05-103672 1
• ♦ /.
t ' • . . .
City of Federal Way . Electrical Permit #: 05 - 103672 - 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: AFICHUK �,Ji
Project Address: 30406 24THISW Parcel Number: 889420 0010
Project Description: Install 200-amp service for a new,4,214 sqft,two-story single-family residence.
Owner Applicant Contractor
Pavel&Vera Afichuk Pavel&Vera Afichuk Pavel&Vera Afichuk
33243 36TH AVE SW 33243 36TH AVE SW 33243 36TH AVE SW
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-2903 98023-2903 (253)838-0087
Electrical Fixtures
Description Quantity Description `` Quantity Description Quantity
[Service_ -Residential 1 4200
i
PERMIT EXPIRES January 22,2006.
Permit issued on
I hereby certify that the above info .tion is correcttand that the construction on the above described property and
the occupancy and the use will be in I cordance with the laws,rules,and regulations of die State of Washington and
the City of Federal Way\
11 I qCS—
Owner or agent: k�Jlt Date : pC
I
Zr' j\i t,e l ''-.1
W
rf-\
ow
" THIS CARD IS TO REMAIN ON-SITE
` CITY OFA Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE', # (253) 835-3050
PERMIT #: 05-103672-00-EL
Owner: PAVEL &VERA AFICHUK
Address: 30406 24TH AVE SW
FEDERAL WAY, WA 98023
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) ❑ Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
•❑ Temporary Power(4275) a Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By _ Date By li, Date By Date
`i Rough Electrical(4225) I❑ Ceiling Cover(4020) • ❑ Final-Electrical(4055)
Approved Approved Approved
By( Date ilk \ j By Date By Date
❑ Under-slab groundwork(4295)
Approved
By
r Date
I
' ..°!„4 RECEIVED -
F'ederalway PERMIT .0 � -�-c2-3 C2 � 2
CDVM(AVRYDEV ummENT SF MF CO ME LPL DE EN FP
333258 FEDERAL
98 pD� 2 6 zoos
fSDERAL WAY,FAX
98085-260 / /
253-83S-2607.TAX 253435 2609 JPLICATION �*Dwww.dtofca'th.,a Y OF FEDERAL
BUILDING DEPT.
t The o{lowi • is • fired in ormation-an{rico •lete . • •lication will not be acce•ted. Please •tint ie• •1 n or
r , 1 - PROPERTY INFORMATION
C
SITE ADDRESS 1.)0 \ :L4-i L A I SO SUITE/UNIT# . Zr--4 /
ASSESSOR'S TAX/PARCEL# - _ _ _ _ LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) X QAL , ikV4
(Math&Plun,Pge/a knedle kgal desaiPtion)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ckELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESC• +• ON(Provide detailed description of work' ded n Ihis permitmN)I
. it 141t C (€) VL{6. .,t )4 ti el c
S► IC ;IC 1/i� l�1/Lk
s
1
,, . , ,
PROJECT NAME(Name of Business or Owner Last Name) , ) C (
H `QL r e 5 j L €,(�i4-I'(��/ -
• PEOPLE INFORMATION _+1
PROPERTY NAME , 1 P ` ( l :J)1
OWNER ' .1CLLu L CSVV1i �J t"'„4 -cc'
• MAILING ADDIS S CITY,STATE,ZIP
CONTRACTOR COMPANY NAME
_ raj APPLICANT NAME OFFICE PHONE
'SLI A/'` -,Q
I MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
(e _
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER _ EXPIRATION DATE FAX NUMBERR
/ /
-B L
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application' EXPIRATION DATE
/ /
APPLICANT COMPANY NAME DC
APPLICANT NAME OFFICE PHONE
MAILING ADDRESS 1. CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMB ER
❑Architect 0 Tenant ❑Agent 0 Other(Describe) ( ) _
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
LENDER • . .,e. , ='• -i eJ t r v,,,- 1 til),07, r.,,.;a, NAME
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? a YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER a LAICEHAVEN a HIGHLINE 0 TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
{
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 asvmsa Peoroaro TOTAL ;; ,Lf k
**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 Icommemaq WOODSTOVES
BOILERS • FIREPLACE INSERTS RANGES MISC(Describe)
• COMPRESSORS FURNACES OAS WATER HEATERS Jl
DUCTS OAS PIPE OUTLETS
PLUMBING
BATHTUBS(ernb/Shower Combo) SHOWERS WATER CLOSETS troaeq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
OAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Beuuoomslda) 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!
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 perso including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,includi its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE Cx,� � - DATE � (�
(Signature) nySe)
RELATIONSHIP TO PROJECT a Owner 0 Agent a Contractor a Architect 0 Other
^reg -';;:
I... t,(e)�i ;9E R}D);§,,id (c). ,2:.: te3 t:,)4,‘10' ozu,?:4.0/ I'A;tt
reit i c;r€ t 4l• e),*,..,. 5} .(v p v.)(€
Ji.crOlac` e(r)4 ;etvV�de);%e92 ow D.-.
•.,1;CNP,.a.r[tel A.�l��e1•i `� �� �1
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
'NNWv
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW
NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet 7/ C� Service or Feeder Each Add'n
(First 1300 ftp-$104.50;Each add'n 500 ft2-$33.50) U 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
••
❑ 0 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
(1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
Cl 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 Residenttat/Multf-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
❑ 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 ❑ #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
0 Security Alarm System U Additional Plan Review $104.50/hour
0 Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
a
• (Per System(s)-1a 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 296-/6-910(5f(b) &ti)
Bulletin#100-January 7,2005 Page 3 of 4 kAHandoutsTermit Application