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04-103492 City of iederal Way Electrical Permit #:04 - 103492 00 - , 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: CORPUZ Project Address: 1012 S 325TH S- Parcel Number: 150240 0320 Project Description: Addition of(6)circuits for new additions Owner Applicant Contractor Daniel G Corpuz &Mirna M Corpuz Daniel G Corpuz Daniel G Corpuz 1012 S 325TH ST 1012 S 325TH ST 1012 S 325TH ST FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA 98003-5933 98003-5933 Electrical Fixtures Description Quantity L Description Quantity Description Quantity Circuits-Residential 6 Jl PERMIT EXPIRES February 28,2005. Permit issued on September 1,2004 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 Wa Owner or al:i : ' Date: 1_ 1 - Q (0Issio4 Q Itl.716. n c-' t�4 • THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Reea -d Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04-103492-00-EL Owner: DANIEL G CORPUZ Address: 1012 S 325TH ST FEDERAL WAY, WA 98003-5933 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) ❑ Service(4235) 0 Feeders/Sub-panels(4045) Approved Approved Approved By Date By Date By Date 40 Rough Electrical(4225) 0 Ceiling Cover(4020) 0 Final-Electrical(4055) Approved Approved Approved Bye Date By Date By Date .❑ Under-slab groundwork(4295) Approved By Date A - _a. (-1_ - 1._ _0_ 3._ q 1_ 2-.•' ,Federal Wail il h o PERMIT SF MF CO ME ilp PL DE EN FP COMMUNITY DEVELOPMENT SERVICES 33325 87,, FEDERAL UE AY,WAN• 063-97 PO BO 9718 3 1 z o o APPLICATION -T° FEDERAL WAY,WA 98063-97 / / 253-835.26070 FAX 253-835-26iM� www.at uofederalwaq.nom I Y O F pERAL WAY The followingYe r„ , ,..;,a we.... on-an incomplete a..lication will not be acce•ted. Please •rint legibly(in ink)or type. ,. . ■ PROPERTY INFORMATION SITE ADDRESS /0 L L S 325 ST FePEKA1- (06-y" SUITE/UNIT# ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(sf CI It 41 LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) I-0T 8 (N. &L. C— 3 ec cc/t[f(A�/' CITY OV. 'I (Attach separate page for lengthy legal desaiplion) [[ - ■ PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION,LECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu) " 3 c3eD g_Oa art 4 O etg- P) API?( 0 vJ PROJECT NAME(Name of Business or Owner Last Name) '°. . • PEOPLE INFORMATION PROPERTY NAME © �y PRIMARY PHONE OWNER OAS/EL- - �/t/ L4 2 (L ' )E29 - (q(v(0 MAILING ADDRESS CITY,STATE,ZIP �! /Ot 2 - s 325 'T Fs E ZkL ur 4-{ `D`�3 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE 0Wnk 421( (z.B ).5^Zq - uss.:4 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 I / APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE ( ) - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) - RELATIONSHIP TO PROJECT FAX NUMBER I 0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) - i CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS ( ) - LENDER PerRCW 19,270Q5 Lender information is , NAME 'required if project value exceeds$5,000 • MAILING ADDRESS CITY,STATE,ZIP - .■ DETAILED BUILDING INFORMATION • EXISTING USE A(SIAL l PA wtI -'f tko WIC- PROPOSED USE 45,111 EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ - SPRINKLERED BUILDING? ❑YES , NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES t WO i . WATER SERVICE PROVIDER rFLAKEHAVEN O HIGHLINE ❑TACOMA 0 PRIVATE(WELT.) SEWER SERVICE PROVIDER �j .AKEHAVEN 0 IHGHLINE 0 PRIVATE(SEPTIC) PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT $ FIRSToo-4 &4)--1 '--K--` 2,o(01 SQA 1 SECOND I THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) 7 DECK(COVERED?) 1 GARAGE/CARPORT 1 I TOTAL�mG TOTAL PROPOSED TOTAL EXISTING AND PROPOSED HOW MANY FLOORS? 1 "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 i Value of Mechanical Work $ i EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS AIR HANDLING UNITS HOODS(com,n.“..p WOODSTOVES BOAS FANS MISC(Describe) FIREPLACE INSERTS RANGES BOILERS COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMING WATER CLOSETS Roa�q M[SC(Describe) BATHTUBS(orTDb/show<rCombo) SHOWERS DISHWASHERS SINKS DRINKING FOUNTAINS SUMPS RAINWATER SYST GAS PIPE OUTLETS WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom Buil VACUUM BREAKERS ELECTRIC WATER HEATERS ,.`1.7::::----:*':-:-_-: 'DISCLAIMER/SIGNATVREBLOCK • - - - the information furnished by me is true and correct to the best of my knowledge, and further, that I Iauthorized byyr penalty owner perjury abovee f i am the of the 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 b •• person,including the undersigned,and filed against the City of Federal Way,but only where such claim arises out of the reliance of the ity,in luding its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. �} Re9--.V DATE —! " /°--- 6)NAME/TIT I� (Signature) (Title) i RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent 0 Contractor ❑ Architect 0 Other f ( FOR OFFICE USE ONLY I 0 NEW o ADDITION 0 ALTERATION o REPAIR ❑TENANT IMPROVEMENT ( BASIC PLAN? ❑YES o NO BUILDING SHELL ONLY? o YES 0 NO i ZONING DESIGNATION CHANGE OF USE? o YES 0 NO tiNEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES o NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES a NO Bulletin#100—March 30,2004 — Page 2 of 4 k\Handouts—Rcvised\Permit Application - ELECTRICAL PE r. IT INFORMATION f RESIDENTIAL _COMMERCIAL NEW COMMERCIAL/INDUSTRIAL SERVICE NEW RESIDENTIAL SERVICE Service or Feeder Each Add'n ❑ Single Family Square Feet ❑ 0 to 100 amp $ 94.50 $ 58.00 (First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) ❑ 101 -200.amp 194.50 74.00 ❑ Detached outbuilding or garage 0 201 -400 amp 220.50 87.00 (Inspected with service) $36.50 s ❑ 401-600 amp 256.50 103.00 ❑ Detached outbuilding or garage (Inspected separately) $58.00 0 601-800 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 0 201 -600 amp 220.50 Service or Feeder ❑ 601 - 1000 amp 332.00 ❑ Oto 200 amp $ 72.50 0 over 1000 amp 369.50 ❑ 201 -600 amp 117.50 0 #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 U Service or feeder only $58.00 ❑ Service and feeder $94.50 Commercial Residential MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00 0 101 -200 74.00 51.00 ❑ #ofservice or feeders 0 201 -400 87.00 n/a (First service/feeder-$58.00;each add'n-$37.50) ❑ 401 -600 117.50 n/a ❑ over 600 127.00 n/a MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Signs o #of Thermostats (First sign-$43.50;add'n sign$20.50/ea) (First 3.50;add'n-$13.50/ea) ❑ Swimming pool/hot tub $87.00 ❑ Low Voltage (Includes additional circuit,if required) Square Feet served by system(s) ❑ Yard Pole meter loops $58.00 El Fire Alarm S Systteo m ❑ Security Alarm System ❑ Additional Plan Review $87.00/hour ❑ Voice Cabling (for modified submittals) ❑ Data Cabling 0 (Per System(s) 1"2500 ft2-$51.00; Each add'n 2500 ft2-13.50) 'Per WAC 296-46-910(5)04(i&0 Bulletin#100-March 30,2004 Page 3 of 4 k\I landouts-Revised\Permit Application