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08-104206Electrical City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: LEWICKI Project Address: 28826 28TH PL S Project Description: Mast or meter repair Permit #: 08-104206-00-EL Inspection Request Line: (253) 835-3050 Parcel Number: 029450 0160 Owner Applicant Contractor THOMAS & MARK LEWICKI THOMAS & MARK LEWICKI THOMAS & MARK LEWICKI 28824 28TH PL S 28824 28TH PL S 28824 28TH PL S FEDERAL WAY WA 98003-7901 FEDERAL WAY WA 98003-7901 FEDERAL WAY WA 98003-7901 Additional Permit Information Electrical Fixtures Mast or Meter Repair (Residential/ 1 CONDITIONS: Duplex PERMIT EXPIRES Saturday, September 5, 2009 Permit Issued on Friday, September 5, 2008 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 theJaws. rules and regulations of the State of Washington and he ederal Way. C) Owner or agent: f '" Date: / �^ Q� FIT1qLED THIS CARD IS TO ATMAIN ON -SITE CITY OF Community' Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 08-104206-00-EL Owner: THOMAS & MARK LEWICKI Address: 28826 28TH PL S FEDERAL WAY. WA This card is part of your required inspection documents. Scheduled inspections maybe failed if this card is not on -site. 1)O NOT LOSE 'U IS 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. ❑ Ditch cover (4030) ❑ Slab/Concrete Floor (4255) ❑ UFER Ground (4295) Approved Approved Approved to place concrete By Date By Date By Date ❑ Temporary Power (4275) ❑ Service (4235) ❑ Pool Bonding (4195) Approved Approved Approved By Date By Date By Date ❑ Rough Electrical (4225) ❑ Ceiling Cover (4020) ❑ Feeders/Sub-panels (4045) Approved Approved Approved By Date By Date By Date ❑ Final - Electrical (4055) Approved By Date ❑ Rough Electrical Approved By Date For inspector reference only ... ❑ FINAL - Electrical Approved By Date r Z�ew/(fie / FL:L6C c 0� cFw1 C g Fe�� PERMIT U�a — commuwrrvDavaoPMENt'5ERVICAS 1 SF MF CO M . EL DE EN FP 333258 S&AL u8,1�•�e f ° °`''APPLICATION PS -83&L WAY, a 53-0 3.-2609 953.835�9607• AAX 253-995.4609 N I F FEDERAL VV The following is requireV5!!rration -an incomplete application will not be accepted. Please print legibly (in ink) or type. SITE ADDRESS 1' �~ L W SUITE/UNIT # 7 ASSESSOR'S TAX/PARCEL # - LOT SIZE (sI) LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (Attach separate page for lengthy Iegd dasaipNonj PROJECT• • TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION QrfLECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit only) to ff5 i O(L tMC "MOL 9A-P c PROJECT NAME (Name of Business or Owner Last Name) PEOPLE•• • PROPERTY OWNER CONTRACTOR APPLICANT PROJECT CONTACT LENDER EXISTING USE NAME A a PRIMARY PHONE (2 3) a-1Z - 3(90 MA[DDRE89 0n /I �`' � � CIFY, STATE, Z[P �' � E-MAILADDRESS COMPAA APPLICANT NAME OFFICE PHONE - MAILING ADDRESS CITY, STATE, ZIP CELL PHONE CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER ( ) - CONTRACTOR'B REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS CO r, � lr, APPLICANT NAME OFFICE PHONE - ( ) MAILING ADDRESS CITY, STATE, ZIP CELL PHONE RELATIONSHIP TO PROJECT ❑ Architect ❑ Tenant ❑ Agent ❑ Other FAX NUMBER ( ) - NAME PRIMARY PHONE E-MAIL ADDRESS NAME PerRCW 19.27.095. Lender information is required t(profect value exceeds $5,000 MAILING ADDRESS CITY, STATE, ZIP PHONE EXISTING ASSESSED/APPRAISED VALUE $ PROPOSED USE VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVIC)3 PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL( SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE SEPTIC Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existina factures M rpmnin ' Value of Mechanical Work ,V _ AIR HANDLING UNITS BBQS BOILERS COMPRESSORS DUCTS BATHTUBS (w Tub/Shaw C.bq DISHWASHERS DRINKING FOUNTAINS ELECTRIC WATER HEATERS HOSE BIBBS (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITHAPPLICATION) EVAPORATIVE COOLERS FANS FIREPLACE INSERTS FURNACES GAS LOG SETS LAVS