04-105096 / • A
City of Federal Way Electrical Permit #: 04 - 105096 - 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)835-305(1
Project Name: BUCKMAN
Project Address: 2706 SW 322ND 5t. Parcel Number: 873180 0790
Project Description: 20amp circuit extension
Owner Applicant Contractor
Hugh T Bucknam ELECTRO SERVE LLC ELECTRO SERVE LLC
13547 SE 27TH PL SUITE 3-D 13547 SE 27TH PL SUITE 3-D
BELLEVUE WA 98005 BELLEVUE WA 98005
(425)451-3358
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits-Residential 1
PERMIT EXPIRES June 14,2005.
Permit issued on December 16,2004
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.
See Application See Alica '
Owner or agent: Date: pp tion
/7- Z7—a 1- cav-r-e
. A
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION'REQUEST PHONE # (253) 835-3050
PERMIT#: 04-105096-00-EL
Owner: HUGH T BUCKNAM
Address: 2706 SW 322ND ST
FEDERAL WAY, WA 98023-2211
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) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
•
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) ,❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date
❑ Under-slab groundwork(4295)
Approved
By Date
. •
n.YaF` — _i_ " �"
Federal Way RETE 1012 N DEPART ENT L_q _6 ,q_ iQ
pp �� jYDE 'EIMIT SF MF CO ME ‘..--**)L DE EN FP
COMMUNI7Y DEVELOPES
3332FEDERAL WAYTVA 980P°63-B°971X897tEC. 16 l4p P L I C AT I O N TD
253-835-2607•FAX 253-835-2609 / /
unawatuofederal way.com
The ollowing is required information-an incomplete a..lication will not be acce•ted. Please .rint legibly(in ink)or type.
- ", , • PROPERTY INFORMATION
SITE ADDRESS 2T1)1(0 (_
�Q GJ .,J 3A01— 'r SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal dont
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING ❑ MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
15-o?c) itivkAf G rci i Ctt-cpt_gctst,_
PROJECT NAME(Name of Business or Owner Last Name) -{.MAAA.
R PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER toIV k YNADA". (. 3 ) S!3$ - 7-VN ,
MAILING ADDRES CITY,STATE,ZIP
G1719.X0 5U..) ‘5Z110741 D.0
CONTRACTOR COMPANY NAME APPLICANT NAME " OFFICE PHONE
`L( IIZo c I .01 'k14 1eA4MA _ (te5 ) Ca53 - t(ota
MAILING ADDRESSCITY,STAVE,ZIP ; CELL PHONE
CITY IOF FEDERAL �(,//''��WAY BUSINESSLICENSE NUMBER L�� T�AION DATE FAX NUMBER
80S (142-51 (At -835.3 353
-1- 1-.111-.1. (2- 52(e_- B L /.2 / 3, /o f (416)S?.2 -49cf g
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
£ t cX 5 _LD14gel tlAcA. 7 / /a(0
APPLICANT COMPANY NAME APPLICANT NAME OFFICE
FFICE PHONE
A (AFL �v �s
- �TI
MAILING ADDRESS a GY,ST�Q CEL
h(0 3ov� .i / 9803(
RELATIONSHIP • NUMBER
0 Architect Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME 'Fuck puot4A. PRIMARY PHONE
( 2s3) E - X34 E-MAIL ADDRESS
LENDER Per 19 7.095: Lender information is NAME
required 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 $
SPRINKLERED BUILDING? 0 YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? .❑YES 0 NO
' WATER SERVICE PROVIDER O LAKEHAVEN O HIGHLINE O TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE O PRIVATE(SEPTIC)
• L PROJECT FLOOR AREAS • .
. AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOS
"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 GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
' BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(ar Tub/Sha.....-Combo) SHOWERS WATER CLOSETS(roue) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks' VACUUM BREAKERS ELECTRIC WATER HEATERS
•• ' DISCLMMER/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 4
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 ci • •.• employees,upon the accuracy of the information supplied to the city as a part of
this application. �/ C/
�
NAME/TITLE
,/� �� OUT UT L• - ✓ DATE /?//"I 1
(Signature) (Title)
I RELATIONSHIP TO PROJECT 0 Owner ❑ Agent XContractor o Architect 0 Other
S#
E
( FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION a REPAIR o TENANT IMPROVEMENT
i BUILDING SHELL ONLY? o YES 0 NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
t NEW ADDRESS REQUIRED? a YES ❑NO UP/SEPA/SU? a YES o NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? o YES a NO
f
4
Bulletin#100—March 30,2004 — Page 2 of 4 k\Handouts—Rcvised\Pertnit Application
' : ELECTRICAL PERMIT INFORMATION
s
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) 0 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101 -200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201 -400 amp 220.50 87.00
❑ Detached outbuilding or garage 0 401-600 amp 256.50 103.00
(Inspected separately) $58.00 0 601-800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) 0 801 - 1000 amp 405.50 169.50
Service Feeder 0 Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 0 Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 0 Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
O Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY 0 0 to 200 amp $ 94.50
O 201 -600 amp 220.50
Service or Feeder 0 601 - 1000 amp 332.00
O 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 ❑ #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
. l #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea)
$74.00 plus 35%of Permit Fee
O Mast or meter repair $43.50 0 Service over 200 amps
O Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
❑ it of service or feeders 0 101 -200 74.00 51.00
(First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00 n/a
O 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
O #of Thermostats U #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/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 $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s) 1.2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5)(X0&1)
-41.
Bulletin#100-March 30,2004 Page 3 of 4 k\IiandoutsreRcvised\Penult Application