05-103391 •
•
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City of Federal Way ` Electrical Permit #: 05 - 103391 - 00 - EL
t, Community Development Services
P.O.Box 9718
( Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
Project Name: BISSEGGER
Project Address: 30100 21ST1*--- Parcel Number: 798300 0040
Project Description: Remove and replace 200-amp electrical service
Owner Applicant Contractor
M S Bissegger M S Bissegger M S Bissegger
30100 21ST AVE S 30100 21ST AVE S 30100 21ST AVE S
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98003-4260 98003-4260
Electrical Fixtures
Description Quantity Description (Quantity Description 1Quantity
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES January 9,2006.
Permit issued on July 13,2005
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 Wary.
Owner or agent:L .FeiYGe d 1' • 15 $SSE C Y' Date: t� i 3� 200.5
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•
City of Federal Way Electrical Permit #: 05 - 103391 - 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) 835-305€
}
Project Name: BISSEGGER
Project Address: 30100 21ST S Parcel Number: 798300 0040
Project Description: Remove and replace 200-amp electrical service
Owner Applicant Contractor
M S Bissegger M S Bissegger M S Bissegger
30100 21ST AVE S 30100 21ST AVE S 30100 21ST AVE S
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98003-4260 98003-4260 •
Electrical Fixtures
Description Quantity Description , Quantity [ _Description Quantity
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES January 9,2006.
Permit issued on July 13,2005
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, td
the City of Federal Way.
Owner or agent: Date:
. THIS CARD IS TO REMAIN ON-SITE -
CITY of u Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-103391-00-EL
Owner: M S BISSEGGER
Address: 30100 21ST AVE S
FEDERAL WAY, WA 98003-4260
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) 'El Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date BJi\ Date : By Date
•❑ Rough Electrical(4225) ,❑ Ceiling Cover(4020) Final-Electrical(4055)
Approved Approved Approved
4
By Date `By Date By 4 J Date g3\!-_,<-
❑ Under-slab groundwork(4295)
Approved
By Date
I
Federal Way PERMIT..A RECEIVED . - �
COMMUMTYDEVELOPMENT SERYIC=S JUL 1 3 2005 SF MF COM EL PL DE EN FP
'` 933zs8TH AVENUE SOUTH•POBOX 9718
a ,�'LI CAT I O N
ss8ass�i f,�zssa'1ITY OF FEDE To / /
41 Www.ataofederatwaycom BUILDING DEPT.
The ollowl , is re•uired in ormation-an inco •fete a••Iication will not be acce,ted. Please •rint le,ibf in or
■ PROPERTY INFORMATION
SITE ADDRESS 30)00 2)st AI U1; 3oA k SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach a aratePage for tergehy teyat dewiPtla^I
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 'BI ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onit')
1 (na711 LL A)W 1lra12IC AL pi4.4iL
PROJECT NAME(Name of Business or Owner Last Name) N 6• Lr 61 G(1e
U PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER M IJVIA) 3. 4 .CJ4 Rt N. 31S6 GGEJ2. C953) 839 - .)416
MAILING ADDRESS CITY,STATE,ZIP
30100 a)Si IAVe. 5o _ FEI YZt=}6 Ltt{4yI wA CfWO3 -42/00
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
5t4rmE a.s OWA)Et- ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- -
-B L I
/ ( ) -
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
I /
APPLICANT COMPANY NAME APPLICANT NAME
SME J S OW/IJ&"!L OFFICE PHONE
A -
( )
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) •
LENDER d,�., • ,• et-, ,r #,i r,,,,,e.. ,, : NAME
;•ter q .1-1( .., i,,,',z•r,a, ;47.1,1:•;
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ❑ NO e
WATER SERVICE PROVIDER ❑LAKEHAVEN a HIGHLINE O TACOMA O PRIVATE(WELL) •
SEWER SERVICE PROVIDER 0 LAKEHAVEN Cl HIGHLINE a PRIVATE(SEPTIC) •
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL r
SQ.FT. SQ.FT. SQ.FT. _I
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS =ISnM° PROPOSED TOTALsut .how�1} - , v,
**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 OAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commerciai) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES OAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS
owlet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
IAVS(Bathroom Sinks) 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 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 of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. �/
NAME/TITLE (?I tree cA DATE JO-1 f..I 1 3/ 2O)
(Signature) / (Title) J
RELATIONSHIP TO PROJECT 0 Owner 0 Agent ❑ Contractor 0 Architect 0 Other
+& 1 .r cJi +(e j
g7 f 1�t A ;A ��o �@ .'ads� � � €t�iYe}>/-�� �F��
aI, I:.ie ) F.i,c E)aIi' 7 ra i .c' V. (a 6,•• _
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" Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
11191PF
ELECTRICAL PERMIT INFORMATION
rRESIDENTIAL 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
0 401 -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
Service or Feeder ❑ 601 - 1000 amp 398.50
Xi 0 to 200 amp $87.00
❑ over 1000 amp 443.50
❑ 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
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commerciai/lndustrial Service or Feeder Ampacity
❑ 0-100 amps ._ $69.50
❑ 101-200 amps 89.00
O 201-400 amps 104.50
) ❑ 401-600 amps 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
O #of Thermostats ❑ #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 $104.50/
hour
modified submittals)
❑ Data Cabling )1 Automation Fee on all Permits $5.00
(Per System(s) 1•t 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) •Per WAC 29646.910(4 W(i&ii)
ii
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Applicatioi