08-100012t
City trFelopmentS Electrical Permi : 08 -100012 -00 -EL
Community Development Services
P.O. Box 9718
Federal Way, WA 9806329'718
Ph: (2.53) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: ORMSBY
Project Address: 1104 SW 296TH ST Parcel Number: 119600 4775
Project Description: Remove and replace panel with new. 200 amp. Includes replacing recepticles, switches and
a garage door opener circuit.
Owner
Applicant
Contractor
ROBERT ORMSBY
AZTEC ELECTRICAL SERVICES LLC
AZTEC ELECTRICAL SERVICES LLC
1104 S 296TH ST
25314 45TH AVE S
AZTECES021DT 3/30/08
FEDERAL WAY WA
KENT WA 98032
25314 45TH AVE S
KENT WA 98032
Additional Permit Information
Service greater than 1000 Amps? .......................... No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps -1 1
PERMIT EXPIRES Sunday, December 28, 2008
Permit Issued on Thursday, January 3, 2008
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
1 a d the City of Federal Way.
Owner or agen W Date:
THIS CARD IS T EMAIN ON-SITE -
C„" OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08 -100012 -00 -EL
Owner: ROBERT ORMSBY
Address: 1104 SW 296TH ST
FEDERAL WAY, WA 98023-8254
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 scheJule 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
❑
❑
Final - Electrical (4055)
❑
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑ UFER Ground (4295)
Approved
By Date
For inspector reference
❑ Rough Electrical ❑ FINAL - Electrical
Approved (2��Approved
By Date By Date
C",or RECEIVE_
Fee al tray Ike Q. 2
�m"ffOEVSLOPMBNT 98Rv= j PERMIT SF MF CO � EL PL DE EN FP
99975 D AVEWS WA 9•PO971 4118 n 3 Zoo �,PPLICATIONPBDBRAL WAY, X 98069.97/8 /
253-835-2607-PAxss9 DF FEDERAL WAY
UILDING DEPT, i
The following is required information -an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS _ ) 1 SA-) 076
SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # L G__(_ O - C ( LOT SIZE (s�
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
p.-h..a.�.vgv.,al.,,
PROJECT
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
13DEMOLITION kELECTRICAL 13 ENGINEERING 13 FIRE PREVENTION SYSTEM
PROJECT DESCRD?TIL ON (Provide detailed description of work
included on th±s permit o� `
PROJECT NAME (Name of Business or Owner Last Named
PEOPLE• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
-
OFFICE PHONE r
PRIMARY PHONE
HARING ADDRESS -
, STATE, ZIP /PHONE
MAILING ADDRESS
//
CITY, STATE, ZIP
3
E-MAADDS
N. RES
COMP
APPLICANT NAME
OFFICE PHONE r
Ls>ldsf formation is rsgn re�fprq/soE yalu� 6&V ds $5,000
HARING ADDRESS -
, STATE, ZIP /PHONE
MAILING ADDRESS
C!I Y, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
E3 Architect a Tenant ❑ Agent ❑ Other
FAX NUMBER
_
I`•""� � � h ���- �r} J I rMARY; ONE - E-MAIL ADDRB33
NAME
Per RCW ;9.
Ls>ldsf formation is rsgn re�fprq/soE yalu� 6&V ds $5,000
HARING ADDRESS -
, STATE, ZIP /PHONE
EXISTING ASSESSED/APPRAISED VALUE
SPRINKLERED BUILDING? a YES
WATER SERVICp, PROVIDER ❑ LAKEHAVEN O HIGHLINE
SEWER SERVICE PROVIDER O LAKEHAVEN O HIGHLINE
PROPOSED USE
WORK $
PROPOSED/REQUIRED? a YES O NO
0 TACtN14A ❑ PRIVATE (WELL)
13 PRIVATE EPTICI
nil
AREA DESCRIPTION
---
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
---_
FURNACES
RANGES
FIRST
REFRIG. SYSTEMS
SUMPS
CHANGE OF USE?
SECOND
a NO
NEW ADDRESS REQIIIRED?
a YES o NO
THIRD
o YES
o NO
PLATTED LOT?
