05-100235 Cityu es
Federal Way Electrical Permit #: 05 - 100235 - 00 - EL
mmun
Coity Development Servic
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: DAVIDSON
Project Address: 29838 24TH s t'l� 5Parcel Number: 768220 0110
Project Description: Installing up to 4 new circuits for new outlets,light switches and lights for basement
Owner Applicant Contractor
TERRY A DAVIDSON TERRY A DAVIDSON TERRY A DAVIDSON
29838 24TH PL S 29838 24TH PL S 29838 24TH PL S
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
(206)498-2627
Electrical Fixtures
Description _____Quantity Description Quantity Description Quantity
Circuits-Residential 4
PERMIT EXPIRES July 19,2005.
Permit issued on January 20,2005
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 agent: Date: . • 2d.ZQO�
FINALED
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THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-100235-00-EL
Owner: TERRY A DAVIDSON
Address: 29838 24TH PL S
FEDERAL WAY, WA 98003-4203
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) ❑ 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
al Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
B , } Date , Z� By Date By/ Date 7.-2S
❑ Under-slab groundwork(4295)
Approved
By Date
4
Es. 4.,3
A REGENED 0 ,,,,5
Federal way 2005 PERMIT
COMMUNITY DEVELOPMENT SERVICES�AN 2
0 SF MF CO M E�L DE EN FP
33325 FEDERTH AL
WA SOUTH•PO 9718 EAPPLICATION /
FEDERAL WAY,WA 98063-97]8 1 TD
253-835-2607•FAX 253-835-26 v OF FED
www.oiuoffederalwau.com BUILDING
The oilowin• is re,aired in ormation—an Inco •lete a••lication will not be acce•ted. Please •rint le!ibl in in or i•e.
�7�+�p Uf • PROPERTY INFORMATION
SITE ADDRESS -f 'S S 214 PL 5 y� SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 7 (o 9 2 2.. V - C) l l C) LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) Ji:CDM 4 j•kic, T:s �. L/2
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION tIALECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
INSTAL. ,-1 wii_vN EL.E'-Tf21(.AL OVTLVLIS , 2 Diw►ME 2 5w ITCHES, ArNO 10 LIGMTZ 'NI
ggLSEMFMT
PROJECT NAME(Name of Business or Owner Last Name) b AV I DS Ott
• PEOPLE INFORMATION
PROPERTY NAMEPRIMARY PHONE
OWNER E-reQl A. NV)DSDJJ (20(a ) 4/9 -262.7
MAILING ADDRESS CITY,STATE,ZIP
2' 32I 2q!/'' PL. 5 FEDE24L WAY> 1,04 963003
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
a'r►ie ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
I /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
a01.4fe ( )
-
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE I E-MAIL ADDR S
-Theay DAQiosod (20G) LreS - 2623 l a CWer-. 02 -
LENDER Per RCW 19.27.095. Lender information is NAME
required If project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE 5i Nb'LE 1.M i Ly PROPOSED USE '/
EXISTING ASSESSED/APPRAISED VALUE $ 23A 3 VALUE OF PROPOSED WORK $ `7dU r
SPRINKLERED BUILDING? 0 YES 'e 1NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES kern
WATER SERVICE PROVIDER iertiKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDERE!1 AKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT 50C)
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS RxIeTuO PROPOSED TOTAL TOTAL=STEWST TOTAL PROPOSED OP TOTAL ST
**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 GAS LOGS REFRIG❑SYSTEMS
BBQS FANS HOODS(commerciaq 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(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(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 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. �
NAME/TITLE �—� kc
t.I . ` t. t 2-00%"—
(Si ture) (Title)
RELATIONSHIP TO PROJECT le6Wner ❑ Agent ❑ Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC'PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
a
Bulletin#100—August 19,2004 Page 2 of 4 k\Handouts\Permit Application
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ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$87030;Each add'n 500 ft2-$28(00) ❑ 0 to 100 amp $ 9450 $ 583DO
❑ Detached outbuilding or garage ❑ 101—200 amp 11750 74310
(Inspected with service) $36[50 ❑ 201—400 amp 22050 87110
❑ Detached outbuilding or garage ❑ 401—600 amp 25650 103310
(Inspected separately) $5850 ❑ 601—800 amp 332310 14030
NEW MULTI-FAMILY(three units or more) ❑ 801 - 1000 amp 40550 16950
Service Feeder ❑ Over 1000 amp 442300 2363E10
❑ Up to 200 amp $ 9450 $ 28510
❑ 201 -400 amp 11750 583D0 ❑ Over 600 volts surcharge $74[10
❑ 401 -600 amp 161300 803)0 ❑ Mast or meter repair $80310
❑ 601 -800 amp 206300 110310 ALTERED COMMERCIAL/INDUSTRIAL
O Over 800 amp 29450 22050
Service or Feeders
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 9450
❑ 201 -600 amp 22050
Service or Feeder ❑ 601 - 1000 amp 3323)0
❑ 0 to 200 amp $ 7250 ❑ over 1000 amp 36950
❑ 201 -600 amp 11750
❑ over 600 amp 1773D0 ❑ #of circuits to be added/altered
(1-5 circuits-$741)0;Add'n circuits,$6300/ea)
# f circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(l ircuits-$58cO0;Add'n circuits$6cOo/ea)
CJ $74300 plus 35%of Permit Fee
❑ Mast or meter repair $4350 ❑ Service- 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
U Service Over 400 amps
$7413D0 plus 35%of Permit Fee
MOBILE HOMES
U Service or feeder only $58[00 TEMPORARY SERVICE
❑ Service and feeder $9450
Commercial Residential
MOBILE HOME/RV PARK ❑ 0-100 $583D0 $5100
❑ #of service or feeders ❑ 101 -200 743D0 51[00
(First service/feeder-$58300;each add'n-$3750) ❑ 201 -400 87[00 n/a
❑ 401 -600 11750 n/a
❑ over 600 127310 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats U #of Signs
(First-$4350;add'n-$1330/ea) (First sign-$4330;add'n sign$2050/ea)
❑ Low Voltage U Swimming pool/hot tub $87300
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops nnnnnnnnnnmmmmiinnI $58300
❑ Security Alarm System U Additional Plan Review $87310/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s)In 2500 ft2-$511:00;
Each add'n 2500 ft2-13[$0)*Per WAC 296-46-910(5)(b)(i&ii) P
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Bulletin#100—August 19,2004 Page 3 of 4 k\Handouts\Permit Application