05-102538 •City of Federal Way Electrical Permit #: 05 - 102538 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
PR:(253)835-7000 Fax (253)835-2609 Inspection request line: (253) 835-3050
Project Name: BERRY
Project Address: 122 SW 291ST $T Parcel Number: 119600 0024
Project Description: Electrical wiring for detached garage.
Owner Applicant Contractor
MARC&SUSAN BERRY ACTION PLUS ELECTRIC INC ACTION PLUS ELECTRIC INC
PO BOX 543 6316 114TH AVE SE 6316 114TH AVE SE
BELLEVUE WA 98006 BELLEVUE WA 98006
PO BOX 543 !REDONDO,WA 98054 (206)650-7753
Electrical Fixtures
Description _Quantityl Description Quantity Description Quantity
Outbuilding/Garage-Residential 1
PERMIT EXPIRES November 27,2005.
Permit issued on May 31,2005
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: 73,-61---:- Date: 31 to
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r'" THIS CARD IS TO REMAIN ON-SITE .
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
,
PERMIT#: 05-102538-00-EL i
Owner: MARC & SUSAN BERRY
Address: 122 SW 291ST ST
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.
O Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 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
•rif Rough Electrical(4225) 0 Ceiling Cover(4020) 7/ Final-Electrical(4055)
, Approved Approved Approved
By`, \\` Date By Date By 1'Co Date I .
❑ Under-slab groundwork(4295)
Approved
By Date
1
.f A • RECEIV.�>� - / 0 - 5_ 3 2
Federal Way PERMIT - -
U MMUNRYDevBLOFMENrsLiRVrcES MA 3 1 2 SF MF CO ME •L DE EN FP
333254 FEDERAL
Y,WA 93 PO-31IS 14 A P P LI CATI 4y- T �° f �.�.
FBDBRAL WAY,WA 9f06J-17/1
253.435-2607•FAX 253.635-2609
iw,u,.aiyarreee.anuay.g� Bu"iLDINDD,p AP vvii
The ollowi • is fired in ormation-an Inco •fete . • •Bratton will not be acre•led. Please •rint le! ,1 n or I
• PROPERTY INFORMATION
SITE ADDRESS 12-2- S W 21 / S`r-- .EgE.Il►(1-L C'`) SUITE/UNIT#
ASSESSOR'S TAX/PARCEL I - _ _ _ _ LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(AS selmivdePefPfor Willa&lei*da 9
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTT�ION(Provide detailed description of work included on this permitionly)
e... =:
Ee� -;RIe-
-1 i -r cA-C— 1/v i 12-t ' '
!' 0 1/,��'Tct't/ij> r . , .
PROJECT NAME(Name of Business or Owner Last Name) ]. "JO t4kL4LLi4 CD"AT- & / , 6 j
II PEOPLE INFORMATION
PROPERTY NAME
i3e e -( PRIMARY PHONE
OWNER ( )
MAILING ADDRESS CITY,STATE,ZIP
i2,2- 5k X91 s'" fFD/r--1641-1- L Ja4-y
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
ACT O'P'"? P4-'cs ei‘eil/G ( 2436 6 1 - V 6 3
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
63/d Or* ,q' SE, 56 Liu, 6.)4. (. 1 -
• CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXNUM
EXPIRATION DATE PAX BER
- - -B L / / ( )
CONTRACTORS REGISTRATION NUMBER(copy of earl required with each application) EXPIRATION DATE
L ci La P E Q ! E 3 / ate /2Da6
APPLICANT COMP NY NAME APPLICANT NAME
'bCr`REBS 3 6,-R1 OFFICE PHONE -
MAILING ADD STATE,ZIP / / CELL.PHONE
RELATIONS S LU 7 I 57-
��p 6- k i / ( 1 -
PROJECTFAX NUMBER
a Architect Tenant a Agent 0 Other(Describe) ( ) -
CONTACTNAME PRIMARY PHONE E-MAIL ADDRESS
� �- (3ALp JibJ (7'°6) 650-- ;3 .
LENDER .::, r,ir.,,p,:r:,•, . NAME
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO , -
WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL •
SQ.FT. SQ.FT. SQ.FT. .,
BASEMENT
•
FIRST •
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE (] CARPORT 0
NUMBER OF FLOORS efaaruo •.wuo
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installe• or re••sated 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
GODS(cmm.,daq WOODSTOVES
BOILERS FIREPLACE INSERTS • e ES MISC(Describe)
• COMPRESSORS FURNACES GAS W R HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orrab/a. -Combo) SHOWERS WATER CLOSETS(r. MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE 0 r - SUMPS RAINWATER SYST
WASHING CHINES URINALS HOSE BIBBS
LAVS . ,. ) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
•I certify wider penalty of perjury that the I f formation 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 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.
NAME/TITLE _DATE 2lIo5
s re `
( � ! (lltie�
RELATIONSHIP TO PRO o Owner ❑ Agent Contractor ❑Architect 0 Other
•uG)C)f"‘(C)�f ,'n4Fi}+ i�. �(e. ._ _ _ t• v`.; �- � ` i�".. .. -. ..
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
ELECZ RICAL PERMIT INFORMATION
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• RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$104.50;Each add'n 500 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 Cl Mast or meter repair $96.00
0 401 -600 amp 193.00 96.00
❑ 601 -800 amp 247.00 132.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0to200amp $113.50
ALTERED SINGLE/MULTI FAMILY CI 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 CI #of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/es.)
❑ #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
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK ResldentlaVMulti-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each addn-$45.00) Conunercia(/1'ndustrlal Service or Feeder Ampacity
❑ o-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 CI #of Signs
(First-$52.00;addn-$16.00/ea) (First sign-$52.00;addn 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)
❑ Fire Alarm System ❑ Yard Pole meter loops $104.50
❑ Security Alarm System ❑ Additional Plan Review $104.50/hour
I ❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
(Per System(s) 14 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 296-46910(5)(6/(&ii)
ft
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application