05-100158 1., 1
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City of Federal Way Electrical Permit #: 05 - 100158 - 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: GREEN
Project Address: 31601 13TH SW A'Je S W Parcel Number: 416810 0380
Project Description: Add subpanel for garage addition.
Owner Applicant Contractor
Douglas K Green &Sandra L Green Douglas K Green Douglas K Green
31601 13TH AVE SW 31601 13TH AVE SW 31601 13TH AVE SW
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-4742 98023-4742
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES July 12,2005.
Permit issued on January 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,rul and regulations of the State of Washingtcst and
the City of Federal Way.
Q
Owner or agent: J2 cuy144- G����./ Date: 1-1 33-D3�
THIS CARD IS TO REMAIN ON-SITE , ,
CITY OF i�1 Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-100158-00-EL
Owner: DOUGLAS K GREEN
Address: 31601 13TH AVE SW
FEDERAL WAY, WA 98023-4722
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.
0 Slab/Concrete Floor(4255) ,l Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date B)S Date /,//0.-04---
,.// L By Date
.#❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
s
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By .) Date 5--7:3-
❑ Under-slab groundwork(4295)
Approved
By Date
cn 1.111 RECEIVED 06 - v
Federal Way P E M IT - l /��
COMMUNITY DEVELOPMENT SERVICES ^ i`a MF CO M\ PL DE EN FP
33325 8"'AVENUE SOUTH.POBOX 9718,AN 1 APPLICATION
FEDERAL WAY,WA 98063-9718 � �
..-
r1
lc 2:._._...._......_._L__________________/_____..._....,,FAX 253-835-2609 / /
uaow.at 4o/jedenilwa4.cotmCITRY OF FEDERAL WAY
The following is requil' r
an incomplete ap.lication will not be accepted. Please print legibly(in ink)or type.
' , • . • PROPERTY INFORMATION
SITE ADDRESS SW0\ x,360`Poe:6.W,W6z)-1 \00,4 a.,S,'0a5 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# _- _ LOT SIZE(4)LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
;, ■ PROJECT INFORMATION.
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING ❑ MECHANICAL
0 DEMOLITION 141 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PR JECT ESCRIPTION(Provide detailed description of work included on this ermit onl
6trA6 ll
PROJECT NAME(Name of Business or Owner Last Name) Gree-V\
• PEOPLE INFORMATION
PROPERTY NAME� PRIMARY PHONE(�
��
OWNER 463) Mt -3
MAILING ADDRE�SSS V('.Q -1,
CITY,STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRES CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
: / / ( ) _
- B L
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME �eepLICANT NAME OFFICE PHONE
dteMAILING ADDRESS CITY,as? ,Q � CELL PHONE
Satz< V3,-{doe.6.k.k). t,,,,uX 0 0, ._:WooV )
-
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Archi,tect ❑ Tenant o Agent fLOther(Describe) 6,,,, ,,' ( ) _
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
.Gv � ( ) -
ee..
LENDER Per RCW 1 . .095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
,% ■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED US
EXISTING ASSESSED/APPRAISED VALUE $ VAL I^ •F PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRES •N SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN a BIGHL ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN o HIG : 1 ❑ PRIVATE(SEPTIC)
. . . PROSECT OOAREAS
AREA DESCRIPTION EXISTINFLG SRQ.FT. •
PROPOSED SQ.FT. TOTAL
)
BASEMENT
•
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
,_:)1
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL.EXISTING AND PROPOSED
"NEW HOMES ONLY"' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
- = -PIXTURES _.
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 GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(comm«dJ) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/sho.«comw) SHOWERS WATER CLOSETS(roil<q MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Soaks) VACUUM BREAKERS ELECTRIC WATER HEATERS
,F . _'DISCLAIDIER/SIGNATUREBLOCK
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. ) ,�( J
NAME/TITLE (/�/ �^e k. �`���� [DATE r/3-0
ignatu re) (Title(
I RELATIONSHIP TO PROJECT r Owner ❑ Agent 0 Contractor o Architect ❑ Other
f
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION a REPAIR ❑TENANT IMPROVEMENT
l BUILDING SHELL ONLY? a YES o NO BASIC PLAN? 0 YES o NO
i ZONING DESIGNATION CHANGE OF USE? a YES a NO
t NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? D YES o NO
PLATTED LOT? a YES ❑NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—March 30,2004 — Page 2 of 4 k\I-Iandouts—Rcvised\Permit Application
- • TION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft,-$87.00;Each add'n 500 ft,-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101 -200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201 -400 amp 220.50 87.00
❑ Detached outbuilding or garage 0 401 -600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601 -800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) 0 801 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
LI 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
❑ 401 600 amp 161.00 80.00
O Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50
❑ 201 -600 amp 220.50
Service or Feeder 0 601 - 1000 amp 332.00
'0 0 to 200 amp $ 72.50 0 over 1000 amp 369.50
❑ 2(11 -600 amp 117.50
❑ over 600 amp 177.00 ❑ #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
pj# of circuits to be added/altered
(1-4 circuits-$58.00;Add'n circuits$6.00/ca) COMMERCIAL/INDUSTRIAL PLAN REVIEW
$74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 ❑ Service over 200 amps
O Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fcc
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
❑ #of service or feeders ❑ 101 -200 74.00 51.00
(First service/feeder-$58.00;each add'n-$37.50) 0 201 -400 87.00 n/a
O 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
O #of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ca)
❑ Low Voltage 0 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 $58.00
❑ Security Alarm System 0 Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
CI
(Per System(s) 1•r 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 29646-910(50)(i&ii)
Bulletin#100 March 30,2004 Page 3 of 4 k\I landouts-Revised\Permit Application