05-105899 A
City of Federal Way Electrical Permit #: 05-105899-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: CLANIN
•
Project Address: 1017 S 313TH ST Parcel Number: 787540 0165
Project Description: Replace 200-amp panel.
Owner Applicant Contractor
KARL J JANSEN NORTH END ELECTRIC,INC. MR.ELECTRIC OF TACOMA
BILL CLANIN MR.ELECTRIC OF TACOMA MRELET*024BA 1/1/06
1017 S 313TH ST PMB 260 PMB 260
FEDERAL WAY WA 98003 5303 PACIFIC HWy.E 5303 PACIFIC HWy.E
TACOMA,WA 98424 TACOMA,WA 98424
Additional Permit Information
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps-I 1
CONDITIONS:
This parcel is located within a Wellhead Protection Area(Capture Zone 5)and must comply with FWCC,
Chapter 22,Article XIV "Critical Areas" and fill out a Hazardous Materials Inventory Statement,if
applicable.
PERMIT EXPIRES Monday, May 15, 2006
Permit Issued on Wednesday, November 16, 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 ith the laws, rules and regulations of the State of Washington
001111pt„,.., n ity of Federal Way. /
Owner or agent: — Date: !( 6l
.. A THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record •
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-105899-00-EL
Owner: KARL J JANSEN
Address: 1017 S 313TH ST .
FEDERAL WAY, WA 98003-5315
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
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) A Final-Electrical(4055)
Approved Approved A Approved
/11'0
By Date By Date By..t► Date ( I 11(eIS-
,----
,
On erU dd -slab groundwork(4295)
Approved
By Date
r
RECEIVED (� - 1_ 0 .S 99
' A
4, Federal Way 1 6 2nnc PERMIT SF MF CO `45'L DE EN FP
COMMUNITY DEVELOPMENT SERVICES '`0 V
33325 8Th AVENUE SOUTH•PO BOX 9718
FFDERALWAY,WA CATIONI CATI O N Jo
2 5.2607•FAX 253-B3S•26�}J I
www.cooffederaiwau.com beduIL" •DEP7 AY ,,ticniion wilt not be ted. Please • t (in ink)or '1'-.
• PROPERTY INFORMATION
SITE ADDRESS 10 Irl S . 313 ' - Surra/UNIT I
ASSESSOR'S TAX/PARCEL# _ LOT SIZE(sn
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
imam amt pWeft r krgdry legal description)
• 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)
2-00 P pAANIQ. C iAlk � 11, jesz fnl-- )I/, ( FPE 4 Ste ffi IS)
Q n_ 60_,,(10,12 Av� ru(AA.�rX w 784 7 me 14.M d iti r'4 .�Wv 60,nGd.
s
PROJECT NAME(Name of Business or Owner Last Name)
• PEOPLE INFORMATION
PROPERTYNAM ' PRIMARY PHONE
OWNER i(( C(i tv. (zs3)9t1b -4740
MAILINGADDRESS S . 3(3i S+. Flo( Wkl i wt4 Rtvo3
CONTRACTOR COMPANY NAME APPLICANT NAME I OFFICE PHONE G
I'U�s PX-C-ri 4 ra,Cm�-Lot J&ic,e.1 k (25s)752- -at/77"
MARLING ADDRESS cmr,STATE,ZIP CELL PHONE
' 3o 3 Pa�ci F1c- Mt 1 E- Pkt6210 Tc-.,e•r+- t i✓/ gggi$ z5j 4,o& -89a4
CITY OF FEDERAL WAY BUSINESS LICENSE"NUMBER EXPIRATICIN DATE FAX NUMBER
2 o - b Z-I. Q. o N '7 ‘ -B L IL/ 31 '05 (253)752 - C 7
ck
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
.ttKE � E T *- Q 2- 4 $ a. / /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CRY,STATE.ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect a Tenant ❑Agent a Other(Describe) ( ) -
CONTACT ripo
r
)trfz -o4r]L E-MAIL,- to rutin,c
LENDER Perilroa t
1t+i�ndrr rt 3s NAME
MAILING ADDRESS CITY.STATE.ZIP PHONE
( ) -
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICE PROVIDER a LAEEHAVEN a HIGHLI NE ❑TACOMA ❑PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAEEHAVEN a HIGHLINE a PRIVATE(SEPTIC)
,
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. Sg.FT. 8g.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS AMMO, 1tO`OS= Tors mer)
sormssxwtiris r eroesre TOTAL Or
**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 existingf ixtures 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 WAXER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS for Tub/Shower Combo) SHOWERS WATER CLOSETS cro1ey MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroom snits VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I cert(/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 authoriasd 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,andf ii led 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 apart of
this application. / -J
NAIRE/TITLE — 5 ��� ` DATE /0`//dS
('nue)
RELATIONSHIP Tgir
r c ❑ Owner ❑ tractor ❑Architect o Other
a�"�«. :.,..n,,r,+rrn:+ya4:.=r}o•�f3^+;r;^,ter[.}��s„',�,"W�,,`"`c ,
NEW a ADDITION a ALTERATION a REPAIR a TERM!P atritowalman
SEG l RU ONLT? a TEE a NO BASIC PLAN? a YES a NO
ZONING DESIWIATION CHANGE OF USW a YES NO
NEW ADDRESS REVa YES a NO DP/TEPA/,SIJ l'1 a YES a NO
PLATTED L011l a YES a NO MORO PE IT REQUItED? a YES a NO
Bulletin#100-January 7,2005 Page 2 of 4 k Handouts\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Li 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 U 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 U 601-800 amp 398.50 168.50
U 801 - 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00
Service Feeder
U Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
U 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
❑ 401 600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 -800 amp 247.00 132.00
U Over 800 amp 353.50 264.50 Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 264.50
U 601 - 1000 amp 398.50
Service or Feeder
U over 1000 amp 443.50
)Oto200amp $87.00
❑ 201 -600 amp 141.00 U N of circuits to be added/altered
U over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
❑ ti 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
U Service- 1,000 amps or greater
U Mast or meter repair $52.00 U Medical/Educational/institutional Facility
MOBILE HOMES
U Service or feeder only $69.50
U Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK ResidentiuyMulti-Famfly $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Serbs 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
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats U #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
U Low Voltage CI 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 Cabling Automation Fee on all Permits .. $5.00
(Per System(s)la 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)*Per WAC 296.46.910(500&I0
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application