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05-101800
I, 8 ' City of Federal Way Electrical Permit #: 05 - 101800 - 00 - EL Codimunrty Development Services P 0 Box 9718 Federal Way,WA 98063-9718 4 Ph (253)835-7000 Fax.(253)835-2609 Inspection request line: (253) 835-305C Project Name: SWANSON GARAGE CONVERSION Project Address: 28614 25TH S)' Parcel Number: 552900 0140 Project Description: Adding(2)circuits for garage conversion Owner Applicant Contractor JEFFREY SWANSON JEFFREY SWANSON JEFFREY SWANSON 15727 SE NEWPORT WAY 15727 SE NEWPORT WAY 15727 SE NEWPORT WAY BELLEVUE WA 98006 BELLEVUE WA 98006 BELLEVUE WA 98006 (206)406-8635 Electrical Fixtures Description Quantity Description TQuantity Description Quantity Circuits-Residential 2 PERMIT EXPIRES October 16,2005. Permit issued on April 19,2005 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: ("/ 'Lk S" THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-101800-00-EL Owner: JEFFREY SWANSON Address: 28614 25TH PL S FEDERAL WAY, WA 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) ❑ Ditch cover(4030) ❑ 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) ❑ Ceiling Cover(4020) Final-Electrical(4055) Approved Approved r Approved a ;r B Date* By Date Bk Date�j 1It)n--." �❑ Under-slab groundwork(4295) Approved By Date A c2S - _1_04. E 0b Federal Way PERMIT . COMMrNITYDEVELOPMENT SERVICES SF MF CO ME�•L DE EN FP 33325 8^t AVENUE WA •PO BOX 9718 APPLICATION TD FEDERAL WAY,FAX 980718 / / 253-835-2607•FAX 253-835-2609 www.cituolkderalwau corn The ollowi • is re•uired in ormation-an in •lete a••lication will not be acce•ted. Please •rint le.ibi in in or . I i PROPERTY INFORMATION NA-6/c / SITE ADDRESS ,Z /L " PI .1,1- 1-) SUITE/UNIT# ASSESSOR'S TAX/PARCEL# g475"." A 9 0 0 - V(C l q b LOT SIZE(sfl / � LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) .O ( ' __ �� 4 AhLaw. (Attach separate page for lengthy legal desaiption) I1 PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING -❑ MECHANICAL 0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM ik PROJECT DESCRIPTION(Provide detailed description of work included o this s ermit ,nl PROJECT NAME(Name of Business or Owner Last Name) c(R j%S 0 y\ 644,4 CI,el .,1;a✓, i► PEOPLE INFORMATION PROPERTYNAME L•tPRIMARYPHONE OWNER r-e 5�rtefp.1 a (,-oro) etoi, -r6,3" MAILING ADDRESS CITY,STATE,ZIP WA— OF 06 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE ©C.3 l'evN ( ) MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER - - -B L / / ( CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE / / COMPANY NAME APPLICANT N OFFICE PHONE APPLICANT S / sm., _ ) 906 -263MAILING ADDRESS CITY,STAT��E,ZZJIIPP CEELLLLLPHONE ( ) RELATIONSHIP TO PROJECT FAX NUMBER o Architect o Tenant o Agent o Other(Describe) f.�tJ v'Pto". ( ) - CONTACT NAME ...-c......4 (°..)‘""14 AI(1 /? (, 4 0 0PRIMARY PHONE) 74 3.5--(�� E-MAIL ADDRESS LENDER -1,r,� '. ' nder4n o rr��5, ,s NAME w ? 3 , • � ': ? am^ i!!. -€ y. MAILING ADDRESS { CITY,STATE,ZIP • DETAILED BUILDING INFORMATION EXIST I,G USE PROPOSED USE EXIST 1 G ASSESSED/APPRAIS , VALUE $ VALUE OF PROPOS % WORK $ SPRI FRED BUILDING? 0 YES 0 NO FIRE S I.•PRESSION SYSTEM P• % ••SED/REQUIRED? . YES ❑ NO WATERS RVICE PRO I i R 0 LAKEHAVEN 0 HIGHLINE 0 TA«• ,: 0 PRIVATE(WELL) k SEWER SE VICE PRO ii ER 0 LAKEHAVEN 0 HIGHLINE O PRIVATE(SEPTIC) - PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRI • DECK(COVERED?) GARAGE 0 CARPORT 0 EXISTING OPOS • TOTAL TOTAL i7QSTING it, TOTAL PROPOSED SF , ,'TOTAL SF , NUMBER OF FLOORS ;r',':~'. **1VEW HOMES ONLY** NUMBER OF BEDROO4 ESTIMATED SELLING PRICE $ FIXTURES ' Indicate number of each type of re to be installed or rel. . -d as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ AIR HANDLING U EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS H••DS(Commeraal) WOODSTOVES BOILERS FIREPLACE INSERTS RANG - _ MISC(Describe) COMPRE' ORS FURNACES GAS WATER ATERS DU GAS PIPE OUTLETS PLUMBIN BATHTUBS or Tub/Show<rCombo) SHOWERS WATER CLOSETS(Toile[) 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 i o ation 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 •erform 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, eluding its officers and employees,upon the accuracy of the information supplied to the city as a part of {� this application. /� f A NAME/TITLE q / / Ow"t''^ DATE I ( 05— ure) (Title) / / RELATIONSH T• •RO ❑ Owner ❑ Agent 0 Contractor 0 Architect 0 Other ...:4--5-37", . -6. DITION;'1''' ,;;-,n ALTERATION p REPAIR . , XEN iT IMPROVEMENT; ' * , ;'1?:'.::;' Ill '_i'G'•IIFT'r rILY?f ":'. ..:4p*S A:i'NO; - BASIC,PLAN? ': P.i•- �:`�: ? --o YES',\i,;D No"_-+,„k: ;.. =,7 ,' SIGNA'l ON�',-K'' ' ,tI .r ,- -sa 'CHANGE,OF,USE .v.','rf:i`, 4',. o YES• ;KI]1!iU;,.,s` :", ;vF 0'1?•pRESS,REQUIRED? tI YFS 't0*--,'- .. ', UP/SEPAJ,S,,U? .;'''."i.','..-':s_;x ; : ELECTRICAL PERMIT INFORMATION 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 ❑ Mast or meter repair $96.00 ❑ 401 600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ 601 -800 amp 247.00 132.00 ❑ Over 800 amp 353.50 264.50 Service or Feeders ❑ Oto 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) - 1 #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 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) ❑ 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 296-46-91o(s/(b/(&ii) Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application