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06-106030
AO. Ilk t City ofFederal ay Electrical Permit #: 06-106030-00-EL Community Developmelopmetnt Services P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050 i Project Name: DOBSON Project Address: 2611 S 288TH ST Unit 52 Parcel Number: 283920 0520 Project Description: Replace 200 amp service for a mobile home. Owner Applicant Contractor ALAN J ODEGARD ELECTRO SERVE LLC ELECTRO SERVE LLC JOYCE ODEGARD 13300 SE 30TH ST SUITE 105 ELECTSLO42M2 7/22/08 312 FAIRVIEW AVE N BELLEVUE WA 98005 13300 SE 30TH ST SUITE 105 SEATTLE WA BELLEVUE WA 98005 98109-5313 Additional Permit Information Electrical Fixtures k Servicee.r Feeder-Manu./M.H.P t r. PE ITEXPIRES aturday, May 20© Permit sued a4 Monday, November 27,l 2006 I hereby certify thatthe'above i formatr�is orr and that the construction" the above"described prop rty and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington _ - - • • Federal Way. / �Owner or agent: ,V Date: l ('-e- -(5C- 411O �" U k 2—nom— ° b — C i1�� THIS CARD IS TO REMAIN ON-SITE CITY OF am'. Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 06-106030-00-EL Owner: ALAN J ODEGARD Address: 2611 S 288TH ST Unit 52 FEDERAL WAY, WA 98003-8001 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) ❑ Final-Electrical (4055) Approved to place concrete Approved By Date By Q �� Date t -0 - RECEIVED n6 - / •06-G n CITY OF Federal Way PERMIT COMMUNITY DEVELOPMENT SERVICElr;l.�,( 2 Z 2006 SF MF CO ME PL DE EN FP. 33325 D AVENUE SOUTH•63 BOX 9718 P L I C A'T I O N TD FEDERAL WAY,WA 98063-9718 / 4 253-835-2607•FAX 253-835 Y OF FEDERA �( www.ntuof(ederalwau'C0 BUILDING DEPT. The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type. IIIIPROPERTY INFORMATION SITE ADDRESS ( cake:-+- SUITE/UNIT# r S ASSESSOR'S TAX/PARCEL# Z g _> 2 c' - 0 C 2- b LOT SIZE(4) LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1) (Attach separate page for lengthy legal description( • PROJECT INFORMATION TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION KELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work incl d n this rrnit onlu) , 2-C 0 GL1 cr4.,I;J 0_, riA-t-k-7 eefie-t I-4) PROJECT NAME(Name of Business or Owner Last Name) V a V S aCO • • PEOPLE INFORMATION ' PROPERTY NAME II PRIMARY PHONE OWNER L.--Inti , (2t15 - (2-.;-5)9 4 ( -. l aG I • MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS a c(( 5. ZW- t '5 - khA,AiL LoAci ao3 COMPANY NAME APPLICANT NAM OFFICE PHONE LI CONTRACTOR �'"� I D �-t'1 O s (4-0-1") f253 - �(D� L MAILING ADDRESS Cl. ,STATE,ZIP CELL PHONE 177 a p 5 E 340' el-- LCviA.P COR kw� ( U ZS) g4'(4 - S 11CL/ • CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER I C1 o 1$ "1054h2---00- i - t 2---'54--c) 7 (Lel-S) 653 - Konz • COPY of card required each CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS •• with ch application i / E-45 CY 5 co )j11 P. S1'21/015' APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE `?-'L a-) tgl,e ( ) MAILING ADDRESS CITY,STATE,ZIP CELL PHONE _( ) - RELATIONSHIP TO PROJECT . FAX NUMBER 0 Architect 0 Tenant 0 Agent 0 Other . ( ) - • PROJECT NAME ri ,— PRIMARY PHONE E-MAIL ADDRESS CONTACT 11414. I 4.ti.