06-100636 f J
.01
City of Federal Way Electrical Permit #• 06-100636-00-EL
Community Development Services •
4 P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: PULIDO
Project Address: 32737 35TH AVE SW Parcel Number: 873195 0520
Project Description: Rewire home damaged by fire.
Owner Applicant Contractor
GARY PULIDO MADSEN ELECTRIC MADSEN ELECTRIC
LILIA G PULIDO 3939 S ORCHARD ST MADSEE*140P8 4/30/06
32737 35TH AVE SW TACOMA WA 98466 3939 S ORCHARD ST
FEDERAL WAY WA 98023 TACOMA WA 98466
Additional Permit Information
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps-I 1
CONDITIONS:
PERMIT EXPIRES Tuesday, August 8, 2006
Permit Issued on Thursday, February 9, 2006
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 .ccordance with the laws, rules and regulations of the State of Washington
• the City Federal Way.
Owner or agent: — ,� ►- Date: 01 /9/O
I
nr ,
THIS CARD IS TO REMAIN ON-SITE
CITY of Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-100636-00-EL
Owner: GARY PULIDO
Address: 32737 35TH AVE SW
FEDERAL WAY, WA 98023-2671
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.
❑ 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) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
Rough Electrical(4225) 0 Ceiling Cover(4020) is Final-Electrical(4055)
4 Approved Approved Approved
11,
By Iss Date ` Yr. By Date By. A._' Date . a
❑ ITnder-slab groundwork 4295)
Approved
,'.. .-. ',. -7, •,.',. t o:; :r,:.
By Date
.4_
1... 7 _
Federal Wa �-{� - 1 6 3
y PERMIT -_o
COMMUNITY DEVELOPMENT SERVICESSF MF CO M L DE EN FP
33325 8m AVENUE SOUTH•PO BOX 9718 fL
FEDERAL 253-835-2607.
AX4b943352 APPLICATION Liimicimiam
juuna.dtuofederal %prom
The oilowi • is re, fired in ormation-an Inco .fete • ••lication will not be acce•ted. Please •rint le. • n or
■ PROPERTY INFORMATION
SITE ADDRESS _ g -7 7 3 5 fh Au e Jt W, SUITE/MT if
ASSESSOR'S TAX/PARCEL# - _ _ _ LOT SIZE(s•/)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attack seParatepagefor lellirni',w►de:K*1•iW
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING ' • UMBING 0 MECHANICAL -
0 DEMOLITIO E ECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
1 PRO DESCRIPTION(Provide detailed description of work Included on this permit only) t
PROJECT NAME(Name of Business or Owner Last Name) PU.� I n Q
NI PEOPLE INFORMATION
PROPERTY NAME fPRIMARY PHONE
OWNER Tal/dD )
-
MAILING ADDRESS f ^ CITY, TE, P �� '
a2-73.7 35 'f/�✓1jIg.adCONTRACTOR COMPANY II1E �(a ‘11,1,1,1
AP`PPLLIICAA`N_TNAM tea` OFFICE PHONEill ,f5%
` �/
MAILING DRSie n ��C r't l C 1 t.J1 G\i int_ (Ass) V ! 5 t'�
CITY STATE, v
CELL.
