05-101917 '10
City of Federal Way Electrical Permit #: 05 - 101917 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
I P6:(253)835-7000 Fax:(253)835-2609 • Inspection request line: (253) 835-3050
Project Name: LIDNIN
Project Address: 3313 SW 329TH G Parcel Number: 109975 0440
Project Description: Replace 200amp service; also adding dedicated microwave circuit
Owner Applicant Contractor
Jogart T Lidnin &Ann D Lidnin AAA ELECTRIC AAA ELECTRIC
3311 SW 329TH CT 5703 MILWAUKEE AVE E 5703 MILWAUKEE AVE E
FEDERAL WAY WA PUYALLUP WA 98372 PUYALLUP WA 98372
98023-2754 • (253)815-8556
Electrical Fixtures
Description Quan_tityi Description Quantity Description Quantity
Alt.Serv./Feeder:0 to 200 amps-Res. 1 Circuits-Residential 1
PERMIT EXPIRES October 22,2005.
Permit issued on April 25,2005
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 Wa .
Owner or agent: Date: -or
FINALED
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THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-101917-00-EL
Owner: JOGART T LIDNIN
Address: 3313 SW 329TH CT
FEDERAL WAY, WA 98023-2754
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) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date BSC • Date 5---2'e5c----
❑ Under-slab groundwork(4295)
Approved
By Date
•
• A,,
ctTY,„ .
Federal Way FERMI 05- _I_ 4=7/-7
DEVELOPMENT SERVICES T S F M F CO M:�;a L D E E N FP
33325 8r,AVENUE SOUTH•PO BOX 9718
FEDERAL WAY,WA 98063-9718 APPLICATION
253-835-2607•FAX 253-835-2609 / /
mow u aljolrederalu.aq com
The following is required information-an incomplete ap•lication will not be accepted. Please .rint legibly(in ink)or type.
III PROPERTY INFORMATION
SITE ADDRESS .�a S,A-) 3.a q.A4\ C--t, SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(s.0
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desenpnon)
• PROJECT INFORMATION - .
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION (3fLECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
r_e_pk ou.R. a (:) , Q, .-\
a Arr.P tap' cleckz ca ed ((r: 0.rn ul..)ajo-e, c...V.--k
PROJECT NAME(Name of Business or Owner Last Name) L( an t V\
• PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER DRo_x-.J• L ( e nC (053 6-14
MAILING ADDRESSl� CITY.,STATE,ZIP 1,(Dn
33 \1 SL4) Sack-f 4. ct f.edeiccL,t un ot .
t, .. �,�C�a3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
1A AA £1 e.ck-J e, A,nc rl�c 3z.-lto s (Ss3k4 5 '1? L-1
MAILING ADDRESS ,CITY,STATE,ZIP !1 3 ia CELL PHONE
S,t73 g % 1u3acc,l�.e,2ok.,oEc, R,,,LA a,I, ( A (41.0:Y451 (c,'-1(.0CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRA ION DATE FAX NUMBER
' c3 , 0 -1 -11 - B L ra /3k / C)e.-, (as ► 4Lks-a54C
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
RAA G (. 3_ 4 03 4 K L 5 / l 3 /dS
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT • FAX NUMB ER
0 Architect ❑ Tenant ❑Agent 0 Other(Describe) ( ) 4 _
CONTACT NAME (PRIMARY PHONE E-MAIL ADDRESS
1
LENDER Per RCN,19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION - -
1 EXISTING USE PROPOSED USE
t
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN o HIGHLINE a TACOMA 0 PRIVATE(WELL) r
SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
• •
PROJECT FLOOR AREAS •
AREA DESCRIPTION EXISTING SQ.FT. •
PROPOSED SQ.FT. •
TOTAL
BASEMENT
FIRST
SECOND 1
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS") TOTAL.EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
"NEW HOMES ONLY"' NUMBER OF BEDROOMS_ ESTIMATED SELLING PRICE $
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 Icomm«myl W OO D STO V ES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS or Tub/Shower Combo) SHOWERS WATER CLOSETS(roil.) MISC(Descnbe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sulks) VACUUM BREAKERS ELECTRIC WATER HEATERS
-• . -. _ .''_ - . - :` _ -,;'DISCLAIMER/SIGNATURE BLOCK`- -::.---'7.-,. - -''...:7---::.--_ _- -.
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 city,including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE (a,J �g '.. .c.u) fl-]CoAY- ? DATE 4--..D..\—0 S
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner ❑ Agent 0 Contractor ❑ Architect ❑ Other
( FOR OFFICE USE ONLY -
o NEW ❑ADDITION o ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES ❑NO BASIC PLAN? Cl YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES a NO
PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? o YES o NO
I
Bulletin#100—March 30,2004 —
Page 2 of 4 k\Handouts—Revised\Permit Application
74.04,
- CAL PERMIT INFORMATIONrRESIDENTICOMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
LISingle Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$87 00,Each add'n 500 ft2-$28 00) ❑ 0 to 100 amp $ 91.50 $ 58.00
LI Detached outbuilding or garage LI 101 -200 amp 117.50 74 00
(Inspected with service) $36.50 LI 201 -400 amp 220.50 87.00
LI Detached outbuilding or garage LI 401 -600 amp 256.50 103 00
(Inspected separately) $58.00 0 601 -800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) 0 801 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 0 Over 600 volts surcharge $74.00
LI 401 -600 amp 161.00 80.00 LI Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY LI 0 to 200 amp $ 94.50
❑ 201 -600 amp 220.50
Service or Feeder 0 601 - 1000 amp 332.00
�0 to 200 amp $ 72.50 LI over 1000 amp 369.50
CI -600 amp 117.50
❑ over 600 amp 177.00 LI #of circuits to be added/altered
(1-5 circuits-$74 00,Add'n circuits,$6.00/ca)
LI 41 of circuits to be added/altered
(1-4 circuits-$58.00,Add'n circuits$6 00/ca) COMMERCIAL/INDUSTRIAL PLAN REVIEW
$74.00 plus 35%of Permit Fee
LI Mast or meter repair $43.50 LI Service over 200 amps
0 Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
LI Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK LI 0- 100 $58.00 $51.00
❑ # of service or feeders 0 101 -200 74.00 51.00
(First service/feeder-$58.00,each add'n-$37.50) ❑ 201 -400 87.00 n/a
0 401 -600 117.50 n/a
LI over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats LI #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/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 0 Yard Pole meter loops $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
O Voice Cabling (for modified submittals)
O Data Cabling
0
(Per System(s) 1•i 2500 ft2-$51.00,
Each add'n 2500 ft2-13.50) 'Per WAC 296-46-910(5)(W&it)
Bulletin#100-March 30,2004 Page 3 of 4 k\l landouts-Revised\Permit Application
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