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10-103272Electrical Ci�of Federal Way evelopmentS � Permit #: '10 -'103272 -00 -EL Community Development Services P.O. Box 9718 Federal Way, WA 98063-9718 LE Inspection Re uest Line: 253 835-3050 Ph: (253) 835-2607 Fax: (253) 835-2609 p q Project Name: NORTH Project Address: 28824 21ST AVE S Parcel Number: 422280 0330 Project Description: Replacing 100A panel caner A2placa Coniract±or CATHERINE NORTH CHARLES DEAN ELECTRIC LLC CHARLES DEAN ELECTRIC LLC 28824 21 STAVE S 28107 20TH AVE S CHARLDE930LQ (6/18/11) FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 28107 20TH AVE S FEDERAL WAY WA 98003 Additional Permit Information Is Use Educational or Institutional?.......................No Electrical Fixtures Alt. Serv./Feeder: 0 to 200 amps (F 1 PERMIT EXPIRES Tuesday, August 2, 2011 Permit Issued on Monday, August 2, 2010 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 acc dance with the laws, rules and regulations of the State of Washington and th y of Federal Way. Owner or agent: Date: ?Ik- /! O FINALED It/-S/fc IAI.k CITY OF Federal Way PERMIT #: Owner: THIS CARD IS TO P^'MAIN ON-SITE Construction Inspection Record INSPECTION REQUESTS: (253) 835_3050 10 -103272 -00 -EL Address: 28824 21 STAVE S CATHERINE NORTH FEDERAL WAY, WA 98003-3840 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 Anspeetions-or the inspection -sequence -On -going -inspections are -logged on the -bare of this -Gard r7 LIFER Ground(4295)Ditch cover (4 30) ED Slab/Concrete Floor 5) Approved By Approved Approved to place concrete By Date By Date By Date Final - Electrical (4055) Approved By Date •�.� El Pool Bonding (4195) E] Temporary Power (4275) Service (4235) By Approved By Approved By Approved By Date By Date By Date E] E] Ceiling Cover (4020) Rough Electrical (4225) 11 Feeders/Sub-panels (4045) Approved Approved Approved By Date By Date By Date Final - Electrical (4055) Approved By Date •�.� El Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date rrrr or A Mderal W, ay 00MA1U f01YDBVELOPABRr=V=S 33995 8A AV$= SWM • PO BOX 9718 FEDERAL WAY, WA 98069-9718 959435-7607• PAX 959435-9609 un n d. d f ualrrd c �� crt � S4tn PERMIT APPLICATION SF MF CO ME DE EN FP The following is required ittformation — an incomplete application will not be accepted. Please print.lesobi (in ink) or two. SITE ADDRESS ASSESSOR'S TAR/PARCEL f -- LEGAL DESCRIPTION (e g. Acme Estates, Lot 1) pnarn.qmwuc.aoe.16. rw, p•Y Mad deo PROJECT• • TYPE OF PERMIT O BUILDING 0 PLUMBING 0 MECHANICAL. O DEMOLITION 0 ELECTRICAL 0 EIIGDM%7 TNG PROJECT DESCRIP'T'ION (Provide detailed description of work included on this nernit ontvl . PROJECT. NAME (Name of Business or Owner Last Hamel Iveor PROPERTY OWNER CONTRACTOR APPLICANT PROJECT CONTACT LENDER EXISTING USE PEOPLE INFOMIATION PREY�i'TI� O FIRE 'Hffi NAME/� /' Cck kef-:ne -7 mr PRIMARY PHONE MAILING AAD*NS CITY, STATE, ZIP E-MAICADDRESS eta% PHONE Z433 *701-9346 COMP HAM�es