05-100682 City of Federal Way Electrical Permit #: 05 - 100682 - 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: MOORE
Project Address: 34456 20TH Skil Ave-51n/ Parcel Number: 189545 0070
Project Description: Adding(2)circuits for new air conditioner
Owner Applicant Contractor
JANELLE MOORE ALL SEASONS,INC. ALL SEASONS,INC.
34456 20TH AVE SW 5001 N 28TH ST 5001 N 28TH ST
FEDERAL WAY WA 98023 TACOMA WA 98407 TACOMA WA 98407
(253)278-9344
Electrical Fixtures
Description Quantity Description Quantity ; Description IQuantity
Circuits-Residential 2
PERMIT EXPIRES August 13,2005.
Permit issued on February 14,2005
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: 7 "(/ S
F/N
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THIS CARD IS TO REMAIN ON-SITE
CITY 4F Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-100682-00-EL
Owner: JANELLE MOORE
Address: 34456 20TH AVE SW
FEDERAL WAY, WA 98023
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) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved pproved
By Date By Date y �/ Date G Z 3
❑ Under-slab groundwork(4295)
Approved
By Date
A . LS--- i_a/)_ __6, -2-
Federal Way PERMIT
cOMMUNITYDEVELOPMENT SERVICES SF MF CO ME(DPL DE EN FP
333258TMAVENUE SOUTH.POBOX 9718 APPLICATION m
FEDERAL WAY,WA 98063-9718 / /
253-835-2607•FAX 253-835-2609
wwwcituofederalwau.tom
The ollowi • is •uired in ormation-an Inco •tete a••Iication will not be acce•ted. Please •rint le•ibl 'n in or .
NI PROPERTY INFORMATION, /
SITE ADDRESS 5 u �� �� v� vV SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ —
LOT SIZE(s,f)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach gate page for lengthy Ir deswipdon)
-
II PROJECT INFORMATION - {�
TYPE OF PERMIT 0 BUILDING 0 PL ING Cld)IAI/-
1
i 0 DEMOLITION LECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
(1sr� ( 3 7",-* "7 c r cc2i,,a.`;---2,0,7 .ei
iV0 (t) G it/utii`5
•
PROJECT NAME(Name of Business or Owner Last Name) L900 i''' -
f
PEOPLE INFORMATION
NAME PRIMARY PHONE
PROPERTY ,i .e ( p0,-!�-
OWNER � �/r/ 1�� /� � _ (4j ) 73Z 6S
LING ADDRESS�I.(c ` ?e9// ftf/� C- CITY, ATE,Z
CONTRACTOR COMPANY NAME APPLICANT NA E OFFICE PHONE
n 11 C. f-
ef/1f f/7 c : Per S /�.uc,5�r yw (tisj) 2-- f 934/44
MAILING ADDRESS � CITY,STATE,ZIP CELL PHONE
5-,0S0 / hAL 2 ,o- p/y _ ' c opn a ...&„ 275„.„0 -7 ( ) -
CITY OF FEDE WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
_ / / ( �s 3) s 71 �Pr3
B L
CONTRACTORS REGISTRATION NUMBER(co of card required with each application) PIRATION DATE
64.11-' a v3o Z (/sego2S'V$ T`f/0 5 /f-2-0//r.25
APPLICANT COMPANY NAME APPLICANT N EOFFICE PHONE
/-(( �So,,f "'c A14,1 •eGa� a w (I-S3) ..z 7 t
MAILING/ 2_a_ 5 J ADDRESSCITY,STATE,ZIPo CELL PHONE
O
RELATIONSHIP TO PROJECT FAX NUMBER
o Architect ❑Tenant 0 Agent 0 Other(Describe) 45 3 ) ?9. - r/)
CONTACT5-4' PRIMARYPHONE
E-MAIL ADDRESS
/l �t/ �.5 ��-y
r
LENDER ;/ neer ormation ' NAME
ru eCtavalue recti ' ,'
MAILING ADDRESS CITY,STATE,ZIP
a DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHUNE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS
EXISTING PROPOSED Tone. . TOTAL EXISTING ar ITOTAL PROPOSED Sr TOTAL Sr
**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
Value of Mechanical Work $ i I
/ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
AL. COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orTub/show<rcombo) 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
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,inclu.' • e undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,includi • its of and employees,upon the accuracy of the information supplied to the city as a part of
this application. -
NAME/TITLE I fes DATE 2-A//'
//7(;;;15-.
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent - Contractor ❑ Architect ❑ Other
•'t ', - ?'" ■"I P DITION o ALTERATION a REPAIR , 44 [`ENANT YMPI20VEMENT
-HELL NLY? i Ali YES NO
»70 G ESICNATIUN ,_' k 7 , CHANGE
'a1 'DRESS SQUIRED? , YES NQS UP/SEPA/SII? ._ i YES: gg�NO4�.
�d ..'P D,e �.W � 0x -e" 'DEMO PERMIT sXUIRED? !Y "� Q E :
•
Bulletin 11100-January 7,2005 Page 2 of 4 k\Handouts\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL 04 • COMMERCIAL
/IL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage ❑ 101-200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50 '
(Inspected separately) $69.50 ❑ 601-800 amp 398.50 168.50
❑ 801 - 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00
Service Feeder _
❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
❑ 401 -600 amp 193.00 96.00
❑ 601 -800 amp 247.00 132.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
❑ 0 to 200 amp $87.00
❑ 201 -600 amp 141.00 ❑ 4 of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
��--#of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
❑ Service and feeder $113.50
1 TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0- 100 amps _ $69.50
❑ 101-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
U 4 of Thermostats ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
O Fire Alarm System ❑ Yard Pole meter loops $104.50
O Security Alarm System ❑ Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
O Data Cabling ❑ Automation Fee on all Permits .. $5.00
(Per❑ System(s) 1''2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) 'Per WAC 29646-910(5)(b)(&ii)
Bulletin#100-January 7,2005 Page 3 of 4 lAHandouts\Permit Applicatio4