06-104573a s '
City of Federal Way Electrical Permit #• • 06 -1Q4573 -00 -EL
Community Development Services
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: CANNON
Project Address: 30700 19TH AVE S Parcel Number: 092104 9104
Project Description: ALT - install new 200 amp service and misc circuits to addition.
Owner
Applicant
Contractor
ROBERT L CANNON
NORTHWEST ELECTRIC & SERVICE
NORTHWEST ELECTRIC & SERVICE
MELANIE CANNON
10228 29TH ST E
NORTHES015CK 2/12/07
30700 19TH AVE S
EDGEWOOD WA 98372
10228 29TH ST E
FEDERAL WAY WA 98003
EDGEWOOD WA 98372
Additional Permit Information
Electrical Fixtures
Alt. Serveeder: 0 to 200 amps -1 1
PERMIT EXPIRES Saturda
I hereby cert y that the above
the occupancy and the use H
Owner or agent:
, March 10,
the City of Federal Way.
FINALED
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -104573 -00 -EL
Owner: ROBERT L CANNON
Address: 30700 19TH AVE S
FEDERAL WAY, WA 98003-5103
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
By
Date
By
Date
❑
❑
Temporary Power (4275)
M
Service (4235)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
B
Date
By
Date
Rough Electrical (4225) ❑ Ceiling Cover (4020) ❑ Final - Electrical (4055)
Approved Approved Approved
DateI d—m— kBy Date B S Date?—(2 `W�
Under -slab groundwork (4295)
Approved
By Date
1�OF
Feeral Way
INSPECTION NOTICE
/ Building Division
33325 Eighth Avenue South
PO Box 9718
Federal Way 98063-9718
Phone 253-835-2607
Fax 253-835-2609
ADDRESS: ez n_ o s�, a q Jam, �. SJ C��_�_ U 5 -1 21,
3
0
IF YOU HAVE ANY QUESTIONS CALL (253) 835 -
Call for reinspection before cover
WHEN CORRECTIONS HAVE BEEN MADE CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS.
DATt INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
A
RECEIVED
Federalway SEP 112006 PERMIT
coMwffIY DBVBLOPMw sUwCBs
sssase"AYBRUESOU77!•oPJ�Zi¢ FEDERAL1J�PpLI CATI O N
PSDBRAL WAY, WA 98 1
ass-2607-26OUILDING DEP
uww.ennerle*mhwa.com
z n
will not be
SITE ADDRESS J Q /eX.) --
ASSESSOR'S TAX/PARCEL #k —61 - - - Q
`{
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
SF MF CO ME EL L DE EN FP
Ited. Please Print leal{blu lin ink) or tune.
SUITE/UNIT i
LOT SIZE (s,)
M --h p f- SwWft IVW d..eipd q
PROJECT• •
TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit onlul
yL—L—C- I—) /� �t1l f-?� A-7— �� /-)C�
PROJECT NAME (Name of Business or Owner Last Name) LL VA (n, tri
PEOPLE•• •
PROPERTY.) _ 11 PRIMARY PHONE
OWNER B� ��/�/J(j /U)
MAILING ADDRESS CITY STATE, ZIP
CONTRACTOR
APPLICANT
CONTACT
LENDER
-+Lnl nnrvrr. AYk'uC:AnT NAME OFFICE PHONE
4V (p) ) rg�& 2 �.
NO ADC D1�3S($3 CITY, STATE,
C%v 1P CELL �-10`Ja )N
IF FEDERAL W/A BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
.B L,-
RACTOR'S 'RATION NUMBER )eopy of oard required3w th "ch appReaUon) EXPIRATION DATE
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
-
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE'
RELATIONSHIP TO PROJECT
❑ Architect aTenant
/
1¢eAgent 11 Other (Describe) C ,<-1/7w7�
FAX NUMBER
EXISTING USE IGC=S ` PROPOSED USE
oo
EXISTING ASSESSED/APPRAISED VALUE 3$ VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . ❑ HIGHLME 0 PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING PROPOSED
SQ. FT. S . FT.
