07-105196i
City of Federal Way Electrical Permit # • 07-
Community Development Services •
P.O. Box 9718 q
Federal Way, WA 98063-9718'
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection es'
Project Name: BLANCO"
Project Address: 28305 22ND AVE S
Project Description: Add/alter (5) circuits for addition.
Owner Applicant
JULIO BLANCO MATTHEW RJ& CONSTRU
28305 22ND AVE S 963W06TH PL
FEDERAL WAY WA 98003-9279 KENIM 98031
Service greater than 1000 Amps?
Circuits - Residential.......
geerejijortifyNthatft bo
Xtrh
MIT EXPIRES
ay, September 12,
ay, September 18, 2
Parcel
96 -00 -EL
L253) 835-3050
422220 0500
"I►
op E W EIVTRICAL COMPANY
DEWELEW943BF (1/6/09)
1729 SW 326TH CT
DERAL WAY WA 98023
lar
instruction on the above described property and
Iles and regulations of the State of Washington
Way. q / _
/ Date: o / / ®'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 -105196 -00 -EL
Owner: JULIO BLANCO
Address: 28305 22ND AVE S
FEDERAL WAY, WA 98003-9279
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
By
Date
❑
❑
Rough Electrical (4225)
❑
Ceiling Cover (4020)
Final - Electrical (4055)
Approved
Approved
Approved
By
Date �• l ��
By
Date
By
Date ,AN
❑
UFER Ground (4295)
Approved
By
Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Z_j,_—Date/
p a.
ary up RECEIVEDFederal Way
CDMNmmusysioP>�ln CE�. PERMIT SF MF CO ME OL DE EN FP
3332SJ-AV1;MJ8S0=`%ov"9�EP 1 S 2XPPLICATION*
FEDERAL WAY, IPA 9306 9713 rD
s83�a3ss6o,• FAx�ss�a38,�,
nra,�w.ana;,ederoiwae,�,,, Y OF FI;pERAL WAY
BUILDING DEPT.
The following is required information —an incomplete application will not be accepted Please print. legibly On ink) or type.
SITE ADDRESS
ASSESSOR'S TAR/PARCEL , Z Z Z C% - S (�
SUITE/UNI'? #
LOT SIZE (sn
TYPE OF PERMIT ❑ BUMDING ❑ PLUMBING . ❑ MECHANICAL
❑ DEMOLITION 'ELECTRICAL O ENGINEERING ❑ FIRE PREVENTION SYSTEM
PRO CRIPTION (Provide deta' d description of work included on it
/� )/V Ls L'v►
PROJECT. NAME (Name of Business or Owner Last Namel ✓I / /^ f�� rj y,�
PEOPLE• •
PROPERTY NAMa� %PRIMARY PHONE
OWNER Gt FI C v ( 2 ) Vi - r'7
CONTRACTOR
PROJECT
CONTACT
LENDER
EXISTING USE
22`-1aXvi-5. 1�
j
1w r nnm , _ _
/� AP��CANT NA E Or"•^a �F;O/-•�"� j I
LL ?HOA `
CITY OF FEDERAL Wn7 nuatnr a wvanicb nvmnzR rltuf awn ung a FAX NUMBER
I.YYRMlO i
COMPAn N B AFMNT NAME
iT2Rt,71J'P_��
OFFICB PHONB
�
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
Via r- I 1 4. -7 d- 1 Ir - t rm.k,7 o
NAM jPer W 1.97.098:
V ✓ Q Y t 1�_ Le r info9rmation is required if project value exceeds $5,000
MAILING ADDRESS"] STATE,
LZIP
/ - / PHONE
kcW
EXISTING ASSESSED/APPRAISED VALUE_
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER 0 LAKEHAVEN
PRO SED USE
ALUE OF PROPOSED WORK $
FIRE SUP ION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
❑ INE ❑ TACOMA ❑ PRIVATE (WELL)
HIGHLINE PRIVATE iSEPTICI
e
PROJECT •••
AREAS
a REPAIR o TENANT IMPROVEMENT
TOTAL
SO. FT.
AREA DESCRIPTION
WASTING
SQ. FT.
