07-103264 s
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City ofFederal Way Electrical Permit #: 07-103264-00-EL
Community Development Services
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: CLIFFORDFILE
Project Address: 1700-S 340TH ST Parcel Number: 212104 9024
(022-
Project
022Project Description: Replace 200-amp service and rewire existing residence.
Owner Applicant Contractor
T F MCELROY TEMPLE ASSN CHARLES CLIFFORD CHARLES CLIFFORD
CHARLES CLIFFORD 1622 S 340TH ST 1622 S 340TH ST
1622 S 340TH ST FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
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Additional Permit Information
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps-I 1
PERMIT EXPIRES Monday, June 9, 2008
Permit Issued on Friday, June 15, 2007
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 wi th= laws, rules and regulations of the State of Washington
- j •f F-deral Way.
Owner or agent: Date: 6-/ -4157
NAt &c_ D
- THIS CARD IS TO REMAIN ON-SLTE ,
CITY OF Community Development Inspection Record -
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-103264-00-EL
Owner:
Address: 1700 S 340TH ST
FEDERAL WAY, WA 98003-6833
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) ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
— 0 Temporary Power(4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By .3( Date / //..)-7, By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
.9 By l - Date id•//• By Date By Date/4)•3... .-7_,
❑ UFER Ground(4295)
Approved
By Date
i
•
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date JO•!/ By Date/O. 30 6
RECEIVE®
01-- ( 0 02 6 y
Federal Way5 2007
JUN 1 PERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF CO ME SL DE EN P
33325 8ThD AVENUE WA SOUTH•PO BOX 39718F ik�)PLI CATI O N
r
FEDERAL WAY,WA 9 �,pep F FEDERAL
253-835-2607•FAX 253- 35-2 ILDING DEP
wi..,iiuoffederahnnr.rxm
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
c 7 e• PROPERTY INFFORMATION , A
SITE ADDRESS I(pi 2. 5• 340 S1. TVAAL W M kih 9 3 SUITE/UNIT# 13)(�I�
ASSESSOR'S TAX/PARCEL# 1 2. 1 0 � - i 0 Z 47 LOT SIZE(sj7O
S. 5.5f+ 04 au)Y4 0c Nw Y4 4?( s 1(..„„s-r+ 4£x yra ,IwK
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) ✓! 6 197.S-1:1-—f}1D4 4 LA& w Ii(00 4+ Tho F
(Attach separate page for lengthy legal description)
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)
&IiS i tle`c �1e a.k c.,, is c jrr>P-- G�.e -415
.�. J,�t I I . A ll �}dria- 3`I A/rt.
reirceit i l dl.t w3 A. 2...1 14,10.10. - t l; reibic eastc-e.' 6u141-- t' 4(o•
PROJECT NAME(Name of Business or Owner Last Name) 1rF. LeLil ''4(f 1.6 .
• PEOPLE INFORMATION
PROPERTY NAME � PRIMARY PHONE
OWNER ?;F. &.�/1 r0 TMoopl•G AT/'t.�• STATE.ZIP (253 9 J2 T+1 f.� y4
' MAILING ADDRESS CITY, E-MAIL ADDRE
17o0 5. ST. howl. why( oh 1800
CONTRACTOR COMPANY NAME APPLICANT NAME CW;1498-01IONE :44A•11
CSGW P ( ass) Ams-z.-NIgic-
MAILING ADDRESS CITY.STATE,ZIP CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( ) -
COPY of card regWrod CONTRACTORS REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
with each application
APPLICANT COMPANY NAME AP1�PLI NAME e4 OFFICE PHONE
teigto
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
11p1.2. 3. 34C1'51. .J t CD6 L wAK WA -}-. (Z53) -2304-
RELATIONSHIP
TO vPROJECT Gotta A 7 - FAX NUMBER
0 Architect R Ten o Agent pt Other (f.,.u.. _.L :. - ( ) -
PROJECT NAME !' (� I PRIMARY PHONE E-MAIL ADDRESS
CONTACT Ukrrl0r, Cll�,�o� (L53) So$ -2404- ac k.sbc.eccolcaSi:h
LENDER NAME T Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION J�
EXISTING USE 4,i lie .I, A PROPOSED USE 4%% (e. AAAI> ra"I dile
EXISTING ASSESSED/APPRAISED VALUE$441000 VALUE OF PROPOSED WORK $ Z,000.00
SPRINKLERED BUILDING? ❑YES XNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES XNO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC)
El PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
S!.FT. •.FT. S•.FT.
• BASEMENT til/S!
FIRST
1 � ?•� NA MEM
SECOND ■M= _-
THIRD
MIME
ADDITIONAL FLOORS(DESCRIBE) MOM
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT D N w
NUMBER OF FLOORSo
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fvcture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
_ BOILERS FIREPLACE INSERTS HOODS(commero aq
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SE ib REFRIG.SYSTEMS
PLUMBING
BATHTUBS for Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSE(b frottet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 uding its officers and employe.., • t� acy of the information supplied to the city as a part of
this application.
<11 -
�eNAME/TITLE L� `��L/ DATE 5 21-07
(Signature) (Title) 7�
�,,,L -OW. I �e'
RELATIONSHIP TO PROJECT ❑ Owner Agent/ ontractor Architect Other"MOW
❑ ❑
FOR ECCE ITSE ONLY.
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—April 2,2007 Page 2 of 4 k\Handouts\Permit Application
PIP
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$111.00;Each add'n 500 ft2-$35.50) ❑ 0 to 100 amp $120.50 $74.00
❑ Detached outbuilding or garage ❑ 101-200 amp 149.50 94.50
(Inspected with service) $47.00 ❑ 201-400 amp 280.00 111.00
❑ Detached outbuilding or garage ❑ 401-600 amp 327.00 131.00
(Inspected separately) $74.00 ❑ 601-800 amp 423.00 179.00
O 801 - 1000 amp 516.50 216.00
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $35.50 ❑ Over 600 volts surcharge $94.50
❑ 201 -400 amp 149.50 74.00 ❑ Mast or meter repair $102.00
❑ 401 -600 amp 205.00 102.00 ALTERED COMMERCIAL/INDUSTRIAL
U 601 -800 amp 262.00 140.50
❑ Over 800 amp 375.50 280.50 Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 280.50
❑ 601 - 1000 amp 423.00
ice or Fee' r ❑ over 1000 amp 471.00
X 0 to 200 amp $92.50.
❑ 201 -600 amp 149.50 ❑ #of circuits to be added/altered
❑ over 600 amp ,225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
el of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$74.00;Add'n circuits$7.00/ea) $94.50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $65.00
❑ #of service or feeders
(First service/feeder-$74.00;each add'n-$48.00) Commercial/Industrial Service or Feeder Ampacity
U 0-100 amps $74.00
❑ 101-200 amps 94.50
❑ 201-400 amps 111.00
❑ 401-600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats U #of Signs
(First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea)
Low Voltage U Swimming pool/hot tub $111.00
Square Feet o be served by system(s) i l4` (Includes additional circuit,if required)
❑ Fire • . .y.t`i. U Yard Pole meter loops $74.00
❑ Sec • . i?.tem ❑ Additional Plan Review $111.00/hour
Voice a. (for modified submittals)
Data b U Automation Fee on all Permits .. $5.00
1512500 ft2-$65.00;
Each add'n 2500 ft2-17.00)•Per WAC 296-46-910(5)(bi(i&ii)
Bulletin#100-April 2,2007 Page 3 of 4 k\Handouts\Permit Application