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05-105206
City of Federal Way Electrical Permit #: 05 - 105206 - 00 - EL Community Development Services P.O Box 9718 Ph:eral Way,WA 98063-(253 Inspection request line: (253) 835-305C Ph:(253)835-7000 Fax:(253)835-2609 P Q Project Name: ACKERMAN Project Address: 1426 SW 321ST Parcel Number: 010450 0670 Project Description: Replace 200-amp panel. Owner Applicant Contractor KENNETH&SANDRA ACKERMAN CLINT KING CLINT KING 1426 SW 321ST ST P.O BOX 44465 P.O.BOX 44465 FEDERAL WAY WA 98023 TACOMA WA 98444 TACOMA WA 98444 (253)820-8612 Electrical Fixtures Description Quantity L_ _ Description Quantity Description IIQuantityi Alt.Serv./Feeder:0 to 200 amps-Res. 1 CONDITIONS: This parcel is located within a Wellhead Protection Area(Capture Zone 10)and must comply with FWCC,Chapter 22, Article XIV"Critical Areas" and fill out a Hazardous Materials Inventory Statement,if applicable. PERMIT EXPIRES April 8,2006. Permit issued on October 10,2005 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: AN..— Date: /d//U/os \�\ wig r, THIS CARD IS TO REMAIN ON-SITE ` . A CITY GP Community Development Inspection Record Federal Way WR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-105206-00-EL Owner: KENNETH & SANDRA ACKERMAN Address: 1426 SW 321ST ST FEDERAL WAY, WA 98023-5429 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 0 Temporary Power(4275) ,m Service(4235) ❑ Feeders/Sub-panels(4045) Approved Approved Approved By Date By\7 y` Date in r i By Date • ry Rcugh Electrical(4225) �❑�►► Ceiling Cover(4020) NFinal-Electrical(4055) Approved Approved Approved Date By Date By .i N\ Date `p ti ' ❑ Under-slab groundwork(4295) Approved By Date r* RECEIVED _ Federal Way OCT 10 2005 PERMIT COMMUNDYDEVELOPMENT SERVICES SF MF CO M' EL PL DE EN FP 333258n,AMIE sounT•PoeOXQ)'t'�Y OF FEDWry/FEDERAL WAY WA 53.8 .9918 OUIFDING I CATI O N ramiliraBIENPA 753www-807•FAX?lway.c.2609 unaw.cetyo((edemleuou.mm The , , , , is -, toed i , ation-an «, .tete a y,tication will not be ,«« ,ted. ' , t - , . ink)or •_i,-. (, • PROPEERTY INFORMATION SITE ADDRESS 1 q a 6 4) 3P /S- s4 SUITE/UNIT# ASSESSOR'S TAX/PARCEL# 0 I O ti- Si L- D (O -4 0 LOT SIZE(s,f) LEGAL DESCRIPTION(e.g.Acme Estates.Lot 1) (Attach aeparare gage for lengthy legal description) (i PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION A ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlw ac 0 A S•erU i c F e hGHS e PROJECT NAME(Name of Business or Owner Last Name) /7/ C CIfC 4T i Cis I 1 r C El PEOPLE INFORMATION PROPERTY NAMEPRIMARY PHONE OWNER San cl LI 4C lee r-mctn ( ) - MAILING ADDRESS CITY,STATE,ZIP 1 ya 6 S(,,, 3 26-i 5-f Fedeml tAkcy Wei q gn-23 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE /1C E Iec tr-i'c'. ( 1 c 05.3) - A 6/ MAILING ADDRESS CITY,STATE,ZIP CELL PHONE P (-\ t3411 44465 1 .0/Vtj tuii gtlitkV (20 )ass - 6 sit CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER Penc()I'nci_- -B L / / ( ) - CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE AC " 1. EEI3 / �. 