ADDITIONAL FLOORS (DESCRIBE)
DEMO PERMIT REQUIRED?
a YES
a NO
DECK (❑ COVERED OR ❑ UNCOVERED?
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS°
nOfOO=0
�O7iQ
�u'u ar
r°racrs°r°°s°u
rorncu
"NEW HOMES ONLY" NUMBER OF BED OMS ESTIMATED SELLImhPRICE $
Indicate. number of each type of fixture to be
Value of Mechanical Work $ (A
AIR HANDLING UMTS
BBQS
BOILERS
COMPRESSORS
DUCTS.
BATHTUBS (-T,.b/ Comb.)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
or relocated as part of this project. Do not include existing fixtures to remain.
BID OR ESTIMATE MUST BB INCLUDED WITH APPLIC.ATIOA9
EVAPORATIVE
GAS PIPE OUTLETS WOODSTOVE3
�LEIRS
FANS i
GAS WATER HEATERS MISC (Deacn'be)
FIREPLACE INSE
HOODS p ma b4
FURNACES
RANGES
OAS LOOS
REFRIG. SYSTEMS
I cert{fy under penalty of perjury that! am the property owner or authorised agent of the property owner. ! cart(fy that to the best of my
knowta4ey the H{ formation submitted in support of this permit application is true and correct. I eertUk that I will comply with all applicable
City of Tederal Way regulations pertaining to the work authorized by the issuance of a permit. ! understand that the issuance of this permit
does not remove the owner's rospensibility for compliance with loeai, state, or federal taws regulating construction or environmental laws.
I f urther agree to hold harmless the City of Ihderat Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and defense of such claim, which may be mads 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 a pa plication.
SIGNA DATE 3 �!
ProperRy Owner anti/or Authorised Agent
a NEW a ADDITION
\
VS (aubm.m abs
URINALS MISC (Describe)
RAINWATER SYST
VACUUM BREAKERS
SHOWERS
WATER CLOSETS (r.nq
SINKS
WASHING MACHINES .
SUMPS
CHANGE OF USE?
I cert{fy under penalty of perjury that! am the property owner or authorised agent of the property owner. ! cart(fy that to the best of my
knowta4ey the H{ formation submitted in support of this permit application is true and correct. I eertUk that I will comply with all applicable
City of Tederal Way regulations pertaining to the work authorized by the issuance of a permit. ! understand that the issuance of this permit
does not remove the owner's rospensibility for compliance with loeai, state, or federal taws regulating construction or environmental laws.
I f urther agree to hold harmless the City of Ihderat Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and defense of such claim, which may be mads 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 a pa plication.
SIGNA DATE 3 �!
ProperRy Owner anti/or Authorised Agent
a NEW a ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
GYRO ONO
BASIC PLAN?
a. YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
a NO
NEW ADDRESS REQIIIRED?
a YES o NO
IIP/SEPA/SII?
o YES
o NO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED?
