05-102577 City of Federal Way "'Electrical Permit #: 05 - 102577 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax (253)835-2609 Inspection request line: (253) 835-3050
Project Name: JOHN L SCOTT
Project Address: 31620 23RD A-VE- S 5r a Oa Parcel Number: 092104 9051
Project Description: Add(11)new 20amp 120volt circuits for receptacles only,add new sub panel,60amp single phase
Owner Applicant Contractor
JOHN L SCOTT REAL ESTATE -D&S ELECTRIC INC D&S ELECTRIC INC
3380 146TH PL SE#450 PO BOX 133 PO BOX 133
ATTN JUDI BENNETT
BELLEVUE,WA PO BOX 133 !SUMNER,WA 98390 (253)863-0989
Electrical Fixtures
Description 1Quantity Description Quantity)r Description Quantity
Alt.Serv./Feeder up to 200 amps-Co' 1 Circuits- Commercial 11
J
PERMIT EXPIRES November 29,2005.
Permit issued on June 2,2005
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:% � ✓` c9Date: 6- S
�
i
FINALED
0/., 1() 1
THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Devlopment Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-102577-00-EL
Owner: JOHN L SCOTT REAL ESTATE
Address: 31620 23RD AVE S SUITE 200
FEDERAL WAY, WA 98003
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) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) ❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
. � �
❑ Rough Electrical (4225) 0 Ceiling Cover(4020) 0 Final-Electrical(4055)
Approved Approved Approved
By< Date& —Zt_d C_ , Byze
GS ,Z
Date G. -.Ade d Date F�
❑ Under-slab groundwork(4295)
Approved
By Date
r
A .
0 c- j a
7 7
Federal Way E.0 J PERMIT
COMMUNITY DEVELOPMEM•SERVK SF MF CO ME®PL DE EN FP
33325 SOUTH BOd971d 27 0
P P L I C AT I O N �°v. 2F5E3D43ER5-2WFAWXA2593803523uN o
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www.cityoffederalwa u.cum NN Pi
The ollowi • is ,•-i r it a;c...e. • 'I an inco •lete • • •lication will not be acce•ted. Please •rint le•ibl 'n in or
2 • PROPERTY INFORMATION
SITE ADDRESS -3[Ij//Q Q O 93 ALe 5GL4_ SUITE/UNIT# a
ASSESSOR'S TAX/PARCEL# _- _ _ LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desenphon)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION XELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlq)
ft WisallaWf
4, / i l 9A A, �o 4,44,6 1 gO L)ei eir2aeL -5 fL
PA 04/31.7 c..a.•.J"1 J 4DJD k 5 (ted )404'n -s1Alf/f / sem
PROJECT NAME(Name of Business or Owner Last Name) 3 )VSA L - Se e ` '"
II PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER ( ) -
MAILING ADDRESS CITY,STATE,ZIP
CONTRACTOR COMPANY NAME APPLI9ANT NAME...._ OFFICE PHONE
D* f Ili sem. dr ilAuft ft /a2 (A53) 8g3- cS5
LING RESS CITY,STATE,ZIP � / CELL PHONE
bo< 13 tSuvvyvkaL I�J�i¢-GNI9390 (053 ) 4o5 -11 7�L
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER NUMBER
I --1 /-./ ff Z S g B L /A /3/ / D‘ (/6.3) 863 030!.6
CONTRACTOR'S REGISTRATION NUMBER(coPy of card required with each application) EXPIRATION DATE
D S E L E I 1 3 1 P 1 10 / 21 / 2005
APPLICANT COMPANY NAME APPLICANT NAME
OFFICE PHONE
( )
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent ❑Other(Describe) ( ) -
CONTACT 74tE) / ��- j PRIMARY PHONE E +IL DDRESS
i I !!�N'r .� / ' !vim (o'r�3) X63 - o�i�9 olgl1rkCffode Q, (//e N
LENDER 4;•'. ".a5'r, 41Z-. *:/' ;tY %g _' NAME
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE Cf-c/(lie 5 PROPOSED USE t1e; Z#57OO
00
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ (7 / H
SPRINKLERED BUILDING? 0 YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKERAVEN ❑ HIGHLINE a PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECON j� G
F�uvt — i•� 0 t S IA(2 J No 0lt--
THIRD
FOURTH •
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
museum PROPOSED TOTAL •?sTOT LnaTRa'Rr E"" "',TOTAL PROPOSED sr '�,<, ;3L„�,.i:•s";y"MTAL sr
NUMBER OF FLOORS ,' _
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECIIAMCAL
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(orhb/Shower Combo) SHOWERS _ WATER CLOSETS(Folies MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
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 'ty,inc uding its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
i
NAME/TITLE , DATE 6/g/R465
(Signat (Title)
RELATIONSHIP TO PR 0 0 der ❑ Agent ,Contractor ❑Architect 0 Other_ _
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Petmit Application
PI ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(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-FAIVIILY(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
X0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50
Cl 601 - 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
❑ 0 to 200 amp $87.00
❑ 201 -600 amp 141.00 41 `1 #of circuits to be added/altered
❑ over 600 amp 212.50 (I-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
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residentia
I/Muiti-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial 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 ❑ it 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 sewed 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
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
❑ ❑ Automation Fee on all Permits .. $5.00
(Per System(s) 1•t 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) •Per WAC 296-46-910(50)(i&ii)
Bulletin/1100-January 7,2005 Page 3 of 4 NHandouts\Permit Application r