05-104254 City of Federal Wayt Services
'.leCtriCal Permit #: 05 - 104254 - 00 - EL
Community Developmen
P.O.Box 9718 $
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: MUSSA
Project Address: 139 S 358TH ST Parcel Number: 114001 0020
Project Description: Altering(4)circuits for new addition
Owner Applicant Contractor
Joan Dee Mussa &Mohammed Mussa BOWERS ELECTRICAL SERVICES INC BOWERS ELECTRICAL SERVICES INC
139 S 358TH ST 10340 NE 141ST ST 10340 NE 141ST ST
FEDERAL WAY WA BOTHELL WA 98011 BOTHELL WA4 98011
98003-8616 (425)770-1564
Electrical Fixtures
Description IQuantity Description 1Quantity Description Quantity
r Circuits-Residential 4
PERMIT EXPIRES February 18,2006.
Permit issued on August 22,2005
I hereby certify that the above inforrrlation is correct and that Ale construction en the above described property and
the occupancy and the use will be in accordance wth the laws, tles and regulations of the State of Washington and ,
the City of Federal Way ��
Owner or agent: I� / Date:
3 °P
911 0.i\v1
1
1 J
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THIS CARD IS TO REMAIN ON-SITE
CI,r,►o>FA Community. Development Inspection Record
Federal Way IVR INSPECTIO3N REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104254-00-EL
Owner: JOAN DEE MUSSA
Address: 139 S 358TH ST
FEDERAL WAY, WA 98003-8616
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) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
0 Rough Electrical(4225) 0 Ceiling Cover(4020) Final-Electrical(4055)
Approved Approved , Approved
4:, I \t
B; =i�1 DateYj1 t By Date By Irmo, Date ik5icit;rcip<
❑ Under-slab groundwork(4295)
Approved
By Date
0.3'-
Federal Way �� -I
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3332FD AVEIVUSW •�"ia 2 PPLI CATI O N
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98063- TO / /
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The aloud • is re• fired in ornT6c�i
prt yen Inca •late a••iication will not be acre•ted Please •Tint le• •Z in or
■ PROPERTY INFORMATION
SITE ADDRESS I I Cl ,O 3 S 2-7-1-1 J57-11 T
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ _ LOT SIZE(s,J7
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Mach separate page far lengthy legal description)
R
PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
r.(1--C- 5L:7, K.,_ tr- oD 4 4 <:,.' C/ /f i Z :41PLAt4.L6-
44' vL-
-
4 ('vL ( 'rS "1-'6(- 1 ( 't`S / P-t.e 4 cr J2-AAJ c T °Li-=T
PROJECT NAME(Name of Business or Owner Last Name) SS A- Ak‘b C 1 7--)04,j
• NI PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER -- c3/U/4 01 Ciij1 (z5 5) - 2'Scb
MAILING ADDRESS CITY,STATE,ZIP
\301S°3 9 c,r tTe ) 4,4 q -
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
..Ow(ES C----(..t?-t--T- iLk uA--L. 4 c>c•-k..-‘ 6cx.je.“ (4c 2S)11 O - /56.y
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
t o3 yo... J. C- i4/Sr f L— t.( Cell -`teat/ (•�4L1 �7lb- /S41-/
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE -- FAX NU BER
— -BL / / ( )
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
ow �)'L 132 6-7 i / ( L / ze0-7
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
II0C-1) i_S, i(3C'T PA-r/1`- -‘ •-•....--‘,..A_ &A.A.)(e•-‘...., (i-Nal 'YIN - ictli
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
IC* (jo At %y/sl- . f-t 4.4 Ifeil (2i) 110-If'y
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant ❑Agent.43_Qther(Describe)C•rt:"("/1. ( ) -
CONTACTNAME PRIMARY PHONE E-MAIL ADDRESS
--� t d i -12 f1 1(e ?D- / ''`G -S a 21La-ifekt;v/}.IC yc'
LENDER :> ,a. -• t:l- ,a,,,y4'6), NAME
r• i7� C,�;
F 1• ,I /C '1 •'(tt "r>-f t 4")..14ir,
MAILING ADDRESS CITY,STATE,ZIP
• ■ 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 0 NO
WATER SERVICE PROVIDER ❑ LAKERAVEN ❑HIGHLINE ❑TACOMA ❑PRIVATE(WELL)
SEWER SERVICE PROVIDER O LAKEHAVEN 0 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
sEsTNG Paoroseo TOTAL '-',, ,,
All
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 factures to remain.
MECHANICAL
Value of Mechanical Work $
•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
• COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS treses MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(BahroomSfdq 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 claims,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 :' /<1 DATE O
ignaturel V (Title)
RELATIONSHIP TO PROJECT a Owner a Agent Wiltractor a Architect a Other
•
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
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-$104.50;Each add'n 500 ftp-$33.50) ❑ 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage 0 101-200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 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
O 401 -600 amp 193.00 96.00
0 601 -800 amp 247.00 132.00 ALTERED COMMERCIAL/INDUSTRIAL
O 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 L i ,/ . of circuits to be added/altered
_
❑ over 600 amp 212.50 (1 5 circuits-$89.00;Add'n circuits,$7.00/ea)
`T # circuits to be add tered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1.4 .
vita$69.50;Add'n circu 7.0 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
❑ Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
I MOBILE HOME/RV PARK
Residential/Multi-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
O 101-200 amps 89.00
❑ 201-400 amps 104.50
O 401-600 amps 141.00
❑ over 600 amps 152.50
•
MISCELLANEOUS SERVICE/EQUIPMENT
O #of Thermostats ❑ #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 ❑ Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits $5.00
El
.. (Per System(s)-1' 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 296-46-910(50)6&G/
Bulletin#100-January 7,2005 Page 3 of 4 IMiandouts\Permit Application