05-102419 City of Federal Way a Electrical Permit #: 05 - 102419 - 00 - EL
Community Development Services
P.O.Box 9718
Fyleral Way,WA 98063-9718
-Ph:(253)835-7000 Fax:(253)835-2609 ' Inspection request line: (253)835-3050
Project Name: LABIZON
Project Address: 30512 24TH SaW AVE5yt/ Parcel Number: 889420 0070
Project Description: Install 200-amp service in connection with a new,3,393 sqft single-family residence with 621sgft attached
garage.
Owner Applicant Contractor
ALEX&ALINA LABIZON GALA CONSTRUCTION*ALEX LABIZON* GALA CONSTRUCTION*ALEX LABIZON*
4506 240TH ST SW 4506 240TH ST SW 4506 240TH ST SW
MOUNTLAKE TERRACE WA 98043 MOUNTLAKE TERRACE WA 98043 MOUNTLAKE TERRACE WA 98043
(206)423-0077
Electrical Fixtures
L Description 1Quantity Description _Quantity Description Quantity
[I Service: -Residential 4000
PERMIT EXPIRES November 19,2005.
Permit issued on May 23,2005
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: ,_ -40r Date:
63c6C-2
<6\\�\fl
vc
r
t
THIS CARD IS TO REMAIN ON-SITE
aTYOF 11A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-102419-00-EL
Owner: ALEX &ALINA LABIZON
Address: 30512 24TH AVE SW
FEDERAL WAY, WA 98023
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.
0 Slab/Concrete Floor(4255) Ditch cover(4030)
0
Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date 5- a, C� - By Date
❑ Temporary Power(4275) .❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) Final-Electrical(4055)
Approved Approved Approved
By Date By Date B +t0 / Date ( 0
❑ Under-slab groundwork(4295)
Approved
By Date
Fede Way RECEIVED C2 ,5- 1_Q .2 a { L
COMMUNITY DEVELOPMENT SERVICES PERMIT SF MF COM ELJ PL DE EN FP
• 33325 a AVENUE SOU171•b BOX 97mAy 2 3 -, ��
FEDERAL 07Y,FAX
53.8 3-260 to p p L I C AT I O N TO
253-835-2607.£AX 253 d35-2609
/ /
www•dtuolkdenliwau tn)TY OF FEDERAL WAY
The ollowi • is -. QER.-an into •late • ••lication will not be acce•ted. Please •rint le•ibi in in or
• PROPERTY INFORMATION
SITE ADDRESS 305/2g Z4/ h 7i VE Ste/ SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE OA
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (l y‘r 1•4-1
(Mach eeParateaaxla•I nythy legal descaipdonl
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
IA, srtelte.€/ti Quer / z so y SQ e b/?e.-€
10 ,e 4/ #t/ 4' Re r/ i e/zf,e y/j/4 C 3 _CPO
PROJECT NAME(Name of Business or Owner Last Name)
II PEOPLE INFORMATION
PROPERTY NAME 4. et ��
OWNER
G4L / .�sf ,....// 04, Z-GC (296PHONE3- 00 77
MAILING 5.61
o 4 ADDRESS �O c/ 5 4, DATE, IP
CONTRACTOR COMPANY NAME APPLICANT ME OFFICE PHONE
/ $ E7,e e.,/ 2i �e 7e AVilre, 005) 5 3„F —c? 5/
MAILING ADDRESS CITY,STATE,ZI CELL PHONE
/3 2O tt'�f> ' Co � '� -e 4/, ( ) -
CITYOFFEg E- S`" SSN�" -B .- /! / /O 7 (0.06)E
R
de`sEK I 2 - 5,/&
CONTRACTOR'S REGISTRATION NUMBER(coPy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect a Tenant a Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE
E-MAIL ADDRESS
( )
LENDER :1.: ;r.1;' • {y ,;:.i v�,,,ty..r,Ytivrrali'.l%7, i; NAME
_,t,f,''• 1,fi-g..,.1, •.i,t,',"•(-{,C) i'5,1•tit,
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
r
FIRST
SECOND 1
THIRD
FOURTH '
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS =Bubo PROPOSED TOTAL Por Sci' tc}RorO•ED'Sr., v ar<
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture 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(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING '
BATHTUBS(orT,e/snowarCwbo) SHOWERS WATER CLOSETS goes MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS lII
LAVS(Bathroom Sinks) 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
am 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 employees,upon the accuracy of the information supplied to the city as a part of
this application.
c- 2 3 -- a�'
NAME/TITLE , DATE
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent a Contractor 0 Architect 0 Other
o.)Q PP`C•)ai Ee • �;a�D}r�G��' Erv+t I,1!i3`Yc} Yi 1P{'ir
::,� FYI!
!)
il,e)i;.tS t •;T(•) - h:wW of1.
?,!e)i�*� •)=� .)sTi 1 f• Pr/e�) nx� `ram t{
W \4� ���-�tr..�..WFyI.��...`��. .... ........ .�'.E:.'X'^.�WFN 1'� _.t............_............
at,r •� �3 i ode? .. _ - 4j+i 7[1 l c}1,0 D1;4,;t �;4'''C e
Bulletin#100—January 7,2005 Page 2 of 4 k\ andouts\Permit Application
,
•
ELECTRICAL PERMIT INFORMATION
fr
RESIDENTIAL COMMERCIAL
/NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
.0 Single Family Square Feet Lf,C0 Service or Feeder Each Add'n
�
CCC (First 1300 ft2-$104.50;Each add'n 00 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage ❑ 101-200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 601-800 amp 398.50 . 168.50
❑ 801 - 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00
Service Feeder _
❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
❑ 401 -600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
❑ 0 to 200 amp $87.00
❑ 201 -600 amp 141.00 ❑ #of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
i ❑ Service and feeder $113.50
TEMPORARY SERVICE
1 MOBILE HOME/RV PARK
Residential/Multi-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps _ $69.50
❑ 101-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
O Fire Alarm System ❑ Yard Pole meter loops $104.50
❑ Security Alarm System 0 Additional Plan Review $104.50/hour
I 0 Voice Cabling (for modified submittals)
❑ Data Cabling
❑ ❑ Automation Fee on all Permits $5.00
(Per System(s) 1d 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) •Per WAC 296-46.910(5)(W&a) 'I
7
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application