07-105576r
City 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 #: 0705576 -00 -EL
r
Project Name: GIBSON
Project Address: 33461 33RD PL S
Project Description: Installation of T -stat for new garage.
Owner
AAwlicant
CHARLES & JANET GIBSON
ANDERSON NESLER COMP
JANET GIBSON
2713 110TH AVE E
33461 33RD PL S
EDGE OOD WA 98372
AUBURN WA 98001-9647
s
ditional
Service greater than 1000 Amps? ........................
ctrical
Thermostat .................................. 1
EXPIRES
krmit Issued on We
and
it
Fixtures qA
(253) 835-3050
ber: 614360 0380
Com°r
NESLER COMPANY
A ERNC942T4 2/24/08
2713 110TH AVE E
NJ EDGEWOOD WA 98372
oaturday, October 4, 2008
Inesday, October 10, 2007
nd that the construction on the above described property and
the laws, rules and regulations of the State of Washington
.y of Federal Way.
Date: l O —/ C-2 — 0
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -105576 -00 -EL
Owner: CHARLES & JANET GIBSON
Address: 33461 33RD PL S
FEDERAL WAY, WA 98001-9647
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
Rough Electrical (4225)
Approved
By ��/ Date /O.1. O
UFER Ground (4295)
Approved
By Date
❑
Service (4235)
Approved
By
Date
❑
Final - Electrical (4055)
❑
Ceiling Cover (4020)
By
Approved
By
Date
❑
Feeders/Sub-panels (4045)
Approved
By
Date
❑
Final - Electrical (4055)
Approved
By
Date
For infector reference only _
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved �J ¢�
By Date O- jg'.i. By '-'2Date C CV
RECEIVED
PERMIT
SF MF CO MEEL PL DE EN FP
COilWXffDBVELOPIBNT3BRVl T 1 0 200
393?S•MAV$WAr,WHUS RIi•Po971 �ppLI CATI O N
0 -MS -L WAY, WA 98069.9718
X59 -d35 -?607• PAX T53d35.76d9
'•ate*^� -_e*ITY OF FEDERAL WAY
olio BUILDING DEPT.
The
following wing is required information —an incomplete application will not be accepted. Please print.legibiy (in ink; or type.
ASSESSOR'S TAR/PARCEL #
-cz
SUITE/UNIT f
LOT SIZE (3j?
LEGAL DESCRIPTION (e g. Acme Estates, Lot 1)
(6�••�•Pw•16•I•awMealdew+P�M .
PROJECT• •
TYPE OF PERMIT O BUILDING O PLUMBING . ❑ MECHANICAL
❑ DEMOLITIONAELECTRICAL O ENGINEERING 13FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit onivl
PROJECT. NAME (Name of Business or Oumer Last Namel
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXIOTING USE
NAME
'1
PRIMARY PHONE
a�
(' _
MAIUNO ADDRESS
CITY, STATE, ZIP
E-MAIL ADDRESS
t s.
%Zyd/
I
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
N
CITY, STATE, ZIP
( _
MAILMOBADDRESS
CrN STATE, j
CKM PHONE
I
vV J
_
FAX NUMBER
CITY OF FEDERAL WAY BUSINESS L CENSE NUMBER EXPIRAT ON DATE
0(0_1-t SA3
( v-7
( ) -
CONTRACTOR'S REGISTRATION NU=XRERP
TION DATE
&MAIL ADDRESS
r
C)
COMPA7 NAME
APPUCANT NAME
OFFICE PHONE
MAILIN ADDRESS
CITY, STATE, ZIP
CELL PHONE
Z)13v .�
_
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant Agent ❑ Other
( _
NAMEPRIMARY PHONE &MAIL ADDRESS
5.1.� _ (as3 ) 3?6 / - 5
NAME
Y
POP RCW 19.27.098t
Lander information is required jjproject value exceeds $5,000
MAIUNO ADD
CITY, STATE, ZIP
/PHONE
EXISTING ASSESSED/APPRAISED VALUE
SPRINKLERED BUILDING? 0 YES ❑ NO
VATER SERVICE PROVIDER ❑
SEWER SERVICE PROVIDER ❑
USE
VALUE OF PROPOSED WORK $
SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE 0 PMATE (SEPTIC)
AREA DESCRIPTION •EXISTING
' 60. FT.
BASEMENT
a ALTERATION
a REPAIR a TENANT IMPROVEMENT
PROPOSED
SQ. FT.
TOTAL
80. FT.
FIRST
BASIC PLAN?
o YES
SECOND
ZONING DESIGNATION
THIRD .
o YES
a NO
ADDITIONAL FLOORS (DESCRIBE)
a YES o NO
IIP/SEPA/SU?
DECK (0 COVERED OR O UNCOVERED?)
a NO
PLATTED LOT?
