05-105673 City of Federal Way Electrical Permit #: 05 - 105673 - 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: NEELY kj f.
Project Address: 29811 6THtS Parcel Number: 515190 0210
Project Description: Altering(4)circuits. Installation of recessed lighting in the kitchen,dining room and living room,install
paddle fan in entry,replace/install recepticles with GFCI in kitchen and(3)bathroom. Modify wiring at
fan switch box.
Owner Applicant Contractor
Malcolm D Neely AZTEC ELECTRICAL SERVICES LLC AZTEC ELECTRICAL SERVICES LLC
29811 6TH AVE S 25314 45TH AVE S 25314 45TH AVE S
FEDERAL WAY WA KENT WA 98032 KENT WA 98032
98003-3624 (206)718-3100
Electrical Fixtures
Description Quantity Description Quantity [ Description Quantity
Circuits-Residential 4
CONDITIONS:
This parcel is located within a Wellhead Protection Area(Capture Zone 10)and must comply with FWCC,Chapter 22,
Article XIV"Critical Areas" and fill out a Hazardous Materials Inventory Statement,if applicable.
PERMIT EXPIRES May 2,2006.
Permit issued on November 3,2005
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 Fe al Way
Owner or agent Date: //3/13
PIN
440)
A *6
6
// 1
THIS CARD IS TO REMAIN ON-SITE
.moi 4 M.
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105673-00-EL i
Owner: MALCOLM D NEELY
Address: 29811 6TH AVE S
FEDERAL WAY, WA 98003-3624
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.
❑ 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
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) 0 Final-Electrical(4055)
Approved Approved Approved
By Date By Date B Date `! - //.1
v
❑ Under-slab groundwork(4295)
Approved
By Date
i
I
�„..!A . ._._, . RECEIVED 5 _ g
Federal Way PERMIT -` — 2._.
Oa!/llvwlrnBvetoPl(BNrssRvlCBs NOV 0 3 2005 SF MF CO M.,( L 'L DE EN FP
• 333251TM AVSNUS S •PO 971 9718 A p p LI CATS
FEDERAL WAY,WA WA 98063-97Id D ►
253435-2607•FAX 253.835-2609 EDERAL
www'QIuoJedemlWay. BUILDING DEPT AY
y The ollowi • is • ired in ormatlon-an Inco •tete • ••lication will not be acce•ted. Please •rint le,ib1 in in or
• PROPERTY INFORMATION
SITE ADDRESS 2-q"3"/ / / ✓
Qv E SUITE/UNIT#
ASSESSOR'S TAX/PARCEL it - _ _ _ LOT SIZEs.
(.0
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach'separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0PLUMBING 0 MECHANICAL
0 DEMOLITION AY ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work✓✓✓included on this permit only)
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PROJECT NAME(Name of Business or Owner Last Name) 'Ti eL.- -
R PEOPLE INFORMATION
PROPERTY �� � PRIMARY PHONE
OWNERNAmAY P5-3) QtEI - .7S-2-7
MAILING ADDRESS CITY,STATE,ZIP
VOIEW g//a51 S p
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
/42--76.C el-LE-C-772-10f C 4 0f /11 L 1MJ, 111-4/r2C1zfd/4 ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
2-53/q 1(S,4y e S /i 4/4 7 3 a (,3,6) 7f g- 3/U)
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
, °--C).12%.--1 03E02_7_-_-B L i� I3 t 1 65 ( ) -
CONTRACTOR'S REGISTRATION NUMBER low aloud retdert wlti aka appleatios4 EXPIRATION DATE
ht--ErceesaA LD T 3 / 3, ie
APPLICANTCOMPANY NAME -
Qt//�� APPLICANT NAME OFFICE PHONE
HANG ADDRESS CITY,STATE,ZIP - CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect o Tenant ❑Agent o Other(Describe) ( ) -
CONTACT NAp{g� PRIMARY PHONE
n ��f�� VO/ ) --7/P
P- 3! E-MAIL ADDRESS
NAME
LENDER _,,,.,4,::,- ,t+hr;;,,t7--,::(,,4
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fr,
see, (tionheAcrizoiv.
MAILING ADDRESS CI1 r,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE 7� �)
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ S( 2 2 7 V- ""
SPRINKLERED BUILDING? O YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES ❑ NO
WATER SERVICE PROVIDER O LAKEBAVEN a ffiGHLINE ❑TACOMA 0 PRIVATE(WELL) t
SEWER SERVICE PROVIDER a LAKEHAVEN O HIGHLINE Cl PRIVATE(SEPTIC)
e
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED •TAL
SQ.FT. SQ.FT. ='.FT.
BASE NT
FIRST •
SECOND
THIRD
FOURTH •
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED
"NEW HOMES ONLY"" NUMBER OF BEDROOMS
AllikNI:1ATED SELLING PRICE
FIXTURES
Indicate number of each type of fixture to •- tailed or relocated as part of 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(coomerae WOODSTOVES
BOILERS • FIREPLACE INSERTS RANGES - MISC(Describe)
• COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BAT (ormb/shower combo) SHOWERS WATER CLOSETS(mien MISC(D .ribe)
1 HWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(6erhr.omsap VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
- i
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 authorised 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 re . , the city,including its officers and employees,upon the accuracy of the information supplied . the city as a part of
this applicatio
NAME/TITL'ate, . DAT/I"0 o 5
(signature) (Title(
RELATIONSHIP TO PROJECT o Owner o Agent Contractor o Architect ❑ Other
Fel:'C .`§C)t.)1,}(5);( '.It'OD1vi,tio(p(;3 x^iDWAI;4' t' kF.U0.1 I I):4"FJ3I10
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
AP- -
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL 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 0 101-200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage 0 401-600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 601-800 amp 398.54 . 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 0 Mast or meter repair $96.00
O 401 -600 amp 193.00 96.00
❑ 601 -800 amp 247.00 132.00
ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 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 ❑ #of circuits to be added/altered
101�• i amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
/,Q COMMERCIAL/INDUSTRIAL PLAN REVIEW
74 .f circuits to be added/altered
(1-4 ' uits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee
/ ❑ Service- 1,000 amps or greater
'Kt or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
O Service and feeder $113.50
TEMPORARY SERVICE
1 MOBILE HOME/RV PARK Residential/Multi-Family $61.00
0 #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Contmercia.(/Industriai Service or Feeder Ampacity
O 0-100 amps _ $69.50
O I01-200 amps 89.00
O 201-400 amps 104.50
❑ 401-600 amps - 141.00
0 over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
O 4 of Thermostats ❑ I 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 0 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) 14 2500 ha-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 296-46.9I0(50AI&a-)
`f
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application I,