04-102882 City o$Federal ay Electrical Permit #:04 - 10282 - 00 - EL
Community Development Services
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: GRIFFIN,LOT 3
Project Address: 34100 36THI Parcel Number: 308900 0134
Project Description: Install 200-amp panel in manufacturer home garage with lighting and outlets and service from panel into
manufactured house.
Owner Applicant Contractor
Gary L Griffin Gary L Griffin INNOVATIVE ELECTRICAL
30030 20TH PL SW 30030 20TH PL SW INNOVATIVE ELECTRICAL
FEDERAL WAY WA 98023-3404 FEDERAL WAY WA 98023-3404 PO BOX 6783
Electrical Fixtures
Description Quantity L Description 'Quantity Description ___Quantity
Service and Feeder-Manu./Mobile Ht I
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,ju1esand regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Com_ Date: r �— C3 `-r°
q 114 C4(-1 cskkrt)..lekti`10'
'DC)
NI" THIS CARD IS TO REMAIN ON-SITE
CITY OF -
Community Development Inspectioli Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-102882-00-EL
Owner: GARY L GRIFFIN
Address: 34100 36TH PL 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) ❑ Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) El Service(4235) ,❑ Feeders/Sub-panels (4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ril Final-Electrical(4055)
Approved Approved Approved
i,
t By Date By Date By .Al ` Date g„. D
pi Under-slab groundwork(4295)
Approved
By VI Date r b w IP
4111.
O ( -
FederaJWayRECEVEE -
COMMUNITY DEVELOPMENT SERVICES PERMIT SF MF CO ME L DE
33530FIRST AWAY,WA 9 PO BOX � 1 APPLICATION °
FEDERAL WAY,FAX
9806 1-4 1 l„ 20APPLICATION
/ /
253-6614715•FAX 2536614729
www.dt do federol wa u.com
CITY OF FEDERAL WAY
The ollowin• is re r„•11 Li • t mon-an Inco .lete a..lication will not be acce.ted. Please .rint le.ibl (in ink)or .
r
PROPERTY INFORMATION
2
SITE ADDRESS 7t( ( 00 �1Q PL 9A) SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# C. 9 .a_cL 01 ) z _ LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) ��-�+►
(Attach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
❑ DEMOLITION ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onit)
VW ler _ `• i A L - /a( c'.- & LL/.V u—Ac.- _. it. ...� t
_t-/► Via- -. L.. L l , . - , , / _ Mr --M.11.,.. At.. , , �< <F IMI l. .i
PROJECT NAME(Name of Business or Owner Last Name) ((L 4 'k) Lo_r__J
PEOPLE INFORMATION
PROPERTY NAME C___)3:e...„
PRIMARY PHONE
OWNER
/2--7."� ) _ t
MAILIN DRES t � CITY,STATE,ZIP ��
.50(."`i7 C.) `?,o g tt.64`7 l.6/A C 7 C.)-2–
CONTRACTOR
.)z
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Mil DDRES •/ .
S CITY,STATE,ZIP CELL PHONE
v G� � 4 �t v (-�1/�- ( ) e"? -
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 COMPANY NAME APPLICANT NAME
OFFICE PHONE
4, 4- ( ) -
MAILING 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 per RCW 19.27.095: Lender information is NA E
required if project value exceeds$5,000 ,\y, (L
MAILING ADDRESS CITY,STAT ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER a LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
•
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? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
**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 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(orTub/showercombm SHOWERS WATER CLOSETS(rode) 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 belrmLade1i aTyperson,including the un• •• • and filed against the City of Federal Way,but only where such claim
arises out of the rejjarrei of the city,incl -officer • d employees, u... the accuracy of the information supplied to the city as a part of
this application. I
NAME/TI E i// TE 7_ I-ci
Ignature) ' / (Title)
RELATIONSHIP TO PROJECT . Owner 0 Agent 0 Contractor 0 Architect ❑ Other
FOR OFFICE USE ONLY
o NEW ❑ADDITION ❑ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? ❑YES o NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? ❑YES ❑NO
c}
•
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Pern it Application
ELECTRICAL PERMIT INFORMATION
co
RESIDENTIAL COMMERCIAL
NEW COMMERCIAL/INDUSTRIAL SERVICE
NEW RESIDENTIAL SERVICE
❑ Single Family Square Feet Service Feeder Each Add'n
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) U 0 to 100 amp $ 94.50or $ 58.00
❑ Detached outbuilding or garage 0 101 -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
U Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY U 0 to 200 amp $ 94.50
O 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
I ❑ over 600 amp 177.00 #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
(1-4 circuits-$5
❑ #of circuits 8.0000 be added/altered;Add'n circuits$6.00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW
$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
U Service or feeder only $58.00 TEMPORARY SERVICE
U Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK 0 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
U #of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
❑ Low Voltage U Swimming pool/hot tub $87.00
. Square Feet to be served by system(s) (Includes additional circuit,if required)
El Fire Alarm System U Yard Pole meter loops $58.00
❑ Security Alarm System U Additional Plan Review $87.00/hour
` ❑ Voice Cabling (for modified submittals)
O Data Cabling
o
(Per System(s) 1•,2500 ft2-$51.00,
Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5)(6)(&ii)
4
Bulletin#100-March 30,2004 Page 3 of 4 k\Handouts-Revised\Permit Application