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04-103652
City of Federal way Community Development Services Electrical Permit #:04 - 103652 - 00 - EL 33530 1st Way S s t� Federal Way,WA 98003-6210 Ph:253.661.4000 Fax 253.661.4129 Inspection request line: 253.835.3050 Project Name: VAN FOSSAN Project Address: 33749 29TH kSW Parcel Number: 255700 0370 Project Description: Add(4)circuitor new addition Owner Applicant Contractor M J Van Fossan &Richard Van Fossan MARCILLE BUILDING DESIGNS*GALEN M Richard Van Fossan 33749 29TH CT SW MARCILLE BUILDING DESIGNS 33749 29TH CT SW FEDERAL WAY WA 12113 6TH AVE SW FEDERAL WAY WA 98023-7718 SEATTLE WA 98146 Electrical Fixtures Description 1[Quantityj Description _ Quantity Description ,Quantity Circuits-Residential 4 PERMIT EXPIRES March 9,2005. Permit issued on September 10,2004 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 ccordance with the laws rules and regulations of the State of Washington and the City of Federal Way. Owner or agent:_ pOW Date:4//o/Zev FINALED bc2 °') 4 THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 04-103652-00-EL Owner: M J VAN FOSSAN Address: 33749 29TH CT SW FEDERAL WAY, WA 98023-7718 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) ❑ 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 Rough Electrical(4225) ❑ Ceiling Cover(4020) inal- • rical(4055) Approved Approved Approved By 1.t Date 41' 5 v By Date G5 Date rz • ■MMER • ❑ Under-slab ground I rk 295) Approved By Date 40A . Federal Way _0_ 4_ - 40_3___b s- 2, PERMIT SF MF CO M;, COMMUMTYDCVEWPMENTSERVICES illp PL DE EN FP 33325 D AVENUE SOUTH•63 BOX 971 a ;: `'P P L I C AT I O N -rD FEDERAL WAY,WA 98063-9718 / / 253-83S26o7•FAX 253-835- 1 www.dtyolfederolwau.enrk'" , _= 1. The ollowing is required infofrrttita —an incomplete ap•lication will not be acce•ted. Please •rint legibly(in ink)or type. ^ �r�NI PROPERTY INFORMATION� t SITE ADDRESS 33 7 Y I Q d L / /'7 C i slit) SUITE/UNIT# ASSESSOR'S TAX/PARCEL# 2 S" 5- 7 0 O - Q 3 9 .co LOT SIZE(sJ LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal descnption) IN 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 only) T `i"A ! / u10*rr' i MRS 'Ie.-Crt (/wr y c y- ,d/Y76 -0o-5,,j, i M467 - cavp4jir , 1.4414:4 , PROJECT NAME(Name of Business or Owner Last Name) V,4ii)ce, ✓✓/7,Ii PEOPLE INFORMATION PROPERTY NAME�� 4'Y� � g,s .,., PRIMARY PHONE OWNER eit 4 13)952 - 87S7 MAILING ADDRESS CITY,STATE IP 337 Y7 -g/T' arse() c ' d , w,f `� 'O 3 CONTRA TO COMPANY NAME - • CA N, pp OFFICE PHONE I, At, / �jf, ,r te! , (4 st� c (153 )15 2c2S z,NG •DRESS CI /STA .. 1P ► LL PHONE - Clr o,: • ` E NUMB /EXPI'`,'a DATE •`' LICONTRACTOR'S REGIST' TION N BER(copy of card required with each application) EXPIRATION DATE APPLICANT COMPANY NAME AP LICANJ�``A OFFICE PHONE Owr�- 'G� .C. , (233 ) 230 -z523— MAILING ADDRESS CITY ST TE,Z CELL PHONE 337V/PRA f,Grceo �� '&23 ( ) RELATIONSHIP TOFAX NUMBER o Architect 0 Tenant 0 Agent Other(Describe) ( ) - CONTACT N E. %h.f/ I/Co►? 5ca,f (ZS3) /.72 - 27l-7 PRIMARY PHONE E-MAIL 4,1249IA©PO4AZ,((y0 LENDER Per-'1'e?',1'12C:TV19,2ilpigLender information is NAME requiredproject value exceeds$5,000 N 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 i . WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING S•.FT. PROPOSED S•.FT. TOTAL FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE/CARPORT TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED HOW MANY FLOORS? "NEW HOMES ONLY" NUMBER OF BEDROOMS F•STIMATED 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. MECHAMCAL