07-105273�!
CiityD Development
y —Electrical Permit #• 07-105273-00-iEL
Community Development Services � � � •
P.O. Box 9718 .;
Tederal Way, WA 98063-9718 ..
Ph: (253) 835-2607 Fax: (253) 835-2609 10Inspection Request Line: (253) 835-3050
Project Name: CRESTWOOD LOT #34
Project Address: 1645 S 272ND ST
Parcel Number: 332204 9010
Project Description: Extend existing conduit 5' and install (1) 50 amp breaker in existing disconnect and install
RV pedestal.
Owner
Applicant
Contractor
CRESTWOOD MOBILE HOME PARK
AAA ELECTRIC
AAA ELECTRIC
1645 S 272ND ST
5703 MILWAUKEE AVE E
AAAELI.034KL 5/13/09
FEDERAL WAY WA 98032
PUYALLUP WA 98372
5703 MILWAUKEE AVE E
PUYALLUP WA 98372
Additional Permit Information
Service greater than 1000 Amps?...........................No
Electrical Fixtures
Circuits Residential ...................... 1
PERMIT EXPIRES Monday, September 15, 2008
Permit Issued on Friday, September 21, 2007
1 hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent:CQ�-�aQ-LaLl� q Date: (' 01 "
„ - I _k THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -105273 -00 -EL
Owner: CRESTWOOD MOBILE HOME PARK
Address: 1645 S 272ND ST
FEDERAL WAY, WA 98032-6835
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 j , By Date By Date
❑
Temporary Power (4275)
Approved
By
Date
❑
Rough Electrical (4225)
Approved
By
Date
❑
UFER Ground (4295)
Approved
By
Date
❑
Service (4235)
Approved
By
Date
❑
Ceiling Cover (4020)
Approved
By
Date
❑ Feeders/Sub-panels (4045)
Approved
By Date
❑ Final - Electrical (4055)
Approved
By Date _2_ —�
For inspector reference only
D Rough Electrical 0 FINAL - Electrical
Approved Approved
By Date By Date I
i
RECEIVED
raIway
PERMIT
COMMUA7IYDEVELOPM W SSRV1CL E P 2 1 2007
33325 ✓ m AVENUE SOUM • PO 9BOO�X¢�9714
3435.2600RAL 7 FAX253-0V351{a y OF EWER YPLI CATI O N
•may. BUILDING DEPT.
SF MF CO ME g -)PL DE EN FP
The following is required information -an incomplete application will not be accepted. Please print. legibly (in ink) or type.
PROPERTYINFORDIATION
SITE ADDRESS �lc ut S�j� �-w C, SUITE/UNIT i—1
ASSESSOR'S TAX/PARCEL f ✓ - LOT SIZE (si
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
t♦ PROJECT INFORIIIATION 09
TYPE OF PERMIT ❑ BUILDING 2UMBING
❑ MECHANICAL
❑ DEMOLITION ECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onilll
PROJECT. NAME (Name of Business or Owner Last Name)
PEOPLE•• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
C."_:st-L'oc<� by i�c7�� c�.e- �c
PRIMARY PHONE
( w3) 31:11- 5`Z�`L�4r
MAILING ADDRESS
CITY, STATE, ZIP
E-MAIL ADDRESS
CELL PHONE
r<.cQ, - by
e_
IRATION DATE
COMPANY NAME
AA.A G (� f -J
APPLICANT NAME
QVuCk res 1j
OFFICE PHONE
(�e3) 4`t '!�- i8 3
MAILING ADDRESS
S Zc3 , l ,) t Gam' c C�..
CITY, STATE, ZIP
CELL PHONE
r<.cQ, - by
CITY OF FEDERAL WAY BUSINESS LICEN
IRATION DATE
FAX NUMBER
CONTRACTOR'S RSOIBTRATION NUMBEREXPIRATION
DATE
E MAIL ADDRESS
t��
COMPAIg NAME
APPLICANT NAME
OFFICE PHONE
MAIUNG ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
( ) -
NAME Per RCW 19.3.7.095.
