07-106266City of Federal way Electrical Permit #•• 07 -106266 -00 -EL
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-$050
Project Name: JENSEN
Project Address: 2225 S 287TH ST = Parcel Number: 027120 0040
Project Description: Replace 200 -amp service change and rewire residence to remove aluminum wiring and add
hard -wired smoke detectors.
Owner
Applicant
Contractor
PAUL & CAROLYNN JENSEN
TAHOMA ELECTRIC, INC.
TAHOMA ELECTRIC, INC.
2225 S 287TH ST
PO BOX 42267
TAHOMEI151BJ (9/30/09)
FEDERAL WAY WA 98003-3300
TACOMA WA 98442
PO BOX 42267
TACOMA WA 98442
Additional Permit Information
Service greater than 1000 Amps?...........................No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps- T 1
PERK HT EXPIRES Thursday, November 13, 2008
' t=it Issued on Monday, November 19, 2007
1 hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and e s will in accordance with the laws, rules and regulations of the State of Washington
and the City
^of Federal Way.
Owner or agent I v4 �Date: l
/��_ Z_el <!�729
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -106266 -00 -EL
Owner: PAUL & CAROLYNN JENSEN
Address: 2225 S 287TH ST
FEDERAL WAY, WA 98003-3300
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 ;17 -.0_7
By
Date
❑
❑
❑
Rough Electrical (4225)
Ceiling Cover (4020)
Final - Electrical (4055)
Approved
Approved
Approved
By
Date
By
Date
By
QDate Z
❑
UFER Ground (4295)
Approved
By
Date
For infector reference only
O Rough Electrical O FINAL - Electrical
Approved Approved
By Date By Date 2. • l
.RECEIVED
O0MW mrnsyscoria/rrsBBY9cA0V 1 9 2007 P`� R+'++T SF MF CO M4EL L DE EN FP
39945 a*AFBM SWW • roWx 9718
FBDBRALWAY, X 9.053.971• APPLI CATI O N
4ssass�•o7•rAX4s9-e9�ppY OF FEDER
BUILDING DEPT.
The following is required information- an incomplete application will not be accepted. Please print.kgibiy (in ink) or type.
ZROPERTT111FORAIATION
SITE ADDRESS ZR 7 � ^, SUITE/UNI'?
ASSESSOR'S TAR/PARCEL #. O a— V - aQ LOT SIZE (s,/)
LEGAL DESCRIPTION (&g. Acme Estates, Lot 1)
(+�smp►�waYh•dl
PROJECT•• •
TYPE OF PERMIT
PROJECT DESCRIPTION
� �A
O BUILDING O PLUMBING o MECHANICAL
o DEMOLITION �a ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
detailed description of work included on this hermit gnlul
•
PROJECT. NAME (Name ofBusiness or Owner Last Name)
PEOPLE•• •
PROPERTY
OWNER
CONTRACTOR
40
PROJECT
CONTACT
LENDER
NAME
PRIMARY PHONE
MAILING ADDRESS )
SlC17
ZZ1>,,
CITY�v3TATE, ZIP
&MAIL ADDRESS
>
(2 3)
COMPANY NAME
APPLICANT NAt4Z J
OFFICE PHONE
Lender information is required tf project value exceeds $5,000
'ADDRESS
'��
(2 3)
MAILING
CITY, STATE, ZIP
PHONE
CITY, STATE, ZIP
• CELL PHONE
, Ns3 i
OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRA NDA
FAX NVMHER
3 0-) -
FAX NUMBER
RELATIONSHIP TO PROJECT ,
O Architect o Tenant
o Agent `rs Other _ GA n•- `�v�
CO/^N�TRACTOR's REGISTRATION
r"MATION DATE
&MAIL ADDRESS
COMPANY NAME
Per RCW 19.97.0961
APPLICANT N B
Lender information is required tf project value exceeds $5,000
OFFICE PHONE
+" W �-L.
PHONE
1�1... $
a - C�
MAILING ADDRESS
`f?
CITY, STATE, ZIP
• CELL PHONE
, Ns3 i
t(4S
3 0-) -
FAX NUMBER
RELATIONSHIP TO PROJECT ,
O Architect o Tenant
o Agent `rs Other _ GA n•- `�v�
(Z ) S _ `
PRIMARY PHONE E-MAILADDRESS
I __ i (ZS7S ) (— Ovc, k (4 Ll 1 —1
NAME
Per RCW 19.97.0961
Lender information is required tf project value exceeds $5,000
MAILINO ADDRESS
CITY, STATE, ZIP
PHONE
EXITING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK s S6`O
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES o NO
VATER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE O TACOMA O PRIVATE (WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE O PRIVATE (SEPTIC)
PROJECT ••
AREA DESCRIPTION
EXISTING
SQ. FT.
a REPAIR a TENANT IMPROVEMENT
PROPOSED
SQ. FT,
TOTAL
s . FT.
