05-103709 I I
City of Federal Way Electrical Permit #: 05 - 103709 - 00 - EL
Community Development Services
P.O.Box 9718
Federal(25 Way,WA 98063-(253 Inspection request line: (253) 835-3050
y Ph:(253)835-7000 Fax:(253)835-2609 P 9
4.
Project Name: YADA
Project Address: 105 SW 299TH PL Parcel Number: 513710 0090
Project Description: Add circuit for hot tub.
Owner Applicant Contractor
JEFFREY&CHRISTINE YADA LANDER ELECTRIC SERVICE LLC LANDER ELECTRIC SERVICE LLC
105 SW 299TH PL 13359 NE 16TH ST 13359 NE 16TH ST
FEDERAL WAY WA 98023 BELLEVUE WA 98005 BELLEVUE WA 98005
(800)794-4321
Electrical Fixtures
Description Quantity][ Description Quantity Description JQuantity
Circuits-Residential 1
PERMIT EXPIRES January 25,2006.
'-i Permit issued on July 29,2005
I hereby certify that the above ; n
information is correct and that the constructi.° othe 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: fi( - Date: ZR/D
...../S
FINALE°
ATHIS CARD IS TO REMAIN ON-SITE - . -
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103709-00-EL
Owner: JEFFREY & CHRISTINE YADA '
Address: 105 SW 299TH PL
FEDERAL WAY, WA 98023-3572
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.
❑ 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) 0 Final-Electrical(4055)
Approved Approved Approved
By Date By Date BKI—C3 Date q--/ -
❑ Under-slab groundwork(4295)
Approved
By Date
r" y RECEIVED BY
COMMUNITY DEVELOPMENT DEPARTMENT /ems
CITY OF - -(/' .5 - i_ lo , ?
Federal Way .Il(I. 2 g 2U0.5 PERMIT
COMMUNITY DEVELOPMENT SERVICES SF
MF CO M EL L DE EN FP
J332F8THAVENUE SOUTH•POPDX 9718
FEDERAL APPLICATION
DF,RAL WAY,W,A 98063-9719718 TD /
253-835-2607.FAX 2.53-835-2609
www.cil toffederal way.com
~ The oilowin• is re.uired in ormation-an incom.lete a•.lication will not be acce•1Ed. Please ',int le.ibl (in ink)or •e.
r�' • PROPERTYjINFORMATION
SITE ADDRESS /®c f YV 2 9g f h / I.
c f 7 0 0 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# J 1. % I 0 - g a LOT SIZE(sn
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal descripeanl
■ 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 permii only)
Fe dMe ifet tib Giv ui t
PROJECT NAME(Name of Business or Owner Last Name) ? 0( .•
.•
• PEOPLE INFORMATION
PROPERTY NAME -1.e f yo��
J PRIMARY PHONE p p
OWNER /� �/�� ��® ( 53) 50 -O 1 O
yILINGAD . ggthI� fè1- 1 w l liV 5 fVi^JI/1V/ 1 /
CONTRACTOR COMPANY NAME • APPLICANT fNAME OFFICE PHONE
Land&� Ele(tkl ( Vervi (e rvIci//•//frr-- n Pitt'"1etri ( i05) 5.6 -1771
MAILING ADD SSA, CITY,S A E P CELL PHONEE IVth /,t•
peIIei Ur, 14117NDATE' q 06 ( )
)S
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBERFAX NUMBER
O — 0 5 -10 t 06 7 - B L a III 105 (05) 62 -&k66
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
(fame a (f <an/v i(7 Ok > ( ) _
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSIIIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL
ADDRESS
( ) -
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 • PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
M
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN n HIGHLINE 0 PRIVATE(SEPTIC)
k y
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SP TOTAL PROPOSED sr TOTAL 8R
**NEW FIOMES 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)commereial) W OODSTOV ES
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 Soaks) 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/TITLEptvtyLiDATE 7//&/1/5
(Signat ) (Title)
RELATIONSHIP O PROJECT ❑ Owner o Agent Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
o NEW , o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN?
o YES ❑'NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? ' o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT?' ❑YES o NO DEMO PERMIT REQUIRED? o YES o NO
r
* Bulletin#100—January 7,2005 Page 2 of 4 k\I landouts\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Seruice or Feeder Each Add'n
XSingle Family Square Feet
(First 1300 ft,-$104.50;Each add'n 500 ft2-$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
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 ❑ Mast or meter repair $96.00
❑ 401 -600 amp 193.00 95.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 - 800 amp 247.00 132.00 -
O Over 800 amp 353.50 264.50 Service or Feeders
❑ Oto 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY U 201 - 600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
❑ 0 to 200 amp $87.00
LI 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)
,r I # of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%o 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
❑ 0- 100 amps $69.50
U 101 -200 amps 89.00
❑ 201-400 amps 104.50
❑ 401 -600 amps 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
❑ _ # of Thermostats ❑ _-# of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00; add'n sign$24.50/ea)
U Low Voltage U 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 . !'.. 1 hour
El Voice Cabling (for modified submittals)
❑ Data Cabling Automation Fee on all Permits $5.00
(Per Systems) 1"2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) "Per WAC 296-46-910(5)(b)(i&ii)
•
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application