06-100646 •
F
City of Federal Way
CommuniryDevelopmentServices Electrical Permit #: 06-100646-00-EL
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: KIRK
Project Address: 28401 15TH AVE S Parcel Number: 720300 0435
Project Description: New 200amp service for new single family home
Owner Applicant Contractor
VANZELL KIRK FULLER ELECTRIC FULLER ELECTRIC
28619 13TH AVE S 37107 12TH AVE S FULLEEI027BK 1/12/08
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 37107 12TH AVE S
FEDERAL WAY WA 98003
Additional Permit Information
Electrical Fixtures
Service: Residential 3,450
CONDITIONS:
PERMIT EXPIRES Tuesday, August 8, 2006
Permit Issued on Thursday, February 9, 2006
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 accord e with the laws, rules and regulations of the State of Washington
hh a he City of Federal Way.
Owner or agent: Tug,- v. Date: r a (o
f
A ,
THIS CARD IS TO REMAIN ON-SITE ' ,
CICommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-100646-00-EL
Owner: VANZELL KIRK
Address: 28401 15TH AVE S
FEDERAL WAY, WA 98003
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)
ISService(4235) .❑ Feeders/Sub-panels(4045) `
Approved Approved Approved
t By Date B 'i�� Date ���ik\�t� By Date
fin Rough Electrical(4225) ❑ Ceiling Cover(4020) gl Final-Electrical(4055)
Approved Approved Approved
By - Date a By Date By �bk,i� Date q i •
•
1❑ Under-slab groundwork(4295) ..,
Approved
By 'Date _ . _. - ,
.. .
,max,
/ A [DECEIVE® 062 - /
/ .60
urr or
Fecteralway. PERMIT
--I--
ooemut rrosysurkursex 0 9 2006 SF MF COM EL L DE EN FP
93195 dTMAVB(Yf18SOUTH.roBOX 9718 PPLI CATI O N
rSDERAL WAY,WA9R�y7�f� To
9ssassz6:1.4P 2ss�d1.436o)F FEDERAL /
"•dh'° °•°'^BUILDING DEPT.
The ono • is -• {red in ormation-an inco •lets a• •Ideation will not be ecce• -d. Please •rint is n in or j•
�g(/�
I. PROPERTY
^ INF •
ORMATION/�
SITE ADDRESS .2 b `101 -i'C 7yAe-J - Ca i4l 14, I OOJ SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - — LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) • '
(Mods Worms Pair fir WOW!WI N •
I PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING . 0 PLUMBING 0 MECHANICAL
0 DEMOLITION t1,PECECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Prvaide detailed description of work included on this Dermic nly)
.141/ gI DOA%, 7c c&/fe.CO`« cid t// W/,C/`/� ,de or c{ 5
,c. /7i i✓ CO4 sf24cti 0. 4 AO us-e..
•
PROJECT NAME(Name of Business or Owner Last Name)
a PEOPLE INFORMATION
PROPERTY eve/ PRIMARY PHONE
OWNER UQ'/ i c'.4 (204. ) 7?.? .-3Os
MAILING ADDRTEZIP
2,761q- /3 .P/Ave 5- eca, / Lr/aa/ W 9806)
CONTRACTOR COMPANY NAMECANT NAME OFFICE PHONE
Fa deet h1{ ,4i ��� lc 1& 4-- ,4//tee us-3 ) a/ - 7/1/
MAILING ADDRESSTE,ZIP CELL PHONE
3 7/01- /2 PIA-tie- C. X;i5LAta/Ll/ wa Va' (2v4, ) I/23 -9e)f f
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXIKRATION DATE FAX NUMBER
- `'-ii-. Q2_ Z 4 - L. ✓z 13/ 1 e (2s3) t4/ -6?rf
CONTRACTORS REGISTRATION NUMBER(copy of card ragalrad with sick application) EXPIRATION DATE
E g i: 4 e e 1 4 z 2 a & . .112108
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect a Tenant o Agent a Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( .) -
LENDER NAME
•
MAILI 0 ADDRESS CITY,STATE,ZIP PHONE
• ( ) _
•
® DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ •
SPRINKLERED BUILDING? a YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES O NO
WATER SERVICE PROVIDER O LAKEHAVEN O HIGHLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER O LAKEHAVEN . 0 HIGHLINE O PRIVATE(SEPTIC)
ELECTRICAL PERMIT INFORMATION •
RESIDENTIAL • COMMERCIAL .