a YES
a NO
Bulletin #100 — January 1, 2008 Page 2 of 4 MandoutsTerniit Application
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ Single Family Square Feet
(First 1300 ft2- $115.50; Each add% 500 Itl - $37.00)
❑ Detached outbuilding or garage
(Inspected with service) $48.50
❑ Detached outbuilding or garage
(Inspected separately) $76.50
ENI MULTI -FAMILY
(three units or more)
0 to 200 amp
Service
Feeder
❑ Up to 200 amp
$125.50
$ 37.00
❑ 201 - 400 amp
155.50
76.50
❑ 401 - 600 amp
212.50
106.00
❑ 601 - 800 amp
272.00
145.50
❑ Over 800 amp
389:50
291.00
ALTERED SINGLE/MULTI FAMII.Y
❑ # of circuits to be added/altered
(1-4 circuits -$76.50; Add% circuits $7.50/ea)
❑ Mast or meter repair $57.50
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ Service and feeder $125.50
COMMERCIAL
NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder
0 to 200 amp
$ 96.00
201 - 600 amp
155.50
❑ over *600 amp
234.00
❑ # of circuits to be added/altered
(1-4 circuits -$76.50; Add% circuits $7.50/ea)
❑ Mast or meter repair $57.50
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ Service and feeder $125.50
COMMERCIAL
NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeders
❑ 0 to 200 amp $125.50
❑ 201 - 600 amp 291.00
❑ 601 - 1000 amp 439.00
❑ over 1000 amp 489.00
❑ # of circuits to be added/altered
(1-5 circuits - $98.00; Add%circuits, $7.50/ea)
COMMERCIAL/INDUSTRIAL PLAN REVIEW
$98.00 phis 350/6 of Permit Fee
❑ Service - 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
TEMPORARY SERVICE
MOBILE HOME/RV PARR Residentla/,/dsttitt-larn{y $67.50
❑ # of service or feeders
(First service/feeder-$76.50; each addh -$50.00) Commerciat4ndustrial Service or Feeder Ampacity
❑ 0 -100 amps $ 76.50
❑ 101- 200 amps 98.00
❑ 201- 400 amps 115.00
❑ 401- 600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats
(First -$57.50; addh-$17.50/ea)
❑ Low Voltage
Square Feet to be served by system(s)
0 Fire Alarm System
❑ security Alarm system
13 voice cabling
13 Data cabling
a
la 2500 !!'-$67.50;
Each add% 2500 W - $17.50) • Per WAC 296469r0(SJ(6)ii & s)
❑ # of Signs
(First sign -$57.50; add n sign $27.00/ea)
❑ Swimming pool/hot tub ................
(Includes additional circuit, if required)
❑ Yard Pole meter loops .....................
❑ Additional Plan Review
(for modified submittals)
❑ Automation Fee on all Permits ..
$115.00
$76.50
$115.00/hour
$5.50
Bulletin #100 - January 1, 2008 Page 3 of 4 UlandoutsTecmit AmAicatim
Service or Feeder Each Add'n
❑ 0 to 100 amp
$125.50
$ 76.50
13 101- 200 amp
155.50
98.00
13 201- 400 amp
291.00
115.00
❑ 401- 600 amp
339.50
136.00
❑ 601- 800 amp
439.00
186.00
❑ 801 - 1000 amp
536.50
224.50
❑ Over 1000 amp
584.50
311.50
❑ Over 600 volts surcharge
$98.00
❑ Mast or meter repair
$106.00
!ALTERED COMMERCIAL/INDUSTRIAL
Service or Feeders
❑ 0 to 200 amp $125.50
❑ 201 - 600 amp 291.00
❑ 601 - 1000 amp 439.00
❑ over 1000 amp 489.00
❑ # of circuits to be added/altered
(1-5 circuits - $98.00; Add%circuits, $7.50/ea)
COMMERCIAL/INDUSTRIAL PLAN REVIEW
$98.00 phis 350/6 of Permit Fee
❑ Service - 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
TEMPORARY SERVICE
MOBILE HOME/RV PARR Residentla/,/dsttitt-larn{y $67.50
❑ # of service or feeders
(First service/feeder-$76.50; each addh -$50.00) Commerciat4ndustrial Service or Feeder Ampacity
❑ 0 -100 amps $ 76.50
❑ 101- 200 amps 98.00
❑ 201- 400 amps 115.00
❑ 401- 600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats
(First -$57.50; addh-$17.50/ea)
❑ Low Voltage
Square Feet to be served by system(s)
0 Fire Alarm System
❑ security Alarm system
13 voice cabling
13 Data cabling
a
la 2500 !!'-$67.50;
Each add% 2500 W - $17.50) • Per WAC 296469r0(SJ(6)ii & s)
❑ # of Signs
(First sign -$57.50; add n sign $27.00/ea)
❑ Swimming pool/hot tub ................
(Includes additional circuit, if required)
❑ Yard Pole meter loops .....................
❑ Additional Plan Review
(for modified submittals)
❑ Automation Fee on all Permits ..
$115.00
$76.50
$115.00/hour
$5.50
Bulletin #100 - January 1, 2008 Page 3 of 4 UlandoutsTecmit AmAicatim