06-103928 • r •
City of Federal Way. + ..//..���
Community Development Services Electrical Permit tt. 06-103928-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: MELIN
Project Address: 31722 49TH LN SW Unit 5-A Parcel Number: 864800 0130
Project Description: ALT-add 1 circuit for A/C unit.
Owner Applicant Contractor
SHIRLEY JO MELIN NORTHWEST ELECTRIC&SERVICE NORTHWEST ELECTRIC&SERVICE
31722 49TH LN SW#A 10228 29TH ST E NORTHES015CK 2/12/07
FEDERAL WAY WA EDGEWOOD WA 98372 10228 29TH ST E
98023-2087 EDGEWOOD WA 98372
Additional Permit Information
Electrical Fixtures
Circuits-;Residential 1.00
PERMIT EXPIRES Sunday, February 4, 2007
Permit Issued one Tuesday, Au t 8,2006
I hereby-certify that the above informationit is �. .Ct and t the construction on the above describedro and
the occupancy and the use Will:be in a v � > nee with the laws,rules and regulations of the,State of Washington
nd the City of Federal Way.
•P'•Owner or agent: Date: d�
_ THIS CARD IS TO REMAIN ON-SITE ----
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 ,
PERMIT#: 06-103928-00-EL
Owner: SHIRLEY JO MELIN
Address: 31722 49TH LN SW Unit 5-A
FEDERAL WAY, WA
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) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
O Rough Electrical(4225) ❑ Ceiling Cover(4020) igilFinal-Electrical(4055)
Approved Approved Approved
1
By Date By Date B 14 s, \ Date 1 '51 Q(p
❑ Under-slab groundwork(4295)
Approved
By Date
e
e�noP Q�w RECEIVE® _06_ - _L a _i _L z_-_
c
PederaI Way PERMIT
• COMMUNITY DEVBLOPNBKrSERVICt ) $ Zo SF MF CO ME PL DE EN FP
3332FEDERAL5 1011 WAY,UE WA 98 PO 9718BOX P LI C AT I O N
FEDERAL WAY,WA 98063-9718. �
253-835.2607•PAX 253.835-2609X _._
umnd.atooliedemiwau oDR
ITY OF FEDERAL W .i.
BUILDING DEPT.
The ollowin• is re• ired i ormation-an Inco •lets a• •lication will not be acce•ted. Please •rint legibi n in or 1• .
a• PROPERTY INFORMATION Q
SITE ADDRESS .-XJ J 7,07.0.2 G-� __re: ! SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# ir O d - 6 1 T O LOT SIZE(sJ
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
IASaapap Jo legal desaiptla)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING . 4/PLUMBING ❑ MECHANICAL
❑ DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTIO (Provided tailed des tion of work included on this permit onhi)
PROJECT NAME(Name of Business or Owner Last Name) Illiki (4
• PEOPLE INFORMATION
PROPERTY NAME (�' PRIMARY PHONE
OWNER 3 6 't� ��� /l, ( )/K,P-®�Z9.S-
MAILING ADDRESS CITY,STATE,ZIP
,P/72. it,?4 S ,cel e. ®-2.�
CONTRACTOR COMPANY NAME �-� / APPLICANT NAME OFFICE PHONE
�f/L- �t c 74 i c". .-wc' ,L`'<"c_ l''. ;-1----0;‘..--4.- )5''> 3-'..;'4 2 9
MAILING ADDRESS CITYSTAT ZIP 40 --,>:6°.. 7. CELL PHONE
2_.2 2 WAY BUSINESS LICENSE5��NUMBER . 4.-7.--.5<-4-
�EXPIRATION DATE )4,1' .
FAX # 4/
77 /0 6r,s/B L • / r, /. :c ( )%vs—...?'y
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
o;r7 ,E _ p_/Se,Y /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP C( )ELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑:Tenant ❑Agent 0 Other(Describe) ( ). -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( .) _
LENDER NAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
■ DETAILED BUILDING INFORMATION
EXISTING USEPROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ •
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
n
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 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
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 fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EV ••RATIVE COOLERS f GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commerdul WOODSTOVES
BOILERS FIREP CE INSE;'= RANGES MISC(Describe)
COMPRESSORS FURN GAS WATER HEATERS
DUCTS s AS PI•E OUTLETS
PLUMBING •
BATHTUBS*Tab/Shower Combo) SHOWE`S WATER CLOSETS Ireseq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom stabs 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 % n,including the undersigned,and flied against the City of Federal Way,but only where such claim
arises out of the reliance cis ding its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. '
NAME/TITLE , DATE
(Signature) (Title)
RELATIONSHIP TO PROJECT a Owner []Agent Contractor 0 Architect 0 Other •
171..11..41..441AA T�,.......1 9A/1L Dn...'1..CA I.\LIo,..i....t.\D.....at A.,rlingfinr.
- - b `
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 it2-$107.50;Each add'n 500 it2-$34.50) • ❑ 0 to 100 amp $117.00 $71.50
❑ Detached outbuilding or garage ❑ 101.-200 amp 145.00 91.50
(Inspected with service) $45.50 ❑ 201-400 amp 272.00 107.50
❑ Detached outbuilding or garage ❑ 401-600 amp 317.00 127.00
' (Inspected separately) $71.50 ❑ 601-800 amp 410.00 173.50
O 801 1000.amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $34.50 ❑ Over 600 volts surcharge $91.50
❑ 201 -400 amp 145.00 71.50 0 Mast or meter repair $99.00
❑ 401 -600 amp 198.50 99,00 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 254.00 136.00
❑ Over 800 amp 364.00 272.00 Service or Feeders
❑ 0 to 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 272.00
❑ 601-.1000 amp 410.00
Service or Feeder ❑ over 1000 amp 456.50
❑ 0 to 200 amp $89.50
❑ 201 -600 amp 145.00 ❑ 4 of circuits to be added/altered
❑ over 600 amp 218.50 (1-5 circuits-$91.50;Add'n circuits,$7.00/ea)
•
Ai/
#of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50;Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $71.50 -
O Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/6MultiFamily $63.00
❑ #of service or feeders
(First service/feeder-$71.50;each add'n-$46.50) Commercial/Industriai Service or Feeder Ampacity
❑ 0 100 amps $71.50
❑ 101-200 amps 91.50
O 201-400 amps 107.50
❑ 401-600 amps 145.00
❑ over 600 amps 157.00
•
MISCELLANEOUS SERVICE/EQUIPMENT
O #of Thermostats . ❑ 4 of Signs
(First-$53.50;add n-$16.50/ea) (First sign-$53.50;add'n sign$25.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $107.50
Square Feet to be served by system(s) (Includes additional circuit,if required)
O Fire Alarm System ❑ Yard Pole meter loops $71.50
0 Security Alarm System ❑ Additional Plan Review $107.50/hour
0 Voice Cabling (for modified submittals)
0 Data Cabling
❑ Automation Fee on all Permits .. $5.00 )
El
(Per Systeni(s)lst 2500 82463.00;
Each add'n 2500 ft2-16.50)•Per WAC 296-46-910(5)4(i&1)