07-102475 City of Federal Way Electrical Permit #: 07-102475-00-E L
Community Development Services
P.O.Box 9718
Federal Way,,- A 98063-9718
Ph:(253)835-260Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: RICH >
Project Address: 29926 ATH AVE S Parcel Number: 720535 0050
Project Description: Replace service with new 200amp panel.
Owner Applicant Contractor
MELVIN D RICH MELVIN D RICH MELVIN D RICH
SHE R RICH 29926 4TH AVE S 29926 4TH AVE S
29926 4TH AVE S FEDERAL WAY WA FEDERAL WAY WA
FEDERAL WAY WA 98003-3622 98003-3622
98003-3622
Additional Permit Information
Electrical Fixtures
Alt. S .fFeeder: 0 to 200 amps-I I
PER AI EXPIRES Wednesday, October 31, 2007
Perm ed onriiday', May 4, 2007
I hereby certify that the above information is coat and that the construction tine above dscribedrerty and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and t Cityof ral Way.
Owner or agent: `%�J��
Date:
����--
THIS CARD IS TO REMAIN ON-SITE'
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-102475-00-EL
Owner: MELVIN D RICH
Address: 29926 4TH AVE S
FEDERAL WAY, WA 98003-3622
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) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
_ ❑ Temporary Power(4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) '0
Final-Electrical(4055)
Approved ApprovedApproved
By Date By Date By Date //. 4 -0-2
❑ Under-slab groundwork(4295)
Approved
By Date
For inspector reference only
0 Rough Electrical 0 FINAL - Electrical
ApprovedApproved
- By Date By Date ff.6 7
CITY OF ® Q Z - / 0 2 l .7
Federal Way RECEIVED PERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF CO ME ( I PL DE EN FP
' 33325 8Th AVENUE SOUTH•PO BOX 9718
FEDERAL WAY,WA 98063-97A Al
0 4 Zoo-APPLICATION TD
253-835.2607•FAX 253-835-2 _......,._z
unuw.cituoljeden:hontt•com pp
The following i!i1 t i i tcan incomplete application will not be accepted. Please print legibly(in ink)or type.
UIIDIN
GJ C� 0 PROPERTY INFORMATION` '
SITE ADDRESS- / / d /4V e. ✓� /- 6;4o/ /Wi/
Q SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# at d 5 / _�- 2 v S O LOT SIZE(sf
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION M iECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT/� DESCRIPTION(Provide detailed description of work included on this permit only)
Ite 'J/Aca e7c4-iC4 / �A e_-( vAey -9 ✓/c `e.
PROJECT NAME(Name of Business or Owner Last Name) ZO CA/
PEOPLE INFORMATION
PROPERTY NAME M J PRIMARY PHONE
OWNER e-{✓!/i /0. �/ t cc L, / (o,) 936 - /.�7`/
�-MAILING/ / 42 ! ' 7-77}'e'. S CI�GCO Z1P�-/� / Gt y Q E-MAIL�v n R 4Y. `1 Ctft8eemei
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
g U.)"n�� ( ) -
MAILING A DRESS CITY,STATE,ZIP - - CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( 1 _
COPY of c.rd regntrad CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
with eaeh.ppllc.tIo.
APPLICANT COM ANY NAME APPLL AA IT NA 4E /�] OFFICE PHONE
l
e iv/ij /�ic;�'2� /vTeiv, h i" sc 1 ( ) -
L �.2-�S PHONECELL i7ve �a , c G'J ((.P.6( ) ,J7d /S 7 41
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT �Y
e 1 to t9"rlam ) 5]O -/5- 7(7
'/ii✓a,ric 4 Ce-,(A.@r oc c I
LENDER NAME Per RCW 19.27.095: �J
Len information is required if project value exceeds$5,000
MAILING ADDRESS Y,STATE,ZIP PHONE
( )
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO F . S ' 'RESSION SYSTEM PROPOSED/REQUIRED? o YES o NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE r TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ 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 0
NUMBER OF FLOORS =mum PROPOSED TOTAL TOT - Sr TOTAL PROPOSED Sr TOTAL Sr
•
•
"NEW HOMES ONLY* NUMBER OF BEDROOMS • MATED SELLING PRICE $
a iIXTURES
Indicate number of each type of fvcture to be installe> or relocated as part of this project. Do not include existing fixtures to remain.
•
MECHANICAL
Value of Mechanical Work$' (A COPY•'BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATI . COOLERS GAS P '.E OUTLETS WOODSTOVES
BBQS FANS G = ATER HEATERS • MISC(Describe)
BOILERS FIREPLACE I RTS HOODS(commeretas
COMPRESSORS FURNACES RANGES — '
DUCTS • GAS LOG SETS _ REFRIG.SYSTEMS
PLUMBING
BATHTUBS iorTub/Shower Combo) LAVS(Bathroom a) URI MISC(Describe)
DISHWASHERS RAINWAT• ` SYST VACUUM BREAKERS
DRINKING FOUNTAINS S J RS WATER CLOSETS troller)
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,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.•
.
91
NAME/TITLE G/ • DATE ! ✓
(Signature) (Title)
RELATIONSHIP TO PROJECT p-Wner 0 Agent 0 Contractor ❑ Architect 0 Other
'til g g;• 1•••;
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO . BASIC PLAN? o YES n NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? , o YES ❑NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—April 2,2007 Page 2 of 4 k\Handouts\Permit Application
- , ELECTRICAL PERMIT;INFORMATION ' -
RESIDENTIAL COMMERCIAL
•
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL.SERVICE
0Single Family.Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$111.00;Each add'n 500 ftp-$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 0 201-400 amp 280.00 111.00•
0 Detached outbuilding or garage ❑ 401-600 amp '327.00 131.00
(Inspected separately) $74.00 0 601-800 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 ❑ Mast or meter repair $102.00
❑ 401. 600 amp 205.00 102.00 ALTERED COMMERCIAL%INDUSTRIAL
0 601 -800 amp 262.00 140.50
1 ❑ 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 Fee.er 0 over 1000 amp 471.00
R 0 to 200 amp $92.50
1 201 -600 amp 149.50 ❑ #of circuits to be added/altered
❑ over 600 amp 225.50 (1-5 circuits-$94.50;Addn circuits,$7.00/ea)
I
❑ #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
1 ❑ Mast or meter repair $55.00 0 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
0 #of service or feeders
(First service/feeder-$74.00;each add'n-$48.00) Commercial/industrial Service or Feeder Ampaclty
❑ 0- 100 amps $74.00
O 101-200 amps 94.50
O 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)
0 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 0 Additional Plan Review $111.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
U"2500 ft2-$65.00;
Each add'n.2500 ft2-17.00) *Per WAC 296-46-9]O(5)(b)(i h ii)
Bulletin 11100-April 2,2007 Page 3 of 4 k\Handouts\Permit Application