05-106248 City of Federal Way Electrical Permit #: 05-106248-00-E L
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: FULLER
Project Address: 37107 12TH AVE S Parcel Number: 322104 9007
Project Description: Adding a 50 AMP circuit to support installation of new A/C Unit.
Owner Applicant Contractor
GREGORY C FULLER PATRICIA ANN FULLER FULLER ELECTRIC
PATRICIA ANN FULLER 37107 12TH AVE S FULLEEI027BK 1/12/06
37107 12TH AVE S FEDERAL WAY WA 37107 12TH AVE S
FEDERAL WAY WA 98003-7457 FEDERAL WAY WA 98003
98003-7457
Additional Permit Information
iiiii#.•' '' nw 3jY x }Y.• $'.'S''k _Electncai Fixtures
Circuits-Residential 1
CONDITIONS:
PERMIT EXPIRES Monday, June 5, 2006 "
•
Permit Issued on Wednesday, December 7, 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
�annd the City of Federal Way.
Owner or agent: Pa../ayF(41.62-- Date: J2--7 -d-S
r
THIS CARD IS TO REMAIN ON-SITE
CATV OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE# (253) 835-3050
PERMIT#: 05-106248-00-EL ►
Owner: GREGORY C FULLER
Address: 37107 12TH AVE S
FEDERAL WAY, WA 98003-7457
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
❑ 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) W Final-Electrical(4055)
Approved Approved Approved
•
By Date By Date By� � Datekz--eg...p S
❑ Under-slab groundwork(4295) 1' • -
Approved •
By Date
I
v125 - / 6 __J 6t (?)
Federal Way PERMIT
COMMUNITYDRVSWPMRNTSERvxxs SF MF CO MEQ I, PL DE EN FP
33325 D AVENUE WAY, A/N.P -9718 APPLICATION `�/
FEDERAL WAY,WA lfOGt-l7I8 Tp
253-835-2607.PAX 253-835-2609
fThe ollowi • is • {red in ormation-an inco •fete • • •lication will not be acce•ted. Please •tint ie• •1 n or
• PROPERTY INFORMATION
SITE ADDRESS .J 7)d? /2. ,ve- S(7 SUITE/UNIT#
I
ASSESSOR'S TAX/PARCEL# - _ — LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach alcarat.pag far► w>0021a«may
- ■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
• 0 DEMOLITION,WELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
S
o .i '-pcirc: for / /Gu. ; -
PROJECT NAME(Name ofBusiness or Owner Last Name) 1
P /y �K1/Qt—
• PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
)'' 9'
OWNER GeOrr C f(.d</c (.2S3 )g6/ -7/6i)/
MAILING ADDRESS CITY,STATE,ZIP
.3 7/!3 /2.-4-``/9-ve 30 Fe,(,.,,,,g 4✓a-y Lf 9SXOCI
CONTRACTOR COMPANY NAME APPLICANT NAMaii,E
P4/ / OFFICE PHONE/
C e, C e dry' c f PSTATE P 1 /k (1..53 )�61 -)/1/
MAILING ADDRESS CITY, CELL PHONE
37/ e 7 )2-4 ` / .v - So Fe.el'�a/1t/ (a•o6) i_3 -le.:39y
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DAn FAX NUMBER
. --03-1 Q 3 _3‘Q I-B L )ipi ?[ 1O5 (2,5-3) Chi - CY
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application! EXPIRATION DATE
FRt l ee / s222Qk I lrz /.2ao9-
APPLICANT COMPANY NAME \ APPLICANT NAME OFFICE PHONE
Eat' h-zi7,/— ( ) -
MA[ ADDRESSCITY,STATE,ZIP - CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMB ER
❑Architect ❑Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACTNAME PRIMARY PHONE E-MAIL ADDRESS
.k,_e 0644,4111-C6115r) ( ) - .
LENDER :>.- ;4;,,,. •-g','^-1r-a,4,', IiSGjS,i�rl,.f./„ NAME
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING i
PROPO • :
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ .
SPRINKLERED BUILDING? ❑ 'a : a NO FIRE SUPPRESSION SYST' ••• ED/REQUIRED? ❑YES ❑ NO
WATER SERVICE . •• • R ❑ LAIEHAVEN ❑HIGHLINE 0 TACOMA ❑PRIVATE "
SEWER SERVICE PROVIDER ❑LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ,FT. SQ.FT. SQ.FT.
BASEMENT
FIRST -
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS =STOWr . .- „ TOTAL :4a .: ,_ 1•" .; �u €'••_ __, s
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING '' CE $
FL TURES
Indicate number of each type offixture to be installed or relocate, . part of ti project. Do not include existing factures to remain.
MECHANICAL
Value of Mechanical Work $
•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS ••GS REFRIG.SYSTEMS
BBQS FANS HOODS(.. .„-- WOODSTOVES
BOILERS • . FIREPLACE INSE RANGES MISC(Describe)
• COMPRESSORS FURNACES OAS WATER HEA
DUCTS GAS PIPE 0
PLUMBING
BATHTUBS Cherub/abaw.rC.mbs) SHOW RS WATER CLOSETS pus MISC(Describe)
DISHWASHERS SI ' DRINKING FOUNTAINS
GAS PIPE OUTLETS ' MPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(t aareemawa( 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 the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE11"LeakPGC,%/1 f t%ef f fe 5114 DATE /2—7�S
(S lure) (( (Title(
RELATIONSHIP TO PROJECT ,itOwner ❑Agent Contractor a Architect 0 Other
•
• :3'.? ? )Vr leX1Wr_�. ,Err, c =�:d_'.1�t;
- t7-C�(r,, �:er & r e ,F�.• 5. )F,.
rE3'.'F ,'T*3 Trot --1 i. l
•
l, 7 .(01�) !r1GNt dci..,r31 .i,
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
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) 0 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) 0 Over 1000 amp 530.50 283.00
Service Feeder _
❑ Up to 200 amp $113.50 $33.50 0 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
❑ 601-800 amp 247.00 132.00
O 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
Service or Feeder ❑ over 1000 amp 443.50
❑ 0 to 200 amp $87.00
O 201 -600 amp 141.00 ❑ #of circuits to be added/altered
/ea)
. .�f •00 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00
{ of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1- circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ ast 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 ResidentiaWuIti-Family $61.00
❑ #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
❑ I01-200 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'nsign$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 0 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)•1g 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 296-46-910(5)(6/(&a)
i
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Pemlit Application "