05-105414 4r. f
4
City of Federal Way Electrical Permit #: 05 - 105414 - 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) 835-305C
Project Name: EUGENIO
Project Address: 828 SW 317TH Parcel Number: 555731 0220
Project Description: Alter circuit for additional light fixture.
Owner Applicant Contractor
Genacio M Eugenio &Estrella P Eugenio ELECTRO SERVE LLC ELECTRO SERVE LLC
828 SW 317TH PL 13547 SE 27TH PL SUITE 3-D 13547 SE 27TH PL SUITE 3-D
FEDERAL WAY WA BELLEVUE WA 98005 BELLEVUE WA 98005
98023-4704 (425)451-3358
Electrical Fixtures
Description Quantity Description 1Quantity Description lQuantity
Circuits-Residential 1
CONDITIONS:
This parcel tsitilookted within a Wellhead Protection Area(Capture Zone 5)and must comply with FWCC,Chapter 22,
Article XIV"fir cal Areas" and fill oat a Hazardous Materials Inventory Statement,if, pplicable.
fry
PERMIT EXPIRES April 19,2006. t.
Perna issued on Oetoer: 1,2005'
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: See Application Date: /D
FINALED
gc 6
L 4411kk THIS CARD IS TO REMAIN ON-SITE
reFfileral
Community Development Inspection Record
Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105414-00-EL
Owner: GENACIO M EUGENIO
Address: 828 SW 317TH PL
FEDERAL WAY, WA 98023-4704
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) ❑ Feeders/Sub-panels(4045) \
Approved Approved Approved
By Date By Date By Date
O Rough Electrical(4225) ❑ Ceiling Cover(4020) % ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date ly C
Bcs Date/e—Z.f "D '
O Under-slab groundwork(4295)
Approved
By Date
RECEIVED BY
GUMMiJNR�, "DFVELPMENT tSP� T'.,tEr'
CO-4 of�/ O J - / i ti/ `t
'• Federal Way RECEIVED BY �i )r'r 1 200 j
COMMUNITY DEVELOPME
�} ITYDEVELOPMENT DEP
A T RM IT ,SF MF CO M D�'L DE EN FP
)33325 81H AVENUE SOUTH•PO BOX 9718 p L I C A T I O N
E FEDERAL WAY,WA 98063-9718 f ( '} �
253-835-2607•FAX 253-835-2609 L)l., & 2
www.dluo(]saleral watt.com
The following is required information—an incomplete ap•lication will not be accepted. Please print legibly(in ink)or type.
Q' ,z •:PROPERTY INFORMATION .
SITE ADDRESS V Z$ $(.J ")t. PC- SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# -7 3 ( - 0 2 2_ _O LOT SIZE(s)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
- , .. 1. . ",. : ;III..PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION (ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit pnlu)
1 •Za `txi-BSc-ATN..) �,r 7(t�C r�c{c<,yA
PROJECT NAME(Name of Business or Owner Last Name)
_ =:' . R PEOPLE .INFORMATION
PROPERTY NAME • PRIMARY PHONE
OWNER �emkr..L) Fcc ( 2.53) 446. - VSS S
MAILING ADDRESS CITY,STATE,ZIP
gZ S6 5w 3( r7 L Eeli,+ ( .A
CONTRACTOR COMPANY NAME c_ APPLICANT NAME Q • OFFICE PHONE
EIcc-1 7evv.L M►NW 1 i-PwA. (4151 Co ) - troya
„A,� MAILING ADDRESS iy CITY,STATE,ZIP CELL PHONE
10
1271100 56 2)1)" 'i ,�i 1 o _ c c.E.vu.E• (ANV WOOS ( 4-(m) (0.T-1i - e.1c47.—
CITY
GOF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRAION DATE FAX NUMBESis 2, ., (�i
4 L- 0 -1 D. 5 3 ir (- B L 1Z / .jI / 0 (l.i•s_s) J`a - 1L?�li
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each applicatioul EXPIRATION DATE
f_ E. 1- G 1 C, b IA ill 2 3"- / 1.2 / 0 Co
APPLICANT COMPANY NAME APPLICANT NAME I 1 OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT - FAX NUMBER
❑ Architect ❑ Tenant ❑Agent ❑ Other(Describe) ( )
CONTACT NAMEPRIMARY PHONE E-MAIL ADDRESS
�A�
IAA,k4 It MitSbA (4,K) GT;—OM
LENDER Per RCW 19 27,095:'Lender information is NAME
required if pro•ject value exceeds'$5,000
MAILING ADDRESS CITY,STATE,ZIP
., , . ' P ; ' 1 .DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
1 WATER SERVICE PROVIDER ❑LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL) ,
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
I3ASEMENT
•
FIRST
SECOND
THIRD
- FOURTH
ADDITIONAL FLOORS(DESCRIBE) ..
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL L%JSTDQw AND PROPOSED
"NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
..r .:x?_,__ IXTURE5
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(commsroial) WOODSTOVES
BOILERS FIREPLACE INSERTS .RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/shote«combo) SHOWERS WATER CLOSETS(roaeq 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
sF : {- `.. SIGNATUREBIACK' ;F '12 -
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 AN I ' JR. ft^ \„_.. DATE .--
ibtb O'
ww.•� (Thiel
IRELATIONSHIP TO PROJECT ❑ Owner 0 Agent Contractor 0 Architect ❑ Other
f
t
FOR OFFICE USE ONLY
a NEW V o ADDITION a ALTERATION ❑ REPAIR o:TENANT IMPROVEMENT
1 BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES o NO
i ZONING DESIGNATION; CHANGE OF USE? ❑YES a NO
t NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU?: a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? ❑YES a NO
fl
• Bulletin#100—March 30,2004 — Page 2 of 4 k\Handouts—Revised\Permit Application ,
.
: 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-$87.00;Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101 -200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201 -400 amp 220.50 87.00
❑ Detached outbuilding or garage ❑ 401-600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) ❑ 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 ❑ Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 ❑ 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 ❑ 0 to 200 amp $ 94.50
O 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 0 over 1000 amp 369.50
CI 201 -600 amp 117.50
❑ over 600 amp 177.00 ❑ #of circuits to.be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)1
# of circuits to be added/altered
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) COMMERCIAL./INDUSTRIAL PLAN REVIEW
$74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 ❑ Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ 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 ❑ 0- 100 $58.00 $51.00
❑ #of service or feeders ❑ 101 -200 74.00 51.00
.(First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00 n/a
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
1
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats ❑ # of Signs
(First-$43.50;add'n-$13.50/ea) (First sign $43.50; add'n sign$20.50/ea)
0 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 $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
(Per System(s) 1"2500 ft2-$51.00;
Each add'n 2500(t2-13.50) "Per WAC 29646-9I0(5)(b)(i&ii)
Bulletin#100-March 30,2004 Page 3 of 4 -\Handouts-Revised\Permit Application