05-106234 {
City of Federal Way Electrical Permit #: 05-106234-00-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
_ y
Project Name: QWEST
Project Address: 29869 12TH AVE SW Parcel Number: 515320 0200
Project Description: INSTALL 100 AMP SERVICE TO SUPPORT NEW ADTRAN PEDESTAL ADJACENT
TO EXISTING CABINET TO PROVIDE DSL SERVICE TO THIS AREA. QWEST HAS
COORDINATED WITH HOMEOWNER TO RELOCATE ROCKERY.NEW PED
CANNOT BE INSTALLED TO THE NORTH OF EXISTING PED AS ORIGINALLY
PLANNED DUE TO CONFLICT WITH WATER SERVICE LINE.WORK IS IN
UNPAVED ROW BEHIND DITCH.
Owner Applicant Contractor
LESTER M GEE THOMPSON ELECTRICAL CONSTRUCTORS, THOMPSON ELECTRICAL
PATSY C GEE INC. CONSTRUCTORS,INC.
29869 12TH AVE SW PO BOX 45260 THOMPECOO8CW 2/16/06
FEDERAL WAY WA TACOMA WA 98445 PO BOX 45260
98023-3407 TACOMA WA 98445
Additional Permit Information
ElectricalxiOtrss,
_ Service/Feeder: 0-100 amps-Con 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 a will be in accordanc with the laws, rules and regulations of the State of Washington
a e City of Federal Way.
Owner or age 4,e�`�i,�G1 Date: /2- 7-
- - ,‘,—
A/A THIS CARD IS TO REMAIN ON-SITE
.1P
-CITY OF Community Development Inspection Record
Federal Way WR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-106234-00-EL -
Owner: LESTER M GEE
Address: 29869 12TH AVE SW
FEDERAL WAY, WA 98023-3407
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) CV Ditch cover(4030) 0 riftr8'l1onding(4195)
Approved to place concrete Approved ctrsr L x q ved
By Date By�j lir.J Date 1_1 4_0 4. By C ,,_ Date a t- %4-., 10
❑ Temporary Power(4275) P" Service(4235) ,❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By0.,ytx,. Date %_Zyi--,L By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) 14 Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date I-2,1,(-., .6
❑ Under-slab groundwork(4295) ' -
Approved
By Date
• RECEIVED //,^,
_.., _3. -
FederalSF1
Way ` - S
COMMUMTIDEVELOPMENT SERVICES
PERMIT '�� SF MF COM PL DE EN FP
333251TM AVENUE SOUTH•NO BOX 9718 ���
FEDERAL WAY WA 9106t.97A A P P LI CAVI EDERAL
•
253135 260 TAX 253135 2609
I NG DEPT. I
The ollowi • is . fired in ormation-an Inco •tete . •.lication will not be acce•ted. Please •rint le, •1 in i or
111PROPERTY INFORMATION
Rep SITE ADDRESS 2. 9 d ep 9 12.t4 A(r/Q S SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ _ LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
get.ch sated•kraVahl legald w,l
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION t1 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description o work included on ' it onl
/60 f}- Ser Ui c •Q 1-6 44l-4242-1.- C/fr ( a• ...4 +P f. :...
