05-104552 y t
City of Federal Way Electrical Permit #: 05 - 104552 - 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) 835-3051]
Project Name: KRYSA ..UCS
Project Address: 30519 24TH'SW Parcel Number: 889420 0090
Project Description: New 200amp service for new home; also includes alarm wiring
Owner Applicant Contractor
IGOR KRYSA A&D ELECTRICAL SERVICES,INC. A&D ELECTRICAL SERVICES,INC.
29409 19TH PL S 6503 34TH AVE CT E 6503 34TH AVE CT E
FEDERAL WAY WA 98003 TACOMA WA 98443 TACOMA WA 98443
(253)535-6215
Electrical Fixtures
Description -"Quantity Description Quantity Description Quantity
Low Voltage Burgler Alarm-Resident[ 4184 Service: Residential 4184
PERMIT EXPIRES March 6,2006.
Permit issued on September 7,2005
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordancewith the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: c- 1 r; t i. Date: �e
19 \o's
FI 1A . D
THIS CARD IS TO REMAIN ON-SITE -
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104552-00-EL
Owner: IGOR KRYSA
Address: 30519 24TH AVE SW
FEDERAL WAY, WA 98023
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) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) s® Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By 1N Date By Date
•® Rough Electrical(4225) • �❑ Ceiling Cover(4020) • ❑ Final-Electrical(4055)
�$ Approved Approved Approved
By �1\ / Date `fit`\\`�`\\ By Date 9(5 Date 7 jy
I❑ Under-slab groundwork(4295)
Approved
By Date
1 Zoos _
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Federal Way SEF ® x105-- —t L
PERMIT
COMMUNITY DEVELOPMENT SERVICES F F ED ERA►-W
Goo
333258TMAVENUESOUTT,•Posox9718 NG DEPT. SF MF CO ME6PL DE` EN FP
FEDERAL WAY,WA 98063-9718 A P P LI C AT I O t
Im
253-835-2607•FAX 253-835-2609 / /
www.cRyoll`ederalwouc nt I
The ollowi • is • fired in ormation-an inco •fete . ••lication will not be acce•ted. Please •rint le• •1 in in or
U PROPERTY INFORMATION
SITE ADDRESS 30 5 19 2�, 4 UE S it/ Fede -i.-/ 4, ,A5 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
,Avad,•ae•aaPogo for WOW legal desalpaiory
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION UYELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DE1SCRIPTION(Provide detailed description of work included on this permit onlu)
`2CtG�L� , , 4
F .sem- t.4 aoo .� pj ,W/r/. /�
� � rJ 1Q v$41 U'✓J✓J
PROJECT NAME(Name of Business or Owner Last Name) '�'� / ( S q
MI PEOPLE INFORMATION
PROPERTY NAME ,(( 1.^ PRIMARY PHONE
OWNER /< r)/ 5a_ _Gory Y" (2.55) 9 '6 -'i3S6
MAILING ADDRESS CITY,STATE,ZIP
/=ed 4./ IV i I,/
CONTRACTOR COMPANY NAME
/ APPLICANT NAME OFFICE PHONE
A +D Fleck--cal fa ,Ices roc- Da,,,,'c1 h4-k-vh �) (as3 ) s3 s- - (qz is
MAILING ADDRESS , CITY,STATE,ZIP CELL PHONE
S3-403 3 yA v.e- . C71, L Ta c.. 4 4/4 .91 y.3 (-7-5T3) ;,Z. 5, oS1P5i
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
2C2-12I-4Q 3e 07.-13 L %,2 / 31 / 05 (a5i ) s3s-- Galc
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
>4 Q E L E S L 2 Z 2 Q X l2 /3f / 0S'
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect a Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER •• cd ,, >'i'ei•,, r,,e.,, i er1rT, „r, , NAME
:e s 1.00 .1 ,4,t .' fir; xj,•;a,•;
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 0 NO
WATER SERVICE PROVIDER ❑LAKEHAVEN a HIGHLINE ❑TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE . 0 PRIVATE(SEPTIC)
•
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
sXasrura PROPOSED TOTAL , . ..x, TWA.Ic:R + •IF a 'a
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture 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 OAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(cos mercl4 WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
• COMPRESSORS FURNACES OAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orTub/sdow rcombo{ SHOWERS WATER CLOSETS(rates MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS teutvoomSinks) 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 authorised 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.
ii,�
NAME/TITLE / DATE V,_ (97 — CSS
Signa ) (Title)
RELATIONSHIP TO PROJECT ❑Owner E"Agent 0 Contractor 0 Architect 0 Other
t ':P (eiYti S e
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etor. e? nyC+ 3.0a x� ((c aE X ' � ;z4ot
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
ELECTRICAL PERMIT INFORMATION
A
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Single Family Square Feet ( Imo/ Service or Feeder Each Add'n
$69.50
(First 1300 ft2-$104.50;Each add'n 5 ft2-$31
3 .50) ❑ 0 to 100 amp $113.50
Detached outbuilding or garage ❑ 101-200 amp 141.00 89.00
(Inspected with service) $44.00 0 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50
(Inspected separately) $69.50 0 601-800 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
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
O 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
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
' 0 Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
I
MOBILE HOME/RV PARK Residentlal/Muitf-Family $61.00
❑ #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
❑ 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 ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
O 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
CI
(Per Systern(s) 1a 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 296-46-910(5/(6)#&ti/ •
Bulletin#100-January 7,2005 Page 3 of 4 laHandouts\Permit Application