04-104956 ,
City of Federal Way Electrical Permit #: 04 - 104956 - 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: LONG Q‘
Project Address: 31022 50TI/SW Parcel Number: 184090 0100
Project Description: Trimming out electrical in residence that was previously wired by others
Owner Applicant Contractor
Patrick L Long &Lynne M Long MERIDIAN CENTER ELECTRIC INC MERIDIAN CENTER ELECTRIC INC
31060 51ST AVE SW 11109 66TH AVE E 11109 66TH AVE E
FEDERAL WAY WA PUYALLUP WA 98373 PUYALLUP WA 98373
98023-2021 (253)848-5595
Electrical Fixtures
Description Quantity Description ,Quantity Description Quantity
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES June 8,2005.
Permit issued on December 10,2004
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: / ' -
FINALED
o
/D
�2
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104956-00-EL
Owner: PATRICK L LONG
Address: 31022 50TH PL 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) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
tiTemporary Power(4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
0 Rough Electrical(4225) 0 Ceiling Cover(4020) Final-Electrical(4055)
Approved Approved Approved
By Date By Date UBi S Date"y_ -
CJ •
❑ Under-slab groundwork(4295)
Approved •
By Date
12-07-2004 04:41PM FROM-Meridian Cant Electric +253-841-0892 T-T29 P.001/005 F-101
• Fegeral Way RECEI� �
[DAfALVLlppyDEYELOPwEhTSERVICES
PERMIT
°Li ` •U_ 2_S
s2•t"sa�+AVENUEsoLmi•Pono p 8 2004 �
FEDERAL WAY,Wil $3,8 5-260 A P p LI CA TI SF MF CO M
asa�sssaot.rAx2sss3sa6o9 O Tr rr��/PL DE EN FF
CITY OF FEDERAL Y /
,mazsbelky&gati_a_al hi
The following , t PT.
• rrrtaton_A
aR>*rtaoRtplete a••I:tc
' anon will not 6c acre•ted. Please •rind le•ably in
' MI PFFOPERTY FORMATION
SITE ADDRESS — 8 Oor type.
r
ASSESSOR'S TAX/PARCEL Y SU/TB/UNIT_ ���_
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) LOT SIZE(sj)
TYPE OF PERMIT . . ■ PROJECT INFORMATION
0 EUILDDIG ❑ PLUMBING 0 MECE NICAL
D DEMOLITION ELECTRICAL 0
PROJECT DFSCRtPI,XON(Pnwide detailed ENGINEERENG 0 FIRE PREVENTION S
description of workincludedon I�o_rntL_�l) SYSTEM
PROJECT NAME(Name of Ettsiness or Owner Last Name) n.
' R PEOPLE INFORI4IATION
PROPERTY
PRIMA
OWNER
PRIMARY'
:AAIUN° .6 DRESS
♦ ' (26
morn
OWNER
. $ 3 _S1�ir, 0r
CONTRACTOR commta NAME '�— ` ��j
Merl di
M��NO A n E pec. OFFICE PHONE
ADDRESS
4942
4 / .�-y1 f,..- CITY.STATE,zip /S
CITY OF FEDERAL WAY H 3[11.51 � T v 41` IAA- eh ALL PRONE.
/^� �LICE(NSE NLIMSER ' 1 ) _
�� L.J Z t- O EXPIRATION IDATE
CONTRACT_ REGISTRATION NUMBER2, i ca B L l / a� bilial.11
.. teary or.aIrd regalse.l with each appUeet aml
LA �i 0 t....e--3 c EXPIRATION DATE
•APPLICANT - COMPANY NAGE v • /a /Qs
MAILING ADDRESS OFFICE PHONg
783s4S -
.CELI.PHONE
RELATIONSHIP TO PROJECT
O Architect a Tumult (DeSt�IbeJ t 0 Agent a Other ( )
FAx NUMBER
CONTACT )(
PRIMARY PHONE
� t
: Z
EMAIL ADDRESS_LENDER c iPQrTG -9 a15-ji ndQi nstNAME...- ,pro,/e°' i. xtd $5,000_:;;:l'i,MAUNOADDRESI
s.
CnY,STATE,ELP
A DETAILED BUILDING INFORMATION
EXISTING USE
EXISTING ASSESSEDPROPOSED USE
/APPRAISED VALUE $
SPRINj�,ERED$U]LDING? • a VALUE OF PROPOSED WORK $
Cl NO ME SuPPItESSION SYSTEM PRIOFOS>E:D/REQUD2ED? q YES •o NO
WATER SERVICE PROVIDES co LAKEEAVEN O RIGILEYE
SEWER SERVICE PROVIDER 0 LAREfl4, N o TIMELINE 11
Ra PRIVATL(WELL)
Q PPRIVAVATE(SEprjO)
12-07-2004 04:41PM FROM—Meridian Center Electric +253-841-0892 T-729 P.002/005 F-101
AREA DESCRIPTION EXISTING SQ,FT, PROPOSED SQ.FT,
• EASEMENT •
TOTAL
-FIRST
• SECOND
THIRD
FOURTH
TADDITIONAL FLOORS(DESCRIBE) —' — _—
DECK(COVERED?)
GARAGE/CARPORT —
HOW MANY FLOORS? 7OT.411:asrua TOTAL>au%CD —
TaTK LMsttFO deo t'AOlOEm
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
•
. :.°.FIXTURES
.