ROFOSED
SQ. FT,
BASEMENT
o NO
ZONING DESIGNATION
FIRST
o YES
o NO
NEW ADDRESS REQUIRED?
SECOND
UP/SEPA/SU?
o YES
o NO
THIRD 17
o YES o NO
DEMO PERMIT REQUIRED?
o YES
ADDITIONAL FLOORS (DESCRIBE)
DECK (O COVERED OR O UNCOVERED?)
GARAGE0 CARPORT O
NUMBER OF FLOORS
m rno
rs00"o
MAL
sasrawsr
rorarserossssr
ronasr
••NEW HOAM ONLY".. ER OF BEDROOMS ESTIMATED S G PRICE
Indicate number of each type
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
to be installed or relocated as part of this project. Do clot include existing fixtures to remain.
(A COPY OF BID OR ESTIMATE MUST BE IN ED WITH APPLICATION)
RATIVE COOLERS O PE OUTLETS WOODSTOVES
FAN A9 WATER HEATERS MISC (Describe)
FIREP EINSERTS HOODSIcomm�rd,q
FURNAC RANGES
GAS LOG 3 REFRIO. SYSTEMS
BATHTUBS (oriub/showerComuo) LAV.tluoom slnk.j
DISHWASHERS RAINWATER SYST
DRINKING FOUNTAINS SHOWERS
ELECTRIC WATER HEATERWSINKS
HOSE BIBBS SUMPS
URINALS .
VACUUM BREAKERS
WATER CLOSETS lrenq
WASHING MACHINES
MISC (Describe)
I certq# under penalty of perjury that I am the property owner or authorised agent of the property owner. I cert(& 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 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 dg(ense 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 ttvs application. `
SIGNATURE:DAT
- - -„ E �' C " �' %
o NEW o ADDITION
o ALTERATION
a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES. o NO
BASIC FLAN?
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
FLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO.
Bulletin 11100 = August 16, 2007 Page 2 of 4 . k\Handouts\Permit Application
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ Single Family Square Feet
(First 1300 ft2- $111.00; Each addh 500 ftp- $35.50)
❑ Detached outbuilding or garage
(Inspected with service) $47.00
❑ Detached outbuilding or garage
(Inspected separately) $74.00
NEW MULTI-FAMII.Y (three units or more)
Service
Feeder
❑ Up to 200 amp
ELECTRICAL
PERMIT
❑ 201- 400 amp
INFORMATION
74.00
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ Single Family Square Feet
(First 1300 ft2- $111.00; Each addh 500 ftp- $35.50)
❑ Detached outbuilding or garage
(Inspected with service) $47.00
❑ Detached outbuilding or garage
(Inspected separately) $74.00
NEW MULTI-FAMII.Y (three units or more)
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
C)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
❑ ovef 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 Each Add1t
❑ 0 to 100 amp $120.50. $ 74.00
❑ 101- 200 amp 149.50 94.50
❑ 201- 400 amp 280.00 111.00
❑ 401- 600 amp 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 471.06
❑ # of circuits to be added/altered
(1-5 circuits - $94.50; Addh circuits, $7.00/ea)
COMMERCIAL/INDUSTRIAL PLAN REVIEW
$94.50 plus 350/6 of Permit Fee
❑ Service - 1,000 amps or greater
❑ Medicei/Educational/Institutional Facility
TEMPORARY SERVICE
NOBBLE HOME/RV PARK ResidentiaWhIff-Irami!iy $65.00
13# of service or feeders
(First service/feeder-$74.00; each addh -$48.00) Commercial/lndustriai Service or inseder 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 n sign $26.00/ea)
❑ Low Voltage ❑.Swimming pool/hot tub. ................ $111.00
Square Feet to be served by system(s) pncludes additional circuit, if required)
13 Fire Alarm'system L1 Yard Pole meter loops ........
:............. $74.00
❑ Security Alarm System ❑ Additional Plan Review $111.00/hour
13voice Cabling
13 Data Cabling for modified submittals)
13utomation Fee on all Permits .. $5.00
lot 2500 ft�-$65.00;
Each addh 2500 112-17.00) 'Per wne29646910(5)(b)Pe tri
Bulletin 11100 -August 16, 2007 Page 3 of4k�liandouts�Petmit'Application