05-105649 f I
City of Federal Way Electrical Permit #: 05 - 105649 - 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: BAROVIC
Project Address: 35935 PACIFIC S Parcel Number: 292104 9020
Project Description: Installation of new mast and meter due to garbage truck damage.
Owner Applicant Contractor
Donald Barovic Donald Barovic Donald Barovic
35929 PACIFIC HWY S 35929 PACIFIC HWY S 35929 PACIFIC HWY S
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98003-7420 98003-7420
Electrical Fixtures
Description Quantity Description Quantity L Description Quantity
Mast or Meter Repair-Residential/M+ 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 Wa
Owner or agent: . Date: i/Vo r—
ENA•
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i . THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 _
PERMIT#: 05-105649-00-EL
Owner: DONALD BAROVIC
Address: 35935 PACIFIC HWY S
FEDERAL WAY, WA 98003-7420
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) ,❑ Feeders/Sub-panels(4045) `
Approved Approved Approved
By Date By Date By Date
7
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) .11 inal-Electrical(4055)
Approved Approved Approved
` By Date By Date 2 Date //�1-�5
❑ Under-slab groundwork(4295)
Approved
By Date
r
�GOW)-.a� Doul - -
FederalWay 2p05 05 - 1 Q5 �7l
QDAONNIYDEFELOrmarrseRFICBS NOv `� P E I�M I SF Mk' COM •L DE EN FP
333258"AVENUE SOWN•NO BOX 9718
FEDERAL WAY,WA 98063471i O °)71. ? ' LICA ;n.T: fi . . AY
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2531352607•FAX 253835.2609
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f0edti.ILL — CjBu ,Q
The olfowi , is • fred in ormation-an Inco •Tete • ••lication will not be acce•ted. Please •tint ie•ibl 'n i or p .
INPROPERTY INFORMATION
.SITE ADDRESS 359 3S" ?c-c-$}.L 14 a SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ LOT SIZE(s4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach*Womb Pail*for lonet1W legal dwvfptioN
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION)(ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT _
DESCRIpTION,(Provide detailed description of work included on this permit onlid
1 :1:, .�. (Zap A vJ" c� -#/fir. .1 .. c�rS3t+C- LAD.
PROJECT NAME(Name of Business or Owner Last Name) ��C O\/ V (..... -
a PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER �OVIC.A A - C.r--4:5•./ t ` 3)9 a1.--4- .3
MAILING ADDRESS CITY,STATE,ZIP
..,-,� 35.9 aci 9c.c.:4;, S S . eeN.e - \ 1 .1 °i 2f003
CONTRACTOR COM A�N1Y�NAMB APPLICANT NAME OFFICE PHONE
rzarte)
O
3 D CITY,STATE,ZIP CELL PHONE
• (, )
art OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE - FAX NUMBER
-B. L / / ( ) _
CONTRACTORS REGISTRATION NUMBER(espy et ward required with welt tappileuttea) EXPIRATION DATE
/ /
APPLICANT COM�AME
J\` APPLICANT NAME OFFICE PHONE) -
MAILING ADD�� CITY,STATE,ZIP - CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMB ER
0 Architect 0 Tenant ❑Agent a Other(Describe) ( ) _
CONTACT NA . PRIMARY PHONEE-MAIL ADDRESS
e 4��Z anz _ ( ) _ .
LENDER N. N.. . .,-- rr:;-- ,,0,.,-4- r,;rr,vt{,;:'_ NAME �1
it
MAILING ADDRESS CITY,STATE,ZIP
• • DETAILED BUILDING INFORMATION .
EXISTIN t - PROPOSED USE
EXISTING ASSESSED/APPRAISED • i.•:•- VAL SED WORK $
SPRINKLERED BUILDING? p YES a NO •• : 1 • • .� ON SYSTEM PROPOSED/REQUIRED? a YES 0 NO
WATER SERVICE PROVID • . CO• VEN a RIGBLINE p TACO, r - s• ATE(WELL)
SEWER •VIDER a LAKEHAVEN 0 HIGHLINE CI PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
B MENT
FIRST ••
SECOND
THIRD
FOURTH ' .
ADDITIONAL FLOORS(DESCRI: ,
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS
won= TOTAL +,r'' :�_° a-�.c _ •« :' `
�
'*NEW HOMES ONLY" NUMBER OF BEDROOMS MATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be instal=• or relocated as .• of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS • ' REFRIO.SYSTEMS
BBQS FANS HOODS( . . WOODSTOVES
BOILERS • . FIREPLACE INSERTS RANGES MISC(Describe)
- • COMPRESSORS FURNACES GAS WATER HEA
DUCTS GAS PIPE OUTLETS
PLUMBING
BA v•r:3(.rhb/shower Combo) SHOWERS WATER CLOSETS(nB.s • 'C(Describe)
D = WASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom/Ink') VACUUM BREAKERS ELECTRIC WATER HEATERS
• DISCLAIMER/SIGNATURE BLOCK
I cert(fy 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 reliance oft ty,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application
NAME/TITLE )C i1 DATE I, - -b S
(Signature) (Title)
RELATIONSHIP TO PROJECT cjiwner a Agent a Contractor a Architect a Other
Mle)_I•r,(00 ,1l'tf ;a'ti r`Ci! i : ia-✓� .�l;% ••t)*a,\J ri*
c;eil�,d.a le :#Ct- t•c E Ef.'E'.> ;a"r:
4tv, y:+-!(e Y • �(.
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0-?,,:0(r)4.t?.C6) ( ,rl v� te3���a.,j 1�: :fi t (e.
10•0 611 AX$ 7
. 't`�_ �� l� - .<�� �(Pi - - �'i)�S(�•??�� j t f :d:r.rsrai;�01_c:•. L,,,;;i:r: Crn
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
ELECTRICAL PERMITIN'FORMATION
RESIDENTIAL COMMERCIAL
A NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 fie-$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
❑ 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
❑ 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 0 to 200 amp $87.00.
❑ 201 -600 amp 141.00 ❑ #of circuits to be added/altered
0 over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/es)
' ❑ #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
I ❑ Service- 1,000 amps or greater
Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
4.
MOBILE HOMES
❑ Service or feeder only $69.50
❑'Service and feeder $113.50 .
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Mufti-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) CommerciaVlndusMal Service or Feeder Ampacity
❑ 0-100 amps _ $69.50
❑ I01-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps - 141.00
❑ over 600 amps 152.50
•
MISCELLANEOUS SERVICE/EQUIPMENT
❑ /of Thermostats ❑ I of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
O 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 ip (for modified submittals)
❑ Data Cabling ` 'lutomation Fee on all Permits .. $5.00
0 'i
(Per Systems) 1.12500 ft2-$61.00; o
Each add'n 2500 ft2-16.00)•Per WAC 296-46-910(5040&t1)
i
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application