PHONE J� y
n7OF FED HAL
USI®'CAI CENSE NUMBER 141 1124. Ih.4 ON DA6 Ft/6 )J e7 -41 12
BER
19.- CL-1 a aL �O 3 3-B I. % / 3l /o ( )
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE
M,A b F.-- c i_ 'I Q -I a ti l 30 pow
APPLICANT COMPANY NAME PPLICANT NA • OFFI ' L,
• -
rn er�d�• FesL. 1 v • - a --:.x•ra 3 )3 -%5-4',d_
MAILING ADDRESS
, CITY, V.' - CELL PHONE r �w-.,.�I; _ f • ,• ( :)ars -
RELATIONS IP TO PROJ'.w FAX NUMBER
0 Ar.•' 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NPRIMARY PHONE E-MAIL ADDRESS
19C V1) ( ) -
LENDER
';)y .;.;.1•• ,• oaf ,e i,:",) ; NAME
ipt-
MAILING ADDRESS Gly,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED
EXISTING ASSESSED/APPRAISED VALUE $ VAL . . • •• ..SED WORK $ V
SPRINKLERED BUILDING? ❑YES - '0 FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRE• c I • 0 NO
WATER SERVICE PRO i• s a LAKEHAVEN a HIGHLINE ❑TACOMA ❑PRIVATE(WELL) `
SEWER S : • • • •VIDER a LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
- PROJECT FLOOR AREAS
Il
AREA DESCRIPTION EXISTING PROPOSED TOTAL j
SQ.FT. SQ.FT. SQ.FT.
BA EMENT
FIRST
SECOND
THIRD
FOURTH .
ADDITIONAL FLOORS(DESCRIB
DECK(COVERED?)
GARAGE 0 CARPORT 0
EXIST= PROPOSED TOTAL ,441-2....1..!,.x,S�1. .v4 r s 'Tbr ..Atir
NUMBER OF FLOORSr' 3 a4 ,
**NEW HOMES ONLY** NUMBER OF BEDROOMS jTED SELLING PRICE $
FIXTURES
Indicate number of each type offueture to be installed • relocated as part of this p •Sect. Do not include existing fixtures to remain.
MECEIAMCAL
Value of Mechanical Work $
AIR HANDLING UNITS VAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Cemmereian WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS .rTub/Shower Combo) SHOWERS WATER CLOSETS(rotten MISC(Deac'be)
DISHW • ERS SINKS DRINKING FOUNTAINS
GAS : .E OUTLETS SUMPS RAINWATER SYST
W, HING MACHINES URINALS HOSE BIBBS
VS(Bathroom Sinkz( 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 authorised 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,including its officers and employees,upon the accuracy of the information supplied to the city as a part of 1
this application. i
NAME/TITI� AOS_ DATE .ca-/?/ 6(Signature) (Title)
RELATIONS TO PROJECT a Owner ❑Agent {Contractor 0 Architect 0 Other
°''e)i, ).,` r., 3 € .¢s ,'kir»`�
',. .f I?i�i� 1)QI.t±(e).e ,.I.'..I 0:0)*8 t+S'(e)'t - 4;i•4'1l� .. 01. N1 VI 1.1 1! t...•F.r• �I.•
P6III,E)¢�te: r:AI f cL;(I e•v Sri.. ,,op) . 7 }(€ 1,ISI a . '(^f
%0?„001:(6' .e, p ,-'
,6 !','a€) 7.45,.+} ::. 1I,a;4:Bks •Ams ,"1(c _07,11.5i-AJ .(;i. ,1 4-:,. ;1
. fir? !q+`j -ffepp 4,11{-,,, a i 5Ye Et:far 0 i0,,- -. `(.l
4
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
}
C
AELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$104.50;Each ad 'IF -133.50) 0 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 398.54 . 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 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
- . Fee•-r ❑ over 1000 amp 443.50
>1,0 to 200 amp $87.00
❑ 201 -600 amp • .%• ❑ #of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
❑ #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
1 MOBILE HOME/RV PARK Residenttal/lffutti-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercia(/ladustrial Service or Feeder Ampacity
❑ 0-100 amps _ $69.50
❑ I01-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
U #of Thermostats ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
O Fire Alarm System ❑ Yard Pole meter loops $104.50
❑ Security Alarm System ❑ Additional Plan Review $104.50/hour
‘ ❑ Voice Cabling (for modified submittals) ( .00
❑ Data Cabiing 'Automation Fee on all Permits
(Per System(s) la 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 296-46-910(5)114&Ii) >j
Bulletin#100-January 7,2005 Page 3 of 4 ldHandouts\Permit Application