Dego P APPUCANT NAME OFFICE PHONE UNO ADDRESS DoT`' Ave S CITY, STATE,z1P �g Fed -era( wa U� PHONE Z433 *701-9346 CTiY OP FEDERAL WAY BUSINESS LICENSE NUMBER IJXPIRATION DATE 2.0 07 10 33 q$ 00. L 12-31-o21 RAX NUMBER (2v61y2q -3163 CONTRACTOR'S R>GaI8TFA7[O][numara zn TxoxaAM CHARS pE 93O 1rQ 641,9..04 E-MAH.ADDRESS COMPANY NAME APPLICANT NAME OFFICE PHONE MAiUNO ADDR a ff. BTAT-IS P CELL PHONE RELATIONSHIPTO PROJBCP 0 Architect o Tenant o Agent 0 Other FAX NUMBER ( •- NAME PRIMARY PHO E-MAIL ADDRESS KAME PerRCW 1 .97.0981 Lender irijormation is required if project value exceeds $5,000 . MAILING ADDRESS Cmr, STATE, ZIP /PHONE STING ASSESSED/APPRAISED VALUE PROPOSED USE VALUE OF PROPOSED WORK SPRINIC FJ= BUILDING? o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES 0 NO VAT ER SERVICE PROVIDER 0 LAKEHAVEN O HIGHLINE 0 TACOMA 0 PRIVATE (WELL) SEWER SERVICE PROVIDER o LAXEIUVEN o HIGHLINE 0 PRIVATE JSrPTIC) PROJECT FLOOR ANN., AREA DES ''TION AddL TIP FT. PROPOSED S!2. FT. TOTAL 80. FT. BASEMENT —62. FANS GAB WATER HEATERS MISC (Describe) FIRST FIREPLACE INSERTS HOODSice dKQ COMPRESSORS SECOND RANGES DUCTS OAS LOO SETS THIRD CHANGE OF USE? ❑ YES a NO NEW ADDRESS REQUIRED? ADDITIONAL FLOORS (DESCRIBE) UP/SEPA/SI►? a YES a NO PLATTED LOT? DECK (13 COVERED OR 0 UNCOVERED?) DEMO PERMIT REQUIRED? o YES a NO GARAGE 11 CARPORT © NUMBER OF FLOORS bQ6r97lP }r[OrOeso TOTAL rarslsuumNo6r 7ohu.rA0PG7ioer 7ordLer, ••NEW XOMES ONLi"'e NUMBER OF BEDROOMS _ ESTIMAT'ED SELLING PRICE $ FIXTURES Indicate nttrnber of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. Value of Mechanical Work (ACOP OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS OAS PIPE OUTLETS WOODSTOVES BBQS FANS GAB WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS HOODSice dKQ COMPRESSORS FURNACES RANGES DUCTS OAS LOO SETS REFRIO. SYSTEMS BATHTUBS (eNhb/ehoaerccmbu) LAVE (B■enewmsh*4 URINALS MISC (Describe) DISHWASHERS RAINWATER SYST _ VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS tr.s.q ELECTRIC WATER HEATERS SINKS ` . WASHING MACHINES HOSE B1BBS SUMPS o NO I cerWy under penalty of perjury that I am the property owner or authortzed agent of the property Owner. I cert(fy that to the best of my knowledge, the Information submitted tie support qP this permit applictttlon is true and correct. I certW that f udit comply with all appltrablt City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. f understand that the. issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or snvironmantal laws. I further agree to hold harmises'the City of iredarar Way as to any claim jtncluding mats, uepenaes, and attorneys' free incurrert In the Investigation and dgfenae of such dein), which may be made by any person, including the undersigned, and fired against the city, but only when such claim arlsts out of the reliance of tier city, including its officers and employees, upon the accuracy of the ir3formation supplied to the city as apart of this