05-100404 * r
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City of Federal Way Electrical Permit #: 05 - 100404 - 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) 835-305C
Project Name: BERG
Project Address: 120 S 293RD ST Parcel Number: 720250 0100
Project Description: Alter(4)circuits for lighting and receptacle.
Owner Applicant Contractor
Mickael J Berg &Karen L Berg BOWIE ELECTRIC SRVC&SPLY INC BOWIE ELECTRIC SRVC&SPLY INC
120 S 293RD ST 2232 NW MARKET UNIT 1 2232 NW MARKET UNIT 1
FEDERAL WAY WA SEATTLE WA 98107 SEATTLE WA 98107
98003-3694 (206)789-6500
Electrical Fixtures
Description Quantity Description IlQuantity Description Quantity
Circuits-Residential 4
PERMIT EXPIRES July 30,2005.
Permit issued on January 31,2005
I hereby certify that the above information is correct and that the construction on the above describedroperty and
the occupancy and the use will be in= o • - with le laws,rules and regulations of the State of Washington and
the City of Federal Way.
row a / U
Owner or agent: .1." Date:
AP
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspections Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-100404-00-EL
Owner: MICKAEL J BERG
Address: 120 S 293RD ST
FEDERAL WAY, WA 98003-3694
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) 0 Service(4235) ,❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date ,
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) 'IN Final-Electrical(4055)
Approved Approved Approved
k
` By Date By Date By'viAi; Date el.\ 8ss---
❑ Under-slab groundwork(4295)
Approved
By Date
RECEIVED 0S—/ 00voci ---0
COMMUNTTY DEVELOPMENT SERVICES
33530 FIRST WAY SOUTH•PO 130X 9718
CITY oc��
JAN A 2005 FEDERAL WAY,WA 98063-9718
Federal Way CITY P E /IAL IT APPLICATION 253-6614115•FAX:25.3-661-4129
www tit 4n//erlernhun y.mm
vV /BUILDING DEPT, AY
For Office U.Only: — - TD:
FW File Number: _ _ _ — / /
The ollowin• is re•uired in ormation-an inco •lete a.•lication will not be acce.ted. Please •rint le•al (in ink)or -.
-: . .7 ■ PROPERTY INFORMATION
2
SITE ADDRESS: I 2 D S. 9 3 r S/-_ SUITE/APT#
ASSESSOR'S TAX/PARCEL#: 7 )- 0 ?--Sal- l O O SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION(e.g.:Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
is PROJECT INFORMATION
TYPE OF PERMIT(This application): 0 BUILDING 0 PLUMBING ❑ MECHANICAL 0 DEMOLITION
)LECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only): till (el(q et eo`"s rey$144
4C-vviS -. add (R) reads.4 Cai1 I jhi. 4 Li C F(t- iz- J V`eGe '-►e-
PROJECT NAME(Name of Business/Owner Last Name): 1St.
■ PEOPLE INFORMATION
PROPERTY NAME: ,1 �� PRIMARY PHONE:
OWNER �v1 ( sae\ �. �e (Z&3) gag- 79 DO
MAILING ADDRESS(STREET ADDRESS;): J CITY,STATE,ZIP
120 s, 273 sr Few( 11at /UM- 7$003
CONTRACTOR: NAME n COMPANY OFFICE PHONE:
NAME,
/ wrf2C pOtOre_ QetxJ;F Sef(!;« (2o6 ) ler -660a
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP CELL PHONE:
2232. N.W, J14,4,Mer Sr. *1 SeKfrle. 1,0¢ 1g'lo7 (an6 ) 3F6 - 2/57
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: I EXPIRATION DATE: . FAX NUMBER:
.20 - 00 - to I ' 5 1-- 0O - $L I'- / 31 /2005 (20b ) --re -6$7
CONTRACTORS REGISTRATION NUMBER: 7 EXPIRATION DATE:
(copyR of card required with each application) F� 0 4, L e e S 0 2 ei �. 0.3 / 0E' /200 b
LENDER: NAME: DAYTIME PHONE:
(1r Proposed value>85,0001 ( ) -
MAILING ADDRESS(STREET ADDRESS;(: CITY,STATE,ZIP
APPLICANT: NAME: /� /0J COMPANY OFFICE PHONE:
Ar0e Arvieilioq 1301.0`� 6er.P.Ai( .Ce4,0t,e ( 2`)f- ) 7&? -6J:t)
MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
1231- X,,.W, rigr-Kier-S-i- dh Se. ,tot e`Wil 9&/o7 ( ) - -
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑Architect 0 Tenant 6 Other(Describe): eGt (ool t ( tkv- (2.0(o ) 781 - b,Y1 it
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner Contractor 0 Applicant E-MAIL ADDRESS:
■ DETAILED BUILDING INFORMATION
EXISTING USE: ((2S,Ork r/1N J PROPOSED USE:
EXISTING ASSESSED/APPRAISED`VALUE $ VALUE OF PROPOSED WORK: $ -
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ. FT. _ PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
"NEW HOMES ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• FIXTURES
Indicate number of each type of fixture that is 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
FANS HOODS(commercial) WOODSTOVES
BBQS MISC
BOILERS FIREPLACE INSERTS RANGES (Describe)
COMPRESSORS FURNACES GABS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orTub/Shower Combo) SHOWERS WATER CLOSETS Iro;kq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Baum..Sidc 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 of s and emplo ees, n the accuracy of the information supplied to the city as a part of this application.
NAME/TITLE: I DATE: 1 24 L 0 5-
(Sag
(Sig atu ) (Title)
RELATIONSHIP TO PROJECT: 0 Property Owner 0 Applicant ,4Contractor 0 Architect 0
FOR OFFICE USE ONLY:
p NEW o ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION: CHANGE OF USE. a YES o NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES o NO
PLATTED LOT? ❑YES a NO DEMO PERMIT REQUIRED? a YES a NO
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■ ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet: Service or Feeder Each Add'n
(First 1300 ft2-$87.00;Each add'n 500 ft2-$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 ❑ 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) ❑ 801 - 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
O 201 -400 amp 117.50 58.00
0 Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 ❑ 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
(Inspected separately from service) ❑ 201 -600 amp 220.50
Service or Feeder 0 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 0 over 1000 amp 369.50
❑ 201 -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)
❑ 'T #of circuits to be added/altered COMMERCIAL/INDUSTRT.AL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea)
❑ Service over 200 amps
❑ Mast or meter repair $43.50 ❑ Medical/Educational/Institutional Facility
$74.00 plus 35%of Permit Fee
SINGLE/MULTI FAMILY PLAN REVIEW
O Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES TEMPORARY SERVICE
❑ Service or feeder only $58.00
❑ Service and feeder $94.50 Commercial Residential
❑ 0 100 $58.00 $51.00
MOBILE HOME/RV PARK ❑ 101 -200 74.00 51.00
❑ #of service or feeders ❑ 201-400 87.00 n/a
(First service/feeder-$58.00;each add'n-$37.50)
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/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 $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s): 1•t 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) 'Per WAC 29646-910(5)(6/(+&a)
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