07-103594 •
City of Federal Way Electrical Permit #• 07-103594-00-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: SCOTT FILE
Project Address: 3205 SW 325TH ST Parcel Number: 873190 2020
Project Description: Upgrade service panel to 200A and (4)circuits for additional can lights in kitchen
Owner Applicant Contractor
MEL SCOTT MADSEN ELECTRIC MADSEN ELECTRIC
3205 SW 325TH ST 3939 S ORCHARD ST MADSEE*140P8 4/30/08
FEDERAL WAY WA TACOMA WA 98466 3939 S ORCHARD ST
98023-2500 TACOMA WA 98466
Additional Permit Information
Electrical Fixtures
Alt. Serveeder:0 to 200 amps-I '! Circuits-Residential 4
PERMIT EXPIRES Friday, June 27, 200x_
Permit Issued on Tuesday July 3, 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 adoordance,with the laws,_rules and rations of the State Washington
and the�C' of Federal Way.
Owner or agent 1 Date:--1 3/417
THIS CARD IS TO REMAIN ON-SITE -
CITY OF 1.11111114
r�* Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-103594-00-EL
Owner: MEL SCOTT
Address: 3205 SW 325TH ST
FEDERAL WAY, WA 98023-2500
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.
•
❑ Slab/Concrete Floor(4255) ❑ Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date •
❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date , DateBy Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date
°❑ UFER Ground (4295)
Approved
By Date
For inspector reference only
0 Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
CITY OFVite*.a./A,
V
Federal Way RECEIVED PE R M '
COMMUNITY DEVELOPMENT SERVICES S F M F Co M P L D E E N FP
3JJ253D8AVENUE SOUTH•POBO.C9718 PLI CATI O N /
FEDERAL WAY,WA 98063-9718 JUL p 3 TD /
253BJ��260i•FA.0 25J8352609
!_,r_•tityot;ederahca u.tom
CITY 4F g�
The following is requir t D L WAVltcompiete application will not be accepted. Please print legibly/in ink)or type.
�+ O PROPERTY INFORMATION
SITE ADDRESS_ 3.,2`i 5 .5 CJ . 3,;. S/ SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
III 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 onlu)
(J6(o.4.-t Sat'UV'e A.- C -Q\ -- /cc\A \ cafe L i 5hfS
PROJECT NAME(Name of Business or Owner Last Name) 5—r_c-74/
• PEOPLE INFORMATION
PROPERTY NAME _ PRIMARY PHONE
n'
OWNER 1 .e l/ S G0 ( ) -
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
3°Q-0 S 'SPW, S ``-- —c c/ r-.1 w��_, 3
CONTRACTOR COMPANY N ME APPLICANT N E OFFICE PHONE
1'� 5� .LLec4- rr .......\-r4\iN e0.i•c�l.er (,;53 )38.3 -4i�`Srd
AILING AD ESS CITY,STATE,21 C LL PHONE
j31 5a. 0rcho�ra IAG W °I S'S 7 ( 367-1at7
ITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
(153)5‘9 tioc'
COPY of card required
CONTRACTORS REGISTRATION NUMBER EXPIRATION DATE EMAIL ADDRESS
with each application I > - , See..*!`/e p i7 --3 —05 z' r,ten.(Q
1MQ.dtin .c
CO rrieN
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE t
( ) _
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMB ER
0 Architect ❑ Tenant 0 Agent .❑ Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY.STATE,ZIP PHONE
( ) -
U DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
AREA DESCRIPTION EXISTING PROPOSED TOTAL
• SQ.FT. SQ. FT. SQ. FT. i
BASEMENT -
•
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE) -
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING imams= TOTALTOTAL EXISTING sr TOTAL PROPOSED SF TOTAL SF
"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 fixtures to remain.
MECHANICAL - i
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) I
I
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS • FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commercial)
COMPRESSORS FURNACES RANGES -
DUCTS - GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS for Tub/Shower Combo) IAVS(Bathroom Sulks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS -
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(rocky
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBSSUMPS -
•
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,including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TIT/E ,a (r : 4• DATE ,/-7//'
(Signature) (Title)
RELATION '•• TO PROJECT 0 Owner 0 Agent 0 Contractor 0 Architect 0 Other
....^s,, .q
o NEW a ADDITION o ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? - - a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO •
PLATTED LOT? - a YES ❑NO DEMO PERMIT REQUIRED? d YES a NO
Bulletin 11100—April 2,2007 - Page 2 of 4 k\Handouts\Permit Application
- : --)7,-:',--,,-- " ELECTRICAL-PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
•
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single 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
t
❑ 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
0 401._600 amp 205.00 102.00
0 601 -800 amp 262.00 140.50
ALTERED COMMERCIAL/INDUSTRIAL
13 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
Service or Feeder ❑ 601 - 1000 amp 423.00
i ❑ over 1000 amp 471.00
0 to 200 amp $92.50
201 -600 amp 149.50 ❑ #of circuits to be added/altered
1 ❑ over 600 amp 225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
❑ If # 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 $I20.50
TEMPORARY SERVICE
MOBILE.HOME/RV PARK ResidentialMulti-Family $65.00
❑ #of service or feeders
(First service/feeder-$74.00;each add'n-$48.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0- loo amps $74.00
❑ 101 200 amps 94.50
❑ 201 -400 amps 111.00
❑ 401 -600 amps 149.50
❑ over 600 amps 162.00
r
MISCELLANEOUS SERVICE/EQUIPMENT
t ❑ # of Thermostats ❑ # of Signs
(First-$55.00;add'n-$17.00/ea)
❑ Low Voltage
(First sign-$55.00;add'n sign$26.00/ea)
❑ Swimming pool/hot tub $111.00
Square Feet to be served by system(s)
❑ Fire Alarm System
❑ Security Alarm System
(Includes additional circuit,if required)
CI Yard Pole meter loops $74.00
CI Additional Plan Review $111.00/hour
C] Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits $5.00
1"2500 .00;
Each add'n,2500
2500 ft2-17.00) •Per WAC 296-46-910(5)(W h ii)
Bulletin#100-April 2,2007 Page 3 of 4 k\Handouts\Permit Application