99-104650CITY OF F=EDERAL WAY
33s3a First Way south
Federal Way, WA 9e003
2.53-661-4000
- PE=RMIT NO: ELE99-1334
1.... ;;.::fl;:: �,..�:: �.,.. N„�.,. :�,W ; °��,. t'll :;N:::..� ISSUED: 12/07/99
Electrical Inspection Requests 253-661-4140 BY: F'C2
EXPIRES: 11/30/00
ADDRESS.34029 22ND PL
SW
NO.: 330630-•01.70
PROJECT DESCRIPTION:Replace
existing service
panel with new 200 amp service
panel for existing sfr.
OWNER --_---________-__.________________-._--______.___
- ---------------
__.
------- ---------__ _-__
___.= CONTRACTOR ----- ---- - - ----T= LENPER
T OR
JOHN NU5BAUM=
OWNER IS CONTRACTOR------------
34034 22ND PL SW
A
FEDERAL WAY WA 98023
253-838-0268
N/A
CONTRACTORS,
--------------
PLEASE USE LOCATI"E 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY.
TAX RATE = 9.6%
STRUCTURE INFORMATION
NEW RE5iU--IA�B�1.E
HOMES
RESIDENTIAL ALTERATIONS $
MULTI
FAMILY
NEW
s
SEV
CONST. TYPE.: U -N f
NU -SINGLE FA�'.:
SERVICE ''E ".4 '" r" R !r!.Y:
�EP,J:
C 0-200 A :
0-200 AMPS...:
0
OCC. GROUP..:
OJT BUILD.hCS..:
SERVICE ASD FI D_x..;
0 201-400 AMRS : 0
201-400
AMPS.:
0
OCC. LOAD...: 0
4
SERVICE %P, re���� ,r.;j:
tr
O OV•R 6 �4FS.,...: 0
401-600
AMPS.:
0
SQUARE FEET.: 0
T/METER REPAIR.: 0
601-800
AMPS.:
0
NUMBER OF CIRCUITS: 0
801 AND
OVER.:
0
__ _____ ________._____
_ - ____-----_-.--______-.____w.._
- -----._...._..__ ...........-. _
------
'----------------------------.
�------------------------
# COMM. ALTERATIONS
TEMP SERVICE
-
ISCELLAti. +
COMMJIND NEW �
� IN5PECTION
RECORD
�
0-100 AMPS.....: 0 ... 0 SERVICE_____W______
DATE
-----
0-200 AMPS......: G
0-100 AMPS.'—: 0
THERMOSTATS....: 0
4 101-200 AMPS...: 0 ... 0
201-600 AMPS....: 0
101-200 AMPS..: 0
LOW VOLTAGE....: 0
201-400 AMPS...: G 0 COVER..
DATE
601-1000 AMPS...: 0
201-400 AMPS..: 0
SWIMMING POOL-: 0
401-600 AMPS...: 0 0
OVER 1000 AMPS-: 0
401-600 AMPS..: 0
SIGNS..........: 0
` 601-800 AMPS...: 0 ... 0 FINAL..
DATE
NUM. OF CIRCIUTS: 0
OVER 600 AMPS.: 0
TEMP. POLES....: 0
801-1000 AMPS-: 0 ... 0 COMMENTS:
r --------------------------'
--------
YARD METER LOOP: 0
OVER 1000 AMPS.: 0 ... 0
TOTAL PERMIT FEES.......:
61.50
OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
I--------------------------------- --------�----------------------------
i ----------------
--- ------------------------ j --------------------------F �
_ �-------__.
PERMITS EXPIRE 190 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT T INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
0'NE. OR AGENT �¢,t��- ✓ DATE
FILE COPY
FEED
0
ctry aF BUILDING DMSION
�� ®c 7 ASS3 33530 First Way South
F �EpF-RAL WAY Federal Way, WA 98003
f
p (253) 661-4000
RUILp1NG' DEP . Fax (253) 661-4129
Affidavit in Lieu of General Contractor Registration
State of Washington
County of King
I, �o�� �' (vy S �4 U [�-� , state as follows:
I have made application for a building permit'jrom fff-e- City "of federal Way, Washington.
