04-103656 * r s
of
City Development Services Federal Way
CommunityElectrical Permit #:04 - 103656 - 00 - EL
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: SANKS
Project Address: 30126 2NDtS'1 Parcel Number: 233730 0420
Project Description: Adding 2 circuits and altering 2 existing circuits
Owner Applicant Contractor
John R Sanks &Andrea L Sanks ELECTRO SERVE LLC ELECTRO SERVE LLC
30126 2ND PL SW#8 13547 SE 27TH PL SUITE 3-D 13547 SE 27TH PL SUITE 3-D
FEDERAL WAY WA BELLEVUE WA 98005 BELLEVUE WA 98005
98023-3971 (425)451-3358
Electrical Fixtures
Description 'Quantity Description Quantity Description _Quantity!
Circuits-Residential r 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 accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: See Application Date: 'T/,°( i
q (ii qVA32�
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THIS CARD IS TO REMAIN ON-SITE.
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103656-00-EL
Owner: JOHN R SANKS
Address: 30126 2ND PL SW
FEDERAL WAY, WA 98023-3971
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) ❑ 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) Et Final-Electrical(4055)
Approved Approved Approved
By Date By Date Date/e2dr
❑ Under-slab groundwork(4295)
Approved
By Date
REC 1 - ( �p �j
Federal • PER EIVED
�� r)-,, ,/ r )tYDEVELOpM€Ngn430•L
COMMUNITY DEVELOPMENT SERVICES Trir? '�Nl ty,i y emR 'CO M DE EN FP
3332E D AVENUE SOUTH 9•PO 971 9718 A # P P L I C AT I ON 1 0
FEDERAL WAY,WA 98063-2609 20t, ' / /
253-835•2607•FAX 253-835-2609
unou'.dt uofederd wau.oom
The following is required information-an incomplete ap Iication will not be accepted. Please rant legibly(in ink)or type.
'?� 62-co ' • • - M t�! • CII ; •
✓
SITE ADDRESS v/?-`P t,2 Pc ) J SUITE/UNIT# ----
ASSESSOR'S
--ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Atuuh separate Page for lengthy legal desoipdor)
( t alPROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ig ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description f work inducted on this permit onit)
02 K I5 - AAAAA i?rc o Cw' •
c?X I S -ac) CI +easi,rnl-
I
PROJECT NAME(Name of Business or Owner Last Name) l Avs)
. . U PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER �14-I cA'Nl‹ (dc 3) f5? - 0//5C{
MAILING ADDRESS _A CITY,STATE,ZIP
Io D2.– r L S w Fc c, Ayr Ga/4 7t61713
CONTRACTOR COMPANY NAME APPLICANT NAME I OFFICE PHONE _
(�o 5�w b-- -- Ila I(2r)/t _ (u 27) ( 53 -
MAILING ADDRESS CITY,LI'ATE,ZIP CELL PHONE
133bb 33151' ST jos a-U.6' 1 1 cbj (Ltzs--)—c,$I - 5353
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
4 9_-/ I-J D S li g (Q- B L i i'3 i "64 (2s3) ces,( -Ltl'
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
APPLICANT COMPANY NAME ( APPLICANT NAME OFFICE PHONE
C&-o Scfwe 04 rlv tA t 9--it"'+ti 141- - (asA/7'I D Z
MAILING ADDRESS CITY,SIM Z.La,. CELL PHONE
33Db cob V `Oi "to.• tpS fJ&u v WA 7&)a5 (c12S NUMBER( ( - $$s.3
LA
RETIONSHIP TO PROJECT
0 Architect 0 Tenant 0 Agent ❑ ther(Describe) ? t'['tjy(�
-
(t4 1 Seo Z- to"VI
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
/Miry H- TIS (Lt�) Gots'( - r753
LENDER Per RCW.19.2i095: Lender information is NAME
,,,required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
.■ DETAILED BUILDING INFORMATION •
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ '
SPRINKLERED BUILDING? 0 YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE a 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
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 factures to remain.
MECHANICAL
Value of Mechanical Work $
GAS LOGS
REFRIG.SYSTEMS
AIR HANDLING UNITS EVAPORATIVE COOLERS WOODSTOVES
BBQS FANS HOODS(comm<r�;d) MiSC(Describe)
FIREPLACE INSERTS RANGES
BOILERS
COMPRESSORS
DUCTS
GAS WATER HEATERS
FURNACES
GAS PIPE OUTLETS
PLUMBING SHOWERS WATER CLOSETS(roa<q MISC(Describe)
BATHTUBS(or Tub/Shower comb.) DRINKING FOUNTAINS
DISHWASHERS
GAS PIPE OUTLETS
SINKS
SUMPS RAINWATER SYST
HOSE BIBBS
WASHING MACHINES URINALS
LAVS(Bathroom sinks)
VACUUM BREAKERS ELECTRIC WATER HEATERS
',DISCLAMER/SIGNATUREBLOCK - _-
that I
l certify under penalty of perjury that the information furnished by e itrue
and a the correct
tt the
best
Ston my knowledge,
further further,
agree hold
am authorized by the owner of the above premises to perform the workfor incurredpcatio i the de. Iifurtoe and defense hold
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'feesI
f
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
this application. p
•
liP
NAME/TITLE �/ / . Li I1�� (Tafel DATE ,
( gnature)
t RELATIONSHIP TO PROJ ar ❑ Owner ❑ Agent pcontrac or o Architect AOther m
S
i FOR OFFICE USE ONLY
IMPROVEMENT
o NEW ❑ADDITION ❑ALTERATION o REPAIR o TENANT IMPo YES o NO
BUILDING SHELL ONLY? a YES ❑NO BASIC PLAN?
( CHANGE OF USE? o YES o NO
{ ZONING DESIGNATION
t NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? a YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
F
Bulletin#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 Adcl'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) Q to01 1 200 amp 117.5094 74.00
❑ Detachedpoutbuildingdor garage Q 201 -400 amp 220.50 87.00
(Inspected with service) $36.50
❑ Detached outbuilding or garage 0 401-600 amp 256.50 103.00
(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)
0 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.
U 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 0 601 - 1000 amp 332.00
❑ 0 to 200 amp
$ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
177.00 Q #of circuits to be added/altered
❑ over 600 amp (1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
g #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 0 Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES TEMPORARY SERVICE
CIService 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
Q #of Thermostats (First sigof$43.50;add'n sign$20.50/ea)
(First
$43.50;add'n-$13.50/ea) Q Swimming pool/hot tub $87.00
❑ LoowwVoltage (Includes additional circuit,if required)
Square AlarmaSystem be served by system(s) Q Yard Pole meter loops $58.00
❑ Fire $87.00/hour
❑ Security Alarm System ❑ Additional Plan Review
❑ Voice Cabling (for modified submittals)
O Data Cabling
(Per❑ System(s) 1.2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) 'Per WAC 29646-910(5)()(& )
Page 3 of 4
k\[{andouts-Revised\Permit Application
Bulletin#100-March 30,2004 r