05-102503 City of Federal Way Electrical Permit#: 05 - 102503 - 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) 835-305e
Project Name: WILLIAMS p(
Project Address: 4530 SW 321ST'UnitR4 -arcel Num 512600 1560
Project Description: Replace existing 125 amp panel with a new 125 amp panel ' , ire for one drye • one washe rcuit.
Also low voltage wiring for new washer/dryer.
Owner Applicant Contractor
Michael.1 Camras GROFF ELECTRIC INC , . ELECTRIC INC
11500 W OLYMPIC BLVD#640 3308 S 1, •, •VE S UNION AVE
LOS ANGELES CA TAC • •• • TA A WA 9
90064-1535 (253 3
Electrical Fixt• - -riar'41:'ilIeS,0':i4
4! M • x;. ..174 .i'.�' , '_•;. »ZIT *uantity ---', _40.40c+P 4'
Alt.Serv./Feeder:0 to 200 amp '1' 1
\ to 0
\000
PERMIT ' PIRES Ner 23,2005.
ib
Perini, . -• •n 2005
I hereb ify that the above informati i ' - . • a c t , ction on the above described property and
the occu• and the use will be in . o ,c c wi I , s 1• regulations of the State of Washington and
the City o eral Way.
Owner or agen . Date:
� Mr
City of Federal Way Electrical Permit #: 05 - 102503 - 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: WILLIAMS
Project Address: 4530 SW 321ST UnitR4 Parcel Number: 512600 1560
Project Description: Replace existing 125 amp panel with a new 125 amp panel&wire for one dryer and one washer circuit
Owner Applicant Contractor
Michael J Canvas GROFF ELECTRIC INC GROFF ELECTRIC INC
11500 W OLYMPIC BLVD#640 3308 S UNION AVE 3308 S UNION AVE
LOS ANGELES CA TACOMA WA 98409 TACOMA WA 98409
90064-1535 (253)383-3511
Electrical Fixtures
_ - Description Quantity - - Description - - Quantity Description jQuantity
Alt.Serv./Feeder:0 to 200 amps-Mule 1
PERMIT EXPIRES November 23,2005.
Permit issued on May 27,2005
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: Date: 5 — 2 7 OS
l
THIS CARD IS TO REMAIN ON-SITE . -
CITY OF A Community Development Inspection Record ..
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-102503-00-EL
Owner: MICHAEL J CAMRAS
Address: 4530 SW 321ST ST Unit R4
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.
❑ 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
0 Rough Electrical(4225) ❑ Ceiling Cover(4020) IX Final-Electrical(4055)
Approved Approved Approved
I�
By Date By DateBy4 ! DateKoc
❑ Under-slab groundwork(4295)
Approved
By Date
04 RECEIVED
�� 05 - fO ? O .3
Federal Way MAS 27 ZOO PERMIT SF MF CO w�PL DE EN FP
COMMUNITY DEVELOEMENT SERVICES
33325 BWTI AVENUE SOUTH•PO BOX 9718
FEDERAL WAY,WA 98083-9718 I"' / `/
253-8352607•FAX253-835-28eiTY OF FEDE PLICATION
aww.cihrotfederalwau.mrn BUILDING DE
The ,1 • , • is -- bed • • • , —an •• , - , to,Motion will not be , • ,ted. Please - t . - • (in Ink)or j• .