applie-Eon. , SIGNATURE: DATE y Owncr and�#i�h6rizcd Agcnt o NEW a ADDITION ❑ ALTERATION a REPAIR a TENANT IMPROVEMENT BUII.DING SHELL ONLY? a YES a NO BASIC PLAN? a YES o NO ZONING DESION'ATION CHANGE OF USE? ❑ YES a NO NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SI►? a YES a NO PLATTED LOT? a YES --a NO DEMO PERMIT REQUIRED? o YES a NO Bulletin #100— August 16, 2007 Page 2 of 4 _ k\Handouts\Permit Application RESIDENTIAL gSW 1DENTIAL 8ERV1Cls 0 single Family Square (First 1300 ft2- $111.00; Each add'a 500 ft'- #8 ❑ Detached outbuilding ar garage (inspected with service) $47.00 ❑ Detached outbuilding or garage (inspected separately) $74.00 ggW M11LT1-FAMILY (three units or more) Service or Feeder Service Feeder ❑ Up to 200 amp $120.50 $ 35.50 ❑ 201 - 400 amp 149.50 74.00 0 401 - 600 amp 205,00 102.00 ❑ 601 - 800 amp 262.00 140.50 ❑ Over 800 amp 375.60 280.50 ALTERED SINCILE MiTLLI FAMILY ❑ # of circuits to be added/altered (1-4 circuits•$74.00; Add'n cirvoita $7,00/ea) ❑ Mast or meter repair $55.00 mANUFACTURED HOMES ❑ Service or feeder only $74.00 ❑ service and feeder $120.50 COMMERCIAL ❑ Service or Feeder *10 to 200 amp $ 92.50 ❑ 201 - 600 amp 149.50 ❑ over 600 amp 225.50 ❑ # of circuits to be added/altered (1-4 circuits•$74.00; Add'n cirvoita $7,00/ea) ❑ Mast or meter repair $55.00 mANUFACTURED HOMES ❑ Service or feeder only $74.00 ❑ service and feeder $120.50 COMMERCIAL ❑ ' W CO CIAL NDE Cr' Service or Feeder Eads Addrn lZI-TWIM amp $124.54. $ 74.00 ❑ 101- 200 amp 149.50 94.50 13 201- 400 amp 280.00 111.00 0 401- 600 amp 327.00 131.00 ❑ 601- 800 amp 423.00 179.00 ❑ 801 - 1000 amp 516.50 216.06 ❑ Over 1000 amp 563.00 300.00 ❑ Over 600 volts surcharge $94.50 ❑ Mast or meter repair $102.00 ALTERED C9MXERC1AL111RD S+TRIAL Service or Feeders ❑ 0 to 200 amp $120.50 ❑ 201 - 600 amp 280.50 ❑ 601 - 1000 amp 423.00 ❑ over 1000 amp 471.00 _# of &suits to be added/ altered (1-5 circuits •'$94.50; Add n circuits, $7.00/ea) COMMERCIAL INAYT6'FRIAL PLAN REVIEW $94.50 plus 35% ofi'ermit Fee ❑ Service - 1,000 amps or greater ❑ Medical/Educational/Institutional Facility TEMPORARY SERVICE OB11.E 190MKL9YJPABK ResidentlaWulti-YOWdlal $65.00• ❑ # of service or feeders Comungro{aWndustrlal ,Service or leerier Ampacity (First service/feeder$74.00; each add'n 448.00) ❑ 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 ❑ # of Thermostats (First -$55:00; addh-$17.00/ea) ❑ Low VoItago Square Foot to be served by aystem(a) 0 Fire Alarm System 0 -Security Alarm system 0 Voice Cabling 0 Data Cabling 1 u 2500 fYk-$65.00; Each add'n 2500 fi2-17.00) •PerWAC79646-910(S)fbAl & H) ❑ # of signs (First sign -$55.00; addn sign $26.00/ea) ❑Swimming pool/hot tub ................ [lbcludes additional circuit, if required) ❑ Yard Pole meter loops....... ............. ❑ Additional Plan Review (for modified submittals) ❑ Automation Fee on all Permits .. $111.00 $74.00 $111.00/hour $5.00 k�Handouts�Pernlit Application Bulletin #100 -August 16, 2007 Page 3 of 4