Indicate tizr ber of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
1 EC�AMCAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS OAS LOGS
B �
BOS FANS REFRIGTOVS SYSTEMS
BOILERS FIREPLACE INSERTS — RANGES
COMPRESSORS MOODDescr
COMPRESSORS FURNACES GAS WATER HEATERS MISC(Describe),
DUCTS • GAS PIPE OUTLETS
PLUMING
BATHTUBS OrTUbigbawrCombo' SHOWERS WATER CLOSETS
DISHWASHERS SINKS DRINKING FOUNTAINS MISC(Describe)
• GAS PIPE OUTLETS SUMPS • RAINWATER SYST
WASHING MACHINES URINALS HOSE GIBES
LAVS ie "" � VACUUM BREAKERS ELECTRIC WATER HEATERS
• _ '-- . ;:-"; ;DTSCLMIAER/SIGNATUREB
TOCK .
I eerttfy under penalty of perJury that the information furnished by me is true and correct CO the best ofanu ,
em authorised by the owner of the above premises to perform the work for which the permit application is made.I I furth r ay ee to that
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 ` ' 01i . I
. .. _ DATE 12-1
( ienaturc) (Title!
i RELATIONSHIP TO PROJECT ❑ Owner o Agent ,ontractor 0 Architect a Other _
'O OFFICE IISE'
, ONLY •
J
r
NEW _o ADDITION a ALTERATION a REPAIRl BUILDING SHELL O><(I,Y?. asTENANT IMPROVEMENT
{ a YES a NO BASIC PLAN? o YES o NO
` TONING DESIGNATION CHANGE OF USE?
r?my ADDRESS REQUIRED? o YES o NO
o YES o NO UP/SEPA/SU? a YES o NO
PLATTED LOT? a YES a NO
DEMO PERMIT REQUIRED? o YES c NO
i
t3ugctin I/100-March 30,2004 - • Page 2 ON MI-Iandouts-Revisod\Parmil Application
12-07-2004 04:41PM FROM-Meridian Center Electric +253-841-0892 T-729 P.003/005 F-101
$ ECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL INDUSTRIAL SERVICE
0 Single Family Square Feet
(Firer 1300112-$87.00;Each add'n $28.00) Service or Feeder Each A n
0 Detached outbuilding or garage Q 0 to 100 amp $ 94.50
0 101-200 amp 1 17-$0 $ 58.00
(Inspected with service) $36.50 74.00
CIDetached outbuilding or garage Cl 201 -400 amp 220,50
(Inspected separately) $58.00 CI 401--600 amp87.00
256.50 103.00
NEW M17LTI-FAM1Ly(three units or more) ❑ 601-800 amp 332.00
0 801 - 1000 am 160.50
Service Feeder ❑ Over 1000 amp 442.00 169.50
0 Up to 200 amp $ 94.50 $ 28.00 236,00
0 201 -400 amp 117.50
0 201 -600 amp 16 0 58.00 ❑ Over 600 volts surcharge
80.00 0 Mast or meter repair $80.00
0 601 -800 amp 206,00 110.00
ALTERED COIVIMERCIAL INDUSTRIAL
0 Over 800 amp 294.50 220.50
ALTERED SINGLE MULTI FAMILY Service or Feeders
❑ 0 to 200 amp $ 94.50
Service orFeeder El201 -600 amp 220.50
0 to 200 amp $ 72.50 0 601- 1000 amp 332.00
❑ 201 -600 amp 117.50 0 over 1000 amp 369.50
CI over 600 amp 17'7,00
❑ #of circuits to be added/altered
(1-5 circuits-$74,00;Add circuits,$6.00/ea
(1-4 circuits-$58.00;Add'n circuits$6.00 J
❑ N of circuits to be added/altered
ea
/ 1 COMMERCIAL INDUSTRIAL PLAN REVIEW
❑ Mast or meter repair $43.50 $74.00 plus 35%of Permit Fee
❑ Service over 200 amps
SINGLE MULTI FAMILY PLAN R EW Cl Medical/Educational/Institutional Facility
•
0 Service Over 400 amps
$74.00 pig 35%of Permit Fee
M EILE_EOVIES
0 Service or feeder only $58.00
ElService and feeder $94.50 TEMPORARY SERVICE
MOBII.E HOME RV PAR!{ Commercjai Residential
❑ q of service or feeders CI 0-100 $58.00 S 51.00
{First service/feeder-$58.00;each add'n-$37,50} 0 101 -200 74.00
51.00 '
Q 201 -400 87,00
- ❑ 401 -600a�'
117.50 nia
0 over 600 127.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ 11 of Thermostats
(First-$43.50;add'n-$13.50/ca) Q of Signs
❑ Low Voltage (First sign-$43.50;add'n sign$20.50/ca)
Square Feet to be served by system(s) 0 swimming pool/hat tub $87.00
❑ Fire Alarm System (Includes additional circuit,if ecquiredJ
❑ Fire Alarm System Yard Pole meter loops $58.00
❑ Voice Cabling ❑ Additional Plan Review
❑ Data Cabling • (for modified submittals) $87.00/hour
0
(Per Systems) 1•i 2S00 k2-$51.00;
Each adcf'n 2500 112-13-501•Per WAC 276469t X aiii
,
e
Bulletin#100-March eft 30,2004 i'a 3 of 4 1
S 9•UlandOuls-RevisedNeemit•Applieation i