07-103198 • •
City of Federal Way Electrical Permit #: 07-103198-00-EL
' Community Development-Services
--P.0.Box 9718
Federal Way,WA-98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: PLOSKONKA r
Project Address: 1109 SW 350TH PL _> Parcel Number: 542243 0210
x I
Project Description: Alter(6)circuits for addition
Owner Applicant Contractor
RUDOLF PLOSKONKA ATTITUDE ELECTRIC INC ATTITUDE ELECTRIC INC
1109 SW 350TH PL 32328 20TH PL SW ATTITEI976OC(9-3-07)
FEDERAL WAY WA FEDERAL WAY WA 98023 32328 20TH PL SW
98023-8106 FEDERAL WAY WA 98023
Additional Permit Information
Electrical Fixtures
•
Circuits-Residential 6
PERMIT EXPIRES Sunday, December 9, 2007
Permit Issued on Tuesday,June 12, 2007
I hereby cerfy that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in _with the laws, rules and regulations of the.State of Washington
• the ity of Federal Way.
Owner or agent: -- Date: 444%7
V y
.P\ V'
.t
• THIS CARD IS TO REMAIN ON-SITE •
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-103198-00-EL
Owner: RUDOLF PLOSKONKA
Address: 1109 SW 350TH PL
FEDERAL WAY, WA 98023-8106
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
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
By4Ze, Date ts,-1By Date By Date 1 `/I? 27
❑ Under-slab groundwork(4295)
Approved
By Date
III
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
....12'1.9-
- Federal Way
RECEIVE F Ci d
COMMUNITY DEVELOPMENT SERVICES EP E R M I T SF MF CO ME E PL DE EN FP
3332FS
E 8EA AVENUE SOUTH•PO BOX 9718
PL WAY,WA 98063.9718 JUN 1 2AP P L I C AT I ON TO
253-835-2835-2607•FAX 253-835-2609 /
www.citquffederalwau.com
CITY OF FeOERAL WAY
The following is requirec , atialiagPIn incomplete application will not be accepted. Please print legibly(in ink)or, type.
J a N PROPERTY INFORMATION
SITE ADDRESS l 1 D ( 5 k. 7. )n ?Z- SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(s,/)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) Lo- 2-k Atta/kJlol4.)1)..4>--e- •
(Attach separatepagefw len"legal description)
•
N PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION liftilLECTIOCAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
/• PROJECT
� DESCRIPTION(Provide details description of work included on this permit only)
,r�'_ , t_ ' Gli ° )‘*-S to) Q. A-QA.y-it i)
X PROJECT NAME(Name of Business or Owner Last Name) C LoS ,A�
' ' U PEOPLE INFORMATION
? PROPERTY NAM
PRIMARY PHONE
OWNER LOS4M v,A" ( ) -
MAILINO ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
lc, Sud 347 tL. +=.w. wA a 013
p CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
,444-A0b4 c t�.i O. c.n)0 . (1`3-S) 21Lk - 5')1 S'
MAILING ADDRESS CITY,STATE,ZIP ",_`'`�Ya�` CELL PHONE
L-S-t� \ L.C'� -U EXP RA ION DATE LS _FAX NUMBER
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
(ISI ) l.elo\ - `\Il5
COPY of e�rd»gsired CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
wttb ese sppU.tlon
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
' COtiALFt _ ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMB ER
❑ Architect 0 Tenant 0 Agent ❑ Other ( )
PROJECT NAME. PRIMARY PHONE E-MAIL ADDRESS
CONTACT ))` U .K, ucy ( 'l'S3) 1,11 - 4•5")--vs"
LENDER NAME Per RCW 19.27.095: .
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
■ DET?1iLED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAIS, e VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDI 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVIC .ROVIDER o LAKEHAVEN b HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PR•J • • • •1
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
SSISTDIO PROPO•SD TOTAL TOTAL •. •sr TOTAL DROPOBED 57 TOTAL Sr
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATE• ELLING PRICE $
• FIXTURES
Indicate number of each type of facture to be installed or relocated -s art of this project. Do not include existing factures to remain.
MECHANICAL
Value of Mechanical Work $ (A COPY OF BID.••ESTIMATE . ST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIV OOLERS • S PIPE OUTLETS WOODSTOVES
BBQS FANS .GA:WATER HEATERS MISC(Describe)
BOILERS F1 REP E INSERTS HOO• commercial
COMPRESSORS FUR CES RANGES
Du.
0 - LOO SETS •REFRIG.SYST' S
PLUMBING , .
BATHTUBS(or Tub/showerLAVS(B.uvoomsinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS trope)
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,incl • g its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application. •
NAME/TITLE o it / Q _ DATE DU)
(SI ature) (Title)
RELATIONSHIP TO PROJ:CT 0 Owner ❑ Agent (t Contractor 0 Architect 0 Other
o NEW o ADDITION o ALTERATION ❑REPAIR oTENANT IMPROVEMENT.
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑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 4100—January 1,2007 Page 2 of 4 k'-Jandouts\Permit Application
• �'
- _ . __ . - 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
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 0 Mast or meter repair $102.00
O 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
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 - 600 amp 280.50
0 601 - 1000 amp 423.00
Service or Feeder ❑ over 1000 snip 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)
❑ LO #of circuits to be added/ ..- 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/Muiti-Famiiy $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
O 4 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
0 Security Alarm System ❑ Additional Plan Review $111.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
i . ❑
1.2500 ft2-$65.00;
Each add'n 2500 ft2417.00) *Per WAC 296-46-910(5)(b)(i&ii)
Bulletin#1100-January 1,2007 . Page 3 of 4 k\Handouts\Permit Application