05-106026 41
▪ City of Federal Way Electrical Permit #: 05 - 106026 - 00 - EL
Community Development Services
P.O Box 9718
Federal Way,WA 98063-9718
• Ph:(253)135-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
Project Name: HESLIN
Project Address: 1440 S 302ND St Parcel Number: 025300 0025
Project Description: Upgrade electrical fuse box to breaker box and replace masthead.200amp service
Owner Applicant Contractor
DAVID&LESLEY HESLIN DAVID&LESLEY HESLIN DAVID&LESLEY HESLIN
1440 S 302ND ST 1440 S 302ND ST 1440 S 302ND ST
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
(253)941-9370
Electrical Fixtures
Description Quantity Description Quantity]j Description Quantity
Alt.Serv./Feeder:0 to 200 amps-Res.1 I
PERMIT EXPIRES May 22,2006.
Permit issued on November 23,2005
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 Wit/
Owner or agent A / ; - Date: //23 O
Q-1141- S & - e -o .s e v(4-L.-
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record -
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-106026-00-EL
Owner: DAVID & LESLEY HESLIN
Address: 1440 S 302ND ST
FEDERAL WAY, WA 98003-4135
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) ❑ Ditch cover(4030) ❑ 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 ByQ 4, Date mk.. .3 ...05 By Date
'❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date
❑ Under-slab groundwork(4295)
Approved
By Date
F
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4.
1 11 ,1`)
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Nov 2ocECEIVE
$111_,c- j .40_ ,_0_-?, Ca Federal Way I E
COMMUN17YDEVELOPMENTSERVICES SWAY 2 nnz
ZuvjoF MF CO ME EL PL DE EN FP
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FEDERAL WAY,WA 98063-9718 V I4 I """�'�`
253-835-2607•edFAX
rah 253-835-2609 DING pIA WAY
www.cituoffederalwau mm
The ollowin! is re•wired ' ormation-an incom•lete a• •lication will not be acce•ted. Please •rint le•ibl (in ink)or _ .
/ NI PROPERTY INFORMATION
SITE ADDRESS .��`'7�//) 6" 2OrQi-G/ S7'- ,''edefred eceey COG, SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 6 2- 6 .1 CV, - 6 O "2 5— LOT SIZE(sf) 12 600
LEGAL DESCRIPTION(e.g.Acme Estntes,Lot 1) l 7 g QLI'4 e -A 14-42)
(Attach separate page far lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION VELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
bipcp- de elec 1-r.ea/ -r-u_ .e box- Yfo beea_.kev- �o�f r/p/Q(71
PROJECT NAME(Name of Business or Owner Last Name) /! 12.S///l
• PEOPLE INFORMATION
PROPERTY NAMEPRIMARY PHONE/
OWNER to C,ei` Y �57'�, �-e5/") ( 533) /`Y/ - 7370
MAILING ADDRESS J CITY,STATE,ZIP
11/46-(c 3t)Zncl Si- vecteeed 6-0er- wCt 52Ov3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
4ity)-ee S ( ) -
MAQdNG ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
CnY 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 COMPANY NAMEPLICANT NAME OFFICE PHONE
Aavd d cIr) (b3 )941 -7370
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
/cir-/p & 30Z#1c( Si-- Fede t/ wal Iva 96k5 (2a ) 2/V - 632(
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect f.Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACTPRIMARY PHONE E-MAIL ADDRESS
'fa t' c/ e /-/e S/'7 (9 3) 94/ - '7370 /dies//AA-e 05/
LENDER Per RCW 19.27.095: Lender information is NAME
required if prniect value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE Wesidence., PROPOSED USE '1.S/ 12/P,, -
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• i
A
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
=WINO PROPOSED TOTAL TOTAL fuI$TINOSr TOTAL PROPOSED Sr TOTAL OP
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of facture to be Installed or relocated as part of this project. Do not include existing factures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSILMS
BBQS FANS HOODS(commorctti) 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 rrotlet MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sink.) 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 and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE DATE /4'23
I (S u :tore) (Title)
RELATIONS TO PR rte' ' gpwner ❑Agent 0 Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
a NEW a ADDITION a ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? Cl YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? a YES o NO
Bulletin#100—January 7,2005 Page 2 of 4 kWandouts\Permit Application
• •
• ELECTRICAL PERMIT INFORMATION
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 ❑ 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
❑ 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
U 601 -800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0to200amp $113.50
ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 264.50
❑ 601- 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
V-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)
❑ #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
U Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Mu/ti-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 U #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
U 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 U Yard Pole meter loops $104.50
❑ Security Alarm System U Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling U Automation Fee on all Permits .. $5.00
(Per System(s) 1a 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 296-46-910(51(bl(t&ii)
Bulletin#100-January 7,2005 Page 3 of 4 k\l-Iandouts\Permit Application qi