04-102756 Ciry or Federal Way
Community Development Services Electrical Permit #:04 - 102756 - 00 - EL
33530 1st Way 8
• Federal Way,WA 98003-6210
Ph:253.661 4000 Fax 253 661 4129 Inspection request line: 253.835.3050
Project Name: HOLM BUILDERS
Project Address: 29349 2ND\S .,JW Parcel Number: 119600 1305
Project Description: Install 200-amp service in new single-family home
Owner Applicant Contractor
Robert Rollins &Sharon Rollins REED ELECTRIC INC REED ELECTRIC INC
27901 21ST AVE S REED ELECTRIC INC REED ELECTRIC INC
FEDERAL WAY WA 17404 MERIDIAN E UNIT F-146 17404 MERIDIAN E UNIT F-146
98003-6949 PUYALLUP WA 98375 (253)846-3166
Electrical Fixtures
Description Quantity j Description Quantity Description ;Quantity
LService: -Residential I 5578
PERMIT EXPIRES January 8,2005.
Permit issued on July 12,2004
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 Way.
Owner or agent: Date: -1-1 r 2.-/(j
fefefG7 00\--
I
z THIS CARD IS TO REMAIN ON--SITE '
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-102756-00-EL
Owner: ROBERT ROLLINS •
Address: 29349 2ND AVE SW
FEDERAL WAY, WA
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 .B� -/ Date(2- _,2,-,cd By Date
❑ Temporary Power(4275) jj Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
1
By Date By' I Date 5 "1 + By Date
fr[rn
Rough Electrical(4225) "❑ Ceiling Cover(4020) [ Final-Electrical (4055)
Approved Approved Approved
By ��y// Date '1 1 0 By Date B Date
❑ Under-slab groundwork(4295)
Approved
By Date
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CONSTRUCTION PERMIT APPLICATION
,CITY OF .4111 APPLICATION NUMBER: to VI 5 ( -CO
Federal VV RECEIV -
Ri Jf irr'(DEVELOPMENT DEPARTMENT APPLICATION NUMBER:
JUL 12 RECO APPLICATION NUMBER: - -
* The following is required information—Please print(in ink)or type**
•
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: 21 tOL 7,41b Ail ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
557 8 ,ft . NotA, (A I. rz-e-ca ct u-e.
• PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL o DEMOLITION
ELECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 2DOA LA,/6,1 N,(rvv PQCie,/{,C
PROJECT NAME:
• PEOPLE INFORMATION '
PROPERTY OWNER: NAME• '�"j� p ; DAYTIME PHONE•
MAILING ADDRESSA
REEADDRESS;UtCITY,STATE,ZIP): C
I j
CONTRACTOR: NAME: I DA ME PHONE:
C. F•eEt IdLeC-I- C i�G • ! ("153)6+. - 3ie6
MAILING ADDRESS(STREET AD fkESS;CITY,STATE.ZIP): ! EVENING PHONE'
17404 (Ae�riaiaO )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: F NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: / (�. n J(� `� (� I EXPIRATION DATE;..
(copy of card required) Iv LU_ 1 E v i� Zd v C=lX i C7 / l
APPLICANT: NAME: i DAYTIME PHONE
)MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): I EVENING PHONE
)RELATIONSHIP TO PROJECT: FAX NUMBER:
o ARCHITECT o TENANT o OTHER(DESCRIBE): i ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑ APPLICANT CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only . $57.00 _#of Thermostats(First-$43.00,add'n-$13 00ca)
(First 1300 ft'-$85 50,Each add'n 500 11'427 50) _Service and feeder ............. .... $93.00 #of Low voltage fire or burglar alarms
.Square Feet. First 2500 111450.00,Each add'n 2500 ft'413 00
_Each outbuilding or garage ....... ... . $35.50 MOBILE HOME/RV PARK Square Feet _
(Inspected with service) _#of service or feeders * Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage.. $57.00 (First service/feeder-557.00;Add'n service/ _#of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-$37 each) $20.00 each)
_Swimming pool,hot tub,spa.......... .$85.50
_Yard Pole meter loops. ...... . . .$5'7.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units.n more) Altered Service or Feeders
Service Feeder Amps Service or Add'n _0 to 200.. ... . ... . $ 93 UU
_Up to 200 amp . $ 93.00... ....$ 27.50 Feeder _201 -600.. . ... ... .. . . 216.50 is
_201 -400 amp 115.50.. ....57.00 _0 to 100. . . . . .....5 93 00... .$ 57.00 _601 -1000.. . . . 326.50
_401 -600 amp .. ...... 158.50. 78.50 _101 -200................... 115.50 72.50 _over 1000 . . . ....363 00
_601 -800 amp.... . ....202.50. 108.50 _201 -400................... 216.50 85.50 _#of circuits
_Over 800 amp . .. 289.50.. . 216 50 _401-600... . ...... 252.50........101.00 (1-5 circuits-$72.50,Add'n circuits,$6 eat
ALTERED SINGLE/MULTI FAMILY _601-800 326.50 138.00
(When inspected separately from the services.) _801 -1000 ' 399.00 166.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/Industrial
_0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 _0- 100 $ 57.00
201 -600 amp 115.50 Mast or meter repair 78.50 _101 -200 72.50
_over 600 amp 174.00 _201 -400.... . . .. ....... ....... ... 85.50
_Mast or meter repair ... .... . . ... 43.00 _401 -600.... .. 1 15 50
_#of circuits over 600 ...... . ... . .. 125.00
_
(1-4 circuits-$57 00,Add'n circuits$6 ea)
i
If a new or altered commercial service is 200 amps or greater,or a new or altered residential service is greater than 400 amps,a plan review is required Fee is 35%of
permit fee+$72.50 Add'l plan review for other submissions is$85 50/hr
FIXTURE DESCRIPTION(A) ( FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
i I `'305. cc) 5 S.c2 b i
t 1
' TOTAL COLUMN(D): 1 13OS s(
2 J Total Column(0)
Estimated Permit Fee: (12) 1 305 - 90
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72.50+( 305- 61) X.35) = (13)
• DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
■ ENGINEERING _
Estimated Permit Fee:(16)
Bond Amount: (17) V
• OTHER FEES
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Total (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)41-11/ .%.4t
Bulletin #100-December 23, 2002