05-106122 •
City of Federal Way EJgctrical Permit #: 05 - 106122 - 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) 835-3050
Project Name: CONNEWAY/SKIDMORE
Project Address: 29834 11THtSVy Parcel Number: 195460 0125
Project Description: Replacement of 50amp breaker with 20amp breaker for new gas stove pilot light.Installation of task
lighting under new kitchen cabinets
Owner Applicant Contractor
ELAINE SKIDMORE &RICHARD CONNEW RICHARD CONNEWAY RICHARD CONNEWAY
29834 11TH AVE SW 29834 11TH AVE SW 29834 11TH AVE SW
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
(253)946-0359
Electrical Fixtures
Description ;Quanti ( Description Quantity Description Quantity]]
Circuits-Residential 4
PERMIT EXPIRES May 29,2006.
Permit issued on November 30,2005
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: Z,
Date: /A30-O5
114
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4
THIS CARD IS TO REMAIN ON-SITE
�„�� Community Development Inspection Record
.Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-106122-00-EL
Owner: ELAINE SKIDMORE
Address: 29834 11TH AVE SW
FEDERAL WAY, WA 98023-8210
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) t❑ 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) P Final-Electrical(4055)
Approved Approved y Approved
By QL-WA-J Date\ c k.,a 5 By Date By�`1""� Date ,AEA,
❑ Under-slab groundwork(4295)
Approved
By Date
c
, 1
i • RECEIVED
cruor•.t:::f�,c�..r�.�.. C2 5 _ 1 / _l Z
Federal Way2005 �L � 1f .
Nov 3 o PERMIT
COMMUNITY DEVELOPMEM'SERVICES SF MF CO ME EL PL DE EN FP
333258nrAVENUESOUIH•POB¢X IS OF FEDER� D1PLI CATI ON / /
FEDERAL WAY,WA 98063-9 TD
253-835-2607.FAX 253-835-2609 B U I LD I N G
www.cittptiederalum.com •
The ollowinr is -,wired in ormation-an incom•lete a y,lication will not be acce•ted. Please •rint le.ibl in in or
SI PROPERTY INFORMATION
SITE ADDRESS 299 3 4 /1*i' 'AVE -Ca) P & 4(Airy 10i'9�d.Z3 SUITE/UNIT# �n
ASSESSOR'S TAX/PARCEL# / q S 4 6 O - OA /J 2 Zvi-
ry / LOT SIZE(sf) •50Q �
LEGAL DESCRIPTION(e.g.Acme Estates.Lot 1) �r�+lI s &Add ilk i- �3 '/t Z.
(Amit separate pogofar Ic.uth t legal desrrIptioN
MI PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION XELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed descr tion of work included on this permit only)
kik/74A/ ofte,nade-/ - .vlutenir-iit. OF 50 arri/o 4tk 407;4- .
PROJECT NAME(Name of Business or Owner Last Name) fiQAV V&4*tq/s4
• PEOPLE INFORMATION
PROPERTY NAM„ ��jA _ • PRIMARY PHONE
OWNER /l/ d ))• deihe�c CITY,/STATE/,`VZ/IP ` d�0 6 (,253) 4y6 -D359
MAILING ADDRESS
,19.539 /1 414-Avt Si-) 1E'd Gthq , Lei)) cigez3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILA ESS CITY,STATE.ZIP CELL PHONE
( ) -
CIY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
B L
I / ( )
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILIN ADDRESS CITY,STATE.ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑Tenant o Agent o Other(Describe) ( ) -
CONTACTE PRIMARY PHONE E-MAIL ADDRESS
��•-4iYe 1 ca3) 9y6 -0309
LENDER Per RCW 19.57.095: Lender information is NAME
required if-project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
El DETAILED BUILDING INFORMATION
EXISTING USE 12.,V,L/Q1. PROPOSED USE .Z214/.
21 /t/
EXISTING ASSESSED/APPRAISED VALUE $ /5 3, QDO VALUE OF PROPOSED WORK $ 200
SPRINKLERED BUILDING? ❑YES >4yO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES )iNO
WATER SERVICE PROVIDER 7LAKEHAVEN o HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER EHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
t ,
PROJE( T FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. Sg.FT. SQ.PT.
BASEMENT
FIRST ,(� .
/�. 21,/ 211 3 -21/
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
NUMBER OF FLOORS enc PROPOSED - TOTAL TOTAL�savrraaear Term rsoMo�erTOTAL OP
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture 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(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLE1b
PLUMBING AI n r -
BATHTUBS(or Tab/Shower Combo) SHOWERS WATER CLOSETS pbuet) 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
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the in formation 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,in udi .r:s officers and employees,upon the accuracy of the inform ion pplieddttJ the city as a part of
this application. iA�'� A /•/ • D/^/ � f/ OS
NAME/TITLE _ _« _ DATE i7/1.6-'
(Signature) (Tette)
RELATIONSHIP TO PROJECT Owner o Agent o Contractor ❑Architect ❑ Other
FOR OPPXCE USE ONLY
a NEW a ADDITION a ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES d NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES u NO
NEW ADDRESS REQUIRED? o YES o NO LIP/SEPA/SU? in TES o NO
PLATTED LOT? 4 YES a NO DEMO PERMIT REQUIRED? 4 TES n 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
Service or Feeder Each Add'n
U 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 U 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
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
U 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
U 401 -600 amp 193.00 96.00
U 601 -800 amp 247.00 132.00
ALTERED COMMERCIAL/INDUSTRIAL
U Over 800 amp 353.50 264.50 Service or Feeders
❑ 0to200amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder
U over 1000 amp 443.50
❑ 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 U 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/Mutti-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
U 101-200 amps 89.00
U 201-400 amps 104.50
U 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 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
❑ LiAutomation Fee on all Permits .. $5.00
(Per System(s)1t 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 296-46-910(5)@lit&it)
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application