTING
SO. FT.
PROPOSED
SO. FT.
TOTAL
SO. FT.
—FIRST--
CHANGE OF USE?
o YES NO
SECOND
o YES o NO
UP/SEPA/SU?
o YES o
THIRD.
o YES o NO
DEMO PERMIT REQUIRED?
o YES o NO.
ADDITIONAL FLOORS (DESCRIBE)
DECK (O COVERED OR O UNCOVERED
GARAGE -O CARPORT O
NUMBER OF FLOORS
m O
TO7A1'
roreszasrwoar
mru.rsorossssr
7W."sr
•"NEW HOMES ONLY". NUMBER OF BEDROO S ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed relocated as part of this project. Do not include existing fixtures to remain.
Value of Medtanical Work $ (A COPY OF
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or T.b/shooer combo
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOL
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS (Bdtuoom SlnkO
RAINWATER SYST
SHOWERS
SINKS
SUMPS
ESTIMATE MUST BE INCLUDED WITH APPLICATIONJ
OAS PIPE OUTLETS
GAS WATER HEATERS
HOODS tcommeed.q
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS (rdkq
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
I cert{ fy under penalty of perJurg that I am the property owner or authorized agent of t\unders
owner. I cs
de -
knowledge, the rtim that to the beat of my
ir(Jormation submitted in support of this perms! application is true and comthat I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of a perstand that the issuance of this permit
does not remove the owner's responsibility for compliance with local, state, or federal laws reg'construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including coes, and attorneys' fees incurred in the
investigation and defense of such claim), which may be made by any person, including thed, and filed against the city, but only
where such claim arises out of the reliance of the city, including its officers and employees,ccuracy of the information supplied to
the city as apart of this application.
SIGNATURE:
Owner
o NEW o ADDITION
o. ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES. o NO
BASIC PLAN?
0 YES o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES NO
NEW ADDRESS REQUIRED?
o YES o NO
UP/SEPA/SU?
o YES o
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES o NO.
Bulletin # 100 = August 16, 2007 Page 2 of 4 . MandoutsTermit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ Single Family Square Feet
(First 1300 ft2- $111.00; Each addh 500 ft2 - $35.50)
❑ Detached outbuilding or garage
(Inspected with service) $47.00
❑ Detached outbuilding or garage
(Inspected separately) $74.00
NEW MULTI -FAMILY (three units or more)
Residentlal/1KulH-Family
Service
Feeder
❑ Up to 200 amp
$120.50
$ 35.50
❑ 201 - 400 amp
149.50
74.00
13 401 - 600 amp
205,00
102.00
❑ 601.- 800 amp
262.00
140.50
❑ Over 800 amp
375.50
2$0.50
ALTERED SINGLE/MULTI FAMILY
Service or Feeder
❑ 0 to 200 amp $92.50.
❑ 201 -'600 amp 149.50
❑ over 600 amp 225.50
# of circuits to be added/altered
(1-4 circuits -$74.00; Addh circuits $7.00/ea)
S /n- k -e d e4,
❑ Mast or meter repair $55.00
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
COMMERCIAL
NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add n
❑ 0 to 100 amp $120.50. $ 74.00
❑ 101- 200 amp 149.50 94.50
❑ 201- 400 amp 280.00 111.00
❑ 401- 600 amp 327.00 131.00
❑ 601- 800 amp 423.00 179.00
❑
801-1000 amp 516.50 216.06
❑ Over 1000 amp 563.00 300.00
❑ Over 600 volts surcharge $94.50
❑ Mast or meter repair $102.00
ALTERED COMMERCIAL/INDUSTRIAL
Service or Feeders
❑ 0 to 200 amp $120.50
❑ 201 - 600 amp 280.50
❑ 601 - 1000 amp 423.00
❑ over 1000 amp 471.00
❑ # of circuits to be Added/altered
(1-5 circuits - $94.50, Add'n circuits, $7.00/ea)
COMMERCIAL /INDUSTRIAL PLAN REVIEW
$94.50 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
TEMPORARY SERVICE
MOBILE HOME/RV PARK
❑
Residentlal/1KulH-Family
$65.00
# of service or feeders
(First service/feeder-$74.00; each add n -$48.00)
CommerciaWndustriai 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
(First -$55.00; adds•►-$17.00/ea)
❑ Low Voltage
Square Feet to be served by system(s)
❑ fire Alarm system
❑ Security Alarm System
❑ Voice Cabling
❑ Data Cabling
13
10 2500 W465.00;
Each add'n 2500 ftp -17.00) • Per WAC 29696910(5)j6)# b ii)
❑ # of Signs
(First sign -$55.00; add h sign $26.00/ea)
U., Swimming pool/hot tub ................. $111.00
(Includes additional circuit, if required)
❑ Yard Pole meter loops ....... :............. $74.00
❑ Additional Plan Review $111.00/hour
(for modified submittals)
❑ Automation Fee on all Permits .. $5.00
Bulletin #100 -August 16, 2007 Page 3 of 4 MHandoutsTerinit Application