q• PROPERTYnINFORMATION
SITE ADDRESS 4530. 5:uo. 32,,5f 4Su1TE/IIxIT r tR-''1
ASSESSOR'S TAX/PARCEL 0 _ _ _ _ LOT SIZE(sn
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Math separate pcge forI
• PROLE(T INFORMATION
TYPE OF PERMIT 0 BUILD= 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onllj -
e \ X(Q .._,-'1C)`- - 11,5 ip Pte. \ u.i Ai\ rl. V..5 P Orel cs.:ANA
UJ - ,r.- crP e ,f,Ilev-- c (-1-4V2 . s'etr" C-'4-C LA
PROJECT NAME(Name of Business or Owner Last Name) \..13\A\0\NA/1
• PEOPLE INFORMATION
PROPERTY NAMEPRIMARY PHONE
OWNER Ces,y^k Wr 1I1\AwI') ( ) -
MAILING ADDRESS CITY.STATE.ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Grofr -.le0511C.. (2-53 ) 3s'3 -35i1
MAILING ADDRESS CITY.STATE.ZIP CELL PHONE
3C' So lt0unn GGUri 9gliO9 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER ) EXPIRATION DATE FAX NUMBER
19.-39.- t 0 fa 6 9 a-B L / / (;.53) 3833%6
CONTRACTOR'S REGISTRATION NUMBER(copy d card required with each application) EXPIRATION DATE
a0EF � tta4 2gIt / /
APPLICANT COMPANY NAME tt ^ APPLICANT NAME OFFICE PHONE
5avue �S A\001P ( ) -
MAILING ADDRESS CITY.STATE.ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
o Architect o Tenant o Agent Other(Describe) CayY to:Ae'1O v ( ) -
CONTACT "A" PRIMARY PHONE.-1 �a\,�y 53)a9 G8 E-MAIL kk,a4v5R 4d>` (ow,-
LENDER Far 11CW 19.27.095: under irobrinatton is NAME
, if prqiect value crowds$5.000
MAILING ADDRESS CITY.STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE 0_1,, • d PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRIINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑NO
WATER SERVICE PROVIDER o LAKEHAVEN ❑HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
sg.FT. Ng-FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
NUMBER OF FLOORS ems rsoeo� Torte. Tonr,sssrns►• zorn.uv®r Torn.NIP
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
• *., -number of each type offixture ixture 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 icomm ra.* WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS Tor nwsbm,.r Combo) SHOWERS WATER CLOSETS Itme) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS awn.=sww VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I ce rt{/y wider 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, , - ,, its officers and employees,upon the accuracy of the inrbrmation supplied to the city as a part of
this application.
NAME/TITLE 4 / �-- Se✓vice .44 &' DATE 5- g6-&
(Signature, Intle)
RELATIONSHIP TO PROJECT ❑Owner ❑Agent Contractor ❑Architect ❑ Other
FOR OFFICE USB ONLY
❑NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o TES o NO BASIC PLAN? a YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o TES o NO
NEW ADDRESS REQUIRED? o TES o NO UP/SEPA/SU? o TES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
•
Bulletin#100—January 7,2005 Page 2 of 4 laHandouts\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
U Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ftz-$104.50;Each add'n 500 ft2-$33.50) U 0 to 100 amp $113.50 $69.50
U Detached outbuilding or garage U 101-200 amp 141.00 89.00
(Inspected with service) $44.00 U 201-400 amp 264.50 104.00
U Detached outbuilding or garage U 401-600 amp 308.00 123.50
(Inspected separately) $69.50 U 601-800 amp 398.50 168.50
U 801 - 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) U Over 1000 amp 530.50 283.00
Service Feeder
U Up to 200 amp $113.50 $33.50 U Over 600 volts surcharge $89.00
U 201 -400 amp 141.00 69.50 U Mast or meter repair $96.00
❑ 401 -600 amp 193.00 96.00
❑ 601 -800 amp 247.00 132.00 ALTERED COMMERCIAL/INDUSTRIAL
U Over 800 amp 353.50 264.50 Service or Feeders
U 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 264.50
Service or Feeder U 601 - 1000 amp 398.50
�,
U over 1000 amp 443.50
)11,0 to 200 amp $87.00
U 201 -600 amp 141.00 ❑ #of circuits to be added/altered
U over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COlismarlALANDUSTRIAL PLAN REVIEW
(1-4 circuits-$69.50;Add'n circuits$7.00/ca) $89.00 plus 35%of Permit Fee
U Service- 1.000 amps or greater
U Mast or meter repair $52.00 U Medical/Educational/Institutional Farility
MOBILE HOMES
U Service or feeder only $69.50
U Service and feeder $113.50
TEMPORARY SERVICE
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
U 0-100 amps $69.50
U 101-200 amps 89.00
U 201-400 amps 104.50
U 401-600 amps 141.00
U over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
❑ it of Thermostats ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
U Low Voltage U Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm system U Yard Pole meter loops $104.50
❑ Security Alarm System U Additional Plan Review $104.50/hour
❑ voice Cabling (for modified submittals)
❑ Data CablingAutomation Fee on all Permits .. $5.00
(Per System(s)1a 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 296-46-910(5)@)R&,i9
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application