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05-103758
,/ City of Federal Way Electrical Permit #: 05 - 103758 - 00 - EL Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax:(253)835-2609FILE Inspection request line: (253) 835-305€ Project Name: ROBINSON ` Project Address: 1834 SW 353RD ✓— V Parcel Number: 926975 0650 Project Description: Alter two circuits for a 240-sqft addition at rear of house for closet and bathroom remodellexpansion Owner Applicant Contractor Dianne G Brandt JERRY OETGEN JERRY OETGEN 1834 SW 353RD PL 135 S 340TH ST#A 135 S 340TH ST#A FEDERAL WAY WA FEDERAL WAY,WA FEDERAL WAY,WA 98023-3117 98003 (206)661-6168 Electrical Fixtures L Description Quantity Description Quantity Description Quantity Circuits-Residential 2 PERMIT EXPIRES January 25,2006. Permit issued on July 29,2005 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: cOA1/4-.\ Date: & 2- ©S. l 1 ).--- ,X \ ` THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-103758-00-EL Owner: DIANNE G BRANDT Address: 1834 SW 353RD PL FEDERAL WAY, WA 98023-3117 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) 0 Service(4235) 0 Feeders/Sub-panels (4045) Approved Approved Approved By Date By Date By Date 0 Rough Electrical(4225) �❑ Ceiling Cover(4020) ��` Final-Electrical(4055) ` Approved Approved Approved .1 Bygl- Date/7—'76- ate 77 ( , By y Date /7-/6-ti �By V. " Date t Z• Z9 ©IP 0 Under-slab groundwork(4295) Approved By Date • :lTY of �, RERECEIVED 0— LQ ,SS:Y Federal Way PERMIT COMMUNI7Y DEVELOPMENT SERVICES JUL 2 9 2005 SF MF CO ME EL PL DE EN FP 33325 AVENUE SOUTH•PO BOX 9718 FEDERAL WAY,WA 980639718 In 253FAX 253-835-3609 OF DER .PLICATION WOW dtoa((ederclwnu.COM BUILDING DEPT. 09 / 02, /05' The ollowin. is re•uired I ormation-an incomplete application will not be accepted. Please print legibly(in ink)or type. • PROPERTY INFORMATION SITE ADDRESS J e n Lt %k.ZC Y.% pi_ , SUITE/UNIT# "1 Z ASSESSOR'S TAX/PARCEL# ' 69 S _ l , - 0 cj 5j 0 -- 0 0 LOT SIZE(4) "7 Z o 0 / LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) ,"T _� / y (Attach s ate page for Ieagtluj legal desoript o„) I • PROJECT INFORMATION TYPE OF PERMIT ] BUILDING NES PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) C\ I0Px iliiiiii, OAk1 k 0 V1L01/4r tit,A \1/4.eA11111 l—_ rit 0. C..\o Ste"\ 401 � ,N . \0*Ate%bX,t\ ii� �x', Sky bakttara1/4,v,,,,,. ' - ` � \ N. C\' : ` , PROJECT NAME(Name of Business or Owner Last Name) 'fit')6j_AD / II PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER O\AMCC��,t W1L '\OQuuSo 4 tt \NPI`‘. -33y9 MAILING ADDRESS 1 %'S Li iIY'4t E,ZIP S3t� PL, CITY, b�CT sq1. v_ PI' \1�r '1%013 CONTRACTOR COMPANY NAME ( APPLICANT NAME OFFICE PHONE ca C , 4,S �'k`►\1 c-ctih� ( ) - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER / / ( ) - - B L CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE / / APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE • RRy p; O E 1 ,F tJ (.S3) S -9 i© a MAILING ADDRESSCITY,STATE,ZIP CELL PHONE CA'/CICA'/CIS -U) r� Rgt VJW,.‘.4F*Wc.,C) 31.-1 ( ) - REIATIONSHIP TO PROJECT �Ly /� FAX NUMBER i ❑ Architect ❑Tenant ❑Agent ) Other(Describe) V 1 T I1 L1�f� ( S,.7)c' % IA CONTACT NAME PRIMARY PHONE _E-MAIL ADDRESS �Etk'CZ� A. 0 e.TG a:IJ (2S3)S%1 -qI n0wry 0)inye c0(Atom), LENDER Per RCW 19.27.095: Lender information is NAME of rt G am required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP ■ DETAILED BUILDING INFORMATION EXISTING USE ��S\kE' t PROPOSED USE �S k CY,,VN,\ ot EXISTING ASSESSED/APPRAISED VALUE $ C)Ss',0 0 C) VALUE OF PROPOSED WORK $ ✓ S 0 C) SPRINKLERED BUILDING? ❑ YES nk NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES -NE NO WATER SERVICE PROVIDER LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDERS LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL S9.FT. SQ.FT. SQ.FT. BASEMENT y, (� FIRST I� f S SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE'E.I CARPORT❑ - o"7 1 / NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL`LSF 1r j ' �.� 3 X0.31 ** HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type offixture to be installed or relocated as part of this project Do not include existing fixtures . main.; MECHANICAL s * Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE C•• • GAS LOG " ' REFRIG.SYSTEMS BBQS �. • v ..:... retail WOODSTOVES BOILERS FIREPI EINSE• + '��' ES MISC(Describe) COMP: •RS FURN. r " AS WATER HEATERS DUCTS - A PLUMBING BATHTUBS(or Tub/s)• SHO ' RS ' ER CLOSETS owlet) MISC(Describe) DISHWAS SINKS DRINKING FOUNTAINS ,.r G• • ETA SUMPS RAINWATER SYST - • NG ACHINES URINALS HOSE BIBBS 'VS(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. c� R NAME/TITLE DATE ( ature) (Title) RELATIONSHIP TO PR CT ❑ Owner o Agent ❑ Contractor 0 Architect 1k Other f A Y(] C.P- FOR OFFICE USE ONLY o NEW ❑ADDITION ❑ALTERATION ❑REPAIR u TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? ❑YES ❑NO ZONING'DESIGNATION CHANGE OF,USE? o YES ❑"NO NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? o YES ❑NO PLATTED LOT? ❑YES o NO - DEMO PERMIT REQUIRED? a YES ❑NO Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application • ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE ❑ Single Family Squ Feet Service Service or Feeder Each Add'n (First 1300 ft2-$104.50; et'add'n 500 ft2-$33.50) ❑ 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 ❑ 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 U Mast or meter repair $96.00 ❑ 401 -600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ 601 -800 amp 247.00 132.00 U 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 ❑ 601 - 1000 amp 398.50 Service or Feeder ❑ over 1000 amp 443.50 ❑ 0 to 200 amp $87.00 ❑ 201 -600 amp 141.00 ❑ #of circuits to be added/altered LI over 600 amp 212.50 (1-5 circuits-889.00;Add'n circuits,$7.00/ea) #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circults-$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 U 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 U 0-100 amps $69.50 ❑ 101-200 amps 89.00 ❑ 201-400 amps 104.50 LI 401-600 amps 141.00 ❑ over 600 amps 152.50 MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Thermostats ❑ #of Signs (First-$52.00; add'n-$16.00/ca) (First sign-$52.00;add'n sign$24.50/ea) U Low Voltage LI 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 O Security Alarm System ❑ Additional Plan Review $104.50/hour ❑ Voice Cabling (for modified submittals) ❑ Data Cabling LI Automation Fee on all Permits .. $5.00 (Per System(s) la 2500 ft2-$61.00; Each add'n 2500 ft2-16.00)•Per WAC 296-46-970(5)@1(t&ii) Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application