07-104645�r ,City of Federal Way
&ommunity Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
T
Electrical Permit #: 07 -104645 -00 -EL '
Project Name: GIBSON{ ' l
lil
E Project Address: 33461 33RD PLS w ]
Project Description: 200 -amp electrical service for construction of de d age.
(253) 835-3050
614360 0380
City of Federal Way.
Owner
A lic
Contractor
CHARLES &JANET GIBBON
NASH CUSTOM S
B ELECTRIC INC (DBA J GROVES
33461 33RD PL S
36L
3634 334TH ST
�' ELECTRIC)
AUBURN WA 98001-9647
FEDE WAY WA 9
OVGE932KW (5/16/09)
309 49TH ST NE SUITE F
AUBURN WA 98002.-1414
City of Federal Way.
THIS CARD IS TO REMAIN ON-SITE
airy eek Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -104645 -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)
Approved
Approved to place concrete
Date
Approved
By
Date
By
Date
Date
❑
Final - Electrical (4055)
❑
Temporary Power (4275)
❑
Service (4235)
Approved
Approved
By
Date
By
Date
❑
Rough Electrical (4225)
❑
Ceiling Cover (4020)
Approved
Approved
By
6Q Date f0
or
By
Date
❑ UFER Ground (4295)
Approved
B Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date `0`1,6,o By Date 2
❑
Pool Bonding (4195)
Approved
By
Date
❑
Feeders/Sub-panels (4045)
Approved
By
Date
❑
Final - Electrical (4055)
Approved
By
Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date `0`1,6,o By Date 2
ar,� p
� icy RECEIVE
Coiai MTYDBYSLOP11fSM SgMCE3 PERMIT SF MF CO ME4L L DE EN FP
33325ND�SM/830A 98063 99718 WU G 2 2 "APPLICATION'
153-83S2607• FAX 253435.2609
tmt'tu.dttaffrde
PITY OF FEDERAL. WAY
The following is r*iV&8 dli.ti*"FffljT, an incomplete application will not be accepted Please print. k
gibiy (in ink) or type.
2 •n• • • •
SITE ADDRESS _ 331621 J31�G� I //(�� p' SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # _Q l S. a V -a - 3 _ O LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Actne Estates, Lot 1)
(Attach sgxratupage fir Nn•ttyr t od desa Odd J
PROJECT•• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING. ❑ MECHANICAL
❑ DEMOLITION ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul
PROJECT NAME (Name of Business or Owner Last Namel
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
APPLICANT NAME
PRIMARY PHONE
MAILING ADDRESS
7 -CITY, STATE, ZIP
E-MAIL ADDRESS
G 'v.ry
EXPIRATION uNr5
o�06- s ��� mil
ONE
FAX NUMBER
ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
'
Lender iq formation is required if project value exceeds $5,000
MAILING ADDRESS
CITYG✓ TE, ZI�
CELL PHON
PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
o Architect ❑ Tenant Agent ❑ Other
( )
NAMEh
rte,
q
Per RCW 19.27.095:
'
Lender iq formation is required if project value exceeds $5,000
MAILING ADD ESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES ❑ NO
WATER SERVICE PROVIDERCAKEHAVEN
AKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ HIGHLINE ❑ PRIVATE ISEPTICI
PROJECT •••
AREA DESCRIPTION
AREAS
o REPAIR o TENANT IMPROVEMENT
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
80. FT.
BASEMENT
o NO
ZONING DESIGNATION
-FI12;:I' ------ --
o YES
o NO
NEW ADDRESS REQUIRED?
SECOND
UP/SEPA/SU?
o YES
o NO
THIRD
a YES o NO
DEMO PERMIT REQUIRED?
o YES
ADDITIONAL FLOORS (DESCRIBE)
DECK (0 COVERED OR O UNCOVERED?)
GARAGE O CARPORT O
NUMBER OF FLOORS
E7 W=Q
?Rara•sp
TOTAL
ronamaroesssr
rorecu
"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 include existing fixtures to remain.
MECEL4MCAL
Value of Mechanical Work $ fA COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICA77OA7
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or Tub/sho combq
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOO SETS
IAVS (B w_. sk&o
RAINWATER SYST
SHOWERS
SINKS
SUMPS
I TTTL`
OAS PIPE OUTLETS
OAS WATER HEATERS
HOODS (C--Ci+q
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS bene
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
I cert j jy under penalty of perjury that I am the property owner or authorised agent of the property owner. I eertVy that to the best of my
knowledge, the information submitted in support of this permit application is true and correct I ear ft 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 laws.
I further agree to hold harmless the Ci of Federal Way as to any claim (including costs, 'expenses, and attorneys' fees incurred in the
Investigation and defense of such cl eh may be made any person, including the undersigned, and filed against the city, but only
where such claim arises out of the re 1 ce f the city, in tng its officers and employees, upon the accuracy of the information supplied to
the city as apart of this applicatio
x
SIGNATURE: DATE
Property Owner and/or Authorized Agent
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES. o NO
BASIC PLAN?
o YES
o 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?
a YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin 0100 -August 16, 2007 Page 2 of 4 . k\Handouts\Permit Application
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW C0MMERCIAL/MDUSTRL4L SERVICE
❑ Single Family Square Feet
Service or Feeder Bach Add'h
(First 1300 ft2- $111.00; Each add'n 500 ft2 - $35.50)
❑ 0 to 100 amp $120.50. $ 74.00
Detached outbuilding or garage
❑ 101- 200 amp 149.50 94.50
(Inspected with service) $47.00
❑ 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
❑ 801 - 1000 amp 516.50 216.06
NEW MULTIFAMILY (three units or more)
Service Feeder
❑ Over 1000 amp 563.00 300.00
Up to 200 amp $120.50 $ 35.50
❑ Over 600 volts surcharge $94.50
201 - 400 amp 149.50 74.00
❑ Mast or meter repair $102.00
❑ 401 - 600 amp 205.00 102.00
❑ 601 - 800 amp 262.00 140.50
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
Service or Feeder
❑ 601 - 1000 amp 423.00
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 ridded/altered
(1-5 circuits - $94.50; Add"h circuits, $7.00/ea)
�# of circuits to be added/altered
COMMERCIALANDUSTRIAL 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
❑
Resideittia>;/d?ulti Family $65.00
# of service or feeders
(First service/feeder-$74.00; each add% -$48.00)
CommerciaWndustrial 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
❑ # of Signs
(First -$55.00; addh-$17.00/ea)
(First sign -$55.00; addh 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
13 Voice Cabling
❑ Additional Plan Review $111.00 hour
/
❑ Data Cabling
(for modified submittals)
❑
❑ Automation Fee on allPermits .. $5.00
In 2500 ft2-$65.00;
Each add'n 2500 ft2-17.00) • Per WAC 29646910(5Xb)t A it)
Bulletin #100- August 16, 2007 Page 3 of 4 MHandoutsTennit Application