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04-102535 7' k , • It ' City of Federal Way Community Development Services Electrical Permit #:04 - 102535 - 00 - EL 33530 1st Way S Federal Way,WA 98003-6210 Ph-253.661.4000 Fax-253.661.4129 Inspection request line: 253.835.3050 Project Name: MACKEY Project Address: 28840 23RDkSevy Parcel Number: 422250 0190 Project Description: Altering(1)circuit for garage addition Owner Applicant Contractor Richard L Mackey &Sharon M Mackey Richard L Mackey Richard L Mackey 28840 23RD AVE S 28840 23RD AVE S 28840 23RD AVE S FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA 98003-7922 98003-7922 Electrical Fixtures [_ Description Quantity Description Quantity Description !Quantity Circuits-Residential 1 PERMIT EXPIRES December 22,2004. Permit issued on June 25,2004 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 and the City of Federal Way. Owner or agent: Date: 074)4 Ici ' *7(i2l o4 CaO r/-CCd-1 °ItS G5 ( � r A - THIS CARD IS TO REMAIN ON-SITE . ,Ii. ti CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 • PERMIT#: 04-102535-00-EL Owner: Richard L Mackey Address: 28840 23RD AVE S FEDERAL WAY, WA 98003-7922 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) 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 ryRough Electrical(4225) ElCeiling Cover(4020) Final-Electrical(4055) Approved Approved Approved Date By Date By v\` - Date !� v ❑ Under-slab groundwork(4295) Approved By Date Federal Wa ECEIV d 4a -Js COMMUNITY DEVELOPMENT SERVICES PERMIT SF MF CO M L DE EN FP li33530 FIRST WAY SOOT 9•PO Bo1'Q ya,�R' Mr FEDERALWAY, er 98063-9 I 2oo4A P P LI CATI O N B / 253-661-1115•FAX 253-661-1]29 www.dt soffederdwa oom CITY OF FEDERAL WAY The ollowin. is a.l, a iii4 L lC y;, on—an in . .lete a.•lication will not be acce•ted. Please •rint le•ibl (in ink)or . PROPERTY INFORMATION SITE ADDRESS G g evo ,a3Q i1 6 S'Q F6-70 tuy Ge4 ?8(iO3 SUITE/UNIT# ASSESSOR'S TAX/PARCEL# 4! 02 02 .2 S d - © ` 01 Q LOT SIZE(sf) 7060e £'q LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 1' L/ /2cL O SCJC (lath separate page for lengthy legal desorption) PROJECT INFORMATION TYPE OF PERMIT ❑ BUILDING iPLUMBING ❑ MECHANICAL o DEMOLITIONELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJEC DESCRIPTION(Provide detailed description of work included on this permit onlu) ( -O e (.(-L.l:t* PROJECT NAME(Name of Business or Owner Last N.me) PEOPLE INFORMATION PROPERTY NAM C14 / PRIMARY PHONEHj OWNER (C1t�q-/ () L 114 A C��' (Rs 3)f-W-.?%7 MAILING ADDRESS CITY,STATE,ZIP 2-g b140 02312C5 /1 v6 Co FP>Calf( w1/7 w 79 F.9417 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE '')\ 51111/111-r ')\ 9 mi r ,i4vc ( ) - MAILING ADDRESS / CITY,STATE,ZIP CELL PHONE ) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER _ B L / / ( ' CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE / / APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY,STATE,ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect ❑ Tenant 0 Agent ❑ Other(Describe) ( ) _ CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS P LENDER Per RCW 19.27.095: Lender information is NAME required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP DETAILED BUILDING INFORMATION EXISTING USE PR* •e IP SE E . TING A ESSED/APPRAISED V UE ALUE OF PRO••SED WORK $ SPRINKLERED : I DING? YES ❑ NO FIR UPP• - SION SYSTEM PROPO' D/REQUIRED 0 YES ❑ NO WATER SERVICE P'OVID o LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 P• , •TE(WEL SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC) PROJECT FLOOR AREAS ' AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST SEC* THIRD _. il FOURTH ADDITIONAL FLOORS(► DECK(COVERED?) GARAGE/CARPORT