07-105489.._.
City/ of Federal Way
Community Development Services Electrical Permit #• 07-105489-00-.
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: 253) 835-2607 Fax: (253) 835-2609 Inspection Request Lille: (253) 8355-3050
4
Project Name: LEWIS
Project Address: 30019 4TH AVE SW - Parcel Number: 720500 0030
Project Description: Change out 200A panel and add (3) circuits
Owner
Applicant
Contractor
LOU LEWIS
JOHN WARING
GEM ELECTRIC INC
30019 4TH AVE SW
GEM ELECTRIC INC
GEMELE1953RK (1/2/08)
FEDERAL WAY WA
PO BOX 195
PO BOX 195
98023-3515
GRAHAM WA 98338
GRAHAM WA 98338
11
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -105489 -00 -EL
Owner: LOU LEWIS
Address: 30019 4TH AVE SW
FEDERAL WAY, WA 98023-3515
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)
Date
❑
Pool Bonding (4195)
❑
Approved to place concrete
By
Date
Approved
Date
Approved
By
Date
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
For rector reference only _
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
1� Federal Way
ADDRESS:
Building Division
33325 Eighth Avenue South
• Box 9718
Federal Way 98063-9718
Phone 253-835-2607
Fax 253-835-2609
INSPECTION NOTICE
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IF YOU HAVE ANY QUESTIONS CALL cle� (253) 835- -�ZZ:�
Call for reinspection before cover
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS.
DATE
INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
""°� OCT 0 3 2007
PERMIT
COYMUM "WaOPMEMO RAL WAV
999?Sd�•AVgNUY,W//N•P L� G fiEP!•1PPLI CATI O N
FBDSRAL WAY, WA 98069.971
?59.895?607• PAX ?59,95 -?669
a -- Ioff-g-z �-.
SF MF CO ME L PL DE EN PP
The following is required information - an incomplete application will not be accepted. Please print.legibly (in ink) or type.
SITE ADDRESS
hAv�.,
ASSESSOR'S TAR/PARCEL f
SUITE/UNIT 9
LOT SIZE (3)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
pe�F4w�.�ww�a�•�►
PROJECT••
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION YELECTRICAL ❑ ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
PROJECT. NAME (Name of Business or Owner Last Namel
PEOPLE•• •
PROPERTY
OWNER
CONTRACTOR
. . G�o
APPLICANT
PROJECT
CONTACT
LENDER
NAME
Lem
PRIMARY PHONE
Lk ,
_ 2 -��9
MAIWNGADDRESSu
�N
7f.6(
pCITY,3TATE ZIP )
E-MAIL ADDRESS
-1
1�7Z77 . I
COMPANY NAME /
APPLICANT NAME
OFFICE PHONE
MAILING DRESS CITY, STATE, a�
LLPHONS .
CITY OFTEDERAL WAY US1NE83 W NSE NUMBER .
�(�� (- �a- �L
EXPIRA N DATE
e_,c rz� d
PAX NUMBER
c ,s3
CONTRACTOR•e REOI TION
X61 �S-3K<
1�7Z77 . I
&MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAIWNO ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent O Other
_
NAME PRIMARY PHONE &MAIL ADDRESS
NAME
Per RCW 19.97.095:
Lender information is required if project value exceeds $5,000 .
MAWNG_ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
RATER SERVICE PROVIDER ❑ LAKEHAVEN o HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC)
PROJECT ••-
AREAS
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
AREA DESCRIPTION
EXISTING
S : FT.
BASEMENT
o YES
o NO
ZONING DESIGNATION
FIRST
CHANGE OF USE?
o YES
o NO
SECOND
o YE8 o NO
UP/SEPA/SU?
o YES
THIRD.
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
ADDITIONAL FLOORS (DESCRIBE)
o NO.
DECK (0 COVERED OR O UNCOVERED?)
GARAGE 0 CARPORT O
NUMBER OF FLOORS
s7O o
rsorosso
TOT
rorUrsaroerssr
ron�cu
••NEW HOAMS ONLY".. . NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
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.
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST • BE INCLUDED WITH APPLlCJ4TIONJ
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS forrub/31w-e Combo
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
IAVS (Bdb,. Side)
RAINWATER SYST
SHOWERS
SINKS
SUMPS
OAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (commereLlp
RANGES
REFRIG. SYSTEMS
URINALS .
VACUUM BREAKERS
WATER CLOSETS (r ueq
WASHING MACHINES
WOODSTOVES
_T MISC (Describe)
MISC (Describe)
I eertgy under penalty of perjury that 1 am the property owner or authorised agent of the property owner. I certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I eerft that will com with
City of lrederal,Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the issuance ofthis
permit
f permit
doss 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 elaina),Ifeh may be made by any person, including the undersigned, and flied against the city, but only
where such claim arises out of reliancfthe city, including its optcers and employees, upon the accuracy of the information supplied to
the city as a part of thjs��ticWn.
Owner
CNEW a ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUIILDING SHELL ONLY?
o YES. o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRE88 REQIIII2ED?
o YE8 o NO
UP/SEPA/SU?
o YES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO.
Bulletin #100 = August 16, 2007 Page 2 of 4 . k\Handouts\Pennit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder F,arhAddh
(First 1300 ft2- $111.00; Each add"n 500 W- $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
13 401 - 600 amp 205,00 102.00
❑ 601 - 800 amp 262.00 140.50
ALTERED COMMERCIAL/INDUSTRIAL
13 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
VO to 200 amp $92.50.
0 over 1000 amp 471.00
❑ 201 - 600 amp 149.50
❑ # of circuits to be Added/altered
over 600 amp 225.50
(1-5 circuits - $94.50; Add"a circuits, $7.00/ea)
# of circuits to be added/altered
COMMERCIAL/INDUSTRIAL PLAN REVIEW
/ (1-4 circuits -$74.00; Add"n circuits $7.00/ea)
$94.50 plus 351/6 of Permit Fee
❑
❑ Service - 1,000 amps or greater
Mast or meter repair $55.00
❑ Medical/Educational/Institutional Facility
MANUFACTURED HOME6
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK
Residenttal/MuUf-Family $65.00
❑ # of service or feeders
(First service/feeder-$74.00; each add"n -$48.00)
CornmerclaWndustrfal Service or Feeder Ampacity
❑ 0 - 100 amps $ 74,00
❑ 1.01- 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; add)m-$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 system(s)
(Includes additional circuit, if required)
❑ Fire Alarm* system
❑ Yard Pole meter loops ....... :............. $74.00
❑ SecuntyAlarm System
13 Voice Cabling
❑ Additional Plan Review $111.00 hour
/
❑ Data Cabling13
(for modified submittals)
❑ Automation Fee on all Permits .. $5.00
1•t 2500 "5.00;
Each add'n 2500 112-17.00) • Per WAC 296-46-910(5)(bxi a ti)
Bulletin #100 -August 16, 2007 Page 3 of 4 kWandoutsTermit'Application