04-104893 tr •
City of Federal Way Electrical Permit #: 04 - 104893 - 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: NEWMAN F�
Project Address: 31813 10TH SW Parcel Number: 555730 0440
Project Description: Add 5 circuits for electrical to new addition.
Owner Applicant Contractor
David Newman &Leah Newman FULLER ELECTRIC FULLER ELECTRIC
FULLER ELECTRIC FULLER ELECTRIC
37107 12TH AVE S 37107 12TH AVE S
FEDERAL WAY WA 98003 (253)661-7181
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits-Residential 5
PERMIT EXPIRES June 1,2005.
Permit issued on December 3,2004
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: C� �t/Y"'"� �� Date: / '3 `C? y
FINALED
vc
C v
4:4411x ,, THIS CARD IS TO REMAIN ON-SITE
CITY OF1001 ` Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-104893-00-EL
Owner: DAVID NEWMAN
Address: 31813 10TH PL SW
FEDERAL WAY, WA 98023-4702
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.
O 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
erui
Fhl Rough Electrical(4225) ❑ Ceiling Cover(4020) flJ Final-Electrical(4055)
Approved Approved Approved
By WV\ f Date f 10 b , By Date � - Date I
,❑ Under-slab groundwork 4295)
Approved
By Date
IAcny Of
oo
'rederal Way E TVE®p E R M IT — —ff - ( — ( q 3
• COMMUNITY DEVELOPMENT SERVICES S F M F CO M E E L PL D E EN FP
33325F"AVENUESOA 98063 BOX 9718'x: U 3 o}�p L I C AT I O N °
FEDERAL WAY,FAX
98063-9718 --- ll� / /
253-835-2607•FAX 253-835-2609
www dUlof(ederahaaq.corn
CITY OF FEDERAL WAY
The following is requirow+lw RT,an incomplete ap•lication will not be accepted. Please print legibly(in ink)or type.
- PROPERTY INFORMATION
SITE ADDRESS 3/ $13 / 0i-4' Pc( C Q 5L1 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# _ _ _ - LOT SIZE(s.)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) ,W rse
(Attach separate page for lengthy legal description)
', ■ PROJECT INFORMATION
l TYPE OF PERMIT 0 BUILDING ❑ PLUMBING ❑ MECHANICAL
0 DEMOLITION,kELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
Ao(d S c: r c.t.A_:fs ..3,1e_,) d�o 0•"..s f One ,I5
PROJECT NAME(Name of Business or Owner Last Name) D ; ei A e4... /utLL
• PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER Cc-1J: of /1e /YiQ''k
MAILING ADDRESS CITY,STATE,ZIP
34/3 1044' P4cSw
CONTRACTOR COMPANY NAME APPLICANT NAME
OFFICE PHONE
FLJ/e,. E fear,' c Pa-/71Y/ //e," (.25 3) /6/ -?l,F(
MAILING ADDRESS CITY,STATE ZIP CELL PHONE
'3 )/0'"? !� pe Sd red� G✓�c ( ic6) Y2 3 -739K
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE - FAX NUMBER
B L / / (./S3) 4/ - 695'
CONTRACTORS REGISTRATION NUMBER(copy of card required with each applications EXPIRATION DATE
f ! l e e ; 0 ). 7 d / iJ /1 /2 42006'
APPLICANT COMPANY NA E 1��^ APPLICANT NAME OFFICE PHONE
MAILING AD ESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT - FAX NUMB ER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAMe? C (..ejv PRIMARY PHONE
(2c c2(o(- 7 ( PI E-MAIL ADDRESS
LENDERPer RCW 19.27. 95: Lender information is NAME
required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED MALDING INFORMATION -
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ❑ NO
WATER SERVICE PROVIDER 0 LAKE . N a HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
•
SEWER SERVICE PROVIDER 0 L- .. •VEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
•
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 $
.. 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
BBQS FANS HOODS)commerdal) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tut./Shoa<rCombo) SHOWERS WATER CLOSETS(roilMISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroomsinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
‘_ '. -:DISCLAI LER/SIGNATUREBLOCK
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. ` ' a 1
NAME/TITLE f C�"'"' , DATE /62 - 3 ~v V
(Signature) (Title)
I RELATIONSHIP TO PROJECT 0 Owner 0 Agent contractor 0 Architect 0 Other
#
E -
I FOR OFFICE USE ONLY
a NEW a ADDITION ❑ALTERATION ❑REPAIR o TENANT IMPROVEMENT
i BUILDING SHELL ONLY? o YES a NO BASIC PLAN? o YES o NO
} ZONING DESIGNATION CHANGE OF USE? o YES o NO
t NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES a NO
Bulletin#100—March 30,2004 — Page 2 of 4 k\Handouts—Revised\Pcrmit Application
' ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(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 ❑ 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) CI 801 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 ❑ 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
CI 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
CI0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
CI over 600 amp 177.00 Li
# of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
# of circuits to be added/altered
(1-4 circuits-$58.00;Add'n circuits$6.00/ca) COMMERCIAL/INDUSTRIAL PLAN REVIEW
$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
i ❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK 0 0- 100 $58.00 $51.00
❑ # of service or feeders 0 101 -200 74.00 51.00
(First scrvice/feeder-$58.00;each add'n-$37.50) 0 201 -400 87.00 n/a
0 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ca)
❑ Low Voltage U 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
❑ 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 29646-910(5)(b)(&ii)
Bulletin#100-March 30,2004 Page 3 of 4 k\liandouts-Rcvi--01\Pennit Application