07-103021 .''
City of Federal Way Electrical Permit #: 07-103021 -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: WEISSMAN
4 4 ...+ =. ate
Project Address: 29844 11TH AVE SW Parcel Number: 195460 0120
Project Description: Alter up to(4)circuits for electrical work in addition;wiring/GFI circuit for swim spa.
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Owner Applicant Contractor
ADAM J&DOROTHY G WEISSMAN S&H ELECTRIC INC. S&H ELECTRIC INC.
29844 11TH AVE S 855 TROSPER RD SHELEI*044JZ (4/10/08)
FEDERAL WAY WA 98023-8210 TUMWATER WA 98512 855 TROSPER RD
TUMWATER WA 98512
Additional Permit Information
Electrical Fixtures
Circuits Residential 4 Hot Tub.... 1
PERMIT EXPIRES Saturday, December 1, 2007
Permit Issued on Monday, June 4, 2007
I hereby certify that the above information is correct and that the construction on the above described property andY
the occupancy and the use will be in accordance with the laws,rules; and regulations of the State c'i1 Washington
nd the City federal Way.
Owner or agent: Le 2-er. ,4/ - Date: c — 0 7
lAILTHIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-103021-00-EL
Owner: ADAM J & DOROTHY G WEISSMAN
Address: 29844 11TH AVE SW
FEDERAL WAY, WA 98023-8210
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.
O Slab/Concrete Floor(4255) ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By ._�_1/4._ Date 1
--cry
_ 0 Temporary Power(4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date B O Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) r 0 Final-Electrical(4055)
Approved Approved Approved
By l Ate, Date t�_ _ By Date By() Date .2 *6 7
❑ Under-slab groundwork(4295)
Approved
By Date
For inspector reference only
0 Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
. orf
oa4P" RECEIVED ' �! 0 7 — / '® 0., .�
Federal Way PERMIT '
COMMUNITY DEVELOPMENT SERVICES tri UN -0 4 2007 SF MF CO •L DE EN FP
33375'8*"AVENUE SOUTH•PO BOX 971
FEDERAL WAY,WA 98063.9718 TD
753-835a607•FAxas3a3sm2C1TY OF FEDER LI CATION
wwwdit 07Ae.mlwa80 cora
609
BUILDING DEPT.
The following is required information-an incomplete application will not be accepted. • •se print legibly(in ink)or type.
9 . PROPERTYJINFORMATION
SITE ADDRESS J / O p 9 /„Z ./7 /6% 5. al; SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# ( I c l Cp 0- b ( (Z 0 LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) .
(Attach separate pageJar lengthy legal desaipfion)
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NI PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING O PLUMBING 0 MECHANICAL
0 DEMOLITION X ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
,.Pol/ of G,417 a/5 D i W'C7 CONDZ,--/ 7- y e.}/,e ode
S'‘e.///n '//n SPA A ' (i) Z//'.7 7- .4/X 7.e s CO /(V���
?SLE �'/zrIG/E / (.2) 2)Gz>oe�)C �JGLTGP7- s- /) 47
PROJECT NAME(Name of Business or Owner Last Name) L(/,/S5/12,A7
• PEOPLE INFORMATION
PROPERTY NAME _ /
OWNER t� E !Ss s/2,4� PRIMARY PHONE -
MAILING ADS i i
c"f e .l ,// �.Ave- - ,_5),a - CITY,-t-D ZIP
G__ Gf//9Y E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICAN NAME OFFICE PHONE
5,i_H E_LEc770/C �. �.e�s ttv ),35 /‘ 9/
AILING ADDRESS CITY STATE, P CELL PHON
.SS7 &Z Pt ' '8 55'T w �E� �X5"/2 4 ); '3 p 7/
• CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
••=1•41 -‘25:'./e15-7�t�1'-Do:64- /2 J/-a 7 00155:2-/372
% CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
: 3e fl•" i:j-tion b SWEG / ),O' .Z `7i:--/-D -o 2
APPLICANT COMPr NAME APPLICANT NAME OFFICE PHONE -
MAILINGINA DRESS ' CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMB ER
o Architect ❑ Tenant 0 Agent 0 Other ( )
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT (d_kd 793 -YYif
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
■ DETAILFD BUILDING INFORMATION
EXISTING USE • . : - 0 USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSE 0 A : $
--- j a90 -
SPRINKLERED BUILDING? ❑YES ❑ N• FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE o TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
PR'J • • •�
AREA DESCRIPTION EXISTING PROPOSED TOTAL 1.
SQ:FT. . SQ.FT. SQ.FT.
BASEMENT
FIRST '
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
=WINO PROPOSED TOTAL TOTAL=WINO Sr TOTAL PROPOSED Sr TOTAL Sr
NUMBER OF FLOORS
**NEW HOMES ONLY' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
1111 FIXTURES
Indicate number of each type offixture to be installed or relocated aspart of this project. Da not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS .GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commereia'
COMPRESSORS FURNACES RANGES
GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS IorTub/Shower Combo) LAVS'Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toaet)
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.
yaeey
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NAME/TITLE DATE al-°417"-e) 7
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner ❑ Agent %Contractor 0 Architect ❑ Other
o NEW a ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT.
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o 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 o NO
Bulletin#100—January 1$2007 Page 2 of 4 k\Handouts\Permit Application
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' 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 ftp-$111.00;Each add'n 500 ftp-$35.50) ❑ 0 to 100 amp $120.50 $74.00
❑ Detached outbuilding or garage ❑ 101-200 amp 149.50 94.50
(Inspected with service) r $47.00 ❑ 201-400 amp 280.00 111.00
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❑ Detached outbuilding or garage ❑ 401-600 amp 327.00 131.00
(Inspected separately) $74.00 ❑ 601-800 amp 423.00 179.00
. 1:1 801 - 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
❑ 601 -800 amp 262.00 140.50
❑ Over 800 amp 375.50 280.50 Service or Feeders
U 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
❑ 0 to 200 amp $92.50
❑ 201 -600 amp 149.50 ❑ #of circuits to be added/altered
❑ over 600 amp 225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
❑ ! #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-,$14.00;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
1/Muiti-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
MISCELLANEOUS SERVICE/EQUIPMENT .
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❑ #of Thermostats U #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 0 ❑ Yard Pole meter loops $74.00 •
• ❑ Security Alarni System ❑ Additional Plan Review $111.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling0 ❑ Automation Fee on all Permits .. $5.00
1.12500 ft2-$65.00; •
Each add'n 2500 ft2i 17.00) •Per WAC 296.46.910(5)(b)i&ii)
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Bulletin#100-January 1,2007 . Page 3 of 4 k\Handouts\Permit Application