04-103742 a w
City of Federal Way Electrical Permit #:04 - 103742 - 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: JONES
Project Address: 30012 13TH1S Parcel Number: 025300 0315
Project Description: Replace existin kTuse panel with 200-amp circuit panel.
Owner Applicant Contractor
John R Jones John R Jones John R Jones
30012 13TH AVE S 30012 13TH AVE S 30012 13TH AVE S
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98003-4130 98003-4130
Electrical Fixtures
Description Quantity Description Quantity Description 1Quantity
Alt.Serv./Feeder:0 to 200 amps-Res., 1
PERMIT EXPIRES March 15,2005.
Permit issued on September 16,2004
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 W
Owner or agent: Date: 91/6'0
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THIS CARD IS TO REMAIN ON-SITS
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103742-00-EL
Owner: JOHN R JONES
Address: 30012 13TH AVE S
FEDERAL WAY, WA 98003-4130
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) ❑ 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) ❑ Ceiling Cover(4020) 0 Final-Electrical(4055)
Approved Approved Approved
By Date By Date Byer,, Date f 1_,('a—at1
❑ Under-slab groundwork(4295)
Approved
By Date
ctrr or :. P-f _: M o4- _1Q3 7 i
Federal Way �—
PERMIT SF MF CO M' 'L DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33325 8TM AVENUE SOUTH•PO BOX 9718 1 '
APPLICATION — TD
FEDERAL WAY,WA 98063-9718 /
253-835-2607•FAX 253-835.2609
unaw.cituoffederaluay.com C; ' • 1
The following is required itifi tatiorf-i an incomplete ap•lication will not be accepted. Please •rant legibly(in ink)or type.
. . ■ PROPERTY INFORMATION
SITE ADDRESS 30012 13TH A v6 .S SUITE/UNIT#
ASSESSOR'S TAX/PARCEL It O 2 S 2 0 0 - 0) 3 l S LOT SIZE(sf)
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
0 DEMOLITION 14 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onit{)
Up 1140tt ELeC.(lull- Skiivtc.it TO 140‘ASE
PROJECT NAME(Name of Business or Owner Last Name) Ta i.S
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER ToN.... 12 5o, s (2S3 ) Sf i - 4g-40
MAILING ADDRESS CITY,STATE,ZIP
30orz %Ilk Aver So.-cif FifO.RA4— w.cY w4 48o03
_
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
B L
/ / ( ) _
CONTRACTOR'S REGISTRATION NUMBER(copy of cud required with each application( EXPIRATION DATE
/
APPLICANT COMPANY NAM APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT • FAX NUMBER
C ❑ Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
I
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
01) 1 ( )
LENDER a Per RCW 19.27.095: Lender information is;; NAME
'required ifproject value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
kg)
( ■ DETAILED BUILDING INFORMATION
EXISTING USE kg)%AIC I{o 1...4 PROPOSED USE
1 EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF P:• t,e. - . 'i•RK $
SPRINKLERED BUILDING? ❑YES M NO FIRE Yu ' , -.a+.SION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
' WATER SERVICE PROVIDER A L ,ItAptN ❑HIGHLINE • COMA 0 PRIVATE(WELL)
SEWER SERVICE PRO SHAVEN ❑HIGHLINE ❑ P• (SEPTIC) ,
PROJECT FLOOR AREAS •
__-_—•---------7-----__—_—_.—
AREADESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT ,
FIRST
SECOND —
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE
DECK(COVERED?)
7TOTAL EXISTING
GARAGE/CARPORT
TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
HOW MANY FLOORS?
"NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMA D SELLING PRICE $
_• PIRrUP.r.S -- _
Indicate number of each type of fixture to be installed or reloc. -d a •art of this project. Do not include existing furfures to remain.
MECHANICAL
Value of Mechanical Work $
REFRIG.SYSTEMS
AIR HANDLING UNITS FANPO'd THEGAS L•.COOLERS WOODSTOVES
BBQS FAN HOODS(co....•<rciai) MISC(Describe)
BOILERS F 'EPLACE INSERTS RANGES
COMPRESSORS
FURNACES GAS WATER HEA RS
DUCTS GAS PIPE OUTLETS
PLUMBING WATER CLOSETS(Tolle) MISC(Describe)
BATHTUBS lo,Tub/Shower comb.) SHOWERS i
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS RAINWATER SYST HOSE BiBBS
I J
WASHING MACHINES URINALS {
VACUUM BREAKERS ELECTRIC WATER HEATERS
LAVS(Bathroom Sulks) _
.DISCLAIMER/SIGNATUREBLOCK -
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,inclu . its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
I(, G � Ib�o4-
1...71...........AME TITLE lit •
DATE
AME/TITLE
(Tale)
RELATIONSHIP TO P JECT Owner o Agent ❑ Contractor ❑ Architect 0 Other
1
i
1 ,FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR o:TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN?
DYES o NO
{ ZONING DESIGNATION
CHANGE OF USE? o YES o NO
? NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU?. o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletip 11100—March 30,2004 — Page 2 of 4 k\Handouts—Revised\Perinit Application
1
ELECTRICAL PERMIT INFORMATION
COMMERCIAL 1
RESIDENTIAL _ -
NEW COMMERCIAL/INDUSTRIAL SERVICE
NEW RESIDENTIAL SERVICE NEW
Service or Feeder Each Add'n
❑ Single Family Square Feet 00 amp $ 94.50 $ 58.00
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) ❑ 101❑ 0 to 1 1 20a amp 117.5094 74.00
❑ Detached outbuilding or garage ❑ 201-400 amp 220.50 87.00
(Innsppected 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
0 801 - 1000 amp 405.50 169.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 442.00 236.00
Service Feeder
❑ 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
❑ 0 to 200 amp $ 94.50
ALTERED SINGLE MULTI FAMILY ❑ 201 -600 amp 220.50
Service or Feeder
0 601 - 1000 amp 332.00
369.50
'� 0 to 200 amp
$ 72.50 0 over 1000 amp
❑ 201 -600 amp 117.50 ❑ #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
0 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
O Service or feeder only $58.00
❑ Service and feeder $94.50 Commercial Residential
0 0- 100 $58.00 $51.00
MOBILE HOME/RV PARK ❑ 101 -200 74.00 51.00
i ❑ # of service or feeders n/.
(First service/feeder-$58.00;each add'n-$37.50) 0 201 -400 87.00
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Signs
CI # of Thermostats (First sigof$43.50;add'n sign$20.50/ea)
( $43.50;add'n-$13.50/ea) ❑ Swimming pool/hot tub $87.00
❑ Low t Voltage (Includes additional circuit,if required)
❑ Fire AlarmSystem
' Square Feet to be served by system(s) $58.00
❑ Yard Pole meter loops
❑ Securcittyy Alarm
Alarm System ❑ Additional Plan Review $87.00/hour
(for modified submittals)
❑ Voice Cabling
❑ Data Cabling
(Per❑ System(s) 1.2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5)(bl(&iq
Page 3 of 4
k\[landouts-Revised\Pennit Application
Bulletin#100-March 30,2004