04-104764 City of Federal Way Electrical Permit #: 04 - 104764 - 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)835-305C
Project Name: SAGER NC
Project Address: 30240 201-II"S Parcel Number: 042104 9152
Project Description: Upgrade existing 200amp service to a new 200amp service,install subpanel in garage and wire in 60amp
breaker w/(5)circuits
Owner Applicant Contractor
Eugene D Sager &Barbara A Sager Eugene D Sager Eugene D Sager
30240 20TH AVE S 30240 20TH AVE S 30240 20TH AVE S
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98003-4244 98003-4244
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Alt.Serv./Feeder:0 to 200 amps-Res. 1 Circuits-Residential 5
PERMIT EXPIRES May 22,2005.
Permit issued on November 23,2004
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: /ADDate: �f_ — /a3) 0 p CIL
FINALE
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THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104764-00-E L
Owner: EUGENE D SAGER i
Address: 30240 20TH AVE S
FEDERAL WAY, WA 98003-4244
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) ❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) .❑ Final-Electrical(4055)
Approved Approved Approved
By's Date - By• Date ) Date .` '
•
❑ Under-slab groundwork(4295)
Approved
By Date
CITY Or 1P114...> ig_q — __/ 0 (4 '7 0
1 Federal Way R EC E I V _
SERVICES �p E R M IT
I COMMUNITY DEVELOPMENTSF MF CO ME EL PL DE EN FP
33325 FEDERAL
UE SOUTH•63 60X 9718 PLICATION I C A T I O N
FEDERAL WAY,WA 98063-9718 N 0 V 2 3 %►�i, r, / /
253-835-2607•FAX 253-835-2609
www,ahlofederal waq.com
CITY OF FEDERAL WAY
The following is requi , C h(li a;J:a an incomplete ap.lication will not be acce.ted. Please .rint legibly(in ink)or type.
;' PROPERTY INFORMATION
SITE ADDRESS O `I - el 6 i i - ••S, 4 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - - LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
'.• • • • _; ■ PROJECT INFORMATION -
TYPE OF PERMIT 0 BUILDING ❑ PLUMBING 0 MECHANICAL
0 DEMOLITION [g.-LCECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permitonlu)
lei'= = - A _ ii e) E,,
�►�ti 14 J r
1
A- ce-) -f i,AJ tam 7-7/4 8. e�A — w, 7 -4.', v __.. v.Qc F/r S,
PROJECT NAME(Name of Business or Owner Last Name) 546
: ; • PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER EL.P0sV/£. �. .5:47-7,41-R 053) e33, - c93o
MAILING ADD S CITY,STATE,ZIP
30240-2c$'4Vic 5 -e-R4L- W4-e-f, i/V9 9roc)-S
CONTRACTOR COMPANY NAME APPLICANT NAME
2,0()Eg-
OFFICE PHONE
ADDRESS ( ) _
CITY,STATE,ZIP CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
/ / )
B L
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each applications EXPIRATION DATE
/ /
APPLICANT COMMAME — APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) _
CONTACT NAME !M ' PRIMARY PHONE - E-MAIL ADDRESS
( )
LENDERPer RCN,19.27.095: Lender information is NAME(t/�✓"w �`-'
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 $
SPRINKLERED B ( • : . 0 YES ❑ NO FIRE SUPPRESSION S' • •OPOSED/REQUIRED? a YES 0 NO
•
' • • " - ERVICE PROVIDER 0 LAKEHAVEN ❑HIGHLINE 0 TACOMA ❑ PRIVAT .
SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC)
M
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD a
FOURTH -
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTUCG TOTAL PROPOSED TOTAL LAISTDPG A5D PROPOSED
"NEW HOMES ONLY NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
= FIXTURES _
Indicate number of each type offixture 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
BOOS
FANS HOODS(comm.m(ar) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Toh/shou«comho) SHOWERS WATER CLOSETS lro;Ioq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(BauvoomStnIcsl 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.
0 Q ,
NAME/TITLE �: 4110,_...• a • i/!,� 3 DA
i TE //q�3/ 7
(• : ature) ( ale)
I RELATIONSHIP TO PRO T 9 Owner 0 Agf o Contractor ❑ Architect 0 Other
I �
I
i FOR OFFICE USE ONLY
a NEW o ADDITION a ALTERATION o REPAIR b TENANT IMPROVEMENT
i BUILDING SHELL ONLY? a YES a NO BASIC PLAN? o YES o NO
f ZONING DESIGNATION CHANGE OF USE? a YES o NO
t NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES o NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES ❑NO
Bulletin#100—March 30,2004 — Page 2 of 4 k\Ilandouts—Revised\Permit Application
IMSIMIIIrhaIIIIIIIIIIEEEE2an!F 1.--- T INFORMATION
RESIDENTIALjor
COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
CI Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft,-$87.00;Each add'n 500 ft,-$28.00) ❑ 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 ❑ 601 -800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) 0 801 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
O 201 -400 amp 117.50 58.00 ❑ 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
❑ 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 0 601 - 1000 amp 332.00
w"to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
O over 600 amp 177.00 ❑ tt of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
�S.- it of circuits to be added/altered
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW
$74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 0 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
❑ 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
❑ if of service or feeders ❑ 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 ❑ t*of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ca)
0 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
O Security Alarm System ❑ Additional Plan Review $87.00/hour
O Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s) 1""2500 ft2-$51.00;
Each add'n 2500 1t,-13.50) .Per WAC 29646-910(S)(6)(i&ii)
Bulletin#100-March 30,2004 Page 3 of 4 k\l landouts-Revised\Pcnnit Application