05-105233 4
City of Federal Way Electrical Permit #: 05 - 105233 - 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
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Project Name: MILLER
Project Address: 1277 SW 300TH Parcel Number: 515320 0245
Project Description: Upgrade to 200amp service and rewire home
Owner Applicant Contractor
Gary P Miller &Dayna M Miller PRIDE ELECTRIC INC PRIDE ELECTRIC INC
1277 SW 300TH PL 3984 150TH AVE NE 3984 150TH AVE NE
FEDERAL WAY WA REDMOND WA 98052 REDMOND WA 98052
98023-3412 (425)454-3665
Electrical Fixtures
Description Quantity}i_ Description Quantity Description Quantity
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES April 9,2006.
Permit issued on October 11,2005
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 and
the City of Federal Wa
Owner or agent: e Date: /6 -//-05
1
\,,
(1.)
THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105233-00-EL
Owner: GARY P MILLER '
Address: 1277 SW 300TH PL
FEDERAL WAY, WA 98023-3412
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.
O 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 117�5 Date /D ?/-", By Date
❑ Rough Electrical(4225) 0 l Ceiling Cover(4020) F3 Final-Electrical(4055)
Approved Approved Approved
-- / Date •—/8-, ----- By Date By ‘ , Date ,
❑ Under-slab groundwork(4295)
Approved
By Date
< ECEIVED CONSTRUCTION PERMIT APPLICATION
S R
uV EKY APPLICATION NUMBER: - CZ. " -e2Z.7 _
OC-T 3. 1 2.005 - APPLICATION NUMBER: - -
T �EDERALWM APPLICATION NUMBER: - ' -- - - : -
! **Th0dl 91 direct information-Please print(in ink)or type** ,
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
, 1_ ' _ - . _ -- ■ PROPERTY INFORMATION :- ‘•-•. . • - .
AA
SITE ADDRESS: 7 7 St) ` ?N P� ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
:'_ :.'"-. - :.:..;:".------='::;''-k,-"..:..--;'::`-';::: - ;- ■-PROTECT INFORMATION - .. - - • - - -
TYPE OF PROJECT(This application): ❑ BUILDING El PLUMBING ❑ MECHANICAL ❑ DEMOLITION
WELECTRICAL El ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): .1 AI /CLL ,00 teipke c4A/DF y&(e /,D
c i22L'(CE — fa E LJ!fa EL t-10 Mfa: PIP eak 3 _sa F-7
PROJECT NAME: K<k.se(
- . _ - -- . , _ . , . ■ PEOPLE INFORMATION , - " _ _ . .-
PROPERTY OWNER: NAME: A, DAYTIME PHONE
MAIUNGADDRESS(STREET ADD ;QTY,STATE, Z ( ) -
/o9 7'7 SGV TKe4- /-0.4 .,,,44(. L.>47
CONTRACTOR: NAME: DAYTIME PHONE:
�g 10� a-FeTict c t N (y, ') Lai/ -,314
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
39 23 q /4'0,_y sof i✓,/ /P90310,40 ( )
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
L q_ — q 3 103 79 - oo-8c ( )
CONTRACTORS REGLSTRATION NUMBER: L �h EXPIRATION DATE:
(copy of card required) P " U L a Z C2 7 .) le / /
APPLICANT: NAME: DAYTIME PHONE:
PP(n/i /=i c 1 is C (4--) "' =�G�
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVE NG PHONE
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
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❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): f act__ COi/j• ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT El CONTRACTOR
- -- _ - - • - •> .DETAILED BUILDING INFORMATION ' = -_ :_ "_ .
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY** .
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
' - ■ PROTECT FLOOR AREAS •
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
- . _ . -:■ I FIXTURES - • -- .
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
. ' - - ■ DISCLAIMER/SIGNATURE BLOCK "_ - - -_ :- - -- - - _
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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 daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises . t of . e reliance of the city,induding its officers and employees,upon the accuracy
of the information sup� ';.• to the city as a p.1I.f ., s application.
