05-105332 City of ity feral Way +. Electrical Permit #: 05 - 105332 00 EL
Community Development Services �I
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
Project Name: NGUYEN
Project Address: 855 S 312TH Parcel Number: 082104 9225
Project Description: Upgrading to 200amp panel and running a feeder
Owner Applicant Contractor
SEAN&ANNA LEE NGUYEN &Anna Nguy, SEAN&ANNA LEE NGUYEN SEAN&ANNA LEE NGUYEN
855 S 312TH ST 855 S 312TH ST 855 S 312TH ST
FEDERAL WAY WA 98003-4790 FEDERAL WAY WA 98003-4790 FEDERAL WAY WA 98003-4790
(253)946-5960
Electrical Fixtures
Description Quantity Description ]Quantity Description !Quantity�
Alt.Serv./Feeder 0 to 200 amps-Res. 2
PERMIT EXPIRES April 15,2006.
ry Permit issued on October 17,2005
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: \� ���_ Date: ? 0 — / 7— S^
- THIS CARD IS TO REMAIN ON-SITE.
CITY OF Community Development Inspection Record -
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105332-00-EL
Owner: SEAN &ANNA LEE NGUYEN
Address: 855 S 312TH ST
FEDERAL WAY, WA 98003-4713
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) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
P Rough Electrical(4225) 0 Ceiling Cover(4020) 0 Final-Electrical(4055)
Approved Approved Approved
By tiN\ Date ` 1°, By Date B w Date l_ ' _ 1, d
UM -
El Under-slab groundwork(4 '5)
Approved
By Date
1
1
" arms+ RECEIVED c� 3
Federal Way
�-�� - � �-
cowuuHrlYDevELOPYENrSERVKBS OCT 1 7 2005P R R M IT SF MF CO MF1L DE EN FP
333251 WA.FASO253-8b BO971 971f , ,�I CATION
FEDERAL WAY,WA 98 063-9 711 r
/ /253-135-2607•FAX 253435-2609CITYOFFS I
BUILDING DEPT.
The ollowl • is re, fired in ormation-an Inc, Li..fete . ••lication will not be acre•ted Please •rint le•ibl n or
MII PROPERTY INFORMATION
SITE ADDRESS Y S r. 3/1 1 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
' cud,eepara&paysfur ten" t de+a(ptia^)
—
IVI PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DIESCRIPTION(Provide detailed description of work' ded on this permit only)
Ae � r,/ - /--- 14- ie fetes XC/ '.
PROJECT NAME(Name of Business or Owner Last N. • k rji' 1
, 4
7i PEOPLE INFORMATION
PROPERTY NAME 1 PRIMARY PHONE Q/,sem
OWNER � / n1 r .17/ I" € .f 6
/ (153) riq - -9(
MAILING ADDRESS CITY,STATE,ZI
n- S . 3i2 SV re v4, 4(// riV,3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
AD "" i"e //•S A.6 re,..-- fe/f/v .i✓y�/ V s-3) fie - seU
MAILING DRESS CITY,STATE ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER T- e4 4-/" �, (. . ) / —
EXPIRATION DATE FAX NUMBER
/ / ( )
BL
CONTRACTORS REGISTRATION NUMBER(copy of cart required with each application( EXPIRATION DATE
APPLICANT COMPANY NAME / ' APPLICANT NAME OFFICE PHOS-_.-_. -
MAILING ADDRESS CITY,STA ', • CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑Tenant 0 ❑ Other(Describe) ( ) -
/`�
CONTACT NAME
PRIMARY PHONE E-MAIL ADDRESS
LENDER :1,- N.,, • .,., n,:z rn-{-r.Y-,- i,fY,,,iiCa;i,,, a, NAME
,,,f.+,• . , ,,.,It 4, ,f,, ,,..-.-,.t--4:r.aTa;t,
MAILING ADD': - are,STATE,ZIP
.
■ DETAILED BUILDING INFORMATION
EXISTING USE
PROPOSED USE
EXISTING ASSESSED/APP• =: ' UE $ VALUE OF PROPOSED . • $ v
SPRINKLERED B t it I G? 0 YES a NO FIRE S I • • • D..SION SYSTEM PRO•► ED/REQUIRED? a YES .',NO
TER SE: CE PROVIDER a LAKEHAVEN ❑HIGHLINE ❑TACO . a PRIVATE(WELL)
S' " • SERVICE PROVIDER ❑LAKEHAVEN ❑ HIGHLINE 0 •-I ATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. S•.FT.
