06-104839 I
City of Federal Way Electrical Permit #: 06-104839-00-EL �r
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
ry
Project Name: LLEWELLYN .
Project Address: 212 SW 292ND ST t. Parcel Number: 119600 0121
Project Description: Install new service for 4,645 sq ft single family home to include service for detached garage
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Owner Applicant Contractor
MORGAN LLEWELLYN TANDEM ELECTRIC,INC TANDEM ELECTRIC,INC
212 SW 292ND 5836 S 228TH ST TANDEEI044DF 3/6/08
FEDERAL WAY WA 98035-0902 KENT WA 98032 5836 S 228TH ST
KENT WA 98032
Additional Permit Information
Electrical Fixtures
-Outbuilding/Garage-Residential.. 1 Service: -Residential 1
PERMIT EXPIRES Wednesday, March 21, 2007
. Permit Issued on Friday, September 22, 2006
I hereby oa that the above information is''correct and that the-co stru n on the above described property end
the occu a and the us illbe in . am«- �.
p �cy � d � the lawa rules and regulations of the State of Washington
\ •i
d the C. of Federal Way.
Owner or agent: Date: 9. a
� r J
( '‘\
THIS CARD IS TO REMAIN ON-SITE •
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�� of Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-104839-00-EL
Owner: MORGAN LLEWELLYN
Address: 212 SW 292ND ST
FEDERAL WAY, WA 98023-3502
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) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
0 Temporary Power(4275) .El Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date B,; Date Li —7O-€ By Date
.
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
Byy 5 Date 4—4-01 By Date By Date
❑ U d_gs:slab groundwork(4295)
— pproved
By -�`��I Dateq Z1 O4p
�bF 0 — LD4S3d1
le FederalWay RECEIVED PERMIT
SF MF CO ME E., PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
X25 AVENUEAVENUE
2 FAAX 253a•�j5.2 X 'SEP 2 2 21,E P P L I C AT I O N
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FEDERALWAY,WA98063-9718 � / /
www.cituoffederalwau.com
CITY OF i
The ollowi • is re•c_,�,La Iv;;�•Z :v WA n inco •fete • ••Iication will not be acce•ted. Please •rint le•ibi (in or • .
I. PROPERTY INFORMATION
SITE ADDRESS a I p� / S 14 9 `�/ ''/ SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# / 9 _6 D ___a- O __L.. 91/4. J LOT SIZE(s1)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach Sq,...t<Paxlor Io gdty Iyd drsopSon)
■ 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 work included on this permit only)
4647> Sal Pi Ai(Ai H1)47E
PROJECT NAME(Name of Business or Owner Last Name) L Le W C U.- ik,
is PEOPLE INFORMATION
PROPERTY NAME n A,q ^A/ PRIMARY PHONE
OWNER A/0/2 /44/ ZLF Ea ( ) - .
MAILING ADDRESS CITY,STATE,ZIP
CONTRACTOR COMPANY NAME APP CANT NAME� OFFICE PHONE
''MAILI i408'I/
C & /!G!N` C17Y E.ZIP-/I/EV
,V`E CE ONE ci, -dO6
593 ,� S .s%' /CE ij(ijA. CIo'032 (9)a6( - 079cP
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
19 -99- i 01 g{- B L /a / 3i / o6 8,33 )3(/s- -&&o
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each applications EXPIRATION DATE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( )
LENDER 9 , , , NAME
µt , r- i r1rte excee ,5;' t 'st•
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? ❑YES a NO
WATER SERVICE PROVIDER ❑ i.AICEHAVEN a HIGHLINE ❑TACOMA ❑ PRIVATE(WELL) -
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 RIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
h AREA DESCRIPTION EXISTING PROPOSED TOTAL
mil.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) YDS
GARAGE 0 CARPORT 0
Lx,S ING PROPOSED TOTAL TOTAL=STING ter TOTAL PROPOSED Sr -. TOTAL Sr
NUMBER OF FLOORS =.. °fir a
**NEW HOMES ONLY" NUMBER OF BEDROOMS ,r 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(commerci J) 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- • • orm the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim(includin• costs, expenses, and attorneys'fees incurred'in the investigation and defense of
such claim),which m•• • made • any person,in •'ng the ndersigned,and filed against the City of Federal Way,but only where such claim
arises out of the vane of the ci ,,including i cers an• emplo ••n the accuracy of the information supplied to the city as a part of
this applicatio
NAME/TITLE IY —/ - DATE q -to i9--
ature) ,' (Title)
RELATIONSHIP TO PROJECT a Owner 0 Agent ontractor a Architect 0 Other
,
-'PY''f ed 'D _ON %y F', .`W TERATION -{�"G.REPAIR I' ER t OVEMENT ;" '-ir'-'7=.4-titi74471
!. )!.(e . E I •NL z . 4o i!y`. , 0',7(`‘.Ztk `- tBASICt' .i,, AYES4f-4:,:9-i_':`" §'
, ' 1�t t � 3•ESIGNATION P x Y= "u-r CHANGE OF USE r t .,4,457. =_;13 YES NO '0,rt
Lyt�,f' 'D s•. UTIRED? ., ,. .••- z• 0 :. = xf«-r §. .;3ITP/SEPA/SU?a+ .< ,. i. ❑YES' NO
e-1—''44:-i"---�1-D c�• ', _. -' , : O , ._.•A .4_'DEMO ' t,.. . ,'°UIRED? .YES ,..
Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Permit Application
ELECTRICAL PERMIT INFORMATION
•
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW
NEW COMMERCIAL/INDUSTRIAL SERVICE
Single Family Square Feet 44 IS- Service or Feeder Each Add'n
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) 0 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
O 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
O 401 -600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 247.00 132.00
❑ 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 0 #of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
CI 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
O 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
O #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
O over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
O #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
❑ Security Alarm System ❑ Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ElAutomation Fee on all Permits .. $5.00
(Per Systems) 1"2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) •Per WAC 296.46.910(5 J&ii)
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application