07-105955City of DWay
evelopment
Electrical Permit #: 07 -105955 -00 -EL
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
(253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 895-3050
Project Name: KELLER
Project Address: 30231 27TH AVE S L Parcel Number: 798480 0170
Project Description: Adding (2) circuits for heat
Adding (2) circuits for receptacles and CT.S
Owner
Applicant
Contractor
B E KELLER
CHARLES DEAN ELECTRIC LLC
CHARLES DEAN ELECTRIC LLC
30231 27TH AVE S
28107 20TH AVE S
CHARLDE930LQ 6/18/09
FEDERAL WAY WA 98003-4212
FEDERAL WAY WA 98003
28107 20TH AVE S
FEDERAL WAY WA 98003
Additionci[Penriit lntor "'q'
Service greater than 1000 Amps?...........................No
µ v THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record ,
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -105955 -00 -EL
Owner: B E KELLER
Address: 30231 27TH AVE S
FEDERAL WAY, WA 98003-4212
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)
Approved to place concrete
By Date
❑ Ditch cover (4030)
Approved
By Date
❑ Pool Bonding (4195)
Approved
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
B AA Date L 2 ,►/7'e By Date By Date
❑ UFER Ground (4295)
Approved
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date �' •O�
cffr OF /0
F'tal'y. RECEIVE — — — — — — —
�PERMIT
Cole XffDz%WPABRrsEgVXW SF MF CO ME(h PL DE EN FP
t 393?SF�� I WA .9718SOVTH - PO BOX OCr 2 9APPLI CATI O N °
253495•2607• FAR 2W-C9S7610
CITY OF FEDERAL WAY
The following is requirAtAWA itVR3•an incomplete application will not be accepted: Please print.legibiy (in ink) or type.
PROPERTY• •
SITE ADDRESS _ 3 0 2 3 ( 27r" A t•-,� S G Fy0 0 3 SUITE/UNIT t1
ASSESSOR'S TAX/PARCEL 9 . T LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
( •awfirIowewfWddiv
PROJECT• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING . ❑ MECHANICAL
❑ DEMOLITION '# ELECTRICAL ❑ ENGINEERING ❑ ,FIRE PREVENTION SYSTEM
DESCRIPTION (Provide detailed description of work included on this Permit only)
d_ 2 C, r. -9. mor h .0t
PROJECT- NAME (Name of Business or Owner Last Namel I (e r
PEOPLE•• •
PROPERTY
OWNER
CON OR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAMB
Brtict Keller
PRIMARY PHONE
(253) 3Y 7 - 0 -
MAILING ADDRESS STATE, ZIPE-MAIL
o? 3 7rh Ave se I Cdtra l,✓a �rr�3
ADDRESS
COPPANY NAME f�
CharItS �l4n Pro,
1,C.
APPLICANT NA
ME 01 �ipS oC IA
OFFICE PHONE
(?S3) 70 q = g 34-4
MAILING ADDRESS
2 !o% 2- Ti~ vc SO.
CELL PHONE
fred'eAte' ✓' 9a'a03
( PHONE -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
20 a 7 10 3 3 g o o
EXPI ON DATE
Q L,
FAX NUMBER
(200 yZ g- 3(5-3
COIITRACT(R'8>�1Q8TRATIOIf 3 D
Cl
L 0,�
: Io -°0
E•MAlLADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
NAME PRIMARY PHONE -7w-
RAMS
Per RCW 19.97.095:
Lender information is required f f project value exceeds $5,000
MAILINO ADDRESS
CITY. STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE t$ VALUE OF PROPOSED WORK I$
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE
13 TACOMA ❑PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE
PROjECT FLOOR
AREA DESCRIPTION
a ALTERATION
a REPAIR a TENANT IMPROVEMENT
EXISTING
SQ. FT.
PROPOSED
SQ.
TOTAL
SO. FT.
BASEMENT
o NO
ZONING DESIGNATION
FIRST
a YES
o NO
NEW ADDRESS REQUIRED?
