04-104674 City of Federal Way Electrical Permit #: 04 - 104674 - 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)8 05(1
Project Name: MICHAELS
III
Project Address: 29825 4TH SSW Ne., Parcel Number: 720500 5
Project Description: Adding(1)circuit for new family room addition
Owner Applicant Contractor
Jim Michaels &Heather A Michaels Jim Michaels im Michae
29825 4TH AVE SW 29825 4TH AVE SW :25 4T E SW
FEDERAL WAY WA FEDERAL WAY WA F l WAY WA
98023-3513 98023-3513
Electrical Fixtures
Description Quantity Descriptio ,Quantity De i Quantity
Circuits- Commercial 1
PE T E S May 2005
Permit on Ni , ber ,20
I hereby certify that the above info I111").-1, - -ct and that the cons. e i above described property and
the occupancy and the us- '11 be in a •••• o 'e laws,rules and ,:do f the State of Washington and
the City of Federal Wit
Owner or agent: . 111111,121_„," Date: /� 0/
THIS CARD IS TO REMAIN ON-SITE -
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104674-00-EL
Owner: JIM MICHAELS
Address: 29825 4TH AVE SW
FEDERAL WAY, WA 98023-3513
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
O Rough Electrical(4225) ❑ Ceiling Cover(4020) 0 Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date
❑ Under-slab groundwork(4295)
Approved
By Date
r •
City of Federal Way Electrical Permit #: 04 - 104674 - 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: MICHAELS
Project Address: 29825 4TH SW Parcel Number: 720500 0250
Project Description: Adding(1)circuit for new family room addition
Owner Applicant Contractor
Jim Michaels &Heather A Michaels Jim Michaels Jim Michaels
29825 4TH AVE SW 29825 4TH AVE SW 29825 4TH AVE SW
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-3513 98023-3513
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits- Commercial 1
PERMIT EXPIRES May 21,2005.
Permit issued on November 22,2004
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:
/ — /i— o S C'cr-►-v.�61-c'cLL 5
I- z-o s `20/4- '-1/1
1:11
e
4
oF RECEIVED 0 c( ._ � ►
Fec�erar Way
rN
PERMIT,
ERMIT SF MF CO M ,
COMMUNITY DEVELOPMENT SERVICES L DE EN FP
33325 8 AVENUE SOUTH PO BOX 9718 N 0 V 1 o \ '/
FEDERAL WAY,WA 98063-9718 'PPLICATION L I C A T I O N
253-835-2607•FAX 253-835-2609 '/=,'
www.atuoffederalwau.com tL : /
CITY OF FEDERAL WAY • ����
The following is require UHJ kM46t l P-Tan incomplete a••lication will not be acce•ted. Please •rint legibly(in ink)or type.
. MI PROPERTY INFORMATION
SITE ADDRESS c./7,94715—— y /9b'e 3 w SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 7 _a Q 6- 00 _ Op $ 0 LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desoiption)
s`; : IN PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT GRIPTICjN(Provide detailed description of work included on this permit onlu)
4 �O :1_ Of- C i ( irC.wi*—
PROJECT NAME(Name of Business or Owner Last Name) Pit Ce-(s
. • • PEOPLE INFORMATION
PROPERTY NAME
- PRIMARY PHONE /,,
I
OWNER 'V J/"✓) j)1/C44e -.4. ( O
5) (t5 - &72.T
MAILING ADDRESS CITY,STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
CLS 06510( ( )
M�N ADDRESS - CITY,STATE,ZIP CELL PHONE
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) / ( EXPIRATION DATE
/ /
f APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Ste, OLS ot(DY8 ( ) -
iMAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent D Other(Describe) ( ) -
CONTACT NAMES a cc
Q 16
1/er PRIMARY PHONE E-MAIL ADDRESS
LENDER VI 01927095 Len derffiinformation is ;- NAME
F re. utr:: V 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? Cl YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
' WATER SERVICE PROVIDER 0 LAKEHAVEN O RIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑HEMLINE 0 PRIVATE(SEPTIC)
_a _ __: 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 PROPOSED
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
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
AL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commard 1) WOODSTOVES
' BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS or Tub/Show<rcomb.) SHOWERS WATER CLOSETS(root) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroom Sinks) 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 a • including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim), which may be made by a person,inclu trig- e undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the relia of the ci includin tcers an• mployees,upon the accuracy of the information supplied to the city as a part of
this application.
• 71( /
NAME/TITLEDATE �L—15----
(Signature (Title)
RELATIONSH TO PROJECT 'Owner 0 Agent ❑ Contractor o Architect 0 Other
( ,FOR OFFICE USE ONLY
a NEW o ADDITION o ALTERATION o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? a YES o NO
PLATTED LOT? ❑YES a NO DEMO PERMIT REQUIRED? o YES o NO
f
)
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Pcrmit Application
ELECTRICAL P RMIT INFORMATION
RESIDENTIAL COMMERCIAL
t
t
NEW RESIDENTIAL SERVICE ♦ NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet ❑ 0 to 100 amp $ 94.50 $ 58.00
(First 1300 ft,-$87.00;Each add'n 500 ft,-$28.00)
❑ Detached outbuilding or garage ❑ 101 -200 amp 117.50 74.00
(Inspected with service) $36.50 0 201 -400 amp 220.50 87.00
O Detached outbuilding or garage ❑ 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
O 201 -400 amp 117.50 58.00
0 Over 600 volts surcharge $74.00
0 401 -600 amp 161.00 80.00
❑ Mast or meter repair $80.00
O 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY 0 0 to 200 amp $ 94.50
❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 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)
/\ � #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
❑ Mast or meter repair $43.50 ❑ Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
O 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
❑ 4 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
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ 4 of Thermostats ❑ 4 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)
0 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
(Per❑ System(s) 1••2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 29646-910(51(10&ii)
Bulletin#100-March 30,2004 Page 3 of 4 k\handouts-Revise4Wennit Application