05-101870 City of Federal Way Electrical Permit #: 05 - 101870 - 00 - EL
Community Development Services
s P.O.Box 9718
w.
Federal Way,WA 98063-9718
Ph.(253)835-7000 Fax.(253)835-2609 Inspection request line: (253) 835-305C
Project Name: BURNELL
Project Address: 29616 20TH,S � Parcel Number: 768380 0141
Project Description: Upgrade to 200amp service
Owner Applicant T Contractor
Thomas T Bumell Thomas T Burnell Thomas T Burnell
29616 20TH AVE S 29616 20TH AVE S 29616 20TH AVE S
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98003-4241 98003-4241
Electrical Fixtures
Description IQuantityl, Description Quantity Description Quantity
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES October 18,2005.
Permit issued on April 21,2005
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.
1/2
Owner or age . t-�--� <- ( Date: 765
ti
ti
THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-101870-00-EL
Owner: THOMAS T BURNELL
Address: 29616 20TH AVE S
FEDERAL WAY, WA 98003-4241
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 rig'it.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)
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) IiiiFinal-Electrical(4055)
Approved Approved Approved
' ii_ c_ t
By Date By Date B, 4:J j Date 4,
❑ Under-slab groundwork(4295)
Approved
By Date
O FGE►�ED - / "� 7 C)
Federal Way Oc O — —
COMMUNRYDEVELOPMEIYI'SERY/CES _____________
� T SF MF CO M DE EN FP
333253n•R LWA . ATN•PO 'R 12005 ,CATION
FEDERA2 WAY, X 93-8 3-2 / /253-335-2607-FAX 253-335-2609W1I'LI
wwtu.dttpn`ederdway.owtt OF FEDERAL
G1TY N0EpT.
The ollowi . is -•%WARormation-an Inco •lete • ••lication will not be acce•ted. Please •rint le•ibl 'n in or
• PROPERTY INFORMATION
SITE ADDRESS I 7/ / C Q�c AV2._ SU SUITE/UNIT$
ASSESSOR'S TAX/PARCEL# - _ _ LOT SIZE(sJ7
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Asad,separate page far lengthy legal deaoippp•)
I. PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION (ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
,U C c (eaci4� . &c/ic u P .Raz P"
(cam AMS vZcx_) ,Q/,`"‘p
PROJECT NAME(Name of Business or Owner Last Name)
II PEOPLE INFORMATION
PROPERTY NAME
�� „�' /�, PRIMARY PHONE
OWNER �LfG $ 1. r1-)r'WJGLL (?iS3) 714:- - /7,rj
MAILING ADDRESS CITY,STATE,ZIP
,-� Q -4- ./ ( tr A'- ei'�� GJA4 7906 5
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
( )
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
/ /
APPLICANT COMPA AME APPLICANT NAME OFFICE PHONE
74W4'4 �/�(JF:ivL��L_ ( ) _
MAILING ADDRESS CITY,STATE,ZIP — CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant a Agent 0 Other(Describe) ( ) _
CONTACT NAME PRIMARY PHONE
E-MAIL ADDRESS
( )
LENDER .. „,,�y NAME
MAILING ADDRESS CITY,STATE,ZIP
II DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ❑ NO %
WATER SERVICE PROVIDER o LAKEHAVEN a HIGHLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE a PRIVATE(SEPTIC) ,
PROJECT FLOOD.
AREA DESCRIPTION ING PROPOSED TOTAL
SQ.FT. SQ.FT. a
BASEMENT
FIRST
SECOND
THIRD
FOURTH •
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS =arm PROPOSED I Tarty , zror v,wzTa o sr tOTAL FRorosm sr •. eL Br
**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 existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS - FANS HOODS(commerciay WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Tolley MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(a.Rbm.sj 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 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/TIT /f /` \ DATE L VG,
(Signature) (Title)
RELATIONSHIP TO PROJECT o Owner o Agent o Contractor ❑ Architect 0 Other
_lam t iY)FYt��F_ :fir �.
_ Kr�C.x...���%�,�� � f lY1L1\il�». •;,�'=.-e.-P�. � .r'�:e��..«..oS
fii,v i tc• :!�l Y .off . '� _ 'a�: ,; y���"' '', -�
e rJ1E) 1 �t� 37....E '-..I,. ¢�'--y �`�::';. ;3,"�vim.,..,.: _, .•a:.» '%f:•...�'"•",s n�#,^'C. _ �4"!..' .y r.'?'•sti...:,,Cr.F «r-�•. e•-•_ '., Y .:;
. �. .. \�G\L_. .7�'.1.1 1A, _ Y, 3 ..-s iy »1 •'2 .,:F-` *'•' .... .'- 3t'�YES 3 y`_•a r. F J
t
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
•
ELECTRIC' L PERMIT INFORMATION
1 • -�
f 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 LI 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 _
Ud'Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
LI 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
353.50
132.00
❑ Over 800 amp 264.50 Service or Feeders
❑ 0to200amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
LI 0 to 200 amp $87.00
❑ 201 -600 amp 141.00 LI #of circuits to be added/altered
LI over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
LI #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
LI 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) Conunercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps _ $69.50
❑ 101-200 amps 89.00
LI 201-400 amps 104.50
❑ 401-600 amps - 141.00
LI 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 U 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
❑ CiAutomation Fee on all Permits .. $5.00
(Per System(s) 1•,2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) •Per WAC 29646-910(5/(6)(&a)
•
I
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application i