HOW MANY FLOORS? TOTAL PROPOSED TOTAL EXISTD(G AND PROPOSED **NEW HOMES ONLY" NUMBER OF BEDROOMS�— ESTIM• ' D SELLING PRICE $ FIXTURES Indicate number of each type of fixture to be installed or7a :. as part of this project. Do not include existing fixtures to remain. MECFIAIVICAL Value of Mechanical Work $ AIR HANDLING UNITS APORATIVE COOLERS GA -SGS REFRIG.SYSTEMS BBQS FANS HOODS( ......anal) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEA • DUCTS GAS PIPE OUTLETS PLUMBING BATHTU (arTub/Shower Combo) SHOWERS WATER CLOSETS(roue) MISC(Descn. ) DIS ASHERS SINKS DRINKING FOUNTAINS AS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom Sinks) V•CUUM 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 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 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 officer and employees,upon the accuracy of the information supplied to the city as a part of this application. / ! NAME/TITLE / • DATE / �, (Signature`)/ (Title) RELATIONSHIP TO PROJECT ,l�Owner 0 Agent ❑ Contractor o Architect 0 Other FOR OFFICE USE ONLY o NEW o ADDITION o ALTERATION a REPAIR a TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? ❑YES ❑NO ZONING DESIGNATION CHANGE OF USE? o YES ❑NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO PLATTED LOT? ❑YES a NO DEMO PERMIT REQUIRED? o YES o NO Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Pemut Application 1. 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-$87.00,Each add'n 500 ft2-$28 00) ❑ 0 to 100 amp $ 94.50 $ 58.00 ❑ Detached outbuilding or garage ❑ 101 -200 amp 117.50 74.00 (Inspected with service) $36.50 ❑ 201 -400 amp 220.50 87.00 ❑ Detached outbuilding or garage ❑ 401 -600 amp 256.50 103.00 (Inspected separately) $58 00 ❑ 601-800 amp 332.00 140.50 NEW MULTI-FAMILY(three units or more) CI 801 - 1000 amp 405.50 169.50 Service Feeder ❑ Over 1000 amp 442.00 236.00 ❑ Up to 200 amp $ 94.50 $ 28.00 ❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00 ❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00 ❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ Over 800 amp 294.50 220.50 Service or Feeders ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50 ❑ 201 -600 amp 220.50 Service or Feeder ❑ 601 - 1000 amp 332.00 ❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50 ❑ 201 -600 amp 117.50 ❑ over 600 amp 177.00 ❑ #of circuits to be added/altered (1-5 circuits-$74.00,Add'n circuits,$6.00/ea) #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits-$58.00;Add'n circuits$6.00/ea) $74.00 plus 35%of Permit Fee ❑ Mast or meter repair $43.50 ❑ Service over 200 amps Li Medical/Educational/Institutional Facility SINGLE/MULTI FAMILY PLAN REVIEW ❑ Service Over 400 amps $74.00 plus 35%of Permit Fee MOBILE HOMES ❑ Service or feeder only $58.00 TEMPORARY SERVICE ❑ Service and feeder $94.50 Commercial Residential MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00 ❑ #of service or feeders ❑ 101 -200 74.00 51.00 (First service/feeder-$58 00;each add'n-$37.50) ❑ 201 -400 87.00 n/a ❑ 401 -600 117.50 n/a ❑ over 600 127.00 n/a MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Thermostats ❑ #of Signs (First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea) U Low Voltage ❑ Swimming pool/hot tub $87.00 Square Feet to be served by system(s) (Includes additional circuit,if required) ❑ Fire Alarm System U Yard Pole meter loops $58.00 ❑ Security Alarm System ❑ Additional Plan Review $87.00/hour ❑ Voice Cabling (for modified submittals) O Data Cabling (Per System(s) 1.i 2500 ft2-$51.00, Each add'n 2500 ft2-13.50) 'Per WAC 296-46-910(5)(14(1&u) Bulletin#100-March 30,2004 Page 3 of 4 k\I landouts-Revised\Permit Application