Leader iq7orm value exceeds X5,000
MAILING ADD CITY, STATE, ZIP PHONE
EXISTING ASSESSED/APPRAISED VALUE
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ ❑ HIGHLINE
SEWER SERVICE PROVIDED ❑ LAKEHAVEN ❑ HIGHLINE
PROPOSED USE
SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
❑ TACOMA ❑ PRIVATE (WELL)
❑ PRIVATE (SEPTIC)
PROJECT ••-
AREA DESCRIPTION
AREAS
c REPAIR o TENANT IMPROVEMENT
EXISTING
SQ. FT.
PROPOSED
SQ. FT,
TOTAL
SQ. FT.
BASEMENT
BOILERS
FIREPLACE
COMPRESSORS
FIRST
DUCTS
GAS LOG S
NEW ADDREi38 REQUIRED?
SECOND
UP/$EPA/SU?
o YES
o NO
THIRD .
o YES o NO
DEMO PERMIT REQUIRED?
o YES
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
suermo
rsorwm
TWA&
ronmzsarnmm
raraPROPOSED sr
rorAcsr
•'NEW HOMES ONLY"* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated
Value of Mechanical Work $
(4 COPY OF BID OR
c REPAIR o TENANT IMPROVEMENT
AIR HANDLING UNITS
EV RATIVE COOL
BBQS
FANS
7E
BOILERS
FIREPLACE
COMPRESSORS
FURNACES
DUCTS
GAS LOG S
BATHTUBS jorTub/shmucombq IAV (s
DISHWASHERS p
DRINKING FOUNTAINS OWE
ELECTRIC WATER HEATERS SINKS
HOSE BIBBS SUMPS
a sk*q
SYST
of this project. Do not include existing fixtures to remain.
�A MUST BE INCLUDED WITH APPLICATTONJ
/ GAS PIPE OUTLETS WOODSTOVES
GAS WATER HEATERS MISC (Describe)
HOODS Ico _d4
RANGES
REFRIG. SYSTEMS
URINALS MISC (Describe)
VACUUM BREAKERS
ATER CLOSETS q.,0
W G MACHINES
I cert{ jy under penalty of perjury that I am the property owner or authorized agent of the property owner. I certVy that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I certify 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 theissuance 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 defense of such claimq, which may be made by any person, including the undersigned, and flied against the city, but only
where such claim arises out of the reliance of the city, including its opicers and employees, upon the accuracy of the ir4formation supplied to
the city as a partoofthis application. G�
SIGNATURE: C` - Q DATE
7 Property Owner and/or Authorized Agent
o NEW o ADDITION
o ALTERATION
c REPAIR o TENANT IMPROVEMENT
BUII.DING SHELL ONLY?
o YES. o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
a NO
NEW ADDREi38 REQUIRED?
o YES o NO
UP/$EPA/SU?
o YES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin it 100 _ August 16, 2007 Page 2 of 4 . k\Handouts\Permit Application
ELECTRICAL PERMIT INFORMATION ___7
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/DiDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ftp- $111.00; Each addh 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 516.50 216.00
NEW MULTI -FAMILY (three units or more)
❑ Over 1000 amp 563.00 300.00
Service Feeder
❑ 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
L30 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; Addh circuits, $7.00/ea)
of circuits to be added/altered
COMMERCIAL INDUSTRIAL PLAN REVIEW
/
(1-4 circuits -$74.00; Addh 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
❑
Resideniiat/Multi-Family $65.00
# of service or feeders
(First service/feeder-$74.00; each addh -$48.00)
CommerciaWndustrial Service or Feeder Ampaeity
❑ 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)a sign $26.00/ea)
❑ Low Voltage
❑.Swimming pool/hot tub. ................ $111.00
Square Feet to be served by system(s)
(Include, additional circuit, if required)
❑ Fire Alarm System
❑ Yard Pole meter loops .......:............. $74.00
❑ Security Alarm System
❑ Voice Cabling
❑ Additional Plan Review $111.00/hour
❑ Data Cabling
(for modified submittals)
❑
❑ Automation Fee on all Permits .. $5.00
Pt 2500 ft2-$65.00;
Each addh 2500 ftp -17.00) ' Per WAC 796646910(5)(b)p A ii)
Bulletin #100 -August 16, NO
Page 3 of 4
k\Handouts\Permit Application