05-105976 City of Federal Way Electrical Permit #: 05 - 105976 - 00 - EL '
Community Development Services ti
• 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: REYNOLDS-WALSH
Project Address: 30210 23RD/SW Parcel Number: 012103 9005
Project Description: Running 100amp feeder to electric gate
Owner Applicant Contractor
Jean M Walsh Jean M Walsh Jean M Walsh
30210 23RD AVE SW 30210 23RD AVE SW 30210 23RD AVE SW
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-2351 98023-2351
Electrical Fixtures
Description iQuantity Description Quantity[ Description Quantity
TAIL Serv./Feeder:0 to 200 amps-Res. 1
L
PERMIT EXPIRES May 20,2006.
Permit issued on November 21,2005
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: ., Date: i i/ c91/0.
(9
#j>613'
(f),
•
ATHIS CARD IS TO REMAIN ON-SITE
-CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-105976-00-EL
Owner: JEAN M WALSH
Address: 30210 23RD AVE SW
FEDERAL WAY, WA 98023-2351
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) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
1
By Date By`��� Date 12\ c.c.- 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) ❑ Ceiling Cover(4020) 0 Final-Electrical(4055)
Approved Approved Approved \APS.--
By Date By Date Bye, Date
❑ Under-slab groundwork(4295) ``
Approved
By Date
ca.of A RECEIVED
Federal Way Q i -0..5 I Z / -
1 • COMMUNIYDEVELOPMEN•SERVICES PERMITn,ov 212005 SF MF CO MEL DE EN FP
33325 811 AVENUE SOWN•FO BOX 9718
FEDERAL WAY,WA 98063-9718 A-P P LI CA`' �® ERAL w o
253-835-2607.FAX 253-835-2609 / /
www.cit uofederaiway.com
NG DEPT A
f The ollowi • is re• fired in ormation-an i -. •tete a.•Iication will not be acce•ted. Please •rint le•ibl in or
('II PROPERTY INFORMATION
SITE ADDRESS
3Q, l'Q 2g re • i1 S �el/ Way
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
e(Attach separate p•gefor Mpt 11 Iegol dewipeoM
1I PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION lat ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
✓/ 2/ All-- _2 /P e ot''I C c '
PROJECT NAME(Name of Business or Owner Last ame) /Pett <44 /6 W/ /S
rill l PEOPLE INFORMATION
PROPERTY NA PRIMARY PHONE
OWNER Gi //terty,1 fie )4O a /-Te4141 k,j /v1, I (2s�) �'ILy - 0 ..,
MAILING
ADDRESS
2P i4 3 ' J I e` 1RfIc:
CONTRACTOR COMPANY NAME APPLICANT NAME l OFFICE PHONE
- •-
- -
�e&/1 W&('ak (23-3 ) 5'2----Ct 02&
MAILING ADD•• CITY,STATE,ZIP
^a I,O^ UM
2..3/� f , 3 14// ,zinir O CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER _ EXPIRATION DATE - FAX NBER
/ / ( -
-B' L
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APP CANT NAME
OFFICE PHONE
U eci h (A-f`�r(__ ( 2,) it-`E- OZ2
MAILING (ADDRESS � CITY,STATE,ZIP — CELL PHONE
J' 2 �v- J� r 5!PQ 2,3 ( )
ELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑Tenant 0 Agent 0 Other(Describe) ( )
CONTACT 7UPRIMARY PHONE E-MAIL ADDRESSKQ. I^-/^ / _c, ( '`
) Lk- 1)2
LENDER ,_ ;d:lv. v. r";-, r_l;,.r, 1,:
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. =• FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(COVERED?)
GARAGE 0 CARPORT 0
•
NUMBER OF FLOORS CUSTOM PROPOS=D TOTAL �: . .�.t ti i;,_ i• '� ' stA:. . Tit
. l(
"NEW HOMES ONLY" NUMBER OF BEDROOMS STIMATED SELLING PRICE $
FIXTURES
Indicate number of each type off Lure to be ins • ed or relocated as p. . 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(cumme. WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
• COMPRESSO• FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBI r
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS crone) MIS IDescribe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES U NALS HOSE BIBBS
LAVS(Bathroom Sinks, V UUM 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
ant 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. Q
\ /77a1NAME/TITLE Title/ DATE � //off
tore) (Title)
RELATIONSHIP TO PRO ❑ Owner ❑Agent ❑ Contractor ❑ Architect ❑ Other
•'C) ) `(C)�f ''1t3�?�}*4',1,,i0(c){E .. --.,,•y �,,.e!-�Y •'0;r114.4d I S.) YC?sfiD2•=��-fir+t°'
c)'t;(e, ;)Ce�iE,ti E: €}' :> •1 , ;,ft)
Tic) i,(e'' cq.+)it-)4:'t1ptc) f • ['c,1:i'.si (e).",>;"8)- 1 1y;• + toy •
:'f )`;- - (c; i^ ,C tlj d:}.^�,S cif r� \Cep
,<*"/ a.c: rLL!J_ 'Cc �lvi',cHt :d3:r1 : ' C?c\
Bulletin#100—January 7,2005 Page 2 of 4 k\HandoutsWertnit Application
.1.1164%*
ELECTRICAL P 'Mu 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 ❑ 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
1 ❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
❑ 401 -600 amp 141.00 96.00
ALTERED COMMERCIAL/INDUSTRIAL
0 601-800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY 0 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder
0 over 1000 amp 443.50
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
❑ Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residentiai/Muiti-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial/1'ndustrial 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 ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/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 ❑ Yard Pole meter loops $104.50
❑ Security Alarm System ❑ Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
(Per System(s) la 2500 fri-$61.00;
Each add'n 2500 ft2-16.00) *Per WAC 296-46-910(5)(b)&al
Bulletin#100-January 7,2005 Page 3 of 4 k'Handouts\Permit Application