07-104580s
City
ityDe FederalWayy Electrical Permit #• 07 -104580 -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) 835-3050 .
Project Name: JOHNSON
Project Address: 33009 22ND PL SHim Parcel Number: 241260 0020
Project Description: Altering/adding (1) circuit F 1, L tr
Owner
Applicant
Contractor
STEPHEN L JOHNSON
FULLER ELECTRIC
FULLER ELECTRIC
33009 22ND PL S
37107 12TH AVE S
FULLEEI027BK 1/12/08
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
37107 12TH AVE S
FEDERAL WAY WA 98003
Additional Permit Information
I
THIS CARD IS TO REMAIN ON-SITE
s
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -104580 -00 -EL
Owner: STEPHEN L JOHNSON
Address: 33009 22ND PL S
FEDERAL WAY, WA 98003-6856
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)
Approved to place concrete
By Date
❑ Ditch cover (4030)
Approved
By Date
❑ Pool Bonding (4195)
Approved
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
By
Date
By
Dateg � �
❑ UFER Ground (4295)
Approved
By Date
For inspector
-- --- ---- -
C] Rough Electrical
Approved
By Date
reference
E FINAL - Electrical
Approved
By Date
RECEIVED
Faral Way 1 7 2007
COMMURIYDBVSLOPMBN LVA PER MIT SF MF CO M EL PL DE EN FP
39325 STM AV&MIS, WA 9• PO BOX 9718 p L I C AT I O N
FSWBM-835.2 WAY07-PAX 98 OF EpERAL
2S3-835-2607- pnx ss3,,, _ LD I NG DE
The following is required information - an incomplete application will not be accepted. Please print.legibly (in ink) or type.
SITE ADDRESS _ 7 C / / l� E �Cr SIIITE/UNIT 9
ASSESSOR'S TAR/PARCEL 9 _ _. _ _ _ - _ _ LOT SIZE (s,)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(4thw* Paw16r iwwft hyd 1
PROJECT•• •
TYPE OF PERMIT
PROJECT DESCRIPTION (ProvuiE
• --3,o A,� �Y �'
O BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION*33LECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
description of worlded on this Permit only)
^ C
PROJECT. NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
ki
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
N PEOPLE INFORMATION
NAME
PRIMARY PHONE
MAILING ADG,D 'i /`L — C
C! STATE, ZB'^
EMAIL ADDRESS
COMPANY kNAM/E A -. C
APPLICANT NAME � J�
rPHONE
PHONE(�3OFFICE �
MAILINO ADDRESS
CITY, 37 B, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DAT
FAX NUMBER
CONTRACTOR'S REGISTRATION Nunn
Z TION DATE
EMAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
( -
NAME -T
PRIMARY PHONE EMAIL ADDRESS
NAME
Per RCW 19.2.7.095.
Lender information is required ifproject value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT •••
AREA DESCRIPTION
AREAS
o REPAIR a TENANT IMPROVEMENT
EXISTING
SQ; FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
o NO
ZONING DESIGNATION
FIRST
o YES
a NO
NEW ADDRESS REQUIRED?
SECOND
UP/SEPA/SU?
a YES
o NO
THIRD .
a YES o NO
DEMO PERMIT REQUIRED?
a YES
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
means
nwnsm
ms's
rw"PROPOSED a
"M Or
••NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
E FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MEC114MCAL
Value of Mechanical Work $ (ACOP OF BID OR ESTI1 WE MUST BE INCLUDED WITH APPLICA770I7
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS J.,T b/Showarcomb4
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS p th. sh ko
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (commecdv►
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS rroneq
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
1 certVy under penalty of perjury that I am the property owner or authorised agent of the property owner. 1 cert(jy that to the best of my
knowledge, the info, ma on submitted in support of this permit application is true and correeL I certVy that I will co
Ci o Federal W regulations pertaining to the work authorized rnPs with all his permit City f � gu Pia g 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 dgfense of such claim), 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 officers and employees, upon the accuracy of the information supplied to
the city as apart oft1-7
lication.
SIGNATURE: 6 LY I --r- i' na'rr. 7
Authorized
o NEW o ADDITION
a ALTERATION
o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES. a NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
a NO
NEW ADDRESS REQUIRED?
o YES o NO
UP/SEPA/SU?
a YES
o NO
PLATTED LOT?
a YES o NO
DEMO PERMIT REQUIRED?
a YES
a NO
Bulletin # 100 = August 16, 2007
Page 2 of 4 .
k\Handouts\Permit Application
,W1
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2- $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 516.50 216.06
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
L3601 - 1000 amp 423.00
over 1000 amp 471.00
130 to 200 amp $ 92.50
❑ 201 -'600 amp 149.50
❑ over 600 amp 225.50
❑ # of circuits to be added/altered
(1-5 circuits - $94.50; Add"n circuits, $7.00/ea)
X --L# of circuits to be added/altered
COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits -$74.00; Addb circuits $7.00/ea)
$94.50 plus 350/9 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
MOBILB HOME/RV PARK
Residentfai,/WH-Family $65.00
❑ # of service or feeders
(First service/feeder-$74.00; each add n -$48.00)
CommemiaWndustrial Service or Feeder Ampacity
❑ 0 - 100 amps $ 74.00
❑ 101 - 200 amps 94.50
❑ 201- 400 amps 111.00
❑ 401 -.660 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)
O Fire yA1h system
❑ Yard Pole meter loops ....... :............. $74.00
13 Security Alarm system
O Voice Cabling
❑ Additional Plan Review $111.00/hour
11 Data Cabling
(for modified submittals)
O
❑ Automation Fee on all Permits $5.00
1012500 W465.00;
Each add'n 2500 112-17.00) • Per wac 29646.910(5*b)# a e)
Bulletin # 100 - August 16, 2007
Page 3 of 4
k\I•iandoutsTermit Application