TOTAL
S . FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE p CARPORT ❑
ssisrao raorosaa
NUMBER OF FLOORS cora.
Z
**NWHOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
number of each type of fixture to be installed or relocated as part of this project. Do not include existing
Value of Mechanical Work $
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
.DUCTS
BATHTUBS for Tub/Shower combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS (commerdeq
RANGES
GAS WATER HEATERS
WATER CLOSETS lfeseq
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certify under penalty of perjury that the trVormation furnished by me is true and correct to the best of my knowledge, and further, that I
am authorised by the owner of the above premises to perform the work for which the permit application is .inade. I further agree to hold
harmless the City of Federal Way as to any claim lincluding costs, expenses, and attorneys' fees Incurred in the investigation and defense of
such claim), which may be made by zing person, including the undersigned, and filed against the City of Federal Way, but only where such claim
arises out of the reliance of the city, including its officers and employees, upon the accuracy of the trifbrmation supplied to the city as a part of
this application.
NAME/TITLE DATE
(Signature) (Tim)
RELATIONSHIP TO PROJECT Q Owner O Agent o Contractor o Architect o Other
Bulletin #100 — January 1. 2006 Pane 2 of 4 MI-landoutsTennit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/IIVDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2- $107.50; Each add% 500 ft2- $34.50)
❑ 0 to 100 amp $117.00 $ 71.50
❑ Detached outbuilding or garage
❑ 101.7-200 amp 145.00 91.50
(Inspected with service) $45.50
❑ 201 - 400 amp 272.00 107.50
❑ Detached outbuilding or garage
❑ 401 - 600 amp 317.00 127.00
(Inspected separately) $71.50
❑ 601 - 800 amp 410.00 173.50
❑ 801 - 1000. amp 500.50 209.50
NEW MULTI -FAMILY (three units or more)
❑ Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $ 34.50
❑ Over 600 volts surcharge $91.50
❑ 201 - 400 amp 145.00 71.50
❑ Mast or meter repair $99.00
❑ 401 - 600 amp 198.50 99.00
Q 601 - 800 amp 254.00 136.00
ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 364.00 272.00
Service or Feeders
❑ 0 to 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY
❑ 201 - 600 amp 272.00
L3601 -.1000 amp 410.00
Service or Feeder
0 to 200 amp $ 89.50
❑ over 1000 amp 456.50
❑ 201 - 600 amp 145.00
❑ # of circuits to be added/altered
❑ over 600 amp 218.50
(1-5 circuits - $91.50; Add% circuits, $7.00/ea)
❑ # of circuits to be added/altered
COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits -$71.50; Add'n circuits $7.00/ea)
$91.50 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Mast or meter repair $53.50
❑ Medical/Educational/Institutional Facility
MOBILE HOMES
Service or feeder only . $71.50
0 Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK
ResidentiaVMulti-Family $63.00
❑ -# of service or feeders
(First service/feeder-$71.50; each add% -$46.50)
Commercial,4ndustrial Service or Feeder Ampacity
❑ 0 -100 amps $ 71.50
❑ 101- 200 amps 91.50
❑ 201- 400 amps 107.50
❑ 401- 600 amps 145.00
❑ over 600 amps 157.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats
❑ # of Signs
(First -$53.50; add'n-$16.50/ea)
(First sign -$53.50; add% sign. $25.00/ea)
❑ Low Voltage
❑ Swimming pool/hot tub ................ $107..50
Square Feet to be'served by system(s)
(includes additional circuit, if required)
O Fire Alarm system
❑ Yard Pole meter loops ..................... $71.50
❑ security Alarm system
❑ Additional Plan Review $107.50/hour
❑ Voice Cabling
(for modified submittals)
0 Data Cabling
❑
❑Automation Fee on all Permits .. $5.00
(Per systeai(s) In 2500 ft2-$63.00;
Each add% 2500 ft2-16.50) *PLrWAC296-466910(5)(b#&H)
Bulletin #100 = January 1, 2006 Page 3 of 4 k\Handouts\Pennit ADDlication