GARAGE O CARPORT 0
DEMO PERMIT REQUIRED?
a YES
NUMBER OF FLOORS
szarae
rsO ° TO7''e' rm'•011u
rarecrsoraesseI
ronasj
'•NEW ROMES ONLY"'.. NUMBER OF BEDROOMS ESTUMTED SELLING MCE $
Indicate number of each type of fextusie to be ' taUed or relocated as part of this project. Do not ' de existing fixtures to remain.
NECUAMCAL
Value of Mechanical Work $ (A COPY O OR ESTI<US01T.DRD WTMAPPLfCA77019
AIR HANDLING UNITS EVAPORATIVE COOTLETS WOODSTOVES
BBQS FANS HEATERS MISC (Describe)
BOILERS FIREPLACE iNSECOMPRESSORS FURNACESDUCTS GA3 LOG TEMS
BATHTUBS J--b/sbo C..b4
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEA
HOSE BIBBS �G
LAVS �e.moom
RAINWATER SYST
SHOWERS
SINKS
SUMPS
%mTTY!
URINALS
VACUUM BREAKERS
WATER CLOSETS (roe•q
WASHING MACHINES
MISC (Describe)
I certVy under penalty of perJwT 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. 1
eert(fy that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. 1 understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local, state, 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 dofense of such elatmJ, which may be ma
A by any person, including the undersigned, and flied against the city, but only
where such claim arises out of the rolian a of the city, ng its officers and employees, upon -the accuracy of the information supplied to
the city as apart of this application. l
SIGNATURE: DATE
PropiRy Owner and/or Authorized Agent
a NEW a ADDITION
a ALTERATION
a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
a YES. o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
a NO
NEW ADDRESS REQUIRED?
a YES o NO
IIP/SEPA/SU?
o YES
a NO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED?
a YES
a NO
Bulletin # 100 _ August 16, 2007 Page 2 of 4 . MandoutsTennit Application .
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ Single Family Square Feet
(First 1300 ft2- $111.00; Each addh 500 fts- $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)
❑ 0 to 200 amp
Service
Feeder
❑ Up to 200 amp
$120.50
$ 35.50
13 201- 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
280.50
ALTERED SINGLE/MULTI FAMILY
❑ # of circuits to be added/altered
(1-4 circuits -$74.00; Addh 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
Service or Feeder F,ach Addyt
❑ 0 to 100 amp $120.50. $ 74.00
13 101- 200 amp 149.50 94.50
❑
201 -
400 amp 280.00 111.00
❑ 401 -
00 6amp 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
Servicb or Feeders
❑ 0 to 200 amp $120.50
❑ 201- 600 amp 280.50
❑ 601 - 1000 amp 423.00
0 over 1000 amp 471.00
❑ # of circuits to be Wded/altered
(1-5 circuits - $94.50; Addh 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 Residential,/Muitt-Family $65.00
❑ # of service or feeders
(First service/feeder-$74.00; each addh -$48.00) Commereiai%lndustrfal Service or Feeder Ampacity
❑ 0 - 100 amps $ 74,00
❑ 1.01- 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; addh-$1
Low Voltage cn
Square Feet to be served by aystem(s) a b
❑ Fire Alarmsystem
❑ Security Alarm System
❑ Voice Cabling
❑ Data Cabling
❑
lot 2500 ftl-$65.00;
Each addh 2500 ftp -17.00) 'Per WAC296469J0(5)(b)#A H)
❑ # of Signs
(First sign -$55.00; addh 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 4 kViandoutsTermit Application
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)
❑ 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 F,ach Addyt
❑ 0 to 100 amp $120.50. $ 74.00
13 101- 200 amp 149.50 94.50
❑
201 -
400 amp 280.00 111.00
❑ 401 -
00 6amp 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
Servicb or Feeders
❑ 0 to 200 amp $120.50
❑ 201- 600 amp 280.50
❑ 601 - 1000 amp 423.00
0 over 1000 amp 471.00
❑ # of circuits to be Wded/altered
(1-5 circuits - $94.50; Addh 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 Residential,/Muitt-Family $65.00
❑ # of service or feeders
(First service/feeder-$74.00; each addh -$48.00) Commereiai%lndustrfal Service or Feeder Ampacity
❑ 0 - 100 amps $ 74,00
❑ 1.01- 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; addh-$1
Low Voltage cn
Square Feet to be served by aystem(s) a b
❑ Fire Alarmsystem
❑ Security Alarm System
❑ Voice Cabling
❑ Data Cabling
❑
lot 2500 ftl-$65.00;
Each addh 2500 ftp -17.00) 'Per WAC296469J0(5)(b)#A H)
❑ # of Signs
(First sign -$55.00; addh 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 4 kViandoutsTermit Application