Value of Mechanical Work $ OGS REFRIG.SYSTEMS 1 AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LWOODSTOVES BOILERSAS RANGES HOODS(Commercial} MISC(Describe) BFIREPLACE INSERTS COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING WATER CLOSETS gook() MISC(Describe) BATHTUBS(or TubIsbow<rcombo) SHOWERS SINKS DRINKING FOUNTAINS DISHWASHERS RAINWATER SYST GAS PIPE OUTLETS SUMPS URINALS HOSE BIBBS WASHING MACHINES VACUUM BREAKERS ELECTRIC WATER HEATERS LAVS(Bathroom Sinks) -- t • I- - -; '-DISCLAIMER/SIGNATURE BLOCK - that the information furnished by me is true and correct to the best of my knowledge, and further,that 1 Ij I certify under penalty o f perjury am authorized by the owner of the above premises to perform the work for which the permit application in investigation andmade. I further ree to defenseold of harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'f such claim), which may be made by any person,including the undersigned, upon the aand filed ccuracy of thegainst the information formari n sof Federal upplied to the city as a partof arises out of the reliance of the city,i di off er this application. ` DATE NAME/TITLE ._/fre ;' VieVAZOldfi' (Title) (Signature) S RELATIONSHIP TO PROJECT Owner 0 Agent 0 Contractor o Architect ❑ Other F E FOR OFFICE USE ONLY l 0TENANTIMPROVEMENT o NEW o ADDITION o ALTERATION o REPAIR y ❑NO I BUILDING SHELL ONLY? o YES b NO BASIC PLAN? i ZONING DESIGNATION CHANGE OF USE? o YES o NO t NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES o NO PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? ❑YES ❑NO Bulletin tE 100—March 30,2004 — Page 2 of 4 k\Handouts—Revised\Permit Application • ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL - NEW COMMERCIAL/INDUSTRIAL SERVICE NEW RESIDENTIAL SERVICE Service or Feeder Each Add'n r ❑ 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 117.50 74.00 ❑ Detached outbuilding or garage ❑ 201-400 amp 220.50 87.00 (Inspected with service) $36.50 ❑ Detached outbuilding or garage ❑ 401-600 amp 256.50 103.00 (Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50 O 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 ❑ Mast or meter repair 80. 00 ❑ 401 -600 amp 161.00 80.00 ❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ Over 800 amp 294.50 220.50 Service or Feeders 0 0 to 200 amp $ 94.50 ALTERED SINGLE MULTI FAMILY ❑ 201 -600 amp 220.50 Service or Feeder ❑ 601 - 1000 amp 332.00 369.50 k 0 0 to 200 amp $ 72.50 ❑ over 1000 amp ❑ 201 -600 amp 117.50 ❑ # of circuits to be added/altered ❑ over 600 amp 177.00 (1-5 circuits-$74.00;Add'n circuits,$6.00/ea) CZ At #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 ❑ 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 ❑ Service or feeder only $58.00 ❑ Service and feeder $94.50 Commercial Residential ❑ 0- 100 $58.00 $51.00 MOBILE HOME/RV PARK ❑ 101 -200 74.00 51.00 ❑ #of service or feeders n/. (First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00 a ❑ 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) (First $43.50;add'n-$13.50/ea) ❑ Swimming pool/hot tub $87.00 ❑ Low Voltage (Includes additional circuit,if required) Square Feet to to served by system(s) ❑ yard Pole meter loops $58.00 0 Fire Alarm System $87.00/hour 0 Security Alarm System ❑ Additional Plan Review (for modified submittals) ❑ Voice Cabling ❑ Data Cabling ❑ (Per System(s) 1•,2500 ft2-$51.00; Each add'n 2500 ft2-13.50) 'Per WAC 29646-910(5)(L)(i&ii) Page 3 of 4 k\i landouts-Rcviscd\Pennit Application Bulletin#100-March 30,2004 1