06-105224 •
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' City of Federal Way Electrical Permit #: 06-105224-00-EL
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
Project Name: VORNG
Project Address: 4112 SW 328TH ST Parcel Number: 873203 0350
Project Description: Power connect to house (meter repair)
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Owner Applicant Contractor
SOMBO VORNG SOMBO VORNG SOMBO VORNG
1308 SW 160TH ST 1308 SW 160TH ST 1308 SW 160TH ST
SEATTLE WA 98166 SEATTLE WA 98166 SEATTLE WA 98166
Additional Permit Information
Electrical Fixtures
Mast or Meter Repair-Residential 1
PER 4T EXPIRES Tuesday, April 10, 2007
- , Issued on Thursday, October 12, 2006
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I hereby certify that the abov= ` ation - t and that the construction on the above described property and
the occupancy and the u -J • in ac•i•red Z '� t,e l , rules and regulations of the State Washington
�2 ,��4. ��r . o ederal Way.
Owner or agent: vi ,� Date: a '7-‘,6•5,
10
NI(ZOtOLQ k--ill.,. .q. , 1$41
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THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 _
PERMIT#: 06-105224-00-EL
Owner: SOMBO VORNG
Address: 4112 SW 328TH ST
FEDERAL WAY, WA 98023-2628
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) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
1
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) 7/ Final-Electrical(4055
Approved Approved Approved
By Date By Date By,al'i, Date i 7 alp
❑ Under-slab groundwork(4295)
Approved
By Date
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RECEIVED Q — Zo
uTr of
ederalWF OCT 12 2006 PERMIT SF MF CO M PL DEE FP
• COMMUNiY DEVELOPMENT SERVlCBS
9991s8TMAVENUE soU>tr•POBOX 9718 ,�P�LI CATI O N
f FEDERAL WAY,WA2 98069-971 `ITY OF F E D E / /
?59 d95Y6p7•PAX?53-035-TMJim
g„,,04,,,„fredera1,0e„..r„ BUILDING DEPT.
The ollowi is •uired information-an Inco .fete a••lication will not be acce•ted. Please •rent legibf in in or • .
IN PROPERTY INFORMATION
/ �
SITE ADDRESS y-']�7 `_ )CU SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(s,7
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
/Made eepawle page for Nngall legal desofp1on4
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITIO ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of wor included on this permit onlu)
IX .,v '' �^ aa L
PROJECT NAME(Name of Business or Owner Last Name) Vu V v
MI PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
Pt
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OWNER OM b0 l (torn F (21,-os�1,s-- CI
MAILING ADDRESS
/3pSit) I”'M / C(TYL � S6i 4 e5 /6"., ‘
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CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
5 4_ 'tit ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- - 13 L / / ( ) -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/
APPLICANT COMPA AME APPLICANT NAME OFFICE PHONE
l. ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑.Tenant ❑Agent 0 Other(Describe) ( ) . -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER NAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
(. )
■ `DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICE PROVIDER O LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN a HIGHLINE ❑ PRIVATE(SEPTIC)
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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
. - - RAfTaO PROPOSED
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(commerdeq WOODSTOVES
BOILERS" FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orTub/sbowercombo) SHOWERS WATER CLOSETS crones MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAPS(Bathroom; VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIIIIER/SIGNATURE BLOCK
I certify under penalty of perjury t 1 the information furnished by me is true and correct to the best of my knowledge,and further,that I
am authorised by the owner of the •••vs premises to —
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the wo k for which the permit application is made. I further agree to hold
harmless the City of Federal W-y • I. any c •.. ' •- - penses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be m• • by 411 person, • ding de•- gned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of- ct• ,eluding is o,icur • e loyees,upon the accuracy of the information supplied to the city as a part of
this application. /
/ / /12
NAME/TITLE r� !L/ DATE �� v
(Sign re) (Title)
RELATIONSHIP T• •ROJECT LI Owner ❑A.ent ❑ 'ontractor 0 Architect 0 Other •
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1PII11P4H Ill flfl_Tont tort!1 711AA - PA OP/nf - - LAI-lane-1mitaPPrm it AnnIi,otinn
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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-$107.50;Each add'n 500 ft2-$34.50) ❑ 0 to 100 amp $117.00 $71.50
❑ Detached outbuilding or garage ❑ 101.-200 amp 145.00 91.50
(Inspected with service) $45.50 ❑ 201-400 amp 272.00 107.50
0 Detached outbuilding or garage 0 401-600 amp 317.00 127.00
(Inspected separately) $71.50 ❑ 601-800 amp 410.00 173.50
0 801 - 1000.amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $34.50 0 Over 600 volts surcharge $91.50
❑ 201 -400 amp 145.00 71.50 U Mast or meter repair $99.00
❑ 401 600 amp 198.50 99.00
0 601 -800 amp 254.00 136.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 364.00 272.00 Service or Feeders
❑ 0 to 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 272.00
❑ 601 .1000 amp 410.00
Service or Feeder
❑ 0 to 200 amp $89.50 0 over 1000 amp 456.50
❑ 201 -600 amp 145.00
❑ #of circuits to be added/altered
❑ over 600 amp 218.50 • (1-5 circuits-$91.50;Addh circuits,$7.00/ea)
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❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50;Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee
❑ Servicer 1,000 amps or greater
Mast or meter repair $53.50 0 Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $71.50
O Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Muitt-Family $63.00
❑ #of service or feeders
(First service/feeder-$71.50;each addh-$46.50) Commercial/industrial Service or Feeder Ampacity
❑ 0-100.amps $71.50
❑ 101-200 amps 91.50
❑ 201_400 amps 107.50
❑ 401-600 amps 145.00
❑ over 600 amps 157.00
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MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats • ❑ #of Signs
(First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n sign.$25.00/ea)
Q Low Voltage ❑ Swimming pool/hot tub $107.50
1 Square Feet to be served by system(s) (Includes additional circuit,if required)
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0 Fire Alarm System 0 Yard Pole meter loops $71.50
0 Security Alarm System
0 Voice Cabling ❑ Additional Plan Review $107.50/hour
0 Data Cabling (for modified submittals)
❑ $5.00
(Per Systems) 1a 2500 ft2-$63.00;
Each add'n 2500 ft2-16.50) •Per WAC 296-296-46-910(5)M&if) ❑ Automation Fee on all Permits
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