-- (-1`S) 05 CSL' T- LENDER NAME Per RCW 19.27.095: Lender information is required if protect value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP PHONE ( ) • • NI DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO - WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED 'TOTAL: 1 1 SQ. FT. SQ.FT. SQ. FT. BASEMENT FIRST SECOND THIRD ADDITIONAL FLOORS(DESCRIBE) DECK(❑ COVERED OR D UNCOVERED?) \ GARAGE ❑ CARPORT ❑ EXISTING PROPOSED TOTAL TOTAL ESJSTIN• F TOTAL PROPOSED SF TOTAL SF NUMBER OF FLOORS **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMAT"• SELLING PRICE $ ■ FIXTURES Indicate number of each type of fixture to be installed or relo .ted apart of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ (A COPY 0'BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPI.'•TIVE•COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS F• S GAS WATER HEATERS MISC(Describe) BOILERS IREPLACE INSERTS HOOD (commerial) COMPRESSORS FURNACES RANGES ',, DUCTS GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS(or Tub/Shower corn. LAVS(Bathroom sinks) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAI : SHOWERS WATER CLOSETS(railer) ELECTRIC WATE' 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. \? ....____ I AMINO kil___ NAME/TITLE L�'UT�►� 1�•ybt� DATE I I 12-3/N.,(Sign'ature) (Title( RELATIONSHIP TO PROJECT 0 Owner ❑ Agent 0 Contractor Cl Architect 0 Other o NEW ❑ADDITION o ALTERATION ❑REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES o NO V BASIC PLAN? ❑YES o NO ZONING DESIGNATION CHANGE OF USE? o YES ❑NO NEW ADDRESS REQUIRED? ❑YES a NO UP/SEPA/SU? a YES ❑NO PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? a YES G NO Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Pelmit Application ELECTRICAL PERMIT INFORMATION RESIDENTIAL - COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE Single Family Square Feet Seruice or Feeder Each Add'n (First 1300 ft2-$107.50;Each add'n 500(t2-$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 ❑ Detached outbuilding or garage ❑ 401 -600 amp 317.00 127.00 : (Inspected separately) $71.50 ❑ 601 -800 amp 410.00 173.50 ❑ 801 1000 amp 500.50 209.50 NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 546.00 291.00 Seruice Feeder Cl Up to 200 amp $117.00 $34.50 ❑ Over 600 volts surcharge $91.50 ❑ 201 -400 amp 145.00 71.50 ❑ Mast or meter repair $99.00 ❑ 401 -600 amp 198.50 99.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ 601 -800 amp 254.00 136.00 ❑ Over 800 amp 364.00 272.00 Seruice orFeeders ❑ 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 itrifffo 200 amp $89.50 ❑ 201 -600 arhp 145.00 ❑ #of circuits to be added/altered ❑ over 600 amp 218.50 (1-5 circuits-$91.50;Add'n circuits,$7.00/ea) CI of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW I (1-4 circuits-$71.50;Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee ❑ Service- 1,000 amps or greater ❑ Mast or meter repair $53.50 Li Medical/Educational/Institutional Facility i MOBILE HOMES ervice or feeder only $71.50 Service and feeder $117.00 TEMPORARY SERVICE MOBILE HOME/RV PARK Residential/Multi-Family $63.00 ( #of service or feeders I (First service/feeder-$71.50;each add'n-$46.50) Commercial/Industrial Service or Feeder Ampacity ❑ 0- 100 amps $71.50 ❑ l01-200 amps 91.50 . 0 201-400 amps 107.50 ❑ 401-600•amps 145.00 ❑ over 600 amps • 157.00 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 . CI Additional Plan Review $107.50/hour ❑ Voice Cabling (for modified submittals) ❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00 (Per System(s) 1.t 2500 ft2-$63.00; - Each add'n 2500 ft2-16.50) •Per WAC 296-46-910(5)(5)(i&ii) Bulletin#100-January 1,2006 Page 3 of 4 k\Handouts\Permit Application