07-104163 •
City of Federal Way Electrical Permit #• 07-104163-00. E L
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
t
Project Name: SOMMER
Project Address: 30568 4TH AVE SW '9,=14 < Parcel Number: 178890 0720
Project Description: Replace service with a new 200amp servic luaus
Owner Applicant Contractor
CATHERINE SOMMER CATHERINE SOMMER CATHERINE SOMMER
30568 4TH AVE SW 30568 4TH AVE SW 30568 4TH AVE SW
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-3912 98023-3912 98023-3912
i
Additional Permit Information
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps-I I
PERMIT EXPIRES Monday, July 21, 2008
Permit Issued on Friday,July 27, 2007
I hereby certify that the above information is correct andthat 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: 9. .► al ' Date: 1 �02� 61
• - THIS CARD IS TO REMAIN ON-SITE - ' •
CITY OF A Community Development Inspection Record _
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-104163-00-EL
Owner: CATHERINE SOMMER
Address: 30568 4TH AVE SW
FEDERAL WAY, WA 98023-3912
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 Date
O Temporary Power(4275) gi Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved jj / Approved
By Date By Date e,./6. •O7 By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved /
By Date By Date By i•�;i Date e2•C 6 7
❑ UFER Ground (4295)
Approved
By Date
For inspector reference only _
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
cirror.� ' -/1-7 - _L a 1 .Z: La ..Z
Federal Way
PERMIT ERMIT
COMMUNITYDEVELOPMENT ERRYlCR
SF MF CO ME PL DE EN FP
3B3?5'8",AVENUE SOUTH•PO BOX 9718 ECElVED
FEDERAL WAY,WA 98063.9718 APPLICATIONTD
•
253-835-2607.FAX lwau.amo JUL 2 7 2007
www.atuolfedemlwau.wm
The following is rtiltirofFioggEritAttvg Ay incomplete application will not be accepted. Please print legibly(in ink)or. type.
j ` , S PROPERTY INFORMATION
�
SITE ADDRESS - YA/Q___ w - F-e&\Souk . WrA. SUITE/UNIT#
��
ASSESSOR'S TAX/PARCEL# ( -1 123 rrD el 0- v _0 s LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate pglef r lengthy legal desorption)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING O PLUMBING 0 MECHANICAL
0 DEMOLITION 211LELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECTDESCRIPTION(Provide detailed description of work included on this permit onlq)
(.S.f">C Ct' -E- &' Cs("i`r,,c ct k 4' `' -- ' _o c'Cf -d-1 ,
PROJECT NAME(Name of Business or Owner Last Name) VC.�1. .
' • U PEOPLE INFORMATION
PROPERTY NAM _
PRIMARY PHONE �•� y '�7
OWNER �� Vir\ _.) ®f► l'1 (2,53) g 7J I- �i I 2
MAILING ADDRESS t CITY,FATE,ZIP caC°l3 E-MAIL ADDRESS
CONTRACTOR COMPANY NA. E APPLICANT NAME . OFFICE PHONE
liot
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( ) -
COPY otoW ngalred ,.�1� CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
• with tech eppLesti. 1j
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRES9f` 'C�/� ' CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑Tenant 0 Agent ❑ Other ( )
PROJECT NAME PRIMARY PHONE
CONTACT („/ 1Q- -
( _ E-MAIL ADDRESS
LENDER NAME Per RCW 19.27.095:
Lender information is required(f project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE ` PRO••SED USE
N
EXISTING ASSESSED/APPRAISED VALUE $ V=. I E OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUP: -• SSI• SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HLINE 0 T •OMA ❑ PRIVATE(WELL) •
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 P• ;TE(SEPTIC)
.
PR•J • • v '
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
EXISTING PROPOSED TOTAL •.AL ZSSTTTRO 8l TOTAL PROPOSED 8l TOTAL Sl
NUMBER OF FLOORS
•
**NEW HOMES ONLY** NUMBER OF BEDRO S ESTIMATED S' LING PRICE $ •
MI FIXTURES
Indicate number of each type of fixture to be installed or relocated aspart of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUNED WITH APPLICATION)
AIR HANDLING UNITS APORATIVE COOLERS GAS • '' •UTLETS WOODSTOVES
BBQS FAN ' WATER HEATERS MISC(Describe)
BOILERS FIREPLAC SERTS HOODS(commercial)
COMPRESSORS FURNACES RANGES
DUCTS, GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAV: (Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS '• NWATER SYST . •CUUM BREAKERS
•
DRINKING FOUNTAINS SHOWERS WAT• ' 0 SETS prones
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 flied 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.
•
•
I, t�l�L —7
NAME/TITLE GILV tt \ '5l1-11-1 / DATE 7— J47- o
(Signature), (Title)
RELATIONSHIP TO PROJECT Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
o NEW o 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
•
ELECTRICAL PERMIT INFORMATION
•
:RESIDENTIAL COMMERCIAL
,
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$111.00;Each add'n 500 ft2-$35.50) 0 0 to 100 amp $120.50 $74.00
O Detached outbuilding or garage 0 101-200 amp 149.50 94.50
(Ins• pected with service) , $47.00 ❑ 20.1-400 amp 280.00 111.00
❑ 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 .
U 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
❑ O>_o 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 280.50
• U 601 - 1000 amp 423.00
Se eeder ❑ over 1000 amp 471.00
0 to 200 amp 92.50
❑ 201 -600 amp 149.50 0 #of circuits to be added/altered
❑ over 600 amp .;225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$'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 •
U Service or feeder only $74.00 .
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE-HOME/RV PARK Residential/Multi-Family $65.00
❑ 41 of service or feeders
(First seririce/feeder-$74.00;each add'n-$48.00) Commercial/Industrial Service or Feeder.Ampacity
• 0 0- 100 amps $74.00
❑ 101-200 amps 94.50
❑ 201-400 amps 111.00 .
❑ 401-600 amps 149.50
0 over 600 amps ' 162.00
MISCELLANEOUS SERVICE/EQUIPMENT .
❑ 41 of Thermostats ❑ #of Signs
(First-$55.00;addn-$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 Alarni System ❑ Additional Plan Review $111.00/hour
❑ Voice Cabling (for modified submittals)
o Data Cabling
0 Automation Fee on all Permits .. $5.00
1•"2500 ft2-$65.00;
Each add'n 2500 ftp417.00) •Per WAC 2964691 or5)(bht&ii)
Bulletin#100-January I,2007 . Page 3 of 4 k\Handouts\Permit Application