07-105561City of Federal Way
Community Development Services Electrical Permit #: 07 -105561 -00 -EL
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: STROM
j F a
Project Address: 29613 20TH AVE S _� `s� Parcel Number: 367440 0236
Project Description: Relocate 200 amp service to new location and bury the overhead service line.
Owner
Applicant
Contractor
MICHAEL STROM
MICHAEL STROM
MICHAEL STROM
NELLYA STROM
29225 MILITARY RD S
29225 MILITARY RD S
29225 MILITARY RD S
FEDERAL WAY WA
FEDERAL WAY WA
FEDERAL WAY WA
98003-8013
98003-8013
98003-8013
Additional Permit Information
Service greater than 1000 Amps? .......................... No
a t City of Federal Way.
Owner or agent. Date: r! D 0
` THIS CARD IS TO REMAIN ON-SITE
CITY OFO& Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -105561 -00 -EL
Owner: MICHAEL STROM
Address: 29613 20TH AVE S
FEDERAL WAY, WA 98003-4241
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
DateZZ e5
7,
By
Date
❑
(
❑
❑
Temporary Power (4275)
Service (4235)
Feeders/Sub-panels (4045)
Approved(,,,Approved(j�
Approved
By
Date
By
Date `` / i
By
Date /0. ?i3 ' a
❑
Rough Electrical (4225)
❑
Ceiling Cover (4020)
❑
Final - Electrical (4055)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
UFER Ground (4295)
Approved
By
Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
RECEIVED
C"w _ v -
F"*"""�ray PERMIT .
OCT 0 9 2007
OOYMAe7YDSNELOPMwSzRVXw SF MF CO ME�PL DE EN PP
3332S ap AY¢BUS SOU771 • POBOX 9719
FEDERAL WAY, WA 98063-jrY OF FE D ER LI C AT I O N
2S3.89S•2607• FAX?S3 835g U I LD I NG D
The following is required in formation -an incompiets appiieation will not be accepted. please print,k8ibiy (in" or type.
PROPERTY• •
SITE ADDRESS Z C(�O 13 'L�}�'' 4VQ , 5 1?00 '�s SUITE/UNIT i
ASSESSOR'S TAR/PARCEL t . "F - ? LOT SIZE (sh
LEGAL DESCRIPTION (e.g. Acme E&ates, Lot 1)
(A8 -h+ pWjbr Iap6Y IWd d—odwo
PROJECT• •
TYPE OF PERMIT oft- O PLUMBING ❑ MECHANICAL
O DEMOLITION XXLECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
M®11� E_IAEGT Q.\ c..a,-- lea r� 1 a nv a, (5 "_AZ1ApA A e 1p r r j e -
PROJECT NAME (Name ofsinesA or Owner Last Namel 1�\
PEOPLE.• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXIOTING USE
NAME
LN A L
PRIMARY PHONE '
(=to) S g - $�
MAILING ADDRESSCrTY, STATE, ZIP
013 'P rtL iI.J S 6 CAON't
E-MAIL ADDRESS
COMPANY NAME
,`v✓`'t//
APPLICANT NAME
OFFICE PHONE -
MAILING A10DRESS
CITY, STATE, ZIP
CLL PHONE
CITY OF FEDERAL WAY BUSINESS WCENSE NUMBER
EXPIRATION DATE
zoo
FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
&MAIL ADDRESS
COMPANY NAME
_RX
APPLICANT NAME
OFFICE PHONE
LINO ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
NAME PRIMARY PHONE 19 -MAIL ADDRESS
NAME
_ULINO
PerRCW 99.27.098, .
ormation is required (jproject value exceeds $5,000
M ADDRESS f
CITY. STATE. ZIP,PHONE
EXISTING ASSESSED/APPRAISED VALUE
SPRWKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 11
USE
OF PROPOSED WORK $
SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
❑ TACOMA ❑ PRIVATE (WELL)
PROJECT ••-
AREA DESCRIPTION
AREAS
ERISTINO
SQ; FT.
PROPOSED
SO. FT,
TOTAL
SQ. FT.
BASEMENT
GAS WATER HEATERS
BOILERS
FIREPLACE
FIRST
COMPRESSORS
FURNACES
RANGES
SECOND
GAS LOG
REFRIG. SYSTEMS
o YES o NO
THIRD
o YES
a NO '
PLATTED LOT?
ADDITIONAL FLOORS (DESCRIBE)
DEMO PERMIT REQUIRED?
o YES
a NO.
DECK (O COVERED OR O UNCOVERED?)
GARAGE -0 CARPORT O
NUMBER OF FLOORS
ssunse
rsorqua
Z sora'.
ronmsa•rvrsu
ronarscrossosr
TOM Ar
••10W HOMES ONLY- . NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fuctgre to be installed or relocated as part of this roject. Do not include existing fixtures to remain.
N7ECU MCAL
Value of Mechanical Work $ (A �'OF BID OR ESTIMA MUST BE INCLUDED WITH APPZICA270-T
AIR HANDLING UNITS
EV APO TIVE COOLE
GAS PIPE OUTLETS
BBQS
FAN3
GAS WATER HEATERS
BOILERS
FIREPLACE
HOODS 19
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG
REFRIG. SYSTEMS
BATHTUBS (--/—C—b.) MVS"'-- Mo '"..URINAL$
DISHWASHERS RAINWATER SST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS ireuq
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
WOODSTOVES
MISC (Descnbe)
MISC (Describe)
I certVy 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 certo that I will comply u�tth all applicable
City of hderal ,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 taws regulating construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, wWanses, and attorneys' fees incurred in the
investigation and defense 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 ofjlcers and employees; upon the accuracy of the information supplied to
the city as apart of this apptieAtio�X -AJ
SrGNATURE:
Owner
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
a NO '
PLATTED LOT?
o YES u NO
DEMO PERMIT REQUIRED?
o YES
a NO.
Bulletin # 100 _ August 16, 2007 Page 2 of 4 , k\Handouts\Permit Application
ELECTRICAL PERMIT INFORMATION
op
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single FamilySquare Feet
Service or Feeder EachAddh
(First 1300 ftp- $111.00; Each addh 500 fts- $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
0 401 - 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 $120.50
ALTERED SINGLE
❑ 201 - 600 amp 280.50
Service or Feeder
❑ 601 - 1000 amp 423.00
0 amp
W201$ 92 50
0 over 1000 amp 471.00
- 600 amp 149.
❑ over 600 amp 225.50
❑ # of circuits to be added/altered
(1-5 circuits - $94.50; Addh circuits, $7.00/ea)
❑ F of circuits to be added/altered
COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits -$74.00; Addh circuits $7.00/ea)
$94.50 plus 350A 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
ResideittialHuiti-lramily $65.00
❑ $ of service or feeders
(First service/feeder ,$74.00; each addh -$48.00)
CommercfaUndustrial 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
❑ ii of Thermostats
❑ it 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 aystem(s)
(lncludes additional circuit, if required)
0 Fire Alarm'system
(3 Yard Pole meter loops ....... :............. $74.00
O •Security Alarm system
O Voice Cabling
❑ Additional Plan Review $111.00 our
O Data Cabling
(for modified submittals)
p
❑ Automation Fee on all Permits .. $5.00
In 2500 ft1-$65.00;
.
Each addh 2500 ft2-17.00) • Per WAC 296-169] 0(5)(bP a it)
Bulletin 11100 -August 16, 2007 Page 3 of 4 WandoutsTermit Application