04-102280 go
City of Federal Way ' +
Community Development Services Electrical Permit #:04 - 152280 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661 4000 Fax.253.661.4129 Inspection request line: 253.835.3050
Project Name: KELLY
Project Address: 2828 SW 342ND 54- Parcel Number: 010921 0290
Project Description: Install 30-amp circuit for new AC unit.
Owner Applicant Contractor
Todd W Kelly &Stefanie Marie Kelly WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
2828 SW 342ND ST 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98023-7742 (206)272-4700
Electrical Fixtures
Description Quantity Description Quantity DescriptionQuantity
Circuits-Residential 1 1
PERMIT EXPIRES December 7,2004.
Permit issued on June 10,2004
I 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 and
the City of Federal Wa`
Owner or .gent: ` aehDate: (as/
ydid"
04a., -��
. allik THIS CARD IS TO REMAIN ON-SITE
CITY OF IPIkkivirmow - Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-102280-00-EL
Owner: WASHINGTON ENERGY SERVICES CO
Address: 2828 SW 342ND ST
FEDERAL WAY, WA 98023-7742
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) 0 Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels (4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date
❑ Under-slab groundwork(4295)
Approved
By Date
04-102-24'0 EA.,JUN-4-2804 12:49 FROM:
70:12536614129 P.6
9 , COMMUMTY DEVELOPMENT SERVICES
33530 FIRST WAY SOUTH•PO BOX 9713
artO.1111.1.4s" FEDERAL WAY,WA 9t 065-9711
Federal Way • PERMIT APPLICATION 257N41wn1S•PA.rM461-129
tztaThown
ler Office U off FW File Number: a - v I_ c2..... IC Q - TD
The ollowin• is re•uired in ormation—an incom.fete a--lication will not be acce.ted. Please •rint le•ib! (in ink)or . .
¢ (A . ` 3 • PROPERTY INFORMATION
SITE ADDRESS: 2 C7 S .4.) '42" � S
SUITE/APT II
ASSESSOR'S TAX/PARCEL It: EV 0,91 L - C 6 SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (e.g.:Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATIONN
TYPE OF PERMIT(This application): ❑ : •• • I 0 ❑ PLUMBING ell�i/,+ .. ❑ DEMOLITION
ELECT- CAL O ENGINEERIN • IRE PREVENTION SYSTEM
PRO ECT DESCRIPTION(Provide detailed description of work inclu. don this permit onIu
111 c-e.... re ale c 144-aµ-f '. 4K-ef" Zo cizz) h ID
11 c : r -kow-c' ,tium.- t- "3 - I _ .-.
•Pivu. --- l c( t i oV •
PROJECT NAME(Name of Business/Owner Last Name): e//y
• PEOPLE INFORMATION
PROPERTY NAME: ;
PRIMARY PHONE:
OWNER: -root) k ey / (2�) sip
- 7&,5-6
6AIUNGADDRESS sREEAD y Ct E51i" cDC1 CA/It
93
CONTRACTOR: NA a 1 i_ COMPANY OFFICE PP}'HONE•
MAILING ADDRE ST EET D ;): STAT la/ CELL PHONE:
� ��
�Q'��}, �L'' jrL/' k e ',y/��p[����' 9
CITYWAY -r BUSINESS UCE'I1Sj NUMBER: ` EXPIRATIONFAX NUMBER.
-O.,-L6�Z3.`i .b000L I / 1�- tor ( ) ---
t.cJRsFf1e3et-7/cD- /ec
CONTRACTORS REGISTRATION NUMBER: ��(\'�//J� � ��� � � - EXPIRATION DATE
WASH -ir I Z /
(nary at.arA r.yair.1 with emelt.rrlteaHaa) O t�
LENDER: NAME: J
DAYTIME PHONE:
Pr r..r_.a V.I...*5,000( ( ) -
MAIUNO ADDRESS(STREET ADDRESS:): CITY,STATE,ZIP
APPLICANT: NAME: ...iyae.c.
COMPANY
OFFICE PHONE:
/
MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
(
RELATIONSHIP TO PROJECT: FAX NUMBER:
D Architect 0 Tenant ❑ Other(Describe): ( ) -
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner ? Contractor
0 Applicant E-MAIL ADDRESS:
■ DETAILED BUILDING INFORMATION
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? a YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES U NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: O LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
JUN-4-2004 12:50 FROM: TO:12536614129 P.8
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ. FT_ TOTAL
BASEMENT
FIRST
SECOND
•
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? mrAL COSMO TOTAL PRolosi'd TOTAL=STENO AND PROPOsto
"NEW HOMES ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ FIXTURES
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
--AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Gmmnci,i) WOODSTOV ES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS / FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(r.o.) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAYS fanduv.nnSink VACUUM BREAKERS ELECTRIC WATER HEATERS
•
•
■ DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my
knowledge,and further, that I ant authorized by the owner of the above premises to perform the work for which the permit
application is made. I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,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 of Federal Way, but only where such claim arises out of the reliance of the city,
including its officers and e es,upon the acy of the information supplied to the city as a pant of"is application.
NAME/TITLE: DATE: ` 'IL
(Signature) (Title)
RRELATIONSHIPTO PROJEECT: ❑ Prope caner ❑ Applicant contractor o Architccc o . 76.Orra
(12r X20 3Z '
OR''O ICEISE`ONT Y ' �
Q.cwti..sy�+�`.rniao.�,lk�rrr,«+c•�.....i����:'1'r;�.�
q NEWS;„';_„ ” ,'• 'p ADDITION o ALTERATION a REPAIR _ o TENANT IMPROVEMENT
BUILDINGSHELI:ONLY? " ^Ai YES a NO •BASIC;PLAN?' a YES o NO
"ZONINC'r'DESIGNATION: CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? o YES o NO
-PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? a YES a NO
IlullcUn :i 100 ••,I«.^.tr.:.'t I I. s(;U_I Page 2
JUN-4-2004 12:49 FROM: TO:12536614129 P.7
e t -Foe k I I 28 2-g s w ?(1). ---)
■ ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet: Service or Feeder Each Add'n
(First 1300 112-$87.00;Each add'n 500 1t2-$28.00) 0 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage 0 101-200 amp 117.50 74.00
(Inspected with service) $36.50 0 201 -400 amp 220.50 87.00
❑ Detached outbuilding or garage ❑ 401 -600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) 0 801 - 1000 amp 405.50 169.50
Service Feeder 0 Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 0 Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED•COMMERCIAL/INDUSTRIAL
0 Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY 0 0 to 200 amp $ 94.50
(Inspected separately from service) 0 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 0 S of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
)11‘ I M of circuits to be added/altered
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW
❑ Service over 200 amps
❑ Mast or meter repair $43.50 0 Medical/Educational/Institutional Facility
$74.00 plus 35%of Permit Fee
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES TEMPORARY SERVICE
❑ Service or feeder only $58.00
❑ Service and feeder $94.50 __ Commercial Residential
0 0- 100 $58.00 $51.00
MOBILE HOME/RV PARK
0 101 -200 74.00 51.00
❑ 8 of service or feeders ❑ 201 -400 87.00 n/a
(First service/feeder-$58.00;each add'n-$37.50) .
0 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ N of Thermostats ❑ 8 of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s): (Includes additional circuit,if required)
❑ Fire Alarm System 0 Yard Pole meter loops $58-00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per Systcm(s): 1•.2500 ft2-$51.00;
Each add'n 2500 112-13.50) •Per WAC 296.16910f5I(6)(i&ii)
I 1 u11:'I':I :1'{i;i - -.itl.i': I. L00I
Pagc 3