05-106275 t ,
, City of Federal Way t Electrical Permit #: 05-106275-00-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: JACKSON
Project Address: 912 SW 316TH PL Parcel Number: 555731 0300
Project Description: 200 AMP panel change out to include a 50 AMP hot tub circuit.
Owner Applicant Contractor
PAUL D JACKSON NORTHWEST ELECTRIC&SERVICE NORTHWEST ELECTRIC&SERVICE
KRESTENSE A JACKSON 10228 29TH ST E NORTHES015CK 2/12/07
912 SW 316TH PL EDGEWOOD WA 98372 10228 29TH ST E
FEDERAL WAY WA EDGEWOOD WA 98372
98023-4717
Additional Permit Information
Electrical Fixtures
Alt. ServiFeeder: 0 to 200 amps-I 1
CONDITIONS:
This parcel is located within a Wellhead Protection Area(Capture Zone 5)and must comply with FWCC,
Chapter 22,Article XIV "Critical Areas" and fill out a Hazardous Materials Inventory Statement,if applicable
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 b • accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:
/2--•
r' THIS CARD IS TO REMAIN ON-SITE r .
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-106275-00-EL
Y
Owner: PAUL D JACKSON
Address: 912 SW 316TH PL
FEDERAL WAY, WA 98023-4717
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) 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) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) s Final-Electrical(4055)
Approved Approved roved
By Date By Date I By ( .2a�c, Date c____‘4,
❑ Under-slab groundwork(4295) i.
Approved $
1
By Datei
RECEIVED
arraf A . _ QFederal Way DEC U ZooQ.sa/All
— 1 0 7-5
COMMUNmDEVELONBKTSERVICBS SF MF COM PL DE EN FP
33325 JTM AVENUE scout•PO BOX 9718
FEDERAL WAY,WA 98063-9718 A P P L I C AT I QATF F E D E RAttdNAY
253-835-2607.FAX 253-835-2609 LD I NG DEP —r
www cituo/Pederalwou.am
The ollowi • is • ired in ormation-an inco .lete . ••lication will not be acce•ted. Please •tint le.ibi in in or
9 ■ PROPERTY INFORMATION
SITE ADDRESS //2 /.- /- �/ 71‘ SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Acaoh separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEE G 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Pro ' detailed descnp�'on of work include on t ' erm't onl
> + e1 '4-40' e--451.,...e.^. 4-C eek. / 74
PROJECT NAME(Name of Business or Owner Last Name) 2/ G+C-41 Z,
a PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER /��� 4C.�-1 ort, ( )572, - ...57..1.5"
MAILING ADDRESS !� CITY,STATE,
x'42 .rte .moi /./ �Q "04 _7
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
,4, c/.li"it' . t-,c ( )ys/s`/427
MAILING ADDRESS CITY,STAT `ZIP CELL PHONE /
�& z 2)A/Ss/ .4z-0,5e/,_•0,64, ,,,..,7--e. ) !/,/�
7O WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
9-/v s�B. L /2i,>/ las ( )y, j-73;7/
CONRACTORS�STgATION NUMBER(copy of card required with each application) EXPIRATION DATE
/
o L9 eS ° LS ,22.2C cJ
67 /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect a Tenant a Agent ❑ Other(Describe) ( ) _
CONTACT NAMEPRIMARY7/6 E-MAIL ADDRESS
e lC //74‘40/,'" /‹.. ( '����
LENDER
:?. ;d: '- .:.Z •- r.�a I,i 17i,.�„:,a.7,. a NAME p� ,
N 11 y,,
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPO • -
EXISTING ASSESSED/APPRAISED VALUE $ UE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES • NO FIRE SUPPRESSION SYSTEM P•le •e ED/REQUIRED? a YES a NO
WATER SERVI • :•s a LAKEHAVEN a HIGHLINE a TACOMA a PRIVAT -
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC) -
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH '
ADDITIONAL FLOG'- (DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
SEIS f° PROPOSED TOTAL b ii"!:zr!i�.1' _ _214 •'i • !',n - r
NUMBER OF FLOORS ^
**NEW HOMES ONLY** NUMBER OF BEDROOMS E t MATED SELLING PRICE $
FiXTURES
Indicate number of each type of fixture to be installed o elocate' . part of this project. Do not include existing fixtures to remain.
MEC LANICAL
Value of Mechanical Work $
•
AIR HANDLING UNITS ^'APORATIVE COOLERS GAS 00GS REFRIG.SYSTEMS
BBQS FANS HOODS(co " rotas WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
• COMPRESSORS FURNACES GAS WATER HEAT' •
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shearer •mbo) SHOWERS WATER CLOSETS(roues ISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS P 'E OUTL SUMPS RAINWATER SYST
WASHI`. . HINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks, VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIBMER/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 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 mag 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, eluding its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. .
NAME/TITLE 4///0*" DATE
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent Contractor ❑Architect 0 Other
•I?l`.7 ,`90,iel(`t7(r)j ,1t-'kDg4ttit1(c)4..,. ';I' i',U1; t1;A{P'.S t'1
:(erit,c)safc, zittpit,c €! ft;F:j n < :iRfr) iM 40
7ti ilac` :j .`i(t)4,*eVEf - e7a� (c. y: lI d ;ti ' y:# ;fo
E)ol•,?j;:i: (c7 :10Azi.'.1,Vpyiir., 41-5*I- ;(c? -_
`- - o-..• ,
7
Bulletin#100—January 7,2005 Page 2 of 4 k\HandoutsTe(mit 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 ❑ 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
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 ❑ 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Se eeder ❑ over 1000 amp 443.50
01 to 200 amp $87.00
2 201 -600 amp ❑ #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
F 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,/lndusMal 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 Mann System 0 Yard Pole meter loops $104.50
❑ Security Alarm System 0 Additional Plan Review $104.50/hour
❑ Voice Cabling )0(for modified submittals)
❑ Data Cabling
CIAutomation Fee on all Permits .. $5.00
(Per System(s) 1"2500 ft2-$61.00;
Each addh 2500 ft2-16.00) Per WAC 296-46-910(5)4b)&ti) .
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application -