05-104934 City of Federal Way Electrical Permit #: 05 - 104934 - 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: BERNARDO
Project Address: 34917 27TH tSW! Parcel Number: 351800 0010
pJ tp
Project Description: Adding 2 new circuits for new A/C unit,replacing L/V thermostat
Owner Applicant Contractor
George S Bemardo &Francisca B Bernardo ALL SEASONS,INC. ALL SEASONS,INC.
34917 27TH AVE SW 5001 N 28TH ST 5001 N 28TH ST
FEDERAL WAY WA TACOMA WA 98407 TACOMA WA 98407
98023-3079 (253)278-9344
Electrical Fixtures
Description Quantity,'' - Description 1Quantity Description Quantity
Circuits-Residential 2 Thermostat 1
PERMIT EXPIRES March 22,2006.
Permit issued on September 23,2005
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: A6vi Date: V-1hh(�
3
I qipu,)16-: (3j111
PA/Y".
THIS CARD IS TO REMAIN ON-SITE
CITY OF &IL
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-104934-00-EL
Owner: GEORGE S BERNARDO
Address: 34917 27TH AVE SW
FEDERAL WAY, WA 98023-3079
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) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service (4235) ,❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
,
O Rough Electrical(4225) .0 Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date
❑ Under-slab groundwork(4295)
Approved
By Date
CITY OF
5 - jC4— t 3 (
Federal way RECEwvEr pE RM IT
COMMUNITY DEVELOPMENT SERVICES
SEP
� ,�A�y,('� SF MF CO M EL�PL DE EN FP
.3332FEDERAL WAYSWAT 9806907189718 S E P 2 3 oP p L I CATION .�//
[.,r i 1 TD t� /
253-835-2607•FAX 253-835-2609
www.cityoffederalway.com -
•,:I7Y OF FEDERAL WAY
The ollowin• is re•uiritt1 ."i. Jj f-•an inco •lete a••lication will not be acce•ted. Please •rint le•ibl in in or • .
�}T • PROPERTY
INFORMATION
SITE ADDRESS 34917 c,2C ' S w SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# _3_ _5_ _1_ _8_ _O_ _O_ - _O_ _O_ _1_ _O_ LOT SIZE (sf)
LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION X ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
INSTALL 2TON 12 SEER AIR CONDITIONER (1-4 CKTS) AND THERMOSTAT 2c,16k
PROJECT NAME(Name of Business or Owner Last Name) BERNARDO _
II PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER GEORGE BERNARDO ( 253 ) 661-0795
MAILING ADDRESS CITY,STATE,ZIP
34917 27TH AV SW FEDERAL WAY, WA 98023
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
ALL SEASONS INC ROBYN BRADSHAW ( 253 ) 897-9144
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
5001 N 28TH ST TACOMA, WA 98407 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
1 9 - 9 - 8 1 0 5 2 6 - 2 - 0 O B L 12/31/05 ( 253 ) 879-9143
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
A L L S E I * 0 3 5 N 5 08/25/07
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
ALL SEASONS INC ROBYN BRADSHAW ( 253 ) 897-9144
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
5001 N 28TH ST TACOMA, WA 98407 ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent ❑ Other(Describe) ( 253 ) 879-9143
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
DAVE BRADSHAW ( 253 ) 879-9144
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
I DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES o NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ 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 ❑ CARPORT❑
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**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(commeraai) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Toilet) 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 arty person, including the undersigned, and filed against the City of Federal Way,but only where such claim
arises out of the reliance of th ty, including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE DATE O"1 _a3—OS
(Sig atu e( (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
o NEW o ADDITION ❑ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES o NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? a YES o NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(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 U 401 -600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 601 -800 amp 398.50 168.50
U 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 U 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 ❑ # of circuits to be added/altered
60 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
XZ of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
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
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
U 101-200 amps 89.00
U 201 -400 amps 104.50
U 401 -600 amps 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
X_1_ of Thermostats ❑ # of Signs
(Firs $52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
ow 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 $104.50
❑ Security Alarm System ❑ Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits $5.00
El
(Per System(s) 1.t 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) `Per WAC 296-46-910(5)(b)(i&ii)
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application