05-105369 1111.
• a • ad► R
City of Federal Way Electrical Permit #: 05 - 105369 - 00 - EL
Community Development Services
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: SMITH
Project Address: 32504 24TH SW Parcel Number: 638660 0210
Project Description: Replace existing panel with new 200 AMP panel and install branch circuits for new addition.
Owner Applicant Contractor
A Leonard Smith PSEC INC PSEC INC
32504 24TH AVE SW PO BOX 28308 PO BOX 28308
FEDERAL WAY WA SEATTLE WA 98118 SEATTLE WA 98118
98023-2507 (206)859-2532
Electrical Fixtures
Description Quantity [ Description —71Quantity Description Quantity
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES April 17,2006.
Permit issued on October 19,2005
I hereby certify that the above information is correct and that construction on the above described property and
the occupancy and e •se will 'e .1 cod 'th t law ,rule and regulations of the State of W; hington and
the City of Federal Way. a c
Owner or agent: ' 1,3 A Date: "Q C
.. _ ...A THIS CARD IS TO REMAIN ON-SITE . \
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105369-00-EL
Owner: A LEONARD SMITH
Address: 32504 24TH AVE SW
FEDERAL WAY, WA 98023-2507
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) ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
El Temporary Power(4275) Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By* Date\� k. Ki By Date
Rough Electrical(4225) 0 Ceiling Cover(4020) -ri Final-Electrical(4055)
Approved Approved , Approved
By `:TI Date Alc4S--- By Date By 1W) Date 1 OA •
.❑ Under-slab groundwork(4295)
Approved
By Date
. S
A .
RECEIVED
. Federai Way PE+ RM I CT 1 9 2005 - -5 &.1
COMMUNITY DEVELOPMENT SERVICES
SF MF CO PL DE EN FP
li 33325f7ffAVENUESOUTH•rO BOX 16 EDREAPLTW. ATYDsiLWAY,dAPPLICAr IG
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I ne98063-9718 s
ru.u,dtyaeralwcy.owa
The ollowi • is -• fired in ormation-an Inco •fete a••lication will not be acce•ted. Please •rint le.ibl in i or
■ PROPERTY INFORMATION l
SITE ADDRESS -✓¶_1 7 4 I2 -- aIF / � SUITE/UNIT#
/
ASSESSOR'S TAX/PARCEL# _ 3 j Co f:740 - O A / C LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
/Aamhaei=mbPage far Ie."Aga deacrtAen)
' ■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION megLECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
.0, i
PRO y D -CRIPTION(Provide • -t• . description of work included on '- i�,LLit
l Kb.)I 'S �'/ ' Ma) ' i770
PROJECT NAME(Name of Business or Owner Last Name)
• PEOPLE INFORMATION
/114 .
PROPERTY
OWNER NAME J ///l // PRIMARY PHONE
0 Z ) 5-MAI I- °' 4O ADDRFRS CITY,STATE,ZIP
g7(-g's NE s) w -y &m 9o 5
CONTRACTOR PANY NAME APPLICANT NAME OFFICE PHONE
3IEL / NL Dexo )/r (1ar,6) s g5" -z2
LINO ADDRESS CITY,STATE,ZIP
CELL PHONE
4/094-_..c. E'/ � 54-.?g A4/. ? 1 g ( ) r
CITY OF FEDERAL WAY IN CENSE numnER EXPIRATION DATE - FAX NUMBER
o -vs - O S /001/ /,� _
— — B' L �oZ ds (GYJ
CONTRACTOR'S REGISTRATION NUMBER(copy of card rogaired with each application) EXPIRATION DATE
F.E. i 7. f 7F_ K"r 65'/o(a107
APPLICANT CONY NAMEee ie S APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMB ER
❑Architect a Tenant a Agent ❑ Other(Describe) ( ) -
CONTACT ' NMy � � PRIMARY PHONE _ E-MAIL ADDRESS
LENDER '','' • �,. ,
a, , ,a.: 1.;r.,,,,,t..:i„7 i NAME
77t
MAILING ADDRESS CITY,STA4 7.IP
•
• I DETAILED BUILDING INFORMATION
f' ' . PROPOSED USE
EXISTING ASSESSED/APPRAI I ' ..e• VALUE OF P;a •: • ' WORK $
SPRINKLERED BUILDING? a YES a NO FIRE S' . • YSTEM PROPOSED/REQUIRED? a YES a NO
WATER SERVICE PROVID- : - . . .,,h-r • p HEMLINE 0 TACOMA a • - (WELL)
R SERVICE PROVIDER O LAKEHAVEN a HIGHLINE O PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION • EXISTING PROPOSED TOT
SQ.FT. SQ.FT. SQ. .
EMENT
Fl.
SECOND
THIRD
FOURTH •
ADDITIONAL FLOORS(DES•- BE)
DECK(COVERED?)
GARAGE ❑ CARPORT 0
NUMBER OF FLOORS manta oro3WD TOTAL s is ,_ri' �� ti _, r ,t4.-sr
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIM; D SELLING PRICE $
FLKTURES
Indicate number of each type of fixture to be installed or re ..' ed art of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
•
AIR HANDLING UNITS E '•RATIVE COOLERS OAS LO• REFRIG.SYSTEMS
BBQS 'ANS HOODS(c. ., - WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
• COMPRESSORS FURNACES GAS WATER HEATE•
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(. ./Shower Combo) SHOWERS WATER CLOSETS(Toilet) M (Describe)
DISHW RS SINKS DRINKING FOUNTAINS
G ' 'E OUTLETS SUMPS RAINWATER SYST
'ASHING MACHINES URINALS HOSE BIBBS
LAVE ouchm.mahks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I cert(fy 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 •-non,incl • ng the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the of the ci ing • o - re and employees,upon the accuracy of the information supplied to the city as a part of
this application,
NAME TLE TI 0 • %'� V
iA 5—
/ � �_ I ,.� �/ [l�Tl DATE <
•tura (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 'ontractor ❑Architect ❑ Other
c y .. of •.,k tit
'".,i �e + - ' .} ��,
a�,l�C � vr� .�t��h.�;l'i i,�i.-,Yct �3,:��
:3iriE,il.�;Pe, :.#;t:Hi,c +1,11„./i rte: -6s s ,f+,+.11(e ;•ii,;r ' 4?'.1 ;(c•r
'7 ti(i1 F.i i(ct+f
)ti .j }
ai,.t° Fad' .; (k) ;(c} ij S c i� i'e r:�a;r. c!1•� fcl^ ,33,4
•
Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Pennit Application
11441116..
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 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
❑ 601-800 amp 247.00 132.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0to200amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
S--,%'^ -der ❑ over 1000 amp 443.50
• g20 to 200 amp $87.00
201 -600 amp .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 ResidentfaVMuitl-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercialfnduatrial 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 ❑ d 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 ❑ 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
CI
• (Per System(s) Id 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) ',Per WAC 296-46410(5)M&it)
Bulletin#100-January 7,2005 Page 3 of 4 k\HandoutsWermit Application