04-104244 City of Federal Way Electrical Permit #: 04 - 104244 - 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) 835-3050
Project Name: HALEY
Project Address: 3617 SW 328TH (Si— Parcel Number: 873195 0330
Project Description: Install(3)circuits and wiring for garage addition.
Owner Applicant Contractor
George W Haley George W Haley George W Haley
3617 SW 328TH ST 3617 SW 328TH ST 3617 SW 328TH ST
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-2658 98023-2658 (253)874-0365
Electrical Fixtures
r Description Quantity Description Quantity Description Quantity
Circuits-Residential 3
PERMIT EXPIRES April 16,2005.
AY' Permit issued on October 18,2004
To
I hereby certify that the above information is correct and that the construction on the above described property and
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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 Wa
Owner or agent ) ,.."
Q06) "le Date: /' -/,A —0 ef
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THIS CARD IS TO REMAIN ON-SITP'` .
cmroF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104244-00-EL
Owner: GEORGE W HALEY
Address: 3617 SW 328TH ST
FEDERAL WAY, WA 98023-2658
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) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) 0 Final-Electrical(4055)
Approved Approved Approved /
By Date By Date B6(17 Date .72-q).-0?
❑ Under-slab groundwork(4295)
Approved
By Date
,� 101632_ O — o z c( y
Federal Way RECEt�5 1 —
�ERMIT SF MF CO ME EL P DE EN FP
COMMUNITYDEVE'^PMc 9TSERVICES
333258TMAVENUE-vieBOX 9718 � �, _ O -
FEDERAL WAY, .9718 /
253-835-2607•WAY, ,3-9718
'APPLICATION
unow.dtuoffede,tth._
CITY OF FEDERAL WAY
The following is required n„J,,�376;i, 1,, " ' o plete ap•lication will not be acce•ted. Please •rint legibly(in ink)or type.
- .// W`- .I PROPERTY INFORMATION n ,�y,
'ITE ADDRESS 3 Ip 17 5 3„, .. Sr I I )EC�t WAY SUITE/UNIT#
;SESSOR'S TAX/PARCEL# - _ _ _ _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
Oath separate page for lengthy legal description)
i 1v/ 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 onitt)
C0trtPL.QT€ G. LECT(Ztc.L_ MRI NG- 'Po g- (4.< k.)Ckik)
GPr A6 /t��(TI otJ , LlGtiTs( oorLers, marc.
PROJECT NAME(Name of Business or Owner Last Name) t+ L E y
' '- Vd PEOPLE INFORMATION
PROPERTY NAME _ PRIMARY PHONE
OWNER 6e--oc G t 14-ALEX (a53 )87y -0365
MAILING ADDRESS L CITY,STATE,ZIP
36f? st.J 328 SI ��be(z4N-L. u}Ay, WA 4$023-265cp
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 card required with each application( EXPIRATION DATE
- / /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( )
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
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
WATER SERVICE PROVIDER ❑ LAKEHAVEN O HIGHLINE O TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER Cl LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
•
?,:. • PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT iiiii
FIRST lir
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
OTAI.EXISTING AL PROPOSED TOTAL EXISTING ASD PROPOSED
HOW MANY FLOORS?
"NEW HOMES ONLY** NUMBER OF BEDROOMS ESTI• .TED LING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocate' as part of this p •'ect. Do not include existing fixtures to remain.
MECHANICAL
• Value of Mechanical Work $
EVAPO• WE COOLERS GAS LOGS REFRIG.SYSTEMS
AIR HANDLING UNITS
BFAN HOODS(commercial) WOODSTOVES
BOILERS FI` PLACE INSERTS RANGESMISC(Describe)
COMPRESSORS RNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING WATER CLOSETS(ro leu MISC(Desc )
BATHTUBS(or Tub/sno..<rcombo SHOWERS
DISHWASHERS SINKS DRINKING FOUNTAINS
SUMPS RAINWATER SYST
GAS PIPE OUTLETS
WASHING MAC. . S URINALS HOSE BIBBS
LAVS(Bathroom sinks)
VACUUM BREAKERS ELECTRIC WATER HEATERS
° - -, DISCLMMER/SIGNATUREBLOCK `.
I certify under penalty of perjury that the i formation 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
d isnthe in made. Iifurtheonr agrende e to
hold
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees
f
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.
i// DATE /°. r _
NAME/TITLE i --"Ar (Title)iga •re
RELATIONSHIP TO PROJECT IU6 vner o Agent ❑ Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY ' I
-
o NEW o ADDITION a ALTERATION 0 REPAIR 6 TENANT IMPROVEMENT
( BUII.DING SHELL ONLY? o YES ❑NO
BASIC PLAN? o YES o NO
{ ZONING DESIGNATION CHANGE OF USE? o YES 0 NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES a NO
l PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin#100—March 30,2004 — Page 2 of 4 k\handouts—Revised\Permit Application
ELECTRICAL ., ___-:-.4111
COMMERCIAL
RESIDENTIAL -
NEW COMMERCIAL/INDUSTRIAL SERVICE
NEW RESIDENTIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet 00 o 1amp $ 94.50 $ 58.00
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) ❑❑ 0 tt101 200a amp 194.50 74.00
CIDet and oubuitdisg or enrage ❑ 201 -400 amp 220.50, 87.00
(Inspected with service) $36.50 256.50 103.00
❑ Detached outbuilding or garage ❑ 401-600 amp 332.00 140.50
(Inspected separately) $58.00 ❑ 601-800 amp
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 Cil 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 LY ❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
O 0 to 200 amp
$ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
177.00 ❑ #of circuits to be added/altered
El over 600 amp (1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
i3 # 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
CI Service over 200 amps
❑ Mast or meter repair $43.50 0 Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
ervice Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES TEMPORARY SERVICE
0 Service or feeder only $58.00
0 Service and feeder $94.50 Commercial Residential
MOBILE HOME/RV PARK 0 0- 100 $58.00 $51.00
0 101 -200 74.00 51.00
0 #of service or feeders n/a
(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
❑ # of Thermostats (First sign-$43.50;add'n sign$20.50/ea)
(First3.50;add'n-$13.50/ea) ❑ Swimming pool/hot tub $87.00
CI LowwVoltage (Includes additional circuit,if required)
Square Feetserved by system(s) 0 Yard Pole meter loops $58.00
❑ Fire Alarm m System
m
El Security Alarm System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
❑Per _
System(s) 1^,2500 ft2-$51.00;
( b
Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5)((&ii)
Bulletin#100-March 30,2004
Page 3 of 4 k\Handouts-Reviscd\Pennit Application