05-103052 City of Federal Way Electrical Permit #: 05 - 103052 - 00 - EL
Community Development Services
P.D.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253)835-3050
Project Name: KELLEM G;(
Project Address: 32622 46TH SW Parcel Number: 873218 0160
Project Description: (1)NEW T-STAT FOR NEW AIRCONDITIONER
Owner Applicant Contractor
Curtis A Kellem &Sarah K Kellem GATEWAY HEATING&AIR CONDITIO GATEWAY HEATING&AIR CONDITIO
32622 46TH CT SW 3802 AUBURN WAY N 3802 AUBURN WAY N
FEDERAL WAY WA AUBURN WA 98002 AUBURN WA 98002
98023-1903 (253)931-0610
Electrical Fixtures
Description Quantity Description Quantity L Description Quantity
Thermostat 1
PERMIT EXPIRES December 21,2005.
Permit issued on June 24,2005
I hereby certify that the above information is correct andthat the construction an the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulationsluf the State of Washington and
the City of Federal Way. ,,„
2 /6�
Owner or agent: �� Date: /
THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103052-00-EL
Owner: CURTIS A KELLEM
Address: 32622 46TH CT SW
FEDERAL WAY, WA 98023-1903
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) ❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) Final-Electrical(4055)
Approved Approved Approved
1
By Date By Date ‘' `t��_} Date ', \% pc
❑ Under-slab groundwork(4295)
Approved
By Date
t ertr 2
a� RECEIVED
1 I VD
Federal Way juN 2 4 2005 PERMIT '
COMMUN7YDBISLOPMENTSB WON333SF MF COM EL PL DE EN FP
sse�"A „'.ro 9718 APPLICATION
FsnEaALwAr,rA 9804700F FEDERAL /
e53ass•26".FAX 253435.SJILDING DEPT. /
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The oilo • is • fired in ormation-an Inco •fete • ••lication will not be acce•ted. Please •tint le• •i
•'' �' "'
III PROPERTY INFORMATION or �•
SITE ADDRESS 3a•�aa� 4. tp-r,k SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 2a 3.2-- l 1- :LI 1 la-Q LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
corium Pewlortrinddnafpm•,y
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
• 0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT D RIPTION(Provide detailed description of work included on Mils permit only)
U
PROJECT NAME(Name of Business or Owner Last Name) k-elle
fyi
• PEOPLE INFORMATION
PROPERTY •
1 _ S �� 1 /P�RIIM�ARY PHONE
OWNER MAI _NO ADDERESS S ATE•ZIP I `GJ� - Zb03214072y-1 „ ( IfT,
d L O2oa3
CONTRACTOR ?ANY NAME APPLICANT NAME OFFICE PHONNgg
�te 4_Ale_ 1. usc.Frub*+ (>;_:31R3 ( - 0400
MAIIINO AD CITY,STATE,ZIP CELL PHONE
3802- au.let (62-41 0 1 4vLb u tin W P z—( )
CM OPFEDERAL WAY BUSINESS LICENSE NUMBER _ BXP1RATION DATE = FAX NUMBER
1 q-4 2'- / 0 S x.521 _°B k hZ/ 9/ /0.5' (23) Fog( 0(16o
RS REQIEFRATION NUMBER(copy of card required with each YPBc+tieul EXPIRATION DATE
G t r to Q a S� DBS Jo /OS-
APPLICANT c9VANY NAME APPLICANT NAME OFFIC PHONE
at- / IlrR . 0Z )q3/ -tZ#/0
WJLINO AD 0�� i ��� �� ��/ CITY, TE,ZIP
� -�f CELL PHONE -
RELATION' IP •PROJECT / 2t i rI IrJ. ff L ( )
FAX N [BER
O Architect O Tenant a Agent Other(Describe) ( 2.15.3)re)V -O_/o
CONTACT PRIMARY PHONE B- ADDRESS `/
I EZIN i Imo) Q3l- �o)o I . �� .,fiF
LENDER •
NAtds ��" /
y
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
WATER SERVICE PROVIDER a LAKEHAVEN O HIGHLINE a TACOMA O PRIVATE(WELL) `
SEWER SERVICE PROVIDER O LAKEHAVEN a HIGHLINE O PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING PROPOSED
BASEMENT S•.FT, TOTS
Se.FT. S•.FT.
FIRST
SECOND
THIRD
FOURTH
•
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
=STING PROPOSED
NUMBER OF FLOORS
"NEW HOMES ONLY" NUMBER OF BEDROOMS - ""�°"`' $ +--
ESTIMATED SELLING PRICE $
Indicate number o FIXTURES
f 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 HANDUNG UNITS EVAPORATIVE COOLERS
BBQS GAS LOGS REFRIG.SYSTEMS
BOILERS FANS HOODS(Commerciaq
FIREPLACE INSERTS WOODSTOVES
RANGES MISC(Describe)
COMPRESSORS FURNACES
DUCTS OAS WATER HEATERS
GAS PIPE OUTLETS
PLUMBING
BATHTUBS(...rubiabo,o,rC.omyo) SHOWERS
WATER CLOSETS crones MISC(Describe)
DISHWASHERS SINKS
GAS PIPE OUTLETS DRINKING FOUNTAINS
WASHING MACHINES SUMPS RAINWATER SYST
URINALS HOSE BIBBS
LAYS(Bathroom Maks( VACUUM BREAKERS
ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished byme is
am authorised by the owner ofthe rase and correct to the best ofmy
harmless the City above premises to perform the work for which.the knowledge,fand further, that I
such of Federal Way as to any claim(including costs, expenses, andpermit applicationcurredis made. I
claim),which may be made byattorneys'fees City
fFed to the Way,but investigation e draefen claim f
arises out of the reliance of the ciy,�inc� i person,
the undersigned,and fled against the City of Federal but only where such claim
this aout of ng officers and employees, upon the accuracy of the information supplied to the city as a part of
4`0NAME/TITLE 411111 _ /
RELATIONSHIP TO PR. s.�., DATE °
T 0 Owner ❑Agent ❑ Contractor 0 Architect O Other
‘Pf:f (-9
vC�t)tt+ e
4 BeaA}�)�tiS•��E to
_ ���'� sir � �
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II
Bulletin#100_January 7,2005
Page 2 of 4
Ic\HandoutsTermit Application
ELECTRICAL PERMIT INFORMATION
•
RESIDENTIAL COMMERCIAL
• NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 fts-$104.50;Each add'n 500 fts-$33.50) 0 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 0 601-800 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 ❑ 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
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
❑ #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
1 TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $61.00
I
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial,/Industrfal Service or Feeder Ampacity
U 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 ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'nsign$24.50/ea)
.Low Voltagep� ❑ Swimming pool/hot tub $87.00
//
Square Feet to be served by system(s) /bet)t/ (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
i CI
Automation Fee on all Permits .. $5.00
1
(Per System(s) 1•'2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) •Per WAC 2964&910(5J(6K&ii)
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application