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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