2. I understand that state law requires that all building construction contractors be registered
with the State of Washington. The exceptions to this requirement are stated under Section
18.27.090 of the Revised Code of Washington (RCW), a copy of which is printed on the
reverse side of this affidavit.
3. I understand that prior to issuance of a building permit for work which is to be done by any
contractor, the City of Federal Way must verify either that the contractor is registered by the
State of Washington, or that one of the exemptions stated under RC W 18.27.090 applies.
4. In order to provide verification to the City of Federal Way of my compliance with this
requirement, I hereby attest that after reading the exemptions from the registration
requirement of RCW 18.27.090, I consider the work authorized under this building permit to
be exempt under No. t7,, and will therefore not be performed by a registered contractor.
I understand that I may be waiving certain rights that I might otherwise have under state law in
any decision to engage an unregistered contractor to perform construction work.
APP�ICANT
Signed and sworn to before me this
7 Day of Dl?�, - , 19Et �
6-M m --
�Q i'I � � i %3'1 I'1'J�� ►�
NOTARY PUBLIC in and for the
State of Washington, residing at
1NG County.
My Commission expires: 0 Z M hoo3
Revised Code Of Washington
18.27.090 Exemptions. This chapter shall not apply to:
I ) An authorized representative of the United States
government, the state of Washington, or any
incorporated city, town, county, township, irrigation
district, reclamation district, or other municipal or
political corporation or subdivision of this state;
2) Officers of a court when they are acting within
the scope of their office;
3) Public utilities operating under the regulations of
the utilities and transportation commission in
construction, maintenance, or development work
incidental to their own business;
4) Any construction, repair, or operation incidental
to the discovering or producing of petroleum or gas, or
the drilling, testing, abandoning, ro other operation of
any petroleum or gas well or any surface or
underground mine or mineral deposit when performed
by an owner or lessee;
5) The sale or installation of any finished products,
materials, or articles of merchandise which are not
actually fabricated into and do not become a permanent
fixed part of a structure;
6) Any construction, alteration, improvement, or
repair of personal property, except this chapter, shall
apply to all mobile/manufactured housing. A mobile/
manufactured home may be installed, set up, or
repaired by the registered or legal owner, by a
contractor licensed under this chapter, or by a mobile/
manufactured home retail dealer or manufactured
licensed under chapter 45.70 RCW;
7) Any construction, alteration, improvement, or
repair carried on within the limits and boundaries of
any site or reservation under the legal jurisdiction of the
federal government;
8) Any person who only furnished materials,
supplies, or equipment without fabricating them into or
consuming there in the performance of, the work of the
contractor;
9) Any work or operation on one undertaking or
project by one or more contracts, the aggregate contract
price of which. for labor and materials, and all other
items, is less than $500, such work or operations being
considered as a casual, minor, or inconsequential
nature. The exemption prescribed in this subsection
does not apply in any instance wherein the work or
construction is only a part of a larger or major
operation, whether undertaken by the same or a
AMDvr.FRM
REVISED 2%4/98
different contractor, or in which a division of the
operation is made into contracts of amounts less than
$500 for the purpose of evasion of this chapter or
otherwise. The exemption prescribed in this subsection
does not apply to a person who advertises or puts out
any sign or card or other device which might indicate to
the public that he is a contractor, or that he is qualified
to engage in the business or contractor;
10) Any construction or operation incidental to the
construction and repair of irrigation and drainage
ditches of regularly constituted irrigation districts or
reclamation districts, or to farming, dairying,
agriculture, viticulture, horticulture, or stock or poultry
raising; or to clearing or other work upon land in rural
districts for fire prevention purposes; except when any
of the above work is performed by a registered
contractor;
11) An owner who contracts for a project with a
registered contractor;
12) Any person working on his own property,
whether occupied by him or not, and any person
working on his residence, whether owned by him or
not, but this exemption shall not apply to any person
otherwise covered by this chapter who constructs an
improvement on his own property with the intention
and for the purpose of selling the improved property;
13) Owners of commercial properties who use their
own employees to do maintenance, repair, and
alteration work in or upon their own properties;
14) A licensed architect or civil or professional
engineer acting solely in his professional capacity, an
electrician licensed under the laws of the state of
Washington, or a plumber licensed under the laws of
the state of Washington while operating within the
boundaries of such political subdivision. The
exemption provided in this subsection is applicable
only when the licensee is operating within the scope of
his license;
15) Any person who engages in the activities herein
regulated as an employee of a registered contractor
with wages as his sole compensation;
16) Contractors on highway projects who have been
prequalified as required by chapter 13 of the Laws of
1961, RCW 47.28.070 with the department of
transportation to perform highway construction,
reconstruction, or maintenance work.
c"0 F 'A
O
VV F�
ELECTRICAL
***Federal Wav R..c:n
i3 ./
PER, C11 1 ?i ALWASATION
r o .,QUl QWG DEPT.