PROJECT NAME(Name of Business or Owner Last Name) 40.) -/--
U PEOPLE INFORMATION
PROPERTY NAME 1 Ct (� � � PRIMARY ONE
OWNER �iAiko.1 (- - I �/ _
MAILING A_DdRESS CITY,'STATE,ZIP
CONTRACTOR COMPANY NAME -APPLICANT NAME OFFICE PHONE
7A60,4s/ g�'efr(ee�l�C fraefors JJ/aAa 1emixen (753)53, - 0,9 9
&MIN/UG ADDRESS CITY,STATE,ZI CELL PHONE
QTY- FEDERA WAY BUSINESS LICENSE NUMBER �A60,4-7 a- la 9444.s-s (2c?) " -5 - 7960
p, / EXPIRATION DATE - FAX NUMBER
_L' -� L- Q ze 1 8 L ! 7i / i l US- (L5-3), t'! 0/0/
CONTRACTORS REGISTRATION NUMBER(copy et carol required with each application) EXPIRATION DATE
7 0t4 Lie- C C% ? C,' lJ 1I(• 1C _=
APPLICANT COMNAME APPLICANT NAME OFFICE PHONE _
MA, ADDRESS jO - Kj
CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant a Agent ❑ Other(Describe) ( ) _
CONTACT NA PRIMARY PHONE
• ' ,n Za (2S3) 1'651C/Z/ EMAIL ADDRESS
LENDER :. ;:,,,, : ,,. ,:.:, E,: (.f NAME
;,.,.;,/• q'••n,t(-;.(..'(••('s>a'{•(.. •K '41.11.0 iJ /a
MAILING ADDRESS CITY,STATE,ZIP
•
. ■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED U
EXISTING ASSESSED/APPRAISED VALUE $ . UE OF PROPOSED WORK $
SPRINKLERED BUILDING? • • o NO FIRE SUPPRESSION SYSTEM PROPOSED/.1Y. .';•_- r a YES a NO
WA • = • ' CE PROVIDER O LAKEHAVEN O HIGHLINE O TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FI
SECON'
THIRD
FOURTH
ADDITIONAL FLOORS(DE ' BE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS :tasru& &POSED tam • ,' 111111111--
,d!
"NEW HOMES ONLY" NUMBER OF BEDROOMS TED SELLING PRICE $
FUTURES
Indicate number of each type offixture to be installed • relocated art of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work
•
AIR HANDIiNG UNITS EVAPORATIVE COOLERS GAS •e- REFRIG.SYSTEMS
BBQS FANS HOODS( ...._. WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
• COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS erTub/shower C.mboi SHOWERS WATER CLOSETS(mei MIS •escribe)
DISHW.. ERS SINKS DRINKING FOUNTAINS
G 'IPE OUTLETS SUMPS RAINWATER SYST
ASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks, 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 o -- and employees,upon the accuracy of the information supplied to the city as a part of
this application.
�� A /2- '-O.
NAME/TITLE /// / t�t��!%�i.,��If` ... _ / :�_.�/�t_� DATE
ti ure)
RELATIONSHIP TO PROJECT a Owner ❑ Agent ❑ Contractor 0 Architect 0 Other
‘ 4 'R.�}ib•,ll t,(CM - i��t�.Vti�
rerii,eWrg, e')31,,,•/=.;) •J•.t •;;(E.) t')r€ ;-:',70;1;•:,1
i;(0 y(0t(.`t't`(0 r �ir5 �'.�.�tefS:P)n'" 1�i '�y 1 re,
- :n s e; F" yt�-i ? / div' ' ;O
' ,C*.7 VCoi rt,
7, .(�' _.0 :i_ r :a�;r.�rli;S 1': . . -. ``ro •
Bulletin#100—January 7,2005 Page 2 of 4 kU•iandouts\Permit Application
I
ELECTRICAL PERIIMIIT INFORMATION
s
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet yy�� Service or Feeder Each Add'n
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) AI 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 0 401-600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 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
❑ 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
Service or Feeder ❑ over 1000 amp 443.50
• ❑ Oto 200 amp $87.00
O 201 -600 amp 141.00 ❑ S of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
❑ Sof 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
U Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
U Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Mufti-Runny $61.00
U it of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercia lfndustrial Service or Feeder Ampacity
❑ 0-100 amps _ $69.50
O 101-200 amps 89.00
O 201-400 amps 104.50
O 401-600 amps - 141.00
❑ over 600 amps 152.50
•
MISCELLANEOUS SERVICE/EQUIPMENT
O f of Thermostats ❑ ft of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;addh 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 0 Yard Pole meter loops $104.50
❑ Security Alarm System 0 Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits $5.00
0
(Per System(s) 1K 2500 it2-$61.00;
Each add'n 2500 ft2-16.00) Per WAC 296.46-910(5J(bM&5)
Bulletin#100-January 7,2005 Page 3 of 4 NHandoutesPennit Application