BASEMENT
a YES
o NO
ZONING DESIGNATION
FIRST
CHANGE OF USE?
a YES
a NO
SECOND
a YES o NO
UP/SEPA/SU?
o YES
THIRD.
PLATTED LOT?
a YES o NO
DEMO PERMIT REQUIRED?
ADDITIONAL FLOORS (DESCRIBE)
o NO.
DECK (O COVERED OR O UNCOVERED?)
GARAGE O CARPORT O
NUMBER OF FLOORS
mersie
7"o
MAL.
'•O7'"`axi"u1°ar
7O7''ame amar
MUM
"NSW HOMES ONLY".. NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of f xture to be installed or relocated as part of this project. Do not include existing fuctures 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 pr•n,b/ebmisrc.bq
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS pattw o slnk.l
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GAS PIPE OUTLETS
GAB WATER HEATERS
HOODS pmomerdq
RANGES
REFRIG. SYSTEMS
URINALS .
VACUUM BREAKERS
WATER CLOSETS (r.&q
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certgy under penalty of perjury that I am the property owner or authorised agent of the property owner. I cerft that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I cert(& that I will comply with all applicable
City of Federal _Way regulations pertaining to the work authorised by the issuance of a permit. I 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 taws.
I farther agree to hold harmless the City of Federal Way as to any claim /ineluding costs, k%ponses, and attorneys' fees incurred in the
investigation and ense such el which may be made by any person, including the undersigned, and filed against the city, but only
where such c/atm es the i ce of the city, including its officers and employes,, upon the accuracy of the information supplied to
the city as apart of is li do
SIGNATURE: 1 l
Property Owner and/or Authorized Agent
o NEW o ADDITION
o ALTERATION
a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES. a NO
BASIC PLAN?
a YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
a NO
NEW ADDRESS REQUIRED?
a YES o NO
UP/SEPA/SU?
o YES
ONO
PLATTED LOT?
a YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO.
Bulletin # 100 _ August 16, 2007 Page 2 of 4 . - - MandoutsTermit Application
i
a
.e
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ Single Family Square Feet
(First 1300 ft2- $111.00; Each add% SW 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)
❑ 201 -'600 amp
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
0 to 200 amp
Service or Feeder
$ 92.50
❑ 201 -'600 amp
149.50
❑ over 600 amp
225.50
❑ # of circuits to be added/altered
(1-4 circuits -$74.00; Add% circuits $7.00/ea)
❑ Mast or meter repair $55.00
MANUFACTURED HOMER
❑ 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
❑ 801 - 1000 amp
L3Over 1000 amp
Service or Feeder Each Addh
$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
13 Mast or meter repair $102.00
ALTERED COMMERCIAL/INDUSTRIAL
❑ # of circuits to be added/altered
(1-5 circuits - $94.50; Add"n circuits, $7.00/ea)
_COMMERCIAL/INDUSTRIAL PLAN REVIEW
$94.50 plus 350/6 of Permit Fee
❑ Service - 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
TEMPORARY SERVICE
MOBMB HOME/RV PARK
L1
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 350/6 of Permit Fee
❑ Service - 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
TEMPORARY SERVICE
MOBMB HOME/RV PARK
L1
ResidentiaVXu1N-Fandbj $65.00
# of service or feeders
(First service/feeder-$74.00; each add'n -$48.00)
CommereiaWndustriai Service or bleeder 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 ❑ # of Signs
(First -$55;00; addh-$17.00/ea) (First sign -$55.00; add h sign $26.00/ea)
❑ Low Voltage ❑.Swimming pool/hot tub.. ............... $111.00
Square Feet to be served by aystem(s) (Includes additional circuit, if required)
O Fire Alarm, system ❑ Yard Pole meter loops ..................... $74.00
❑ -security Alarm system ❑ Additional Plan Review
17 Voice Cabling $111.00/hour
0 Data Cabling (for modified submittals)
11 ❑ Automation Fee on all Permits .. $5,00
lot 2500 f12$65.00;
Each add'n 2.500 ft2-17.00) •Per WAC 29&46.910(S)(b)#& JQ
Bulletin #100 -August 16, 2007 Page 3.of4 k\HandoutsTermit'Application