04-104263 City of Fedr:al Way • Electrical Permit #: 04 - 104263 - 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: WILHELM FIRE DAMAGE
Project Address: 30813 19TH1S� Parcel Number: 785360 0010
Project Description: Rewire residential service due to fire damage
Owner Applicant Contractor
Mark A Wilhelm &Sharon M Wilhelm GS ELECTRIC GS ELECTRIC
PO Box 4372 5923 VICKERY AVE E 5923 VICKERY AVE E
TACOMA WA 98443 TACOMA WA 98443
PO Box 4372 !Federal Way,WA 98063-4372
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Alt.Sery./Feeder:201 to 600 amps-R. 1
PERMIT EXPIRES April 17,2005.
Permit issued on October 19,2004
I hereby certify that the above information is correct and that the COstruction 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 an
the City of Federal Way.,/,/,( ,-,,,,.
Owner or agent: Date: /0" / 4- 0'1
flININI-
et)
2'.-D o
THIS CARD IS TO REMAIN ON-SITE
A ,
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104263-00-EL
Owner: MARK A WILHELM
Address: 30813 19TH PL S
FEDERAL WAY, WA 98003-4910
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) 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
Ii Rough Electrical(4225) 0 Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
/t4
By ��,, J Date l�(a5- , By Date B 5 Date Z .4(-05"------
.❑ Under-slab groundwork( 295)
Approved
By Date
r
CONSTRU I
-
C. ION PERMIT APPLICATION
CITY OF RECEIVAPPLICATION NUMBER: 14- 4 Dgata-_
ED
erci
Federal Way APPLICATION NUMBER: - i OCT 1 9 2004 (APPLICATION NUMBER: - -
Ing is required information—Please print(in ink)or type**
ijc,gPlease note: Electrical,/FD fiAL
ewamitt stems and Engineering permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS:i13 19'4- ?I. ASSESSOR'S TAX/PARCEL #:\
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): Vu_plp),Q — �(')mhkr
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL o DEMOLITION
,ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): _ 4 • L• &t .I • •It• ,
CQ- - Ci\\ )<GrQ \ ei k id- cc' l = . • ex -i
bI).- OoC <-c_trIJ`c4 . yyc..r- aryi Q\�
•JECT NAME: 6(..)T1A
I PEOPLE INFORMATION:
'OPERTY OWNER: I NAtipttmc DAYTIME PHONE
Wilkt
MAILING ADDRESS(STREET ADD MITY,STATE,ZIP):
3b s t 3 (7tL P( �
CONTRACTOR: NAME: DAYTIME PHONE:
et.sz
MAILING ADDR SS(STREET ADDRESS;CITY,ST ZIP): `^ EVENING5)OND u
iPtit
rOF FEDERAL WAY�1BUSINESS LI SE NUMB
FAX NUMBER:
,? - 031. - - 279 (8E3 1 CF - 1030
CONTRACTOR'S REGISTRATION NUMBER: IX
(�
9 Z �Q7c �_ C }\ I EXPIRATION DATE:
G S E LE I C
(copy of Card required)
APPLICANT: NAME: DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: j FAX NUMBER.
o ARCHITECT o TENANT o OTHER(DESCRIBE):
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER 0 APPLICANT CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE o TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE o PRIVATE(SEPTIC)
9=i
**NEW RESIDENTIAL CONSTRUCTION ONLY** - •1
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ 1
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
• ■ FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLETS) HEAT SOURCE: ❑ ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC o GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
■ 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 daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the Information supplied to the 'ty as a part o is ap�p licati n.
NAME/TITLE: V DATE:
❑ PROPERTY OWNER o APPLICANT CONTRA OR
_:FOR•OFFICE.USE ONLY:-;.-4
tJ NEW ;ADDITION ❑ALTERATIONS ] REPAIR_A-4,O TENANTIM PROVEMENT „
*CENSUS`CODE +?' ' . "54
;F ,: ,�' ��� rx$at:
'ZONING:OESIGNATION r r r 41
,, W� BUILDING SHELL ONLY?,a ❑YES.. ,,n NO _ -,.
COMP PLAN DESIGNATION - BASIC PLAN?-- ._❑YES ;'" ❑ NO; ,
SECTION max. y z' � .. A. .-.. _ .r
NEW ADDRESS REQUIRED? ,_ :❑YES NO
PLATTED LOT? ❑YES oNO r r �� CHANGE OF USE? = a YES a NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOU11-1•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvoffederalway.com
■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family Service or feeder only $57.00 If of Thermostats(First-$43.00;add'n-$13.O0ca)
(First 1300 ft2-585.50;Each add'n 500 ft'-$27.50) Service and feeder $93.00 #of Low voltage fire or burglar alarms
Square Feet: First 2500 fl'-$50.00:Each add'n 2500 ft'-$13.00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders ` Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $57.00 (First service/feeder-$57.00;Add'n service/ _#of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-537 each) - $20.00 each)
Swimming pool,hot tub,spa $85.50
Yard Pole meter loops $57.01;
II
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or niorc) Altered Service or Feeders
Service Feeder Amps Service or Add'n _0 to 200 5 93.00
Up to 200 amp $ 93.00 $ 27.50 Feeder 201 -600 216.50
201 -400 amp 115.50 57.00 _0 to 100 5 93.00 $ 57.00 601 -1000 326.50
=401 -600 amp 158.50 78.50 =101 -200 115.50 72.50 =over 1000 363.00
601 -800 amp 202.50 108.50 201 -400 216.50 85.50 #of circuits
_Over 800 amp 289.50 216.50 401 -600 252.50 101.00 (1-5 circuits-$72.50;Add'n circuits,$6 ear
ALTERED SINGLE/MULTI FAMILY _601 -800 326.50 138.00
(When inspected separately from the services.) _801-1000 399.00 166.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/Industrial
_0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 _0-100 $ 57.00
201 -600 amp 115.50 _Mast or meter repair 78.50 _101 -200 72.50
_over 600 amp 174.00 _201-400 85.50
_Mast or meter repair 43.00 _401 -600 115.50
a of circuits I _over 600 125.00
(1-4 circuits-$57.00;Add'n circuits$6 ea)
If a new or altered commercial service is 200 amps or greater,or a new or altered residential service is greater than 400 amps.a plan review is required.Fee is 35%of
permit fee+$72.50.Add'l plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) I FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
1
l
• TOTAL COLUMN(D):
Total Column(0)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72.50 + ( X.35)= (13)
. ■ DEMOLITION -. - - • • • -., - • :-
Estimated Permit Fee: (14)
Bond Amount:(15)
- - ■ ENGINEERING .• .-
Estimated Permit Fee: (16)
Bond Amount: (17)
■ OTHER FEES
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23) "
Total (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-December 23, 2002 " •