07-102683 j pCity of Federal Way Electrical Permit #• 07-102683-OJ-EL
a f. Community DevelopnyentBen/io*s •
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: RUSSELL l �,
..<
Project Address: 1121 S 299TH PL r:" 1 f,,,t., Parcel Number: 515160 0425
zung Lana
Project Description: Adding(2)circuits and (1)t-stat
.
Owner Applicant Contractor
SYLVIA RUSSELL ADVANCED FILTER&MECH INC ADVANCED FILTER&MECH INC
1121 SW 299TH PL 418 VALLEY AVE NW UNIT B115 ADVANFM009C9(4/26/08)
FEDERAL WAY WA 98003-3751 PUYALLUP WA 98371 418 VALLEY AVE NW UNIT B115
PUYALLUP WA 98371
Additional Permit Information
Electrical Fixtures
Circuits Residential 2 Thermostat 1
PERMIT EXPIRES Monday, November 12, 2007
Permiued on.Wedne y, Ma 16, 2007
I hereby certify that the above formation is cof'rect andthat then struction on the above described property and
the occupancy and the use will be in .-• :ance w' • the laws rules and regulations of the State of Washington
nd the ' i y off ederal ay. /
Owner or agent: /U Date: -
Vim,
ATHIS CARD IS TO REMAIN ON-SITE
cIrF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-102683-00-EL
Owner: SYLVIA RUSSELL
Address: 1121 S 299TH PL
FEDERAL WAY, WA 98003-3751
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
♦ ♦ s
0 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 Date By Date
❑ Under-slab groundwork(4295)
Approved
By Date
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
_ Approved Approved
By Date By Date / • ZZ'G.)6
arton.+�llhlw V G° 1 i O_ - Lep ep '�
Federal WayRECE
PERMYT
COMMUNITY DEVELOPMENT SERVICES s 2007 SF MF CO AIL DE EN FP
3J3�53-835V7607gFAX s Po z 41"WI APPLICATION
PEDERAL WAY,WA 9806)-971 TD /
www.dtuofedertilwau.ata gOEBApL AY
. The following is rreq� lh$tion-an incomplete application will not be accepted. Please print legibly(in ink)or, type.
S PROPERTY INFORMATION
SITE ADDRESS ) 1 Z-1 S v ''y�' " L. SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ _ — LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page Ica lengthy legal description)
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■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING ■ • UMBING -ScMECHANICAL
.
0 DEMOLITI•i t. :'1 ECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of wor' • uded on this permit only)
1 �.
0_1111)--- - — -- -- Q
PROJECT NAME(Name of Business or Owner Last Name)
• In PEOPLE INFORMATION
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PROPERTY NAME ,� ("'� ( PRIMARY PHONEON
OWNER CI tQl7 �F - NSP----\<_k (2g5) t� -
MAILINO ADDRESy`r�- CITY STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
1a1 ►. 1 ,.. l "- .► - L -A. it. ---1" - -) - U
1 NO ADDRES-'CQ, C'�' ATE,ZIP J� CEP ••ONE
CITY OF FEDERAL WAY BUSMN S LICENSE , EXPIRA7 BER ( - ��
N ATE
COPY.rcard required
CONTRACTORS REGISTRATION NUMBER R N D TE E-MAIL ADDRESS
with a..h"Plle.t" % 4• 'S s M 44 Z-0 > Nii . / 7o, .
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APPLICANT CO PANY NAM APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect a Tenant o Agent o Other (
PROJECTNA PRIMARY PHONE E-MAIL ADDRESS •
CONTACT • '1 ( ) _
LENDER NAME `1 /7 Per RCW 19.27.095:Lender information is required(/'project value exceeds$5,000
��D
MAILING DCITY,STATE,ZIP PHONE
(
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE •
dPe
EXISTING ASSESSED/APPRAISED VALUE $ 12..,*
/?j VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES '.NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES i0
WATER SERVICE PROVIDER 'tiLLAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER LAKEHAVEN a HIGHLINE O•PRIVATE(SEPTIC)
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 El
=STING PROPOSED TOW. TOTAL E7OaTINO Sl TATAL PROPOSED ET TOTAL 8l
NUMBER OF FLOORS
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ ••
■ FIXTURES
•
Indicate number of each type off Lure to be installed or relocated aspart of this project. Do not include existing fixtures to remain �Q /�
MECHANICAL �y • r "j144,..) '`G U I
Value of Mechanical Work $ t 2j I a (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
_D
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS –�- GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commercial)
/ COMPRESSORS I ' FURNACES RANGES
Dt,ICTS, •_GAS LOG SETS REFRIG.SYSTEMS
PLUMBING ,
BATHTUBS(or Tub/ShowerC:ombo) LAVS(Bathroom sinks) URINALS MISC(Describe) !
DISHWASHERS ' RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS Qoilei) •
ELECTRIC WATER HEATERS SINKS WASHING MACHINES .
HOSE B1BBS 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 authorised by the owner of the above premises to performa work for which the permitapplication is made. I further agree to hold
harmless the City of Federal Way as to any claim(including cost , expenses, and attorneys'fees incurred in the investigation and defense of
such claim), which may be made b • person,incl g the un rsigned,and flied against the City of Federal Way,but only where such claim
arises out of the reliance of th eluding it Dicers and a ployses,upon the accuracy of the information supplied to the city as a part of
this application. i
TLE DATE �/ �� V 7
NAME TI �,�� l
NAME/
Slgnature�%''�4' -¢tet'/�� (Tick(/(1 .
RELATIONSHIP TO PROJECT o Owner 0 Agent pContractor 0 Architect 0 Other
oso,a,,, r ;.,., :, ?• •
o NEW o ADDITION o ALTERATION o REPAIR RTENANT IMPROVEMENT. • •
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? .o YES o NO
ZONING DESIGNATION CHANGE OF USE? Cl YES o NO •
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? . .o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES a NO
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Bulletin#100—January 1,2007 Page 2 of 4 k\flandouts\Permit Application .
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ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 fts-$111.00;Each add'n 500 ft2-$35.50) ❑ 0 to 100 amp $120.50 $74.00
❑ Detached outbuilding or garage 0 101-200 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
0 801 - 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 0 Mast or meter repair $102.00
❑ 401 -600 amp 205.00 102.00 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -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
Cl 601 - 1000 amp 423.00
Service or Feeder ❑ over 1000 amp 471.00
❑ 0 to 200 amp $92.50
❑ 201 -600 amp 149.50 ❑ #of circuits to be added/altered
❑ over 600 amp .2,25.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/.ea)
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❑ %•" #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 Residentiat/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
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MISCELLANEOUS SERVICE/EQUIPMENT .
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❑ I #of Thermostats . ❑ #of Signs •
(First-$55.00;add'ri-$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 • 0 Yard Pole meter loops $74.00 •
❑ Security Alarni System ❑ Additional Plan Review $111.00/hour
❑ Voice Cabling (for modified submittals) •
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
1.12500 ft2-$65.00; '
Each add'n 2500 fti{17.00) •Per WAC 296-46-910(Sgb#i di ii) •
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Bulletin#100-January 1,2007 • Page 3 of 4 k\Handouts\Permit Application