BUILDING DIVISION
33530 First Way South •
Federal Way WA 98003
(253) 661-4000
Fax (253) 661-4129
PIE- -P
■E .. 11/27/99
Job Address_946-315,ZZN� /
Job Site Phon 93
Parcel No
Lot No
Subdivision Name
Owner/tenant
Mail Add ss
SSI
Phone
1;
.40 w..
��o39- za,voA
C 2s3) oa
Electrical Contractor
Address/phone
Electrical contractor license number (copy req'd):
Expiration Date:
Use of Bldg: f�SF Res ❑Comm ❑Other ❑Multi ❑Church/School
Class of Work New ❑ Alteration ❑ Addition ❑ Repair
Description of work::
TivsT�iGG /lIEGcJa2wAmP
N RESIDENTIAL SERVICES
MOBILE HOMES
If service is greater than 200 amp, a
1Z Single Family
Service or feeder only .... $44.25
plan review is req'd. Fee is 35% of
(First 1300 ftk$67.00; Each add'n 500IV421.50)
Service and feeder ...... $72.25
permit fee +$56.25. Add'1 plan review
Square Feet:
-
for other submissions is $67.00/hr.
_ Each outbuilding or garage . $28.00
MOBILE HOME/RV PARK
(inspected with service)
# of service or feeders
-Each outbuilding or garage ..$44.25
_
(First service/feeder-$44.25; Add'n service/
(Inspeeted separately)
-
feeder -$28 each)
MISC EQUIPMENT/TEMP SERVICES
NEW MULTI -FAMILY
COMMERCIAL/INDUSTRIAL
(Includes three units or more)
- # of Thermostats (First -$33.50; add'n-$10.50ea)
Amps Service Add'n
- # of Low voltage fire or burglar alarms
service Feeder
- Up to 200 amp $ 72.25. $ 21.50
er
Feede r
First 2500 ft2-$38.75; Each add'n 2500 ft2410.50
_ 201 - 400 amp 89.75. 44 .25
- 0 to 100 ..... $ 72.25 . $ 44.25
*Per WAC 296-46-910(SxbXi & ii)
_ 401 - 600 amp 123.25 ... 61.50
101-200 ..... 89.75 56.25
- ..
# of Signs (First sign -$33.50; add'n sign
601 - 800 am 158.00
p 84.25
- 201 -400 .... 169.00 .. 67.00
$16.00 each)
_
_Over 800 amp .. 225.25 .. 169.00
401-600 .... 197.00 78.75
- ..
_ Progress inspection per 1/2 11r .... $33.50
_ 601 -800 .... 254.50 107.25
- Swimming pool, hot tub, spa .... 67.00
_801- 1000 ... 310.75 129.75
Temporary Pole (up to 60 amp) .. 38.75
- Over 1000 .... 339.00 181.00
- Yard Pole meter loops .......... 44.25
- Over 600 volts surcharge .. 56.25
Mast or meter repair ...... 61.50
Inspections requested before 3:30pm will be
ALTERED SINGLE/MULTI FAMILY 7
COMM ERCIAL%INDUSTRIAL
made the following work day, 253.661.4140.
(When inspected separately from the
Altered Service or Feeders
services.)
_ 0 to 200 $ 72.25
hereby certify that I am the owner (or authorized
Service or Feeder
_ 201 -600 ................ 169.00
601- 1000 ............... 254.50
agent) of the above named property, or a licensed
0 to 200 amp ............... $ 61.50
_
over 1000 ................ 282.75
contractor (or firm's authorized agent) and am
_
201 - 600 amp ............... 89.75
-
# of circuits
making the installation or alteration in
_
- over 600 .................. 135.25
_
(1-5 circuits -$56.25; Add'n circuits, $5 ea)
compliance with all applicable city, county,
Mast or meter repair .......... 33.50
and/or state laws.
