05-105641 City of Federal Way Electrical Permit #: 05 - 105641 - 00 - EL
Community Development Services
P.O.Box 9718 1r
Federal Way,WA 98063-9718 k
$ Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
I Project Name: BURGET
Project Address: 32532 23RD SW Parcel Number: 638670 0150
Project Description: Install(2)circuits and(1)thermostat
Owner Applicant Contractor
Zdenek Burget WILDCAT ELECTRICAL SERVICES,INC WILDCAT ELECTRICAL SERVICES,INC
32532 23RD AVE SW PO BOX 88577 PO BOX 88577
FEDERAL WAY WA STEILACOOM WA 98388 STEILACOOM WA 98388
98023-2505 (253)589-8534
Electrical Fixtures
Description Quantity Description Quantity Description [Quantity
Circuits-Residential 1 2 Thermostat I
PERMIT EXPIRES May 1,2006.
Permit issued on November 2,2005
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.
Owner or agent: i Date: ,.,2-4s-
\O
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THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105641-00-EL
Owner: ZDENEK BURGET
Address: 32532 23RD AVE SW .
FEDERAL WAY, WA 98023-2505
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
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ED Final-Electrical(4055)
Approved Approved Approved
.# i
By Date By Date B 'N,1. Date i 11'�� s
❑ Under-slab groundwork(4295)
Approved
By Date
4 . S I OsCPc4 ( —CV`'s *'_ ,
Federal way REGEIVED PERMIT -1 A
COMMUNITY BEVSLOPMENTSERVICES SF MF COM0,, DE EN FP
33325 8111 AVENUE SOUTH•PO BOX 9718
S- 2607•P 253 972609 Novo 1 2APPLICATION /
0 DE' •L WAY I
. The oilowi • is - . ; .,;.4,,,,,,;.,,, ,a an Inco •lete • ••lication will not be acce.ted Please •rtnt le•ibl in in or
• / ■ PROPERTY INFORMATION
SITE ADDRESS 3 253 eV 23 a 4 V u'14) SUITE/UNIT it
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Asad,aq.rat.Pagofe,aengegiiid o4
_
alPROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITIONy). LECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
riM.1/ .2/ovDv cire...f Ter }7eG,4 PiPAnp;..
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j th 5f-hit( '1-1Ae 6,141)5.41f-
PROJECT NAME(Name of Business or Owner Last Name) By('i l" .
U PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER Darn? gvryt (253) $3 - .»S r
MAILING ADDRES CITY,STATE,ZIP
3Z32 23 Xive S1,J re,ae 'i-1 toy v,'4 '$0 z 3 _
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
IAA'Ide,.,t E1��.-4,,,,1 Suv.i1c m)C Bi,44... A i1A. (z53 )sgi - fs.3
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
P 0. gox gg;7 �'I>-1:6 I.✓A IS3ki (, 3) 6 7 7 -54 2
CITY OF FEDERAL WAY B SINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
-B L / / (253 ) 913 -'1 ?
CONTRACTORS REGISTRATION NUMBER)copy of card required with each application) EXPIRATION DATE
).J1 i- g D GE gq y , , Oil o3 /v )
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
(
RELATIONSHIP TO PROJECT FAX NUMB ER
Cl Architect 0 Tenant ❑Agent 0 Other(Describe) ( )
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDERNAME
•.I, *1- • 'J"or-.1 :;�;'r:ra: 17(Yr i1 r:::f7aj, a,
,..•1.s1, yr.1.,r(,.(: "Pt,'-',!.'-i-'4 .41,ib;l.
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES 0 NO
•
WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC)
PROJECT FLOOR 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
NUMBER OF FLOORS 'TWO raorosso rorty *f
"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(c.mm,,a.s WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
• COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(.tntb/shotecombo) SHOWERS WATER CLOSETS crones MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS _ SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(B•thmomSintcs) VACUUM 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 officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. /� p
NAME/TITLE l//CL /�S(li DATE '»
(Signature) (ride)
RELATIONSHIP TO PROJECT a Owner a Agent . aontractor ❑Architect 0 Other
• w: 7: rJ k•;.';t is off.
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Bulletin#100—January 7,2005 Page 2 of 4 k\I-Iandouts\Permit Application
it
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL IL 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
O 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 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY 0 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder
❑ over 1000 amp 443.50
❑ Oto200amp $87.00
❑ 201 -600 amp 141.00 ❑ #of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
1°r #!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
1 MOBILE HOME/RV PARK Residential/Multi-Family $61.00
1 ❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps _ $69.50
❑ 101-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps - 141.00
o over 600 amps 152.50
•
MISCELLANEOUS SERVICE/EQUIPMENT
I #of Thermostats ❑ H 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)
I0 Data Cabling ❑ Automation Fee on all Permits .. $5.00
(Per System(s) 1.2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 296-6910(5)(6)P&8)
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application