05-104138 City of Federal Way Electrical Permit #: 05 - 104138 - 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: EBERSOLE ov
Project Address: 33801 38TH�SW Parcel Number: 921150 0260
Project Description: Install electrical safety upgrades-Replace split panel service with 200 AMP main breaker panel,add
second ground rod,ground hot/cold water and gas lines,install arcfault breakers for bedroom circuts.
Owner Applicant Contractor
Bryan Ebersole Bryan Ebersole Bryan Ebersole
33801 38TH PL SW 33801 38TH PL SW 33801 38TH PL SW
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-2944 98023-2944
Electrical Fixtures
L Description Quantity Description Quantity Description Quantity
rAlt.Sery./Feeder:0 to 200 amps-Res. 1
I
PERMIT EXPIRES February 13,2006.
Permit issued on August 17,2005
I hereby certify that the above information is correct and that the constructionon the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: A\1\1\ ~k Date: I l.) 0 5
f
(\\\\\c: , c ,,,....7' ,
nJ^v � /
L
.l
THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 ..
PERMIT#: 05-104138-00-EL
Owner: BRYAN EBERSOLE
Address: 33801 38TH PL SW
FEDERAL WAY, WA 98023-2944
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) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Ilk PON' Date 1 D By Date
.
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) Final-Electrical(4055)
Approved Approved Approved
1
By Date By Date By t WP Date b
S
❑ Under-slab groundwork(4295)
Approved
By Date
•
. r
RECEIVE° y�
CITY OF A. V , O q 1 3 S
Federal Way PERMIaE1G 1 7 2005
COMMUNITY DEVELOPMENT SERVICES SF MF CO M PL DE EN FP
33325 D AVENUE LWAY. 9 9718 . APPLI CAl k RAL TW.
FEDERAL WAY,WA 98063-9718
253-835-2607•FAX 253-835-2609 I L I G D E PT. .__.)
ww w.cit uo(Iederalwau.com
The followin• is re,uired i ormation-an incom,lete a,,lication will not be acce•ted. Please ,rint le,ibl (in ink)or ty,e.
y ? (1 • PROPERTY INFORMATION ^ I
SITE ADDRESS >3 p 0 I 3 3-' - ( i s(f ) /+� ^ SUITE/UNIT# 1 v(y,
ASSESSOR'S TAX/PARCEL# 9 7- � 5 y0 - 0 Z. 6 0 LOT SIZE(sf) 1)000
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (,,�e�S 1 A)0c ( St 1)1v I\b. 0 i Lot 26
(Attach separate page for lengthy legal description) I
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION YR"ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
E 1 e el-ri .,?1 Q7.rvi c2 ,SpQy� -fy r,1 — 1f�plact 'cp I�f pile] `, vICL' W)f11 aOD AMT
ria n brtare,r an-,� �Qlt se co1(I ro:A" ro r0,.An1 h1c (,.ativ & ac Enos ii,Sfia1)
P ► ) 9 9 )
arc- k1+. 1D,rezktr3 fQ,r hair-Dom cji-r,L< 43 .
PROJECT NAME(Name of Business or Owner Last Name) i'.,..6 I S(1(C-
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHON
OWNER �/1 D)e(50lt (2S3 )Lirt
-5313
MAILING ADDR CITY,STATE,ZIP
33ul 3-±1' P1 5vJ -'-tcteta( lAa() Wfi 9K 2._3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
MAIAD) 179P441/ CCUtierCITY,STATE,ZIP CELL PHONE
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
/ / ( ) -
B L
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
1
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
LINDA f owner) ( ) -
MAILING AD ESS CITY.STATE.ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant o Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE L ADDRESS
p rf y oc.�.n (as )!� 14 31
(Ce!l
LENDER Per RCW 19.27.095: Lender information is NAME /pt
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
Qp,,
� U DETAILED BUILDING INFORMATION
Re.
EXISTING USE „.5� (Iz./1 C i' PROPOSED USE i 4 S).cj tan q
EXISTING ASSESSED/APPRAISED VALUE $ 5(IOO( Sar 1n l� VALUE OF PROPOSED WORK $ ISG
SPRINKLERED BUILDING? D YES alkINO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES NO
WATER SERVICE PROVIDER l$'LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER )j LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED T• •
SQ.FT. SQ.FT. '•.FT.
ItSEMENT
FIRS
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(D
DECK(COVERED?)
GARAGE ❑ CARPORT❑
NUMBER OF FLOORS EXISTDV0 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 ' led or relocate. part of this project Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS 'GS REFRIG.SYSTEMS
BBQS FANS HOODS(co WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATE-
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHT :S(or Tub/shower combo) SHOWERS WATER CLOSETS(forret) M (Describe)
DIS ASHERS SINKS DRINKING FOUNTAINS
S 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 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 ► �� DATE V' 1 t
(7(o 5
(Signa i - N. (ntle)
RELATIONSHIP TO PROJE y4 Owner ❑Agent 0 Contractor ❑Architect ❑ Other
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? ❑YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
t
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 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage ❑ 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
❑ 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 U 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
r 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
❑ Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
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
❑ 101-200 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)
❑ Low Voltage U Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $104.50
❑ Security Alarm System U Additional Plan Review $104.50/hour
❑ Voice Cabling , for modified submittals)
❑ Data CablingAutomation Fee on all Permits .. $5.00
CI
(Per System(s) 1•t 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 296-46-910(5)(b)(i&ii)
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application