07-104427of I=tiefs:•al Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: PERKY'S
Project Address: 4615 SW 320TH ST
Project Description: NEW - 200A service
Electrical Permit #: 07^104427-00=EL
Inspection Request Line: (253) 835-3050
-.,I P7 6,
Parcel Number: 142103 9095
Owner
Applicant
Contractor
DAN MOORE
PUYALLUP VALLEY ELECTRIC
PUYALLUP VALLEY ELECTRIC
D MOORE AND COMPANY
48301 138TH AVE E
PUYALVE081M7 7/27/08
6709 166TH AVE E
EATONVILLE WA 98328-7463
48301 138TH AVE E
SUMNER WA 98390
EATONVILLE WA 98328-7463
Additional Permit inf6rm6tio
-�- V-�Ioas
. • THIS CARD IS TO RENIAI 'ON-SITSE
C11 -i OF Community Development Inspection lzecbrd
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -104427 -00 -EL
Owner: DAN MOORE
Address: 4615 SW 320TH ST
FEDERAL WAY, WA 98023
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
❑
Temporary Power (4275)
Approved
By
Date
❑
Rough Electrical (4225)
Approved
By
A Date t '0
❑
UFER Ground (4295)
Approved
B
Date z_lQ
❑
Ditch cover (4030)
Approved
B
Date//_-,7/--,7T-
ate/2/Service
❑
Service(4235)
Approved
By 6�Date
?••1
❑
Ceiling Cover (4020)
Approved
By
Date
For inspector
D Rough Electrical
Approved
By Date I/ (Q a
❑
Pool Bonding (4195)
Approved
By
Date
❑
Feeders/Sub-panels (4045)
Approved
By
Date
❑
Final - Electrical (4055)
Approved
By
Date —1
reference off_ _
11 FINAL - Electrical
Approved
By Date
CITY OF l w I
Federal Way- +
PERMIT SF MF CO M L PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
FEDERAL WAY, 98063-971
253-835-2607• FAX 253-835.260933325 8TH AVENUE SOUTH • PO BOX 9
718
unu.ciru edertnu.xm '--X
P P L I C A T I O N TD
Thefollowing is requir �l tion -an �iYncomplete 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 1)
(Attach separate page for lengthy legal description)
PROJECT• •
SUITE/UNIT #
LOT SIZE (sj)
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION XELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul
'C-'& %) ZC 4}
PROJECT NAME (Name of Business or Owner Last Namel
PROPERTY
OWNER
with
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAMEyNk 1. i AUC j+ Z_
/PRIMARY PHONE
q
l= ) z&1I - 0 [
MAi
NG ADDRESS
C STATE, ZIP
-3q4)
E-MAIL ADDRESS
PANY NA
<
APPLICANT NAME
MAILING ADDRESS
7XH M
CELL PHONE
�<
FAX NUMBER
( -
CITY, STATE, ZIP
CELL PHONE
CWAY
ffIR
(Ng N NUMBJER
EXPIRATION DATE
FAX NUMBER
CO CTOR"
G ,RATIN NUMBER
'IX�� N
A E
E-MAIL ADDRESS
V 15z
COMPANY fyE
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
( -
NAME PRIMARY PHONE E-MAIL ADDRESS
NAME
Per RCW 19.27.095.
Lender information is required ifproject value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED/APPRAISED VALUE $
PROPOSED USE
VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO 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
SQ. FT.
PROPOSED
SO. FT.
TOTAL
r SQ. FT.
BASEMENT
FIREPLACE INSERTS
COMPRESSORS
FURNACES
FIRST
GAS LOG BETS
13
CHANGE OF USE?
.SECOND
LAV.S (Bathroom sink.1
DISHWASHERS
RAINWATER SYST
THIRD
SHOWERS
ELECTRIC WATER HEATERS
SINKS
ADDITIONAL FLOORS (DESCRIBE)
BUMPS
d YES
o NO
DECK(❑ COVERED OR ❑ UNCOVERED?)-
NCOVERED?)GARAGE
GARAGE❑ CARPORT ❑
NUMBER OF FLOORS
msrnio
paoroaw
TOTAL
TOTAL a7paTMOF
TOTAL l4tOleaaDar
TOTALsr
"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 includeexisting fixtures to remain.
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WI7`H APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
BBQS.
FANS
BOILERS
FIREPLACE INSERTS
COMPRESSORS
FURNACES
DUCTS T_
GAS LOG BETS
13
CHANGE OF USE?
BATHTUBS (w Tub/shower combo)
LAV.S (Bathroom sink.1
DISHWASHERS
RAINWATER SYST
DRINKING FOUNTAINS
SHOWERS
ELECTRIC WATER HEATERS
SINKS
HOSE BIBBS
BUMPS
GAS PIPE OUTLETS WOODSTOVES
GAS WATER -HEATERS MISC (Describe)
HOODS (comma�daA .
RANGES
REFRIG. SYSTEMS
URINALS MISC (Describe)
VACUUM BREAKERS
WATER CLOSETS trouq
WASHING MACHINES
I cert{ry under penalty of perjury that the igormation 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 Fede at Way' as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of
such claim), which may b made by any person, including the undersigned, and filed against the City of Federal Way, but only where such claim
arises out of the reli c oft city, including tta officers and employees, upon the accuracy of the information a lied to the city as a part of
this aPPlicdti
SAME/TITLE 1 �' DATE D
gna re) (title)
RELATIONSHIP TO PA0J' LdT ) O
o Architect O Other
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES o NO .
BASIC PLAN?
o YES
n 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?
d YES
o NO
Bulletin #)00—April 2, 2007. Page 2 of Mandouts\Perrnit Application
.' ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family. Square Feet
Service or Feeder Each Add'n
.
(Hist 1300 ft3- -$111.00; Each add'n 500 ftp - $35:50)❑
0 to 100 amp $120.50 $ 74.00
ClDetached outbuilding or garage I
® 101- 200 amp 149.50 94.50
(Inspected with service) $47.00 I
❑ 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;/
13 801 - 1000 amp 516.50. 2161 0'0
NEW MULTI -FAMILY (three units -or more)
❑ Over 1000 amp 563.00 '400.00
Service Feeder
%
❑ Up to 200 amp $120.50 $ 35.50
❑ Over 600 volts surcharge- $94.50
❑ 201 - 400 amp 149.50 74.00
Mastar'raa<fe repair $102.00
0 401.= 600 amp 205.00 102.00
C3601 - 800 amp 2b2,00 140.50
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 280.50
❑ 601 - 1000 amp 423.00
Service or Feeder
❑ 0 to 200 amp $ 92.50
❑ over 1000 amp 471.00
❑ 201 - 600 amp 149.50
❑ over 600 amp 225.50
❑ # of circuits to be added/altered
(1-5 circuits - $94.50; Add'n circuits, $7.00/ea)
❑ # of circuits to be added/altered
COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 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/Multi-Family $65.00
❑ #.of service or feeders
(First service/feeder-$74.00; each addb -$48.00)
CommerciaVIndustriai 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
❑ # 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)
❑ Fire Alarm System
❑Yard Pole meter loops ..................... $74.00
❑ Security Alarm System
11 Voice .Cabling
❑ Additional Plan Review $111.00/hour
❑ Data Cabling
(for modified submittals)
❑ Automation Fee on all Permits .. $5.00
la 2500 ft2-$65.00;
Each add'n• 2500 ft2_17.00) • Per WAC 296.46-910(5)(bXi a ii)
Bulletin #1100- April 2, 2007 Page 3 of 4 k\Handouts\Permit Application