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04-102884 A f 'i City a Federal Way Electrical Permit #:04 = 102884 - 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: KALESHEFSKI Project Address: 31222 22ND kSWW Parcel Number: 178980 0010 Project Description: Intsall 200-amp panel and meter Owner Applicant Contractor Gerald J Kaleshefski &Gail Kaleshefski LANDER ELECTRIC SERVICE LLC LANDER ELECTRIC SERVICE LLC 31222 22ND AVE SW 13359 NE 16TH ST 13359 NE 16TH ST FEDERAL WAY WA BELLEVUE WA 98005 BELLEVUE WA 98005 98023-7807 (800)794-4321 Electrical Fixtures Description _Quantityl Description Quantity _ __Description ,Quantity Alt.Serv./Feeder:0 to 200 amps-Resat 1 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: See Application Date: 0 ) l 1 - O)'( ‹) V 4 lb A , , , THIS CARD IS TO REMAIN ON-SITE 4' CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04-102884-00-EL Owner: GERALD J KALESHEFSKI Address: 31222 22ND AVE SW FEDERAL WAY, WA 98023-7807 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) I, Service(4235) 0 Feeders/Sub-panels(4045) Approved Approved Approved 1 By Date Byii* Date ' 0 By Date ❑ Rough Electrical(4225) 0 Ceiling Cover(4020) V Final-Electrical(4055) Approved Approved Approved By Date By Date By �i Date ACi ❑ Under-slab groundwork(4295) Approved By Date RECEIVED BY • Q y CL2. g" g Y ce eral VINYMUNITY DE VELOPMENT DEPAITAIE RMIT COMM Nr1YDEVELOPMEATSERVICES SF MF CO ME Op PL DE EN FP 33530 FIRST WAY SOUT7I.PO BOX 9718,�(,J L 2 r ?APPLICATION FEDERAL WAY,WA 98063-9718 / / 253-6614115•FAX 25366/4/29 www.cittioffederalaray.COM The ollowin• is re•uired in ormation—art into •fete a.•lication will not be acce•ted. Please •Hat le•ibl (in ink)or . ) PROPERTY INFORMATION • SITE ADDRESS 31.2 2 )2 /� IkC�nV m/ - SUITE/UNIT# ASSESSOR'S TAX/PARCEL# — LOT SIZE(sf7 LEGAL DESCRIPTION(e.g.Acme Estates, Lot 1) (Attach separate page for lengthy legal desmpoon) - PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING ❑ MECHANICAL o DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu) 2ooairi MaI2L 1 /176t-or PROJECT NAME(Name of Business or Owner Last Name) Avl L eille A7 PEOPLE INFORMATION PROPERTY NAME ?�� PRIMARY PHONE OWNER `AJ// 1 /t�'LUAe7 1 (.25j) gid -3.2 21 MAILING ADDR CITY STATE,ZIP 3122.2 .22Al Ake (f* CITY, tL i HO- 9,ol,3 CONTRACTOR COMPANY NAME • APPLICANT NAME OFFICE PHONE Lando- E/CC/ri c ff2rive/ck7✓ yM Pi, i/ /1 ( .4)-)f&.,2 - 171/ MAILING�jA KESpi S / CITY/fC�ZIP CELL WQ. ��6 J PH)NE CITY OF FEDERAL WAY BUSINESS LICE SE NUMBER 'PIRATION DATE FAX NUMBER 1 0 - © -/ a `/- 0 0 J - B L 11 '_1/ / aIL (f. )551 -l6W• CONTRACTOR'S REGISTRATION NUMBER(Copy of card required with each application( EXPIRATION DATE L NN IS E E_ cr q `/r} 0 / 13 /0-5 APPLICANT COMPANY NAMEAPPLICANT NAME OFFICE PHONE (fain e a (CI ti-a ro. r ( ) - 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 /��iU�n ,�/1�/n�n V. 1 J 2 - 1771 �v� i�� /P/(d��r_ LENDER Per RCW 19.27.095: Lender information is " NAME (!i[..Lc7)7C , ccAin required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,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? ❑ YES 0 NO WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ 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=STAG TOTAL PROPOSED TOTAL Was-rum 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. MECIL4NICAL Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(commercial( WOODSTOVES BOILERS FIREPLACE INSERTS RANGES M1SC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS or Tub/sbowercombol SHOWERS WATER CLOSETS(romp MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom Rinks) 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. ] ,7 NAME/TITLE ft/#A 4." AIT �i DATE / _w ( ig . urel (Title) RELATIONSHIP TO PROJE ❑ Owner ❑ Agent rXContractor 0 Architect 0 Other FOR OFFICE USE ONLY o NEW ci ADDITION o ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES ❑NO ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? a YES ❑NO PLATTED LOT? a YES ❑NO DEMO PERMIT REQUIRED? o YES o NO Bulletin 14 I00-March 30,2004' Page 2 of 4 k\Handouts-Revised\Permit Application • ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE CI Single Family Square Feet Service or Feeder Each Add'n (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 U 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 ❑ 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 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 circuitsto 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 ❑ Swimming pool/hot tub $87.00 Square Feet to be served by system(s) (Includes additional circuit,if required) ❑ Fire Alarm System U Yard Pole meter loops $58.00 ❑ Security Alarm System ❑ Additional Plan Review $87.00/hour ❑ Voice Cabling (for modified submittals) O Data Cabling 0 (Per System(s) 1st 2500 ft2-$51.00; Each add'n 2500(1,-13.50) 'Per WAC 29646-910(5)(10&rq Bulletin#100-March 30,2004 Page 3 of 4 k\I landouts-Revised\Permit Application