07-102296 I r
•
' City of Federal Way Electrical Permit #: 07-102296-00-E
•L
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-30550
Project Name: HANCOCK
Project Address: 28901 15TH PL S Parcel Number: 516210 0280
Project Description: Alter/add up to 4 circuits.
1
Owner Applicant Contractor
MIKE HANCOCK MIKE HANCOCK MIKE HANCOCK
LYNN G HANCOCK 28901 15TH PLS 28901 15TH PL S
28901 15TH PL S FEDERAL WAY WA 98003-3757 FEDERAL WAY WA 98003-3757
FEDERAL.WAY WA
98003-3757
Additional Permit Information
0
Electrical Fixtures
Circuits-Residential 4
� u
PERMIT EXPIRES Wednesday, October 24,X2007
.permit Issued on Friday, April 27, 2007
I hereby certify that the above information is correct find that the construction on the above describedyproperty 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: (_2,--„A-..._..-- Date: ` 2 -7 o`7
ANALD
THIS CARD IS TO REMAIN ON-SITE ,
CITY Of A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-102296-00-EL
Owner: MIKE HANCOCK
Address: 28901 15TH PL S
FEDERAL WAY, WA 98003-3757
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) 0 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) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Dates Date ?—l4,--057
❑ Under-slab groundwork(4295)
Approved
By Date
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
- Approved Approved
By Date By Date
(
' CITY OF RECEIVED Z z
Federal Way PERMIT �-.7 - -
COMMUNIIY DEVELOPMENT SERVICES APR 2 7 2007 SF MF CO ME E� PL DE EN FP
33325 D AVENUE WA SOUTH•63 BOX719718 A LI CATI O N
FEDERAL WAY WA 98063-9718 '[D
253-835 2607.FAX 2609
ulTY Or rEDERAL 1(' a�_.
BUILDING DEPT.
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
I■ PROPERTY INFORMATION
-45'
SITE ADDRESS Q t— ( 1 L-, i -./fl way,
b ° OO'S SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# I k Q 0 1j "Q .-- LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) �Ifi-S3(ZOO VG 140.41--N.-- �0 1 ''f`Z E
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICAL
❑ DEMOLITION y6LECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT D(1.9_15t.c...e_e____
SCRIPTION(Provide detailed description of work included on this permit only)
SLi 2 c:ta- C- e_.2c'saki-- e \j ,-‘---'5 C---Ni cC.C: /
PROJECT NAME(Name of Business or Owner Last Name) OgiPos \v W
• PEOPLE INFORMATION
PROPERTYNAM
(\,....4-\........„. PRIMARY PHONE
OWNERc:iLL (-71) CZCk - IQ lk l
MAILING AD RESS -• -cr,STATE,ZIP E-MAIL/q oo3 ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAME
OFFICE PHONE
bW N Q.6L ( )
-
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( )
COPY of card required CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
with each application
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant ❑Agent ❑ Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL
ADDRESS
CONTACT
t01.)1.1,0.-v4j- ( ) -
LENDER NAME Per RCW 19.27.095:
oder Information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF P'OPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION ...TEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLIN• ❑ TACO t ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 : NE 0 PRIVATE(S PTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT ❑
EXISTING u •:ED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
U 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
Value of Mechanical Work$ (A COPY 0 BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE •OLERS GAS PIPE 0 ' ETS WOODSTOVES
BBQS FANS = • ER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS .athmomsbnks) RINALS MISC(Describe)
DISHWASHERS • ` ATER SYST VA‘ UM BREAKERS
DRINKING FOUNTAINS SHOWERS WATE' CLOSETS(CotleU
ELECTRIC WATER HEATERS SINKS WASHIN, 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, ' eluding its officers and employees,upon the accuracy of the information supplied to the city as a part of
this applicati /�
NAME/TITLE W 4"Q-P'— DATE 1/44 1.. 7
---�.- lgnature) (Title)
RELATIONSHIP TO PROJECT Owner a Agent a Contractor ❑Architect ❑ Other
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? o YES o NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100-April 2,2007 Page 2 of 4 k\Handouts\Permit Application
S
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
L3Single Family Square Feet Service or Feeder Each Add'n
(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
❑ 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
❑ 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
Service or Feeder ❑ over 1000 amp 471.00
❑ Oto 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)
(--f-#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
❑ 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 ❑ #of Signs
(First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $111.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $74.00
❑ Security Alarm System ❑ Additional Plan Review $111.00/hour
❑ Voiceaaif or modified submittals)
❑ Data Cabling .���{Automation Fee on all Permits $5.00
CI
1.2500 ft2-$65.00;
Each add'n 2500 ft2-17.00).Per WAC 296-46-910(5)(b/(i£6,it)
Bulletin#100-April 2,2007 Page 3 of 4 k\Handouts\Permit Application