05-100386 City of Federal Ways Electrical Permit #: 05 - 100386 - 00 - EL
Community Development Services
P.O.Box 9718
Federal.( 5Way,WA 98063-(253 Inspection request line: (253) 835-305C
Ph:(233)835-7000 Fax:(253)835-2609 P 9
k
Project Name: PERFORMANCE PREP
Project Address: 34713 16TH$ASG S Parcel Number: 889700 0095
Project Description: Replace existing 200-amp panel; add(4)circuits for additional shop lighting.
Owner Applicant Contractor
Thomas J Turner Thomas J Turner CTR ELECTRIC INC
30640 PACIFIC HWY S#C 30640 PACIFIC HWY S#C P.O.7475
FEDERAL WAY WA FEDERAL WAY WA 33228 206TH PL SE
98003-4889 98003-4889 (253)350-0966
Electrical Fixtures
Description Quantity Description Quantity Description _ Quantity
Alt.Serv./Feeder up to 200 amps-Co' 1J Circuits- Commercial 4
PERMIT EXPIRES July 27,2005.
Permit issued on January 28,2005
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 agents Date: //2f '
FINALED
4-C6-7
C (/
444% THIS CARD IS TO REMAIN ON-SITE- �.
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-100386-00-EL
Owner: THOMAS J TURNER
Address: 34713 16TH AVE S
FEDERAL WAY, WA 98003-6804
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) ❑ Ditch cover(4030) ❑ 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
By Date By Date By Date
❑ Under-slab groundwork(4295)
Approved
By Date
arvrar Q 0 5 - o 0 3 g G
Federal Way RECEIVE PERMIT
SF MF CO MEELPLDEENFP
• COMMUNITY DEVELOPMENT SERVICES
33325 8TM AVENUE SOUTTf•PO BOX 9718 25p p LI C AT I O N
FEDERAL WAY,WA 9 8 063-9 718 J p N TD /
253-835-2607•FAX 253-835-2609 /
wwwcit uof f ederalway.com
y •F FEDERAL WAY
i The ollowi • is re• r, 1,',.i .Oraraan Inco •tete a••lication will not be acre•ted. Please •rint le•ibl (in in or • .
• PROPERTY INFORMATION
SITE ADDRESSt d C/t SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 2 X / 7 i2 C.- () e5 9 LOT SIZE(sf) rzorz)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desofption)
—
IN PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROD T DESCRIPTION(Provide detailed description of work included on this permit only)
n.
14..,_ ,..06 41 Q..,i c e r:J If/) L Nei.J ze,c, '4 'r ti`./ , Az/ C,,-,ft
V 1 Nf�.-t i flv of AI Site)1 Ji.t`7-i. ' �:'T1 owee.`/� t
9 ,5 >
)
PROJECT NAME(Name of Business or Owner Last Name) t'`� H^_e... '� �-��
MI PEOPLE INFORMATION
PROPERTY NAMEp I PRIMARY PHONE /
OWNER 7 6 PvA (.4/ N--!-v ( ZS /3) 661 -/7‘i 7
MAILING ADDRESS CITY, ATE,ZIP,
3'170 3 /6 h4 S, ., (
4,1a-,./ / /j4 , 9kr).3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
� '/ r
MAILIN ADDRESS � CITY, TE,ZIP CELL PHONE
PC /x 7y7c -i %44 %'oyz-ecsl3 (o-3) f30 -06
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER I EXPIRATION DATE FAX NUMBER
- - �6 z -13 L / / (4e. ) sY6 /g39
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
C- T'K56 �-- 0 .7 7 0_, 9 122 / O5
APPLICANT COMPANY NA APPLICA NAME I OFFICE PHONE
r� -0,e c ,(4-",...-(4// (pc-.7) 927 - 2"79
MAILING ADDRESS CITY,STATE,,Zr / — CELL PHONE
79713 --- /Z tll /ge , —c , /4y1il,� fie (2.57) 6 - 357-S--
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect nant o Agent 0 Other(Describe) (2s-3) g'jr -o7 76
CONTACT NAME PRIMARY PHONE MAIL ADDRESS
lir. 16,•;71.4// (25:7T) 907-2,..--,. e zhs DDREsre.„A .gev
LENDER ,: 9 0: ;. °�" ` NAME
r oy •.,',i,.:,ceetls$50 000
MAILING ADDRESS CITY,STATE,ZIP
t
/ IIDETAILEDBUILDING INFORMATION
EXISTING USE a 14l� — tie j'-i7 42 *e1 PROPOSED USE -C4444-e
EXISTING ASSESSED/APPRAISED VALUE $ 9,A4,1, gC1 VALUE OF PROPOSED WORK $ 20 CC 4f-0(
- (
SPRINKLERED BUILDING? ❑YES LNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES /eNO
WATER SERVICE PROVIDER )$AKEHAVEN ❑ IIIGHLINE ❑TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER %LAKEHAVEN ❑IUGHLINE ❑PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT. •
BASEMENT
-FIS .
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
E7a5'rla6 PROPOSED TOTAL TOTAL I OSr06 Sr-a TOTAL PROPOSED sr -'� 'TOTAL ST
NUMBER OF FLOORS
"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 $
GAS LOGS
AIR HANDLING UNITS EVAPORATIVE COOLERS REFRIG.SYSTEMS
BBQS FANS HOODS(coDDD,TC121) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS goad) MISC(Describe)
DISHWASHERS SINKS DRINKINGHOSE FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS BIBBS
LAVS(Bathroom SW.) 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. i
NAME/TITLE — �i+ DATE / I L� (es—
(Signature)
g (Title) �e f67 fe e
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent ❑ Contractor ❑ Architect Other
' t AL
; : � s
'IA�RVEMENT ag
°TENO.14,,,,,,-.
' aYES *NOIIN TERATION R ;BASCPIAN?„ ,,::,,,,:i..-„,,,,.„3„ Io YES3 • O ' r w _ ' DTIOk AO CHANGEOF UE . aYES :' Q t E NLY7.: , UP/SEPA/SU? + QI -. a 0:p r GA ION; NO __tot Aka SURD?rDr. I °URED? r a 'D! (.1r !„RESSk .' . p ' '' '
Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Permit Application
.OF -
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
' NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
U Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) U 0 to 100 amp $113.50 $69.50
U Detached outbuilding or garage ❑ 101-200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00
U Detached outbuilding or garage U 401-600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 601-800 amp 398.50 168.50
U 801 - 1000 amp 486.50- 203.50
NEW MULTI-FAMILY(three units or more) U Over 1000 amp 530.50 283.00
Service Feeder -
❑ Up to 200 amp $113.50 $33.50 U Over 600 volts surcharge $89.00
❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
U 401 -600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 247.00 132.00
U Over 800 amp 353.50 264.50 Service or Feeders
T21(0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50
U 601 - 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
U 0 to 200 amp $87.00
❑ 201 -600 amp 141.00 7 #of circuits to be added/altered
U 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
U Mast or meter repair $52.00 U 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) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $69.50
U 101-200 amps 89.00
U 201-400 amps 104.50
❑ 401-600 amps 141.00
U over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats U #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
U Low Voltage U Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $104.50
❑ Security Mann System ❑ Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling U Automation Fee on all Permits .. $5.00
(Per Systems) 1•t 2500 ft2461.00;
Each add'n 2500 ft2-16.00) •Per WAC 296-46-910(500&111
•
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Pennit Application