BASEMENT
FIRST •
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(C e •• RED?)
GARAGE ❑ • •• • 0
NUMBER OF FLOORS stasraro PROPOSED TOT u tie r. iT tea,; • i;' y•'l�, ';: '.-a _ - _ .; r
**NEW HOMES ONLY** NUMBER s BEDROOMS MATED SELUNG PRICE $
FIXTURES
Indicate number of each type of fixture to be '' 'd or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
•
AIR HANDLING UN EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(c.c serd.q WOODSTOVES
BOI FIREPLACE INSERTS • GES ' MISC(Describe)
• MPRESSORS FURNACES G -WATER HEATERS
•—DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(erTub/Shower Coal* SHOWERS WATER CLOSETS(r • MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathtwmawci j ACUUM BREAKERS ELECTRIC WATER HEATERS —
DISCLAIMER/SIGNATURE BLOCK
•
I certify under penalty of perjury that , ' ormation furnished by me is true and correct to the best of my knowledge,and further,that I
am authorized by the owner of the abo • lees 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 c •• (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
tis arises out
of the reltan s of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
application.
NAME/TITLE _.,24pL�.74 l DATE [ v " ` ! – v
(Signatu (Title)
RELATIONSHIP TO PROJECT 0 Owner o Agent o Contractor 0 Architect o Other
•
,`4)0..'r`(EX( Wt+f1�}iYt r,S.0 @ :� 'f'.11;7 -.,0)00�r,i"V Li:44'0 ��� �}jk;< .
lerii,i)i (y :#:c tt er
Ic l�II?(c =
,t•�� G',�;(e):,:iJ.' t_•
'ly:
,YI)e�;a } 4c c�tiiN �Y) r A i (cj i: . 'I :t lA s 7r0. :
kt*1 4-e) �1 '( °�. Cr Pi r ;da,-tr917 a1e`:' �v ,11
•I
Bulletin#100—January 7,2005 Page 2 of 4 k\HandoutsTe mit Application
Pi. , ELECTRICAL PERMIT INFORMATION
It- (,,,t- -4. RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW 'MMERCIAL/INDUSTRIAL S RVICE
❑ Single Family Square Feet Service or Fee• Bath Add'n
(First 1300 f 2- $104.50;Each add'n 500 ft2-$33.50) 0 0 to 10 i amp $113.50 $69.50
❑ Detached outbuilding or garage ❑ 101-21 c amp 141.00 89.00
(Inspected with service) $44.00 0 201-4 c c amp 264.50 104.00
❑ Detached outbuilding or garage ❑ 401-61 t amp 308.00 123.50
(Inspected separately) $69.50 0 601-800 :• p 398.50- . 168.50
O 801- 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 =•,p 530.50 283.00
Service Feeder
❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 vol surcharge :9.00
❑ 201 -400 amp 141.00 69.50 ❑ Mast or me repair $96.00
❑ 401 -600 amp 193.00 96.00 ALTERED COMM'.RCIAL/I ' STRIAL
0 601 -800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Se •- or Feeders
O 0 to 200 amp $ 13.50
ALTERED SINGLE/MULTI FAMILY 0 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Fe e ❑ over 1000 amp 443.50
0to200amp $87.00.
❑ 201 -600 amp 141.00 ` ❑ #of circuits , be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.•• Add'n circuits,$7.00/ea)
❑ b #of circuits to be added/altered 6 y-y COMMERCIAL/INDUS - I PLAN REVIEW
(1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Pe ..'t ee
2 t , 0-1, ❑ Service- 1,000 :•'ps or 1,eater
❑ Mast or meter repair $52.00 ❑ Medical/Educati•nal/Ins.tutional Facility
ti
MOBILE HOMES
❑ Service or feeder only $69.50
❑ Service and feeder $113.50 .
► MPORARY SE-VICE
MOBILE HOME/RV PARK Residential/Mu -Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) CommerclaVI • • •1 Service or Feeder • •acity
❑ 0-1' amps ._ $69.50
O 101 200 amps 89.00
❑ 201-400 amps 104.50
❑ 40 -600 amps - 141.00
❑ o er 600 amps 152.50
•
MISCELLANEOUS SERVI /EQUIPMENT
❑ #of Thermostats 0 #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 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) 1.t 2500 ft2$61.00; ,
Each add'n 2500 ft2-16.00) •Per WAC 29646-910(5J(bJ &ii)
i
Bulletin#100-January 7,2005 Page 3 of 4 NHandouts\Pennit Application