04-102880 CitiFederal Wan
naCorur,�uniry Development Services Electrical Permit#:04 - 102880 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253 661 4000 Fax 253.661.4129 Inspection request line: 253.835.3050
Project Name: JUCHMES
Project Address: 32218 45TH\S3Vi Parcel Number: 873202 0360
Project Description: Adding 2 circuits for new heat pump unit and a new 20-amp receptacle
Owner Applicant Contractor
James H Juchmes &Marcia Juchmes TALL'S ELECTRIC INC TALL'S ELECTRIC INC
32218 45TH PL SW 35916 249TH AVE SE 35916 249TH AVE SE
FEDERAL WAY WA ENUMCLAW WA 98022 ENUMCLAW WA 98022
98023-2410 (360)825-3264
Electrical Fixtures
L Description lJQuanti r Description Quantity I`_ Description !Quantity
LCrcuits-Residential
— J2
PERMIT EXPIRES January 17,2005.
Permit issued on July 21,2004
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 accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
/� ��//
Owner or agent: t Date: 7—2/-0/21
4
r
.. •
ATHIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-102880-00-EL
Owner: JAMES H JUCHMES
Address: 32218 45TH PL SW
FEDERAL WAY, WA 98023-2410
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) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) [ Final-Electrical(4055)
Approved Approved ` Approved
By Date By Date By`.�1r - Date el j'
❑ Under-slab groundwork(4295)
Approved
By Date
Federal V CE1 PERMIT
COMMUMTYDEYELOPMENTSERWCES SF MF CO ME EL PL DE EN FP
33530 FIRST WAY SOUTH•PO71
253-66I 4 WAY5•FAX 253-661-41298212° 04 APPLICATION
tuurw.dtuoffederdwa-�V.com _D R -SAYIfitC 1
The ollowin. is ,®F . r;,. ' Hon-an Inco .lete a..Zication will not be acce•ted. Please •rint le•ibl in in
I: ��V..:t ( k)or
PROPERTY INFORMATION
SITE ADDRESS S ZZ I g - PL Sc-' SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sfl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
)Attach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed descril ion of work i elu�ded�n this permit onlq)
W/R_e 30 Air /4//a c4).1‘01 /0-,4h( � - 20 Air 4_,'
,-4c.4-
PROJECT NAME(Name of Business or Owner Last Name) '314 .4e S
PEOPLE INFORMATION
PROPERTY NAME T PRIMARY PHON
OWNER �d/r V L[c.( A e.S ( 2s-3) -90/S-
MAILING ADDRESS CITY,STATE,ZIP
3 2_2 r C cis--j0c_. C(,) ,r Lc�,gy 4.41- 98023
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
7AL'--(S Fee tic ..1 ia0 (360 1.Eg2s-- 326y
MAILING ADDRESS CITY STATE, P CELL PHONE
3 Sit / (o 2V �P SE "/ua., 444-f'A)Z? (ZS3) 701 - 019r!
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- s L / / (3160 ) BzS- - 32.6,5-
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE
I'e c .- .s C v.c 6_ 9. N cr g / 30 / 2003-
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMB ER
0 Architect o Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) —
LENDER Per RCW 19.27.095: Lender information is NAME
required if protect value exceeds$5,000
MAILING ADDRESS . CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
•
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED wow( $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN o HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• i•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST '
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTALTOTAL PROPOSED TOTAL EXISTING AND PROPOSED
"NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECIIAHICAL
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(-roue) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS 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. 1
/ ►
NAME/TITLE / GC DATE 7" 2- / --0 ",
(Slgnatur- ( Itle)
RELATIONSHIP TO PROJEC 0 Owner ❑ Agent 'a '•ntractor ❑ Architect 0 Other
FOR OFFICE USE ONLY
o NEW o ADDITION a ALTERATION a REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application
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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 500 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
❑ 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) CI 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
❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
❑ 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 ❑ 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 ❑ #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ #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
❑ 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
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
❑ #of service or feeders ❑ 101 -200 74.00 51.00
(First service/feeder-$58.00;each add'n-$37.50) ❑ 201 400 87.00 n/a
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
❑ Low Voltage LI 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 $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s) 1.,2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) .Per WAC 296-46-910(5)(b)(i&ii/
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Bulletin#100-March 30,2004 Page 3 of 4 k\Handouts-Revised\Permit Application
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