SECOND
UP/SEPA/SU?
o YES
a NO
THIRD.
o YES a NO
DEMO PERMIT REQUIRED?
o YES
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
=snss
rsororm
rorty,
mrncasnraner
"rA&psopossosr
tomer
••NEW HOIIIES ONLY".. NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fudure to be installed or relocated as part of this project. Do not include eidsti ng fixtures to remain.
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
_ AIR HANDLING UNITS
_ BBQS
_ BOILERS
_ COMPRESSORS
DUCTS
BATHTUBS J.TUb/Sh..Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS (B.thro. sh*4
RAINWATER SYST
SHOWERS
SINKS
SUMPS
R, PVT Tr_
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (ccmmardaq
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS jr.&q
WASHING MACHINES
WOODSTOVES
MISC (Deacribe)
MISC (Describe)
I cert(Jy under penalty of perjury that I am the property owner or authorised agent of the property owner. I cart(* that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I that I will eo
able
City of lederal.Way regulations pertaining to the work authorised by the issuance o a Cel � ce all his permit
f permit I understand that the issuance of this permit
does not remove the owner's responsibi8ty for compliance with local, stats, 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. % f�'
SIGNATURE: DATE ` O `�'��
Propertyor Authorized Agent
o NEW a ADDITION
a ALTERATION
a REPAIR a TENANT IMPROVEMENT
BUILDING $BELL ONLY?
o YES. o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP/SEPA/SU?
o YES
a NO
PLATTED LOT?
o YES a NO
DEMO PERMIT REQUIRED?
o YES
o NO.
Bulletin # 100 _ August 16, 2007 Page 2 of 4 . k\HandoutslPermit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ Single Family Square Feet
(First 1300 ft2- $111.00; Each add'a 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)
94.50
Service
Feeder
❑ Up to 200 amp
$120.50
$ 35.50
❑ 201- 400 amp
149.50
74.00
❑ 401 - 600 amp
205,00
102.00
❑ 601 - 800 amp
262.00
140.50
❑ Over 800 amp
375.50
280.50
ALTERED SINGLE/MULTI FAMILY
Service or Feeder
❑ 0 to 200 amp $ 92.50
❑ 201 -'600 amp 149.50
❑ over 600 amp 225.50
*.Ad of circuits to be added/altered
(1-4 circuits -$74.00; Add'n circuits $7.00/ea)
❑ Mast or meter repair $55.00
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
COMMERCIAL
NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ 0 to 100 amp
❑ 101- 200 amp
❑ 201- 400 amp
❑ 401- 600 amp
❑ 601- 800 amp
❑ 80I - 1000 amp
(3Over 1000 amp
Service or Feeder Each Add'n
$120.50. $ 74.00
149.50
94.50
280.00
111.00
327.00
131.00
423.00
179.00
516.50
216.06
563.00
300.00
❑ Over 600 volts surcharge $94.50
❑ Mast or meter repair 1$102.00
ALTERED COMMERCIAL/INDUSTRIAL
or Feeders
❑ 0 to 200 amp $120.50
❑ 201 - 600 amp 280.50
❑ 601 - 1000 amp 423.00
❑ over 1000 amp 471.00
❑ it 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
NOBBLE HOME/RV PARK Residentlal/M IN -Family $65.00
L34 of service or feeders
(First service/feeder-$74.00; each add"n -$48.00) Commereial,/1'ndustrial Service or Feeder Arnpaeity
❑ 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
❑ g of Thermostats
(First -$55:00; add n-$17.00/ea)
❑ Low Voltage
Square Feet to be served by system(s)
❑ Fire Alarm• System
❑ ' Security Alarm System
❑ Voice Cabling
❑ Data Cabling
13
lot 2500 ft2-$65.00;
Each ad0i 2500 112-17.00) 'Per WAC 29646910(5)jbA1 & if)
❑ d of Signs
(First sign -$55.00; add n sign $26.00/ea)
❑ 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 kViandoutslPermit Application