07-102871 * � GI of Federal Wa
Commun�y Development Services Electrical Permit #: 07-102871 -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: CTM GRANITE BUILDING
Project Address: 1710 S 344TH ST Parcel Number: 212104 9018
Project Description: Connect(3)machines.
,
Owner Applicant Contractor
PAVEL&ELENA MARCHIS MADSEN ELECTRIC MADSEN ELECTRIC
ELENA MARCHIS 3939 S ORCHARD ST MADSEE*140P8 4/30/08
4722 POPPYWOOD DR TACOMA WA 98466 3939 S ORCHARD ST
LAS VEGAS NV TACOMA WA 98466
89147-5659
Additional Permit Information
•
Electrical Fixtures
Circuits-'Commercial .
PERMIT EXPIRES Sunday, November 25, 2007
`Permit Issued on Tuesday,May 29, 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 accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: y - 2 - Y
PIIVALefto
THIS CARD IS TO REMAIN ON-SITE
'
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-102871-00-EL
Owner: PAVEL & ELENA MARCHIS
Address: 1710 S 344TH ST
FEDERAL WAY, WA 98003-6851
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) ❑ Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
— 0 Temporary Power(4275) ❑ Service(4235) ❑ 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 B Date
❑ Under-slab groundwork(4295) 7"
Approved
By Date
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
11/4. -I - 2 �-r l
CITY OF
Federal way RESUBMITTED P E R M I T
COMMUNITY DEVELOPMENT SERVICES SF MF CO ME EL PL DE EN FP
333258TH AVENUE SOUTH• 9 /fi�
52 9 20 P P L I C AT I O N
FEDERAL WAY,WA 9806363 971 /-i I��� TD
253-835-2607•FAX 253-835-260-260 9
w psi_t,o ederalwa QF FEDERAL
The following is re WAY complete application will not be accepted. Please print legibly(in ink)or type.
0 PROPERTY INFORMATION
SITE ADDRESS_ 7 7/D 3 ?7" _� 3E, SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 1. '� ►� st - (.) $ LOT SIZE(sj)
2\ 2 \ oma{
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 IA'ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
f
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
1,464:0X CAr -.3 riat i
PROJECT NAME(Name of Business or Owner Last Name) C741 Cs�,,G t—
• PEOPLE INFORMATION
rPROPERTY NAME PRIMARY PHONE
OWNER C-r4 ar„y ( )
-
LII�DV sD /L/ r
J STATE,ZIP i Fi.G./`L..- W1 e`" E-MAIL ADDRESS
CONTRACTOR COMPANY� NAME r PPLICANT NAME OFFICE PHONE
' l AL.c #(.1 ) €4'l[ ,.>' Z fadfl�,/�- ( ) - .
' MAILING ADDRESS CITY,STATE,ZIP 7CELL PHONE
3 S, ,S 0 teli '4 TAC�J.0 6753 ) �3 “0.5
/ - 7
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EIRATION DATE FAX NUMBER
2RACTOR'S9 /066. 33 /x-3/-67 3) 5 -
COPY of cardraqulred REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
wdth each app4catloa
i 44#1 \
".b. S / lit > i/-30 -OS-1 .4.K42_.? ,'Z9p.Sx...ECK7,i-(o, '
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
l ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant o Agent 0 Other ( )
PROJECT NAME / PRIMARY PHONE E-MAIL ADDRESS
CONTACT C-n-cd *'d 44 44_.. . ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
f MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
•
MI DETAILED BUILDING INFORMATION
EXISTING USE • -OPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
al
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPP- ON S STEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL) A
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
AREA DESCRIPTION EXISTING PROPOSED TOTAL,
SQ.FT. SQ.FT. SQ.FT. 1
BASEMENT •
FIRST
•
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE) .
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT CI
NUMBER OF FLOORS JOUSTING PROPOSED TOTAL TOTAL 8r TOTAL PROPOSED Sr TOTAL SP
"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.
•
MECHAIVIC.9L
Value of Mechanical Work$ (A COPY OF BID OR ESTIMAT UST BE INCLUDED MPH APPLICATION)
MR HANDLING UNITS EVAPORATIVE COOLERS i GAS PIPE OUTLETS WOODSTOVES
BBQS. FANS GAS WATER HEATERS MISC(Describe) 1
•
BOILERS -. FIREPLACE INSE'41' HOODS(commercL4 i
1
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG - REFRIG.SYSTEMS
•
PLUMBING
BATHTUBS(orTue/shower combo) LAVS(Bathroom Sinks URINALS MISC(Describe)
DISHWASHERS ' RAINWATER SYST \ VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Tolley
ELECTRIC WATER HEATERS l SINKS WASHING MACHINES
HOSE BIBBS SUMPS
,,,.) •
SIGNATURE
{
I certifyunder penaltyofer that the informationfurnished byme is true and correct to the best of my knowledge,and further,that I
P lury �
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 reli of the city,including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application. J
•
NAME/TITLE /�•...d m r fr 4 {
(Signature) (Title)
RELATIONSHIP TO PROJECT Owner 0 Agent fife<tractor 0 Architect 0 Other
sz,, p eve all,>>F: -
o NEW ❑ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO . BASIC PLAN? o YES a NO
ZONING DESIGNATION •• CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES a NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES Cl NO
y
I
Bulletin#100—April 2,2007 . Page 2 of 4 k\Handouts\Permit Application
I - .. •
' . ' ' 1 - ELECTRICAL PERMIT INFORMATION;'" -
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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 0 401-600 amp '327.00 131.00
(Inspected separately) $74.00 0 601-800 amp 423.00 179.00
O 801 - 1000 amp 516.50 216.00 •
I NEW MULTI-FAMILY(three units or more) 0 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 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
I ❑ 201 -600 amp 149.50 ❑ #of cir s to a added/altered
I
❑ over 600 amp 225.50 (1-5 circuits- 94.50; dd'n circuits,$7.00/ea)
_
❑ # 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 Residentia
i/Multi•Family $65.00
❑ #of service or feeders
(First service/feeder-$74.00;each add'n-$48.00) Commercial/Industrial Service or Feeder Ampacity
O 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)
❑ 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 $111.0 hour
❑ Voice Cabling (for modified submittals) ..
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
1.12500 ft2-$65.00;
Each add'n,2500 ft2-.17.00) *Per WAC 296-46-910(5)(b)(i&ii)
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Bulletin#100-April 2,2007 Page 3 of 4 k\Handouts\Permit Application