05-100765 •
City of Federal Way Electrical Permit #: 05 - 100765 - 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: WALLACE
Project Address: 32820 22ND AliV-AJ CS>N Parcel Number: 894510 0190
Project Description: Remove 220 outlet at front door. Change 100 amp meter to 200 amp overhead panel
Owner Applicant Contractor
W H Wallace MERIDIAN CENTER ELECTRIC INC MERIDIAN CENTER ELECTRIC INC
32820 22ND AVE SW 11109 66TH AVE E 11109 66TH AVE E
FEDERAL WAY WA PUYALLUP WA 98373 PUYALLUP WA 98373
98023-2802 (253)848-5595
Electrical Fixtures
r— Description Quantity Description Quantity Description Quantity
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES August 16,2005.
Permit issued on February 17,2005
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: 0,1—/ 7-(C
p,LED
77/,
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
t
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-100765-00-EL
Owner: W H WALLACE
Address: 32820 22ND AVE SW
FEDERAL WAY, WA 98023-2802
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) �
•
El Temporary Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By .r Date Z —'T4--c)�By Date
•0 Rough Electrical(4225) 0 Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date 13.1 5 Date z.- -44-405-------
0
— —p5-------❑ Under-slab groundwork(4295)
Approved
By Date
Federal Way PERMIT
CDMMUNJrfDEVELOPMENT SE:V1C f E8 1 7 2005 .�F MF COMOELPL DE EN FP
33325 8n,AVENUE SOUTH•PO BOX 9 18
FEDERAL WAY,WA 9 8 063-9 718 P L I C A T I O N
im /253 835-2607•FAx 253 835-gSt y OF FEDER /
r�uw.dtuo/1'edera(wau.rn,�/��BUILDING DEPT
The foilowin• is re•uired information-an inco •lete a••lication will not be acce•ted. Please •rint legibi (in ink)or type.
.. . I. PROPERTY INFORMATION
SITE ADDRESS ,_ 2.-S"7-0 2,2.'14 ft-/e, S SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ _ _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot I)
(Attach separate page for lengthy Legal desaipeion)
•
. • ■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of wor included on this permit only)
remove 2-7-0 o vt-�,e-<- b A 00C. C huh e CCM j �o
U.1 J k�iY AI) 2.-( C) ,p (N - kers 4 yo Yom(.•
PROJECT NAME(Name of Business or Owner Last Name)
- • • PEOPLE INFORMATION
PROPER n / NAME
{fro j� ` +,, n^/�I • PRIMARY PHONE
OWNNE �J� DC v�a,rexWor�-s de 61t/I'4�•C-C/ (2S3)g-6 - 7-2-17
I� ,J�" MAILING ADDRESS �� CITY,STATE,ZIP
W l 3-2_, -l7-0 n d ire, si,3 - -e GLor l Wful 61:g a Z.3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Meridian C61-c' ELec. I--tr•1 (26n3 ) s -SS 95
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE -
1U Uo61 (svm Pcvt_ t _ PL) 41Iup W'A- 418313( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
2'Q--0-Cr--I 0 2 L te- Z°- L 12 / 31 / 0‘4, ( ) -
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
LAZV-1QL.�.3 Ss a lab' /as
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT • FAX NUMB ER
❑ Architect a Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE
E-MAIL ADDRESS
( ) -
LENDER ''':*6971-4?'AW 7095 ienderinormation s NAME
r ,rpnectvaluecbmf
$5,000
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK
' SPRINKLERED BUILDING? ❑YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
I WATER SERVICE PROVIDER 0 LAKEHAVEN a UIGHLINE O TACOMA Cl PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN a NECKLINE O PRIVATE(SEPTIC) i ,
PROJECT FLOOR AREAS •
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE) . -
DECK(COVERED?)
GARAGE/CARPORT
TOTAL VOSTMO TOTAL PROPOSED TOTAL EXISTMG AND PROPOSED
HOW MANY FLOORS?
"NEW HOMES ONLY" NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE $
< •
FT�LTURES
Ind'>catenumber of each type off Lure to be installed or relocated as part of this project. Do not include existing fixtures to remain..
• MECHANICAL
Value of Mechanical Work $
EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
AIR HANDLING UNITS FANS HOODS(Commercial) WOODSTOVES
BBQS FIREPLACE INSERTS RANGES MISC(Describe)
BOILERS
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING SHOWERS WATER CLOSETS{ioa<q MISC(Describe)
DISHWASHERS
ERS SINKS BATHTUBS(crTub/snow<,comeol DRINKING FOUNTAINS
D
GAS PIPE OUTLETS
SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(bathroom Sinks)
VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/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. Q 11 OS
� �/�" DATE 1 LQI 0
NAME/TITLE (
t (Stgnature) (Title)
Q RELATIONSHIP TO PROJECT ❑ Owner o Agent 0 Contractor ❑ Architect 0 Other
$
s
IFOR OFFICE USE ONLY I
( o NEW o ADDITION o ALTERATION o REPAIR a.TENANT IMPROVEMENT
I BUILDING SHELL ONLY? o YES o NO
BASIC PLAN? o YES o NO
1 ZONING DESIGNATION CHANGE OF USE? o YES o NO
I NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU?. o YES a NO
PLATTED LOT? 0 YES o NO DEMO PERMIT REQUIRED? o YES o NO
f
E
1
•
ii Bulletin H l00—March 30,2004 —
Page 2 of 4 - k Handouts—Revised\Pci mit Application
• ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
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 ft2-$87.00;Each add'n 500 ft2-$28.00)
❑ Detached outbuilding or garage 0 101 -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 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 ❑ Over 600 volts surcharge $74.00
❑ 201 -400 amp 117.50 58.00 ❑ Mast or meter repair $80.00
❑ 401 -600 amp 161.00 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
0 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
al 0 to 200 amp $ 72.50 0 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 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
1 MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
❑ #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
❑ # 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 0 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.t 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50)•Per WAC 29646-910(5"e a ii/
Bulletin#100-March 30,2004 '` '` Page 3 of 4 kW andouts-Revised�E'amtt Application
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