04-103972 City of Federal Way Electrical Permit #: 04 - 103972 - 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
Project Name: GORBUN
Project Address: 31014 48TH SWvG Parcel Number: 184080 0015
Project Description: Install low-voltage wiring for security system in a new single family residence with attached garage.
Owner Applicant Contractor
ANATOLIY&TAYA GORBUN ANATOLIY&TAYA GORBUN ANATOLIY&TAYA GORBUN
13115 111TH AVE CT E 13115 111TH AVE CT E 13115 111TH AVE CT E
PUYALLUP WA 98374 PUYALLUP WA 98374 PUYALLUP WA 98374
(206)427-4372
Electrical Fixtures
Description Quantity Description ;1Quantity Description !Quantity
r Low Voltage Burgler Alarm-Residen 3192
PERMIT EXPIRES March 28,2005.
Permit issued on
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 accor. i ce with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: / Date: 9/571-1/6119
THIS CARD IS TO REMAIN ON-SITE
A... ,,CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103972-00-EL
Owner: ANATOLIY & TAYA GORBUN
Address: 31014 48TH 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) ❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
T Rough Electrical(4225) ❑ Ceiling Cover(4020) i"- Final-Electrical(4055)
IApproved Approved A Approved
By — /�� Date Q4r)J0d By Date By IIA*jidDate .�
I.
Under-slab groundwork(4295)
Approved
By Date
Federal way PERMIT - - _Lv 3 '? 2,
COMMUN17YBEVELOPMEIVTSERVICES
SF MF CO ME( EL L DE EN FP
33325 BTM AVERUE SOUTH•PO BOX 9718 APPLICATION
FEDERAL WAY,WA 98063.9718 TD /
253-835-2607•FAX 253-835-2609 /
wwwdt uofede ral wa u.com
The following is required in ormation-an incomplete a••lication will not be acce•ted. Please •rint legibly(in ink)or type.
. • PROPERTY INFORMATION
SITE ADDRESS 3/0/41 e71 t A ' 4 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal descnptionl
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING ❑ UMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of wo included on this permit only)
n of
(ôj 1/40i G-1./. •---1 /71
d4)(L () Ce-ezz,ir /43—r--1 /7 __—
PROJECT NAME(Name of Business or Owner Last Name)
MI PEOPLE INFORMATION
PROPERTY NAME � t` (,c l PRIMARY PHO l9/E/� �J
/
OWNER / ? �/ `
MAILING ADDRESS /('i
/ TY,ST S,ZIP ! `'-
i /4 egef3
CONTRACTOR COMPANY NAME APPLICANT NAME ! •' CE PHONE
MAILING)1IR �S as �� CITY,STATE,ZIP CELL PHONE
1 ( ) . -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- - -B L / / ( )
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPA NME atS PLICANT NAME OFFICE PHONE -
MAILI ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( )
LENDER erC 75mderirformatton is
NAME
4
k rp e i alue e, seeds$5 000
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION .
EXISTING USE PROPOSED USE
• EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a BTGHLINE 0 PRIVATE(SEPTIC)
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$87.00;Each add'n 100 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101 -200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201 -400 amp 220.50 87.00
CI Detached outbuilding or garage ❑ 401-600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601 -800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) ❑ 801 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
O 401 600 amp 161.00 80.00
❑ Mast or meter repair $80.00
O 601 800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50
❑ 201 -600 amp 220.50
Service or Feeder 0 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 0 #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ II of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea)
$74.00 plus 35%of Permit Fee
O Mast or meter repair $43.50 ❑ Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
1 CIService or feeder only $58.00 andTEMPORARY SERVICE
1 ❑ Service feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
❑ #of service or feeders 0 101 -200 74.00 51.00
(First service/feeder-$58.00;each add'n-$37.50) 0 201 -400 87.00 n/a
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
Cl #of Thermostats ❑ #of Signs
First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s), ,l l'/ Z (Includes additional circuit,if required)
O Fire Alarm System LI Yard Pole meter loops $58.00
' ecurity Alarm System ❑ Additional Plan Review $87.00/hour
Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s) 1•t 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) 'Per WAC 29646-910(5)(bXi&ii)
Bulletin#100-March 30,2004 Page 3 of 4 k\handouts-Revised\Permit Application