05-106279 T• e
City of Federal Way Electrical Permit #: 05-106279-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: KOVALIK
Project Address: 33506 10TH PL S Parcel Number: 926501 0030
Project Description: Install electrical power to range hood via feeder
Owner Applicant Contractor
SUSAN KOVALIK SUSAN KOVALIK SUSAN KOVALIK&ASSOCIATES INC
SUSAN KOVALIK&ASSOCIATES INC SUSAN KOVALIK&ASSOCIATES INC 33506 10TH PL S
33506 10TH PLS 33506 10TH PL S FEDERAL WAY WA 98003
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Additional Permit Information
Electrical Fixtures
Alt. Serv./Feeder up to 200 amps- 1
CONDITIONS:
PERMIT EXPIRES Tuesday, June 6, 2006
Permit Issued on Thursday, December 8, 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
-j• he City of Federal Way.
Owner or agent: a� � • 're–d--,6 Date:/2/27()S—
* _'+l THIS CARD IS TO REMAIN ON-SITE '"
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-106279-00-EL
Owner: SUSAN KOVALIK +
Address: 33506 10TH PL S
FEDERAL WAY, WA 98003-6306
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.
0 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) ❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) El ,
Ceiling Cover(4020) 0 Fin -Electrical(4055)
Approved Approved Approved
By Date By Date 5 - Date4_-(0_, G
❑ Under-slab groundwork(4295) I,
Approved i
By Date
1
cny.' £5- 1DJ27±(
Federal Wa
�GE�VEO PERMIT SF MF CO MEP PL DE EN FP
c»wwHnYnayscor�ranr
33325 do AVENUE SWm!•ro
259WAY,WA 607 FAX 253 5972609 $ 7APPLICATION T°
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y,ww luo u. 0E� 0
Si
The ollo • is -, fired t:,,;,;, 1
_.<',. .WaAn into ,fete . • ,iication will not be acce•ted Please •rint to• • or j,
■ PROPERTY INFORMATION
�-
SITE ADDRESS 3 • 7) 6 40 �, cc �v // i SUITE/UNIT#
ASSESSOR'S TAX/PARCEL it - _ _ _ LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(AOoth ..a.',whr gerochm l
' ■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION IkELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only,
,— 11•/ts�r_.i�r �� it1mr�
grinr-"T' .fes,-.- t7��t/.il�df�J/�si"2
PROJECT NAME(Name of Business or Owner Last Name) KO V4 L(K
• PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER Sas roI /lV ie ( 3) 0(5=fjd)
MAILING ADDRESS
33 so C (6 P(ce 7 d u;,4y,
04e- 7 v
CONTRACTOR COMPANY NAME APPLICANT NAME
'�IO OFFICE PHONE
`MA[LINa ADDF:EaS O 0
CITY,STATE,ZIP C/EG,PHONE
\, ) -
• CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE - FAX NUMBER
•
B L / / ( ) -
CONTRACTORS REGISTRATION NUMBER(eoPy et card resulted with each application) EXPIRATION DATE
I /
APPLICANT COMPANY NAME APPLICANT NAME
OFFICE PHONE
Ye I° 4 booto ( ) -
MAIGNO ADDRESS CITY,STATE,ZIP - CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant O Agent O Other(Describe) ( ) _
CONTACT NAME PRIMARY PHONE
-�� Y.qc� �yg6 - 'WO
E-MAIL ADDRESS
IPLENDER ctrr,in,:rl;. . NAME
MAILING ADDRESS CITY,STATE,ZIP
1
■ DETAILED BUILDING INFORMATION
kEXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
WATER SERVICE PROVIDER a LAEEHAVEN O HIGHLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC) _ t
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST •
SECOND
THIRD - i
FOURTH
•
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS =SUMPROPOSED toren �,' ,"�'���11111111111 .
**NEW HOMES ONLY** NUMBER OF BEDROOMS EStTIMATED SELLING PRICE $
FIXTURES
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 $ 153 •
•
AIR HANDLING UNITS EVAPORATIVE COOLERS __ GAS LOGS REFRIG.SYSTEMS •
BBQS FANSI HOODS(G �
mmeq WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe) ••
• COMPRESSORS FURNACES GAS WATER HEATERS .
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower c. SHOWERS WATER CLOSETS(rano MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(e*eu....einksi VACUUM BREAKERS ELECTRIC WATER HEATERS •
DISCLAIMMER/SIGNATURE BLOCK
-I certify under penalty of perjury that the information furnished by me is true and correct to the best of orgy 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 re - of the city,incl • • its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE - .y��..011 r 4., - DATE [ —(/O —0e.->
Or Sknaturel (Titlel
RELATIONS 1 TO • D. a Owner ❑Agent ❑ Contractor ❑Architect a Other
( ) f 9!'b�l_d,t,t'(x? ( Y�2 ll-i< t` b,u;f! 1',I ;Ye Sl��!t'
c$ellt,ti:;tF, ;1.1r.,..[,,. f...;,'(j. ;: ( l a,�y(e l,,. r1 =___s,
i/F1;3t�fr 2)D�7(tl�E.'t t 1' - _ -- - _+b c - - _- __ - - _ _ _-`_.��-._ _ >.`t-_ __ _ ,(J - _ _ _
( _ _ ':)rA((��,OF,-,' I i;�: .'ty 'fc
1t, c9`e t rr ` fc = _ _ G I� ?fiy:i F,�'�c�sF: ci, Ce? 11
Bulletin#100—January 7,2005 Page 2 of 4k\Handouts\Pemdt Application
ELECTRICAL PERMIT INFORMATION
1
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$104.50;Each add'n 500 02-$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 0 601-800 amp 398.50 . 168.50
O 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
O 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
❑ 401 -600 amp 193:00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
st0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
0 0 to 200 amp $87.00
❑ 201-600 amp 141.00 ❑ S of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Addh circuits,$7.00/ea)
❑ N 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
O 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 Residential/Multi-Family $61.00
❑ S 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
O t«of Thermostats 0 1 of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/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 $104.50
0 Security Alarm System 0 Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
• (Per Systems) la 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) Per WAC296-I6-91o(5j(b)ii&u/
%
Bulletin 1100-January 7,2005 Page 3 of 4 NHandoutssPermit Application