3F 9 / 6 / cic APPLICANT COMPANY NAME ' / APPLICANT NAME OFFICE PHONE C( �kCdr.A .e ( ) MAILING ADDRESS CITY.STATE.ZIP CELL PHONE ( ) RELATIONSHIP'ID PROJECT FAX NUMBER ❑Architect ❑Tenant o Agent ❑Other(Describe) ( ) - CONTACTNAM it ,eit !n ) 25 E-MAIL ADDRESS PRIMARY PHONE k s - 68i�� LENDER Ffrot SOF 4927.01, Iesrlarr frOratatiOrt 10 NAME "Ogired MAILING ADDRESS - ,STATE,ZIP PHONE ( ) - te II DETAILED BUILDING INFORMATION EXISTING USE PRO'•= USE--------- i EXISTING ASSESSED/APPRAISED V , VALE OF PROPOSED WORE $ i SPRINKLERED BUILDING? 0 YES o NO IREE SUPPRESSION SYSTEM PROPOSED/REQUIRED? to YES 0 NO WATER SERVICE PROVIDER 0 LAKEHAVEN -a'HIGHIJ o TACOMA o PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAEEHAVp ❑HIGHLINE RIVATE(SEPTIC) PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL Sg.FT. Sq.FT. Sg.FT. BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESC= c E) DECK(COVERED?) GARAGE ❑ CARPORT 0 NUMBER OF FLOORS Erma ' IWPaam TOTAL r. v n crsofo••o v c *" **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type offucture to be tailed or reloc 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 ••DS(commercuq WOODSTOVES BOILERS FIREPLACE INSERTS ES MISC(Describe) COMPRESSORS FURNACES GAS W• R HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BA for Tub/Shower Combo) SHOWERS WATER CLOSETS , MISC(Describe) DIS 'BASHERS SINKS DRINKING FOUNTAINS PIPE OUTLETS SUMPS RAINWATER SYST ASHING MACHINES URINALS HOSE BIBBS LAVS(mmmom smilc.) 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 city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE Vt(Q FrPS(CI e'`DATE /©/1O/bS (S p, lure) fnue) RELATIONSHIP TO PR• :,fOwner ❑ _ent ❑Contractor ❑Architect 0 Other a Milt aApprnow El ALTERATION a REPAIR a TENANT IMPROVEMENT SIYILDINO SHED ON&Y? a YES a NO RTIC PLAN? "' • to YES a NO EONINO Disitgarith CRAMS or IID? • • kl us a NO NEW ADORERS Rl UIW)? a TEE a NO ,VP/SEPA/SU? • a US •a PI.i'I'I f'IRD iA3`I,'? a TES a NO DEMO PERMIT READ? a TES a NO Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application • - ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE ID Family Square Feet Service or Feeder Each Add'n (First 1300 ft2-$104.50:Each add'n 500 ft2-$33.50) U 0 to 100 amp $113.50 $69.50 U Detached outbuilding or garage U 101-200 amp 141.00 89.00 (Inspected with service) $44.00 U 201-400 amp 264.50 104.00 ❑ Detached outbuilding or garage U 401-600 amp 308.00 123.50 (Inspected separately) $69.50 U 601-800 amp 398.50 168.50 U 801- 1000 amp 486.50 203.50 NEW MULTI-FAMILY(three units or more) U Over 1000 amp 530.50 283.00 Service Feeder U 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 LI -S00 amp 247.00 132.00 ALTERED COMMERCIAL/INDUSTRIAL U Over 800 amp 353.50 264.50 Service or Feeders U Oto 200 amp $113.50 ALTERED SINGLE/MULTI FAMILY U 201-600 amp 264.50 U 601- 1000 amp 398.50 Service or Feeder ❑ over 1000 amp 443.50 ok0to200amp $87.00 U 201 -600 amp 141.00 ❑ #of circuits to be added/altered U 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 U Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility MOBILE HOMES U Service or feeder only $69.50 U 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 U 0- 100 amps $69.50 ❑ 101-200 amps 89.00 ❑ 201-400 amps 104.50 ❑ 401-600 amps 141.00 U 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) U 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 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)1e 2500 ft2-$61.00; Each add'n 2500 ft2-16.00)"Per WAC 296-46.910(5010&10 Bulletin#100-January 7,2005 Page 3 of 4 kiHandouts\Permit Application