04-104321 City of Federal Way Electrical Permit #: 04 - 104321 - 00 - EL
Community Development Services
P.O.Box 9718
Federal:(25Way,WA 98063-(253 Inspection request line: (253) 835-3050
Ph:(253)835-7000 Fax:(253)835-2609 P 9
Project Name: SENIOR
Project Address: 29733 4TH$ V't? 5 Parcel Number: 692860 0540
Project Description: Replacing a 100-amp electrical service panel
Owner Applicant Contractor
Lizabeth M Senior AZTEC ELECTRICAL SERVICES LLC AZTEC ELECTRICAL SERVICES LLC
29733 4TH AVE S 25316 45TH AVE S 25316 45TH AVE S
FEDERAL WAY WA KENT WA 98032 KENT WA 98032
98003-3621 (206)718-3100
Electrical Fixtures
Description Quantity .Description Quantity Descrption Quantity
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES April 18,2005.
Permit issued on October 20,2004
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 .. Date: /0 2-‘). b c/
(0(' ' o4
\re,:
N.0.46
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) W OODSTOV ES
' BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(o,Tub/Shower Combo) SHOWERS WATER CLOSETS(Node) 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 BLO CK
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. 1
NAME/TITLE = _ I ,/t
, V'+: i_ /_ :�, DATE 254) y
(Signature) (Title)
I RELATIONSHIP TO PROJECT 0 Owner 0 Agent /Contractor o Architect 0 Other
F
s
;
IFOR OFFICE USE ONLY i
o NEW a ADDITION a ALTERATION o REPAIR o`TENANT IMPROVEMENT
i BUILDING SHELL ONLY? o YES a NO BASIC PLAN? a YES a NO
{ ZONING DESIGNATION CHANGE OF USE? ❑YES a NO
t NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES a NO
i
Bulletin SHOD—March 30,2004 — Page 2 of 4 k Handouts—Revised\Permit Application
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THIS CARD IS TO REMAIN ON-SITE 7
:t
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104321-00-EL
Owner: LIZABETH M SENIOR
Address: 29733 4TH AVE S
FEDERAL WAY, WA 98003-3621
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) 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) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) 0 Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date
❑ Under-slab groundwork(4295)
Approved
By Date
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL w COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
O Single Family Square Feet 0 0 to 100 amp $ 94.50 $ 58.00
(First 1300 ft,-$87.00;Each add'n 500 ft,-$28.00)
❑ Detached outbuilding or garage ❑ 101 -200 amp 117.50 74.00
(Inspected with service) $36.50 0 201 -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
O 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
it 0 601 - 1000 amp 332.00
,PS(0 to 200 amp $ 72 S 0 over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 0 4 of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
1-4 circuits-$58.00;Add'n circuits$6.00Jea) $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 Re
MOBILE HOME/RV PARK ,e``1t�t_r- 3 Commercial
-----z".00
❑ 4 of service or feeders 01 -200 74.00 "r=-
(First service/feeder-$58.00;each add'n-$37.50)
/ 0 201 400 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 0 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 ftz-13.50) •Per WAC 296-46-910(S)(bl(&ii)
Bulletin#100-March 30,2004 Page 3 of 4 k\Handouts-Revised\Pennit Application
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