05-104082 City of Federal Way
Community Development Services Electrical Permit #: 05 - 104082 - 00 - EL
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: HUBBARD
Project Address: 30555 5THtSWve Parcel Number: 178890 0260
p►
Project Description: Upgrading to 200amp panel
Owner Applicant Contractor
DONALD HUBBARD DONALD HUBBARD DONALD HUBBARD
30555 5TH AVE SW 30555 5TH AVE SW 30555 5TH AVE SW
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
Electrical Fixtures
Description 11Quantity Description Quantity Description 1Quantity
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES February 8,2006.
Permit issued on August 12,2005
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 accorda=g - `�`'th the laws,.rules and regulations of the State of Was igto
the City of Federa ay.
Owner or agent: -7%,q eZDate: -0
•
\)4/
�
\ )1 c4,
•
THIS CARD IS TO REMAIN ON-SITE
CITY of A Community Development Inspection Record-
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104082-00-EL
Owner: DONALD HUBBARD
Address: 30555 5TH AVE SW
FEDERAL WAY, WA 98023-3914
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
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) 0 Final-Electrical(4055) •
Approved Approved Approved
By Date By Date By ` Date qI ---(
•
❑ Under-slab groundwork(4295)
Approved
By Date
1 RECEIVED
Federal Way ► 1 2 2005 OS- - 10/408 2
, PERMIT SF MF CO M• DE EN FP
• CDi(YUN rtrDBVELOPMBNT .-4,i4
r
52607 P F NG OE, �PLI CATIO N
PEDERAL WAY,WA 98063-971 V U: DRAB Tp
unow.cituofederatwcaco,i / /
The ollowi , is re, fired in ormation-an in `;•u,,lete a••lication will not be acce•ted. Please •rint le,ibi in i or i• .
WA PROPERTY INFORMATION
SITE ADDRESS 3 0 SSS 5-4717 6.I,e 5, W Fe P•p/KI (v/f y SUITE/UNIT#
1 ASSESSOR'S TAX/PARCEL# - _ _ _ LOT SIZE(sl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
muck separate page far ten0RW legal eeusfpNanl
I! 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 ded on this permit anlu)
Atop 1a,ce f L ac7t , (moi ,4n. e/
PROJECT NAME(Name of Business or Owner Last •me) f'fibb 0`✓e -
i
LI PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
E OWNER MAILING r `'�3��RID (2x3) &35 -v/v j
CITY,STATE,ZIP
3vs-5— s*6 il,p. S, ,. /- p ) t4..11 y, zv1.9. 1 (O 2 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
P>tvn,e2 ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
• _ . .WAY (EXPIRATIONDATEFAX ) r.
' CITY OF FEDERAL BUSINESS LICENSE NUMBER AX NUMBER
F — — / / (
-B L
CONTRACTORS REGISTRATION NUMBER(copy of cud required with each application, EXPIRATION DATE
i APPLICANT COMPANY NAME APPLICANT NAME
OFFICE PHONE
C.)Lt./yv ea. (
MAILING ADDRESS CITY,STATE,ZIP — CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect 0 Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) - .
