05-105056 •
City of Federal Way FILE Electrical Permit #: 05 - 105056 - 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
i
Project Name: O'BRIEN/STEPHENSON
Project Address: 211 SW 292ND ST Parcel Number: 119600 0840
Project Description: Alter 200-amp service for residential addition/remodel.
Owner Applicant Contractor
ELIZABETH STEPHENSON &PAMELA O'B SCRIBNER ELECTRIC INC*JACE SCRIBNE SCRIBNER ELECTRIC INC*JACE SCRIBNE
211 S 292ND ST P.O.BOX 2770 P.O.BOX 2770
FEDERAL WAY WA 98023 WOODINVILLE WA 98072 WOODINVILLE WA 98072
(206)718-0904
Electrical Fixtures
Description Quantity; Description Quantity Description 1Quantity1
Alt.Serv./Feeder:0 to 200 amps-Res. 1 1
L
PERMIT EXPIRES March 29,2006.
Permit issued on September 30,2005
I hereby cattily that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in acco nee with the laws,rules and regulations of the State of Washington''and
the City of Federal Way./
Owner or agent: 6-/Com- Date: .97?0/)-r—
ISA
l \E I
, • THIS CARD IS TO REMAIN ON-SITE
•
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 .
PERMIT#: 05-105056-00-EL
Owner: ELIZABETH STEPHENSON
Address: 211 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.
O Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) ,a Service(4235) • ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date B• y 0Ow / Date % .?qtr : By Date
Rough Electrical(4225) • ,❑ Ceiling Cover(4020)` • �„ Final-Electrical(4055)
Approved Approved Approved
By ,%I` Date`� Z'Z D(P By Date By OA it Date C\\f-\\1&2•
•❑ Under-slab groundwork(4 95)
Approved
By Date
4
i
Federal Wa PERMIT lEcoveD . 05-- 1 Q.. Q7.(4:2
irMUN YDEVEW?UENTSR SEMI. ' O 2005 SF MF CO M•�L DE EN FP
393TSQni ERAL UE SOWN Y,WA9.FO:,, ,e APPLICATION
FEDERAL WAY,WA 98063-9
253-835-2607•FAX 253435.2609
mvitsiwarrsdmhlefime OF FEDERAL WAY' 1
The ollowi • is UILDING DEPT,
trea in ormation-an Inco •fete a••Ucation will not be acce•to• Please •tint le• •1 in or
n • PROPERTY INFORMATION
SITE ADDRESS G 1 I 2 7Q L b1 5L.,) '+' -" (.. SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# / I / (0 v- 0LOT SIZE s
— rn
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
/Ati.ch s a p for knethy wDd descrOdonq
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 _ • nl
PROJECT NAME(Name of Business or Owner Last Name) • Ld• �� r�ti 5. `�r['P.A..- r ,
• PEOPLE INFORMATION ,�
PROPERTY E'16PRIMARY PHONE
OWNER V 1 ,./ , .y. �IP) 91– ( 83
MAILING ADDRESS i STATE,ZIP
3 2A Co c0 //_ 501` 0 1 R)?3
CONTRACTOR COMPANY NAME APPUCANT NAM OFFICE PHONE
attims-7 ., Elc kic,1. -S c.a,�a ( ()) lie -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
CITY OFTEDERAL WAY BUSINESS LII►) (BER EXPIRATION DATE FAX -
AX NU ER
4-L_J_p/ �' ., L
CONTRA 'S REGISTRATION NUMBER(copy of required with each application) EXPIRATION DATE
V
-G0 42 £ 230 qt($rr953bw 1 1
APPLICANT COMPANY NAME
APPLICANT NAME OFFICE PHONE
Scgtax- lt, 0ec/lUc,,k. ,VetSut/6 -x . ( 206 ) ?kr- -o%oy
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
PC2 �o c 27A> vaciki ,vt/k wA ( ) -
• RELATIONSHIP TO PROJECT /I LL FAX NUMBER
0 Architect 0 Tenant a Agent Other(Describe)_91�^11-- T4,Z. ( ) -
CONTACT NAME 1.� S ( PRIMARY PHONE
( 2 ) 7(S . - L' 1
E-MAIL ADDRESS
LENDERNAME
ia , pf.moi r ,r,'. i ar, i,5- U
NO AD,kj RESS CITY,STATE,ZIP
60k Z7 70 <Jo>i511•1.✓t
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ -
SPRINKLERED BUILDING? a YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ❑ NO
WATER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE a TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED • AL
SQ.FT. SQ.FT. : •.FT. •
SEMENT
FI.
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(D • • BE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS =arum OTOS= TOT sdah ••:11.••1. d g •2.,.•
**NEW HOMES ONLY'* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be • ,tailed or relocated• •. of this project. Do not include existing fixtures to remain.
MBCFIANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LO* REFRIG.SYSTEMS
BBQS FANS HOODS( ,— WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
• COMPRESS°-' FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
HTUBS(or Tub/Shower ComboSHOWERS WATER CLOSETS(roses MI - 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 pr es to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal W as to any c •'? ncluding costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may bent y any perso ' siding the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of city,includl officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE ier
DATE 1/3°�
Signature) Critic)
RELATIONSHIP TO ❑ Owner a Agent 0 Contractor ❑Architect 0 Other
,E5A':t i`]001 t}Ce)�f ::',t •:.'..t111(r.),C ' *"02 1V,0., r 10.5)4-141'1 I'WZ4(0°F •I:A t,
pl1,t1r4c, sittDit e)3@c rs ti)(F (0r
-- '- tc9 e,S, ) Iy,; �or�t�-'�� , ;fel
B t , e)e) raL: } ; :Yell 7.4:4 7i�"'. ).�..:16 t r.c :(e)•
fes) O.7°eNr .9a()r@ :4;1-6l�)
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Pcnnit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL , • COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
C' ingle F:.•' -.uare Feet 2-4C0 Service or Feeder Each Add'n
(First 13.6 -$1. .50;Each -•. •i (t2-$33.50) ❑ 0 to 100 amp $113.50 $69.50
❑ De : ed outbuil.•.• • garage ❑ 101-200 amp 141.00 89.00
(Inspected with service) 4.00 ❑ 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
❑ 401 -600 amp 193:00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ 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 ❑ #of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
❑ #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
O 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 Residenttal/Muitf-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commerciai/Industrial Service or Feeder Ampacity
❑ 0-100 amps _ $69.50
O I01-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps - 141.00
❑ over 600 amps 152.50
•
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats 0 #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)
❑ Fire Alarm System 0 Yard Pole meter loops $104.50 `
-
❑ Security Alarm System 0 Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals) `
❑ Data Cabling •
❑ Automation Fee on all Permits .. $5.00
• (Per systems)-14 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) •Per WAC 29646-910(sj(I4 f&5)
Bulletin#100-January 7,2005 Page 3 of 4 klHandouts\Pennit Application'