_
_ # of circuits ......................
Temporary Service
(14 circuits -$44.25; Add'n circuits $5 ea)
0 to 60 .................. $38.75
ant's ignatu :
A?t:
_
_ 61-100 44.25
_ 101-200 ................. 56.25
-
201 -400 ................. 67.00
D
401 -600 ................. 89.75
over 600 97.75
PIE- -P
■E .. 11/27/99
CITY OF FEDERAL WAY PERMIT NO: ELE99-1334
33530 First Way South FE-'. L E C T k I'C. A L PERMIT* ISSUED: 12/07/99
Federal Way, WA 90003 Llectrical Inspection Requests 253-661--4140 f3Y: FCS?
253--.661--4000 EXPIRES: 11/30/00
AD -DRESS :34039 22ND PL SW
NO,: 330630-0170 4 1
PRO"IECT DESCRT PT ION -.Replace existing service panel with new 200 asp service panel for existing sfr.
OWNER ...... CONIR4CIOR =—=v.... ........ mAmm===.V="m
JOHN "USMUN OWNER IS CONTRACTOR
34039 22ND PL SW
FEDERAL WAY #A 98023
253-839-0266
tst
I STRUCTURE INFORMATION *
CONST. TYPE.: V -H
OCC. GROUP..:
OCC. LOAD...: 0
SQUARE FEET.: 0
CONN. ALTERATIONS t
0-200 AMPS....... 0
201-600 AMPS....: 0
601-1000 AMPS...: 0
OVER 1000 AMPS-: 0
WON. OF CIRCIUTS: 0
TOTAL PERMIT FEES .......
t TEMP SERVICE
0-100 AMPS.... 0
101 -, 200 AMPS..: 0
201-400 AMPS-: 0
401-600 AMPS..: 0
OVER 600 AMPS.: 0
61.50
K/A
LENDER
V10' I MJING SALES TAX IOR PROJECTS WITNIN THE CITY Of FEDERAL VAY. TAX RATE = 8.6%
HOMES
RESIDENTIAL ALTERATIONS
0 ...
MULTI
FAMILY
NEW
*
Ild d
0 ...
0
401-600 AMPS...:
0 ...
0
601-800 AMPS...:
SEV
FEED
VICE OR FEEDER ONLY: 0
0 ...
0'7,Z "W_i.
OVER 1000 AMPS":
0 —
0-200 hop,...
:
0
... 0
Y11110E AWIEEEEDEP0
0
201.400
AMPS.:
0
... 0
m401-600
1''Www"
AMPS.:
0
... 0
W&MWmaw
T/MET'
0
M-800
AMPS.:
0
... 0
NUMBER OF CIRCUITS:
0
801 AND
OVER,:
0
... 0
---- I " .' --111 .- -1 .-1- - � II- -- - - _- .-.--
I I MISCELLANEOUS I
THERMOSTATS....: 0
LOW VOLTAGE....: 0
SWIMMING POOL..: 0
SIGNS........... 0
TEMP. POLES....: 0
YARD METER LOOP: 0
CoNNIND Him
0-100 AMPS......
0 ...
0
1,01 -200 AMPS...:
0 ...
0
201-400 AMPS...:
0 ...
0
401-600 AMPS...:
0 ...
0
601-800 AMPS...:
0 ...
0
801-1000 AMPS-:
0 ...
0
OVER 1000 AMPS":
0 —
0
OVER 600 VOLTS.:
0
NASI XTER RPR.:
0
INSPECTION RECORD
SERVICE DATE
COVER.. DATE
FINAL -DATE/ -n,//
COMMENTS.", 77�-;f
KINITS EXPIRE 180 DAYS AFTER ISSUANCE It NO BORK IS SIARIED.
I CERTIFY TIVIT 1K INFORNA110111 FURNISKI) BY K IS IRVI AND (ORRECT TO TIRE BEST K NY KNOWLEDGE AND INE AMICABLE (ITT Of FEDERAL MAY REOVIAMNIS KIEL K NET.
n� C-1
OWNER OR AGENT DATE
FIELD COPY
CD0193 (Rev 4/97)