LENDER ;-,,•;", • ., 0 ; v,r.r (crr'rr Yr r NAME
r_,iP"IC .1, ,• (•r-L dr-:.f I'1.1,sicto
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
TSTING USE PROPOSED USE
4 TING ASSESSED/. PRAISED UE $ ALUE •• PROPOSED WORK $ AIL _
SP• I i ERED B I ' DING? a YES p NO FIRE 5 p 1. • • r.SION SYST , •ROPOSED/• • 'IP' D? ❑YES a NO
WATER :• E PROVIDER t] LAKEHAVEN • :l GHLINE O TACOMA • •.- TE(WELL)
SEWER SERVICE PROVIDER a LAICEHAVEN 0 IRGHLINE . ❑PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. -Q.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
FOURTH •
ADDITIONAL FLOORS(b CRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EMU,
rR TOTAL
i -or' i
"NEW HOMES ONLY" NUMBER OF BEDROO ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of re to be installed o -located as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
•
AIR HANDLING U EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS , GES ' MISC(Describe)
• COMP' ;3ORS FURNACES GAS • -TER HEATERS
DU GAS PIPE OUTLETS
PLUMBING
BATHTUBS oriub showerCombol SHOWERS
WATER CLOSETS(Totbq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroom star,) V UUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
•I certify under penalty of perjury that the .ormation 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 chant 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 apart of
this application. 7.-1""NAME/TITLE C%n. . �-'r�X,�X�r�wr�/ [�'n e 0 w4 en DATE
� �O S
(Signature) (Title)
RELATIONSHIP TO PROJECT k Owner a Agent a Contractor a Architect a Other
a`^`t :i e 2G•>`r
..fl.ZVrs(')i bt;rtS�}'.�.EftS(r! € � 'i:...udsI UI: 4'TIVa'i�ljht
WW1, (6)I6-.:. .:y i1��:'� .;`�� l
01
?70);,t,` 11(e) OTirsS3 tg)y•; r@o-.4 Co
t.4Yo.)4e,4 ri� �t1�Iafrl '� fi(')
e" :'3 'iCoi I) '(. . ar tit;- 19 r n ;7a
•
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
ELECTRICAL PERMIT INFORMATION
4- 4-1111
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'
M (First 1300 ft2-$104.50;Each add'n 500 fta-$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 ❑P201-400 amp 264.50 104.0
❑ Detached outbuilding or garage 0 401-600 amp 308.00 123..0
(Inspected separately) $69.50 ❑ 601-800 amp 398.50 . 16'.50
l ❑ '01- 1000 amp 486.50 •3.50
NEW MULTI-FAMILY(three units or more) ❑ s er 1000 amp 530.50 83.00
Service Feeder _
CI Up to 200 amp $113.50 $33.50 ❑ Ov- 600 volts surcharge $89 •t
❑ 201 -400 amp 141.00 69.50 0 Mas•or meter repair $9;.00
❑ 401 -600 amp 193:00 96.00
❑ 601 -800 amp 247.00 132.00 ALTERE• COMMERCIAL/INDU- RIAL
❑ Over 800 amp 353.50 264.50 Se '.- or Feeders
❑ 0 to 200 :,••13 $ 13.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 .. p 264.50
❑ 601 - 1000 :. •p 398.50
Service or Feeder
k0 to 200 amp $87.00 ❑ over 1000 :••• 443.50
••
❑ 201 -600 amp 141.00 0 #of cir ;i • to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$••.00;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/I P �• RIAL PLAN REVIEW
(1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35% • Pe •,'t Fee
❑ Service- 1,0 I. amps •r greater
❑ Mast or meter repair $52.00 ❑ Medical/Ed cational/i•stitutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
❑ Service and feeder $113.50 .
TEMPORARY - RVICE
I MOBILE HOME/RV PARK Residentia , uiti-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercia ndustrial Service or Fee• r Ampacity
❑ 0-1a)amps ._ $69.50
❑ 101 200 amps 89.00
❑ 201-400 amps 104.50
❑ 40 -600 amps 141.00
❑ ov r 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ ----4 of Signs
52.00;addh-$16.00/ea) (First sign-$52.00;add'nsign$24.50/ea)
❑ Low Voltage 0 Swimming pool/hot tub $87.00
Square Feet to be served •y • - _ (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $104.50
❑ Security Alarm System ❑ Addit o view $104.50/hour
❑ Voice Cabling (for modified submittals
❑ Data Cab• . ❑ Automation Fee on all Permits '5.00
(Per S ergs) 1•d 2500 ft2-$61.00;
Eac add'n 2500 ft2-16.00) •Per WAC 296-46910(5 M&19
Bulletin#100-January 7,2005 Page 3 of 4 klHandouts\Pennit Application