04-104661 4
` Rpt ``;
City of Federal Way Electrical Permit #: 04 - 104661 - 00 - E1.
Community Developmgnt 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: BOSSHART
Project Address: 1082 S 316TH 51 Parcel Number: 858800 0345
Project Description: Altered electrical service to add three plugs to building.
Owner Applicant Contractor
Barry D Bosshart Barry D Bosshart Barry D Bosshart
1082 S 316TH ST 1082 SW 316TH CT 1082 SW 316TH CT
FEDERAL WAY WA FEDERAL WAY WA 98003-5331 FEDERAL WAY WA 98003-5331
98003-5331 (253)946-2964
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES May 15,2005.
Permit issued on November 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.
Owner or agent: INAIc } -. cA Date: I Fib(011
FINALED
0
.. THIS CARD IS TO REMAIN ON-SITE '
CITY OF •
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104661-00-EL
Owner: BARRY D BOSSHART
Address: 1082 S 316TH ST
FEDERAL WAY, WA 98003-5331
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.
0 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) ❑ Ceiling Cover(4020) Final-Electrical(4055)
Approved Approved Approved
By Date By Date S Date/ -7,Z)1
2
❑ Under-slab groundwork(4295) %
Approved
By Date
Federal Way RECEIVEDPERMIT
SF MF CO M a.'I.
DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33325 8TH AVENUE SOUTH.PO BOX
18 �V 971 A i o V 16 'RP P L I CAT I 0 N
FEDERAL WAY,WA98063-97P D /
253-835-2607•FAX 253-835-2609 /
worry.atVo/jederahhmy.corn CITY OF FEDERAL WAY
The ollowing is requirai clagRI.an incomplete ap•lication will not be acce'ted. Please •rint legibly(in ink)or type.
/
.� • PROPERTY INFORMATION
SITE ADDRESS I(.- 0 S . 3\U. s SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
-. - I • PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
❑ DEMOLITION iELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
Pit,41—e2A`7-/O N _bc e1 c_i R..f •L
h Ptid. S p Lt_t_S -tom 2 t.."Do\)t .
PROJECT NAME(Name of Business or Owner Last Name) ( y C, kok+2 j
- R PEOPLE INFORMATION
PROPERTY NAME (� PRIMARY PHONE
G
OWNER 1P -IL \ ()DOSS i.Art;T 063 ) 99(e -p: (try.
MAILING ADDRESS CITY,STATE,ZIP
I( 3.4. 'S . '.1 le SS Fe.deit.aL cA.)P L)A GI c,_3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING 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 application( EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
5°Z../nt= ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT • FAX NUMBER
0 Architect 0 Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
S P r.02- ( ) -
LENDER ›.Per RCW 19 27;095 'Lender"information pis NAME
required if pro ject 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 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
I WATER SERVICE PROVIDER Aci LAKEHAVEN ❑HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER V.L-AKEHAVEN a HIGHLINE 0 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 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(orTub/Shower Combo) SHOWERS WATER CLOSETS(rode) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sulks) 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 1
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 \c' ,1 2y} ';, DATE / /". /L� IC),I
/ W(Signa`'relCJ� —" (Title)
i RELATIONSHIP TO PROJEC'H ❑ Owner ❑ Agent ❑ Contractor O Architect ❑ Other
f#
( FOR OFFICE USE ONLY -
a NEW ❑ADDITION o ALTERATION o REPAIR o':TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? a YES a NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? o YES 0 NO
4
Bulletin#100–March 30,2004 – Page 2 of 4 k\Handouts–Revised\Permit Application
.r _...
ELECTRICAL PERMIT INFORMATION
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 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) ❑ 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 LI 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 to 200 amp $ 94.50
❑ 201 -600 amp 220.50
-- - . -eder ❑ 601 - 1000 amp 332.00
4 NI 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp . •
❑ over 600 amp 177.00 ❑ #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
eQ I #--of euits to lite adt3ed- 1rered 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
❑ 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
❑ #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
LI #of Thermostats ❑ #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 29646-910(5)N/(i&6)
Bulletin#100-March 30,2004 Page 3 of 4 k\liandouts-Revised\Pennit Application