04-104047 City of Federal Way Electrical Permit #: 04 - 104047 - 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) 835-305C
Project Name: LOUDEN
Project (Address: 36724 6TH W Parcel Number: 302104 9047
Project Description: 200amp service upgrade
Owner Applicant Contractor
Thimsen R Louden &Dina D Louden A-PHASE ELECTRICAL A-PHASE ELECTRICAL
36724 6TH AVE SW 1933 SW 166TH 1933 SW 166TH
FEDERAL WAY WA
98023-7272 \SEATTLE WA 98166 (206)242-4950
Electrical Fixtures
Description _ Quantity Description Quantity] Description Quantity
Alt.Sery/Feeder:0 to 200 amps-Res.I 1
PERMIT EXPIRES April 2,2005.
Permit issued on October 4,2004
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 g'
the City of Federal W. .
Owner or agent:/A51w Date: /07(//e/
mom
„, ` fit;
I
THIS CARD IS TO REMAIN ON-SITE ,
CITY OFA Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104047-00-EL
Owner: THIMSEN R LOUDEN
Address: 36724 6TH AVE SW
FEDERAL WAY, WA 98023-7272
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) 'l Service(4235) .
❑ Feeders/Sub-panels(4045)
Approved Approved Approved
41
By Date B .- Date �` 6 By Date
._ .. r
r❑ Rough Electrical(4225) ❑ Ceiling Cover(41 0) Y.1 Final-Electrical. (4055)
Approved Approved Approved
By Date By Date ByO V Date " i
VI
.❑ Under-slab groundwork(4295)
Approved
By Date
•
eny�.. RECEIVED _ _i ii ..q ocu
Federal Wa .., . ____y PERMIT SF MF CO M PL DE EN FP
G'OMMUNI7Y DEVELOPMENT SERVICES OCT0 4 ;
33325 FEDERAL
AEY,WA H•Po BOX 9718p p LI CAT I O N -�°
FEDERAL WAY,WA 98063-97 �R / / ��
253.8352607•FAX 253.8352M�OF FED L w�Y
www.uttio ederuituatr.eom euiLFD NEG DEp�-
The ollowing is required information-an incomplete ap•lication will not be acce•ted. Please print legibly(in ink)or type.
.. - • PROPERTY INFORMATION
1 SITE ADDRESS 3( � . A-V z SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate pagefw lengthy legal desaiptlonJ
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
2.0D +c.‘D 0.,__ r_61s.....
PROJECT NAME(Name of Business or Owner Last Name) L 0(..2c ie_.1✓.
it PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER ‘V"\ fb L.) C) e y (` c-3)SCog <‘ c-3
MAILING ADDRESS 3(o12 Ul 119�� O 7C C►T_ CJ� Zl` _'_ _
T COMPANY NAME PLICANT N E OFFICE CONTRACTOR O CE PHONE
pt-Q��. :` aQ 't0 ��1. � (2a- )Zy2 -LI c(So
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
t7-(0
ITYOFFS� AiB���I�S00Ivt 3 )ER EXP!) ND91��E (AX NUMBER)
- - - / / ( ) -
B L
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
A ). A6-4—•• z- Db / /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS - CL'.Y,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT • FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT SE PRIMARY PHONE E-MAIL ADDRESS
(0 )2-<f2 - ti 9 So
LENDER Per RCW,19.27 095 Lender information is
"'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? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0.YES 0 NO
i . WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑HIGHLINE a TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
. t.
•
PROJECT FLOOR AREAS ••
AREA DESCRIPTION
EXISTING S•.FT. PROPOSED S•.FT. TOTAL
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
TOTAL CIaS!NG
TOTAL PROPOSED TOTAL.EXISTING AND PROPOSED
HOW MANY FLOORS?
