05-103799 City of Federal Way `� Electrical Permit #: 05 - 103799 - 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: HUMPHRIES
Project Address: 1323 SW 322ND CI-- Parcel Number: 010450 0090
Project Description: Upgrading to 200amp panel
Owner Applicant Contractor
William D Humphries &Carol A Humphries SIGNTECH ELECTRIC SIGNTECH ELECTRIC
PO Box 25133 SIGNTECH ELECTRIC SIGNTECH ELECTRIC
33759 9TH AVE S 33759 9TH AVE S
PO Box 25133 !Federal Way,WA 98093-2133 FEDERAL WAY WA 98003 (206)719-8020
Electrical Fixtures
Description Quantity Description Quantity Description jQuantity
{ Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES January 28,2006.
Permit issued on August 1,2005
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 agen . ' 0 Date:
F1NPLED
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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#: 05-103799-00-EL
Owner: WILLIAM D HUMPHRIES
Address: 1323 SW 322ND CT
FEDERAL WAY, WA 98023-8701
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) 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) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date BC''.....---:-.— Date 4 Z
❑ Under-slab groundwork(4295)
Approved
By Date
A
A RECEIVED 0 r
Federal Way PERMIT `� - --� .�
p COMMUNITYDEVELOPMEIPrSERVJCESJ�L 2 9 2005 SF MF CO MEe931., DE EN FP
i 93325 80,AVENUE SOUTH•PO Bat(9718
FEDERAL WAY,WA 98063-904TY OF FEDER A JDLI CATI O N / ���„///
ii• Z53.83wz607•FAX953-835-2609 BUILDING DEPT. I /
iuww.dtyolTederalway.rom I
The ollowi • is • fired in ormation-an inco •fete . ••lication will not be acce•ted. Please •rint le. •I in or
■ PROPERTY INFORMATION
SITE ADDRESS 1 -Z-7-", (C)L& 3 L.Z>nr\ ('x( SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
fenmk aepatu m Page Ia Ieaet y&Val de pgonl
-
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlg)
2- -V`Gke. (;K \Z.-c3:amp c( c- 1- ,.
() .C aC cne.k-Oc uf eL,
PROJECT NAME(Name of Business or Owner Last Name)
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
0 OWNER �,I\)-'\UCYI'-klc‘ 1 (mss) 3So -(1
MAILING ADDRESS CITY,STATE,ZIP
13z3 cow zZZ nrl ,i -k � c-e deco\ lk>o&I u0p
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
�i[_Nn-i-Y Ch i;\-t Q.K I C Acon\- (Z ))ci L -(..0b5rj
MAI ADDRESS (40.k.• CITY,CpSTATE,ZI G S��j�'�17J� CELL PHONE
ck, CiTSI )• \ l(I-kcal I '.`C,kV
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
l-CL-Q `i-4 3. lQ-s L I Z /6) /b5 (Z-CS )V52f )`) ZZ
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
D.,1—I eL,O L ik'Ge 1�� rl- �1, (z-s3 )rnSz -cissa
MAILIN DRESS CITY,STATE,ZI — CELL PHONE
1231CjC oVr\ -z (0 F?Mcca\ MOAA GcSC03 ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant ❑Agent\Other(Descr�ef\tt \ tj p( ( _ tb2.ZCONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
0n (Z53 )c-tSZ, - Ubbq
LENDER i •?.,,, • , ofji c,,ra, 144),,66 r, , NAME
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
• EXISTING USE PROPOSED USE
EXISTING ASSESSED/ PP VALUE OF PROPOSED WORK $
IV
SPRINKLERED BUILDING? a YES a NO FIRE SUPP ON SYSTEM PROPOSED/REQUIRED? ❑YES a NO
WATER SERVICE PROVIDER a LAKEH �'
VEN ❑ HIGHIdNE ❑TAI:0 0 PRIVATE(WELL) *
SEWER SERVICE PROVIDER ❑LAKEHAVEN 0 HIGEILfNE 0 PRIVATE IC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT. 1111
BASEMENT
FIRST -�- •
SECOND
THIRD
•
FOURTH .
ADDITIONAL FLOORS DESRIC BE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS sstar1NO PROPOSSO TOTAL ni'u.� ,z,JF2 l 2Z.:�t• ti x s*
**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 OAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(eomme,ewl WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
• COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING •
BATHTUBS(oehtb/ShowerCombol SHOWERS WATER CLOSETS(meg MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(B•throomBioko( VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
t 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 authorised 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\ Y � l / '� ' G DATE i
(S nature) (Title)
RELATIONSHIP TO PROD 0 Owner 0 Agent ❑ Contractor ❑ Architect ❑ Other
QE`s
`: ,``,00( :4!it' 70 'VE ; ti p\wt .r%�?.L • �l �t'tt'
54cjiE,clt f"s' t�it;c. •'.r ,(6) :3:4;10. , (,� � `h 4y`' 4(oi
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a;t t ,r tic�ft� tr.'s Irl._. i�) tli?"EHr,,a.rr�,cjl,; l': r ..,..:>t� ,.• �f:.) -
•
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
1
ELECTRICAL PERMIT INFORMATION
kr----- RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
CI Family Square Feet Service or Feeder Each Add'n
(First 1300 it2-$104.50;Each add'n 500 R2-$33.50) ❑ 0 to 100 amp $113.50 $69.50
❑ 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
❑ 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 ❑ Mast or meter repair $96.00
❑ 401 -600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 247.00 132.00
❑ 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
7E10 to 200 amp $87.00
❑ 201 -600 amp 141.00 ❑ _#of circuits to be added/altered
❑ 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
III (1-4 circuits-$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
❑ Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
I MOBILE HOME/RV PARK Residential/Multi-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial/Industriai Service or Feeder Ampacity
❑ 0-100 amps _ $69.50
❑ I01-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps - 141.00
❑ over 600 amps 152.50
•
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats CI #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/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 $104.50
❑ Security Alarm System ❑ Additional Plan Review $104.50/hour
• ❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits $5.00
0
(Per System(s) 1u 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) •Per WAC 296-6-910(5)(bJ(&5)
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts.Permit •