NAME/TITLE: �i/�/. -��a/�t,'/v /Y(. DATE: /D�Jlvj
' _
❑ PROPERTY OWNER ❑ APPLICANT 7.: ONTRACTOR '
`FOR OFFICE USE ONLY::
trNEW =<::'❑ADDITION - _0"ALTERATION = ❑REPAIR- ' ':❑:TENANT-IMPROVEMENT
CENSUS:CODE: :------:"=:" -- ` • - • 'LOTSIZE:.-. --'`<<:; . .
ZONINGJ)ESIGNATION;. _ - "__ ,-. _ BUILDING SHELL,ONLY?-;,.❑ YES - ❑ NO - ,
:COMP PIAN_DESIGNATION BASIC PLAN?--':-''❑YES- ❑NO'= - -s..---_--
.
rSECTION'n =:—_TOWNSHIP - _ RANGE - NEW-ADDRESS REQUIRED? ❑ YES -0-.:No
;PLAITED`LOT?_" -❑YES. ❑ NO = CHANGE OF-USE?- - - -❑YES - ❑ NO -
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
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. - - • ELECTRICAL -
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w �6LE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $48.00 _#of Thermostats(First-$36.00;add'n-S 11.00ca) 11
(First 1300 ft2-$72.00;Each add'n 500 ft2-$23.00) -Service and feeder $78.00 #of Low voltage fire or burglar alarms
Square Feet: APICprr 3 First 2500 ft2-542.00;Each add'n 2500 ft2-$11.00
_Eachoutbuilding orgarage $30.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders *Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $48.00 (First service/feeder-548.00;Add'n service/ #of Signs(First sign-$36.00;add'n sign
(Inspected separately) _ feeder-$31 each) $17.00 each)
_Swimming pool,hot tub,spa 72.00
Yard Pole meter loops 48.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Service or Add'n _0 to 200 $ 78.00
_Up to 200 amp $ 78.00 $ 23.00 Feeder _201-600 182.00
_201-400 amp 97.00 48.00 _0 to 100 $ 78.00 $ 48.00 _601-1000 274.00
_401-600 amp 133.00 66.00 _101-200 97.00 61.00 _over 1000 305.00
_601-800 amp 170.00 91.00 _201-400 182.00 72.00 _#of circuits
Over 800 amp 243.00 182.00 _401-600 212.00 85.00 (1-5 circuits-$61.00;Add'n circuits,$5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 274.00 116.00
(When inspected separately from the services_) _801-1000 335.00 140.00 TEMPORARY SERVICE
Service or Feeder _Over 1000 365.00 195.00 Residential/Multi-Family/Commercial/Industiral
X0 to 200 amp $66.00 _Over 600 volts surcharge 61.00 _0-100 48.00
_201-600 amp 97.00 _Mast or meter repair 66.00 _101-200 61.00
_over 600 amp 146.00 _201-400 72.00
_Mast or meter repair 36.00 _401-600... 97.00
#of circuits _over 600 105.00
(1-4 circuits-$48.00;Add'n circuits$5 ea)
If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+$61.00.Add'l plan review for other submissions is$72.00/hr.
101FIXTUREDESCRIPTION'(A)' i tFIXTURE EE;FROM TABLE-B(B)+ �"NUMBER`OF:UNITS:(C)011* .4.44-itt` TOTAL1(0)4/6*-4: "
i
= '. ';i;TOTAL`COLUMN(13)f'-
_
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee frau kne 12
Estimated Plan Review Fee: $56.25+ X.35=(13)
• - -- ■ DEMOLITION i
Estimated Permit Fee: (14)
Bond Amount:(15)
i
-- - • ENGINEERING - _ - - - -- . - t
Estimated Permit Fee:(16)
Bond Amount: (17) •
- _ - - - -. - . - - . ■ OTHER FEES - -
Mitigation Fee:(18) (20) (22)
5BCC Surcharge:(19) (21) (23)
Total(Pages One&Two): line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24)
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Bulletin#100-August 20,2001 i