••NEW HOMES ONLY•` NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE $
- . FIXTURES - - • • _ .. -
Value
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
of Mechanical Work $
GAS LOGS REFRIG.SYSTEMS
AIR HANDLING UNITS EVAPORATIVE COOLERS W FRIG.SYSTEMS BBQS FANS HOODS(Commercial) MISC(Describe)
FIREPLACE INSERTS RANGES
BOILERS
COMPRESSORS
DUCTS
GAS WATER HEATERS
FURNACES
GAS PIPE OUTLETS
PLUMBING WATER CLOSETS(-rode) MISC(Describe)
BATHTUBS(or Tub/show.-comb.) SHOWERS
SINKS DRINKING FOUNTAINS
DISHWASHERS
GAS PIPE OUTLETS
RAINWATER SYST
SUMPS
URINALS HOSE BIBBS
WASHING MACHINES ELECTRIC WATER HEATERS
LAVS(Bathroom Sulks) VACUUM BREAKERS
..DISCLAI ER/SIGNATUREBLOCB _- : . .. - ="
that I
I certify under penalty of perjury that the information furnished by me is true d correct
permit application est of is my knowledge,
e, and f
gee , hold
am authorized by the owner of the above premises to perform the work for whichi
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of I
such arises oaim),ut of theeh reliance of theay be eany
city,inc including its officers the
ademployees, pon the accCity
of thenformation Way,of Federal claim
supplied to thecity as a partof
this application. , I V/�!DATE l [QC/
NAME/TITLE - (Title)
(Signature)
i RELATIONSHIP TO PROJECT 9cOwner o Agent ❑ Contractor o Architect o Other
E
E FOR OFFICE USE ONLY l
IMPROVEMENT
o NEW ❑ADDITION a ALTERATION 0 REPAIR °TENANT °YES °NO
r BUILDING SHELL ONLY? °YES a NO BASIC PLAN?
ZONING DESIGNATION
CHANGE OF USE? o YES °NO
l UP/SEPA/SU? ° S a NO
NEW ADDRESS REQUIRED? a YES ❑NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES o NO
— Pae 2 of 4 k\Handouts—RevisCd\PCrmit Application
Bulletin#100—March 30,2004 g
ELECTRICAL PERMIT INFORMATION
t COMMERCIAL
RESIDENTIAL - E
NEW COMMERCIAL/INDUSTRIAL SERVICE I
1
NEW RESIDENTIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet ❑ 0 to 100 amp $ 94.50 $ 58.00
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) ❑ 101 200 amp 117.5094 74.00
❑ Detached outbuilding or garage CI 201-400 amp 220.50 87.00
(Inspected with service) $36.50
❑ Detached outbuilding or garage
0 401-600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50
❑ 801 - 1000 amp 405.50 169.50
NEW MULTI-FAMILY(three units or more) CI 1000 amp 442.00 236.00
Service Feeder
❑ Up to 200 amp $ 94.50 $ 28.00
CI 201 -400 amp CI Over 600 volts surcharge $74.00
117.50 58.00 ❑ Mast or meter repair $80.00
CI 401 -6600 amp 161.00 80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
I ❑ Over 800 amp 294.50 220.50 Service or Feeders
❑ 0 to 200 amp $ 94.50
ALTERED SINGLE MULTI FAMILY ❑ 201 -600 amp 220.50
Service or Feeder
❑ 601 - 1000 amp 332.00
369.50
'�0 to 200 amp
$ 72.50 CI over 1000 amp
❑ 201 -600 amp 117.50 CI #of circuits to be added/altered
❑ over 600 amp 177.00 (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
❑ Service over 200 amps
❑ Mast or meter repair $43.50 ❑ Medical/Educational/Institutional Facility
SINGLE MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES TEMPORARY SERVICE
❑ Service or feeder only $58.00
❑ Service and feeder $94.50 Commercial Residential
CI - 100 $58.00 $51.00
MOBILE HOME/RV PARK CI 101 200 74.00 51.00
❑ #of service or feeders n/.
(First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00
a
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
E MISCELLANEOUS SERVICE/EQUIPMENT
CI # of Signs
CI #of Thermostats (First sign-$43.50;add'n sign$20.50/ea)
( -$43.50;add'n-$13.50/ea) ❑ Swimming pool/hot tub $87.00
❑ Low Voltage (Includes additional circuit,if required)
❑ Fire Alarm System
Square Feet to be served by system(s) $58.00
❑ Yard Pole meter loops
O Security Alarm System ❑ Additional Plan Review $87.00/hour
(for modified submittals)
❑ Voice Cabling
1 ❑ Data Cabling
(Per❑ System(s) 1•,2500 ft2-$51.00; &.
')
Each add'n 2500 ft-13.50) •Per WAC 29646-910(5g*
Page 3 of 4
k\({andouts-ReviscdU'ennit Application
Bulletin#100-March 30,2004 ,