06-100557 TWA
City of Federal Way Electrical Permit #: 06-100557-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98,063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
4
Project Name: JOHNSON
Project Address: 140 S 297TH PL Parcel Number: 776420 0040
Project Description: Alter 200-amp service for wiring in addition and existing area beneath.
•
Owner Applicant Contractor
PERTIS&GLORIA JOHNSON KEN TOMBARGE K&A ELECTRIC
29309 2ND AVE SW K&A ELECTRIC KELECI*972BP(1/17/07)
FEDERAL WAY WA 98003 P.O.BOX 7498 P.O.BOX 7498
BONNEY LAKE WA 98391 BONNEY LAKE WA 98391
Additional Permit Information
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps-I I
CONDITIONS:
,
PERMIT EXPIRES Saturday, August 5, 2006
Permit Issued on Monday, February 6, 2006
hereby certify thatthe 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 t City of Federal Way.
Owner or agent: tl/ Gv/ Date:
a f-Ae_ ,a00 6
THIS CARD IS TO REMAIN ON-SITE RFT
_folk-,
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-100557-00-EL e
Owner: PERTIS & GLORIA JOHNSON
Address: 140 S 297TH PL
FEDERAL WAY, WA 98003
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) 153Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
/; t
,
By Date By ,�,' Date 5 I5 1c(I (p By Date
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® Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By er Date t p By Date Bytes , Date® c.,,_Q(, -d,(y
❑ Under-slab groundwork(4295)
Approved
By Date
17_,A
Feaeral way P
PERMIT -�
COMMUM7YDEVELOPMENTSERVRECEIVED -17--
SF MF CO L DE EN FP
333?58 FE11 DERAL
NUE WAY, A7 •863971 9718 p P LI CATI O N
FEDERAL WAY,WA 9806)-9718 APPLICATION
/� p
253-835-2607.FAX 253435-2609 FEB0 6 2O n19 /
www.cityol7ederalwaaca,R GD UUU
The (glow' • is _,;.,L,,• -el -, WAY Inco •lete . ••lication wlU not be acce•ted. • ase •rint le• •1 in or
r C
III PROPERTY INFORMATION e .
SITE ADDRESS /L O A • G2 / 7 P) . /-,�Qie4-e, (,4,44 V 9Va03UITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(sf)
ILEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
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• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION KELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed Aiescription of work included on this .-rmit onl
feuuLtkSL fly r ,1 , 5
_ t `r
PROJECT NAME(Name of Business or Owner Last Name) J b(4-N S a N 0 /-400•)CE
MI PEOPLE INFORMATION
PROPERTY NAME c p (( PRIMARY PHONE
OWNER 'PE-T15 `-'o N-NS er-b- ( ) -
MAILING ADDRF-SS CITY,STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
K 4) 4 £f�. K -romam-K (0/- .5) (47 - •kk�'p_
MO Y .X 1•4-18 1/tiCIM,Ljj..�NIP \)a CELLPHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER IRATION DATE
T ..��I FAX NUMBER
15/ ��
/ / (
B L
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
D. Et_ 1� C.-_L r' 7 Z.. e of/ / 7 %o7
APPLICANT COMPA NAME A AP LICANT NAME OFFICE PHONE
I p1J Joann\R RG U53 )'`fl - 49
M GADq4.ESS CI STATE,ZIP CELL PHONE
0 4500 -7`{c c' LILL 910M (153 )1-3( -3 4)
RELATIONSHIP TO PROJECT / FAX NUMBER
❑Architect ❑Tenant ❑Agent Other(Describe) f I Q.,C: ( ) _
CONTACT PRIMARY PHONE E-MAIL ADDRESS
re_Q Tomeo.ecif (
LENDER :1 :,3:,:`- etr 'v� t o NAME
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
1
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
\t SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO
WATER SERVICE PROVIDER a LAKEHAVEN Ci HIGHLINE 0 TACOMA ❑PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE . 0 PRIVATE(SEPTIC)
- PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
•
FIRST :54,kitiath 410, 14
V y'V M 6 D
SECOND l
^j .6 l i 666 6D
THIRD
'FOURTH .
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS axisrnfa PROPOSED TOTAL k r;7..Q 1, ,,
' . -R R T
• Sr i it
**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.
MECHANICAL
Value of Mechanical Work $
•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commerci4Q WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES OAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orTLb/shoaercomb.) SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(BaehroomSink') 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,I chiding its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
PNAME/TITLE A// ! ! (� DATE ,• ••-/6/0 o
(Signature)
(Title(
RELATIONSHIPO PROJECT ❑ Owner ❑Agent Contractor CiArchitect 0 Other
II
as .c a i+0(e).( ;9t
•,•1?,:: 0D):4;t(A(o.),'t �,4' VAe. it0l'•\1 I I(iki) 'eA°Ft' /
' .
:remoE;tc,zi e E@e)� e',; � (x�
,;x �(c .+I, r.) 7,110 , (oi
/().tt,(e' .1)"..�(r)�6'.'te(e)4 ,r ,,01-6., ,,o):,-,i :7P:- , :;•t `ri
+@ l ,r)ft.A-S. }—;::..cII1e1Dier Ali lo- f �.ls A-fk '. r•f rt fe.
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,I .. ` e„c�..,' !a'9 ,col r -'(elf'.. i7ii.i i)r)1'Talcl a^y.'` `�Z
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Petmit Appli
I
ELECTRICAL PERMIT INFORMATION
+ RESIDENTIAL * COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
El Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage ❑ 101-200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 601-800 amp 398.50 168.50
❑ 801 - 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00
Service Feeder _
❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
❑ 401 -600 amp 193.00 96.00
❑ 601 -800 amp 247.00 132.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ Oto200amp $113.50
ALTERED SINGLE/MULTI FAMILY 0 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder
,,/ ❑ over 1000 amp 443.50
• I�0 to 200 amp $87.00
❑ 201 -600 amp 141.00 ❑ #of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
VP° #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
I MOBILE HOME/RV PARK Residential/Multi-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial,/Industrial Service or Feeder Ampacity
❑ 0-100 amps _ $69.50
�
❑ I01-200 amps 89.00
❑ 201-400 amps104.50
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❑ 401-600 amps 141.00
❑ over 600 amps 152.50
•
MISCELLANEOUS SERVICE/EQUIPMENT
O #of Thermostats 0 #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
O Low Voltage 0 Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $104.50
❑ Security Alarm System ❑ Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits $5.00
.. (Per System(s) la 2500 02-$61.00;
Each add&2500 ft2-16.00) •Per WAC 296-46-910(5)(6)(&Iii) -
Bulletin#100-January 7,2005 Page 3 of 4 k\HandoutsWermit Application