JIEW RESIDENTIAL SERVICE NEW COMMERCLIL/INDUSTRIAL SERVICE
Ca ingie Family Square Feet 3 4.0 14i Service or Feeder Each Add'n
(First 1300 IP-$107.50;Each ad 'nd 500 tr. ,.$34.50) f -P - • 0 0 to 100 amp $117.00
CI Detached outbuilding or garage $71.50
(Inspected with service) $45.50 0 101.-200 amp 145.00 91.50
0 201-400 amp 272.00 107.50
❑ Detached outbuilding or garage
0 401-600 amp 317.00 127.00
(Inspected separately) $71.50
0 601 800 amp 410.00 173.50
0 801-1000.amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) 0 Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $34.50 ❑ Over 600 volts aurchai•g e
❑ 201 -400 amp 145.00 71.50 0 Mast or meter repair $99.00
❑ 401 -600 amp 198.50 99.00
Q 601-800 amp 254.00 136.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 364.00 . 272.00
Service or Feeders
• ❑ 0 to 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY 0 201 600 amp 272.00
Service or Feeder ❑ 601-.1000 amp 410.00
CI to 200 amp $89.50
0 over 1000 amp 456.50
❑ 201 -600 amp 145.00
0 #of circuits to be added/altered
❑ over 600 amp 218.50
(1-5 circuit-$91.50;Acid's circuits,$7.00/ea)
•
❑ • #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50;Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee
0 Service- 1,000 amps or greater
❑ Mast or meter repair $53.50
0 Medical/Educational/Institutional Facility
MOBILE HOMES .
•
❑ Service or feeder only $71.50 •
O Service and feeder $117.00
TEMPORARY SERVICE
MOBILE ROME/RV PARR Reaideniial/LLtutCllami
0 #of service or feeders �' $63.00
(First service/feeder-$71.50;each add'n-$46.50) Comnlercia(/1'ndustrial Service or Feeder Ampacity
❑ 0-100 amps $71.50
O 101-200 amps 91.50
❑ 201-400 amps 107.50
0 401-600 amps 145.00
❑ over 600 amps 157.00
•
MISCELLANEOUS SERVICE/EQUIPMENT .
•
•
❑ if of Thermostats • CI #of Signs
(First-$53.50;add'n-$16.50/ea) (First sign-$53.50;addb sign.$25.00
CI Low Voltage /ea)
Square Feet to be seared by system(s) CI Sig pool/hot tub $107.50
D Fire Alarm System (lAcludes additional circuit,if required)
O Security Alarm System 0 Yard Pole meter loops $71.50
b Voice Cabling 0 Additional Plan Review $107.50/hour
0 Data Cabling (for modified submittals)
❑ Automation Fee on all Permits .. $5.00
(Per Systeni(a)la 2500 tt2-$63.00;
Each add%2500 ft2-16:50)•Per WAC 296a6910is)i &fq
1 ,
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED .. TOTAL.
BASEMENT SQ.FT. SQ.FT. SQ.FT.
FIRST •
SECOND •
774
THIRD
7
•
FOURTH
•
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(COVERED?) •
•
GARAGE Q CARPORT O •
ry
surao +aorono d
NUMBER OF FLOORS I sI I +'�+'�
iMijairiarNME
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ �4
FIXTURES
Indicate number of each type offixtuns to be installed or relocated as part of this'project. Do not include
cristingf>xd4nes to•remain.
MECRANICAL
Value of Mechanical Work $ •
MR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIO.SYSTEMS
BBQ3
BOILERS
OI ERItSSSORS FFIREPLACE INSERTS RANGES ANS HOODS(c....rovis M�D��)
•
CFURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
•
BATHTUBS IK7�/showrCombo, SHOWERS WATER CLOSETS
DISHWASHERS SINKS DRINKING FOUNTAINS RISC(Describe)
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBES
• LAYS mamma swig VACUUM BREAKERS ELECTRIC WATER HEATERS
•
DISCLAIbIER/SIGNATURE BLOCK
am
certifyd under penalty ofper jury that the htforneation furnished by me is true and correct to the best of my knowledge,and further,that I
m outharmless the City y of the
owneral of
Was above premisesto perform the work for which the permit application is.made. I further agree to hold
such a any claim ung costs,expenses,and attorneys'fees incurred in the investigation and defense of
laim),which may be made by stray person,including the undersigned,and flied against the City of Federal Way,but only where such claim
arises out of the reliance of the city,incl its officers and employees,upon the
this application. accuracy information supplied to the city as a part of
•
NAME/TITLE oge-,v, DATE —2
(Signature)
RELATIONSHIP TO PROJECTmom)
[] Owner 0 Agent �ntractor []Architect t7 Other •
•
•
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