06-105887 24. I
City of Federal Way Electrical Permit #•• 06-105887-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Re• -, Ine: (253) '35-3050
Project Name: KARIUKI
Project Address: 27630 21ST PL S arcel Numb- • '40 0040
Project Description: Altering(1)circuit
Owner Applicant ontractor
LIZZIE N KARIUKI LIZZIE N KARIUKI ZIE N KA UjiI
27630 2I ST PL S 27630 21ST PLS 27630 S
FEDERAL WAY WA F ERAL WAY WA FLY WA
98003-6955 003-6955 9801,3-6955
itional Pe 't Inform il)sihl:PIL
trice! Fi esVI!
Circuits-Residential..
P?- • PIRES Sunday, May 13, 2007
E,•
rmit Issue r on Tuesday, November 14,20(
I hereby certify he above i •rmation is correct and that the construction on the above described property and
the occu an e use wit be in accordance•;withfthe laws, rules and regulations of theiState of Washington
and the City Federal Way.
r or agent: PZ-49-zA.A.,G P Date: 1Ottiti-g
` THIS CARD IS TO REMAIN ON-SITE `
CCn OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-105887-00-EL
Owner: LIZZIE N KARIUKI
Address: 27630 21ST PL S
FEDERAL WAY, WA 98003-6955
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) ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
ElTemporary Power(4275) '❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical (4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By>,-cC$ Date /7,--//—0.6 By Date By Date
❑ Under-slab groundwork(4295)
Approved
By Date ', M — 2. Lt. C 1 — `: .
CI OF
Federal Way FE,�0EP� PERMIT
SF MF CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERV( QF ("j,
33325 8rH AVENUE SOUTH•PO 80 8 ,, kJ"' APPLICATION in
FEDERAL WAY,WA 98063-9718 ,e40
/ /
253-835-2607•FAX 253-835-2609
www.dtooffederalwatl.corn-
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INNFORMATION •
SITE ADDRESS :2 ) , 3 D I 5/ 3 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# / 0 4 4- 0 -l C_ 4 LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1) ..-?L� E N Li.
(Attach separate page for lengthy I gal description)
•
IN PROJECT INFORMATION .
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
.0 DEMOLITION,ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Prouide detailed description of work included on this permit onlu)
•
PROJECT NAME(Name of Business or Owner Last Name) II ''`,'� �^A •
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER J! kzt. 1t ;,i1LI (/:C) 3qq-4J6lG
MAILING ADDRESS CITY STATE,ZIP E-MAIL ADDRESS •
0�-e. 3` ' ; btPi - s 1te vet(ti.c CN Ce • _.I,xz sLt),Icy AtVal
CONTRACTOR COMPANY NOME' - APPLICANT NAME OFFICE PHONE
e
MAILING ADDRESS • CITY,STATE,ZIP CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( ) •
-
COPY of card required CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS.
with each application
APPLICANT COMPANY AM •APPLICANT NAME •OFFICE PHONE
• MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT. • ' FAX NUMBER '
•
0 Architect 0 Tenant 0 Agent 0 Other (
PROJECT NAME j - ii PRIMARY PHONE / E-MAIL ADDRESS
CONTACT Y 'CLe /GL L'✓ -( 4 1 (6'6) 3ei 5' - Z: ? 6-1
•
LENDER NAME Per RCW 19.27.095: '
Lender information is required if project value exceeds$5,000
• MAILING ADDRESS CITY,STATE,ZIP PHONE
. ( )
• • • ■ DETAILED BUILDING INFORMATION •
•
EXISTING USEPROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ 'VALUE OF PROPOSED WORK $
•
SPRINKLERED BUILDING? 0 YES 0 NO FIRE.SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE , 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN . 0 HIGHLINE 0 PRIVATE(SEPTIC)
A
■ PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑ UNCOVERED?)
GARAGE 0 CARPORT ❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
**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 $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
• AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(orTub/shower Combo) LAVS(eauvoomSinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS roue)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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.
NAME/TITLE 2/l Z X 1 �G r �' ��/CC DATE /I/i /
• (Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent 0 Contractor 0 Architect ❑ Othet
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES ❑NO BASIC PLAN? a YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES a NO
NEW ADDRESS REQUIRED? a YES ❑NO UP/SEPA/SU? a YES o NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? a YES o NO
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application
-:a :�
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Li 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 $07.00 $71.50
. ❑ Detached outbuilding or garage U 101 -200 amp 145.00 91.50
(Inspected with service) $45.50 U 201 -400 amp 272.00 107.50
' ❑ Detached outbuilding or garage U 401 -600 amp 317.00 127.00
(Inspected separately) $71.50 U 601 800 amp 410.00 173.50
❑ 801 - 1000 amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) L] Over 1000 amp 546.00 291.00
Service Feeder
U Up to 200 amp $117.00 $34.50 ❑ 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 ALTERED COMMERCIAL/INDUSTRIAL
U 601 -800 amp 254.00 136.00
❑ Over 800 amp 364.00 272.00 Service or Feeders
U Oto 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 272.00
❑ 601 - 1000 amp 410.00
Service or Feeder ❑ over 1000 amp 456.50
❑'0 to 200 amp $89.50
U 201 -600 amp 145.00 U 4 of circuits to be added/altered
i U over 600 amp 218.50 (1-5 circuits-$9I.50;Add'n circuits,$7.00/ea)
❑G �✓/� #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50;Add'n circuits$7.00/ca) $91.50 plus 35%of Permit Fee
•
I U Service 1,000 amps or greater
U Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $71.50
U Service and feeder $117.00
TEMPORARY SERVICE-
. MOBILE HOME/RV PARK Residential/Multi-Family $63.00
U #of service or feeders
(First service/feeder-$71.50;each add'n-$46.50) Commercial/Industrial Service or Feeder Ampacity
j ❑ 0- 100 amps $71.50
• U 101-200 amps 91.50
U 201-400 amps 107.50
O 401-600 amps 145.00
• ❑ over 600 amps 157.00
I
•
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)
❑ Low Voltage ❑ Swimming pool/hot tub $107.50
• Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $71.50
❑ Security Alarm System • ❑ Additional Plan Review $107.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
1•'2500 ft2-$63.00;
Each add'n 2500 ft2-16.50) 'Per WAC 296-46-910(5)(61(186N .
Bulletin#100-January 12006 Page 3 of 4 k\Handouts\Permit Application