05-105561 City of Federal Way Electrical Permit #: 05 - 105561 - 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: CITY OF FEDERAL WAY
Project Address: 34915 4TH S Parcel Number: 202104 9015
Project Description: Replace damaged meter and panel with new service
Owner Applicant Contractor
CITY OF FEDERAL WAY*CITY OF FEDER/ CITY OF FEDERAL WAY*CITY OF FEDER/ AMAYA ELECTRIC
PO BOX 9718 PO BOX 9718 PO BOX 98686
FEDERAL WAY WA 98063-9718 FEDERAL WAY WA 98063-9718 LAKEWOOD WA 98498-0686
(253)582-8566
Electrical Fixtures
Description Quantity Description Quantity Description Quantityl
Alt.Serv./Feeder:0 to 200 amps-Res. 1 Mast or Meter Repair-Residential/M 1
PERMIT EXPIRES April 25,2006.
Permit issued on October 27,2005
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 Way. Vo2
Owner or agent: Date: 7 /05
J
-iri
ir
THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105561-00-EL
Owner: CITY OF FEDERAL WAY
Address: 34915 4TH AVE S
FEDERAL WAY, WA 98003-7011
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
El Temporary Power(4275) ca Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Nt4N Date ',���� By Date
❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
IA Final-Electrical(4055)
Approved Approved Approved
By Date By Date 133A ..) Date \\\2-0\ipcd
0 Under-slab groundwork(4295)
Approved
By Date
4
O(l -fv, (1.%0.A.. -{c;
1
A. G F-rvt.�
Federala.ro• WaPIECEIVED 3 - J Q S (/
,
P T SF MF CO M16.11,4L DE EN FP
OOMMUATTY DEVELOPMEAT SERVICES
33325 dT11 AVENUE SOU1II•NO BOX 971$
5333 60A•,X2530359 T 2 7 2005APPLI CATI O N T°
www.dtyoffederativau.com
The ollowi • _'f1 :rAL !AY-an Inc•jy,,lete . ••licatlon will not be acre•ted. Please •rint le• •1 n i or
i 4 PROPERTY INFORMATION
SITE ADDRESS %.1 1 5 "T+h Atte SJ SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
aad.wparatspage fcr Lengthy legal description)
1.! PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJT DESCRIPTION(Providetailed d wiption of work included on this permit only)
K to.&1 dali G,5Qt vt'i r ac.o( a% .( . (A/1441 `Y u/ S ervi e
d
PROJECT NAME(Name of Business or Owner Last N. -)
►1 PEOPLE INFORMATION
PROPERTY NAM
OWNER C-I Oa L ej(Qra ( �aPRIMARY PHONE
NO AD f CITY,STATE,ZIP (25 3) �� - �O� -
P.o. X 6/70 •'clef.( Way , k/4 (F(O63-R-7l S'
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
AVIA CI el-ecAvt'cr,1 Day(d. Let'j-er (zs3 ) 5a . - s5e6
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
(, ) r•
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
B L / / ( )
CONTRACTOR'S REGISTRATION NUMBER(copy of card regained with each applications EXPIRATION DATE
APPLICANT COMPANY NAM APPLICANT NAVE OFFICE PHONE
CI-1y o�Frt � vti i 'f av s c. Le-t•a(e)- (�53 ) 26/ - 3q9-1
M4IILIN A O S CITY,STATE,ZIP — CELL PHONE -
Vv 1111' x 7 cederc,A lnf aY./, W�ggo�3 ( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect a Tenant 0 Agent XOther(Describe) (-25-3 ) F35- -6q GA
E-MAIL ADDRESS
CONTACT NAME PRIMARY PHONE ��^71
( ) -
LENDER ;,_- ; : , r: NAME
MAILING ADDRESS CITY,STATE,ZIP
• . ■ DETAILED BUILDING INFORMATION
EXISTING USE PRO•• ' • SE
EXISTING ASSES PRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? O YES ■ ":' •-• - , SION SYSTEM PROPOSED/REQUIRED? O YES 0 NO
WATER SERVICE PROVID : • AICEHAVEN 0 HIGHLINE Cl •MA O PRIVATE(WELL)
SEWERSERVIe - • •1•VIDER a LAKEHAVEN Cl HIGHLINE a PRIVAT' EPTIC)
•
PROJECT F OOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH •
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
LASTING PROPOSED TOTAL ��
NUMBER OF FLOORS
"NEW HOMES ONLY•• NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS • FIREPLACE INSERTS RANGES MISC(Describe)
- COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(folks MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(sarhmum show VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMIER/SIGNATURE BLOCK
I certify under penalty of perjury that the info ation 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,i eluding the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,including i officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE p(9,2 ". DATE /0/2-7A 5
(Signature) (Title!
RELATIONSHIP TO PROJECT ❑ Owner `Agent ❑ Contractor 0 Architect ❑ Other
c,c ,
;(D1','C - - ;,_t)t)00(e)1i 'W i'i1 ;YU tS��.��� - '- i4P) W. ''t1 1M�y�1=i'J i Ai:) c}'r'.>',�tDl�t;t` -_..
`WI,lt fe-; ce i,e etocp.. f€i t :ca,,`+TP
T - [",�):�5'�(t) 496"1'4iy� ,�� � ;ray
-.
N,.'•7 'S;? >TSNt:d :cfcli�rS_i: i ;f.o
a
Bulletin#100—January 7,2005 Page 2 of 4 lalandouts\Permit Application
ELECTRICAL P. : ' IT INFORMATION
RESIDENTIAL COMMERCIAL
ra
NEW RES ' NTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ • gle .: „'y Square Feet Service or Feeder Each Add'n
(Fir •00 ft2-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50
❑ De : . outbuilding or garage ❑ 101-200 amp 141.00 89.00
, (Insp. ted with service) $44.00 ❑ 201-400 amp 264.50 104.00
• Detached o•tbuilding or garage ❑ 401-600 amp 308.00 123.50
(Inspecte• •arately) $69.50 ❑ 601-800 amp 398.50 . 168.50
❑ 801- 1000 amp 486.50 203.50
/
NEW ❑ Over 1000 amp(three units or more) p 530.50 283.00
Service Feeder -
ik p to 00 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
❑ 21 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
' ❑ . .1 - •00 amp 193.00 96.00
amp 247.00 132.00
601 -8�'� ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 : • 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
0 to 200 amp $87.00
❑ 201 -600 amp 141.00 ❑ N of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
❑ N 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
•OBILE OMES
❑ Se• 'ce • feeder only $69.50
❑ Servi. nd feeder $113.50
TEMPORARY SERVICE
1 MO O: I E •OME/RV PARK Residential/Muitt-Family $61.00
1 ❑ #of - • 'ce or feeders
(First service ,.er-$69.50;each add'n-$45.00) Con nierciaVIndustrial Service or Feeder Ampacity
❑ 0-100 amps _ $69.50
❑ 101-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps - 141.00
❑ over 600 amps 152.50
•
MISCELLANEOUS SERVICE/EQUIPMENT
❑ 4 of Thermostats ❑ N 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
0
(Per System(s) P'2500 it2-$61.00;
Each add'n 2500 ft2-16.00) *Per WAC 296-46-910(W&s)
Bulletin#100-January 7,2005 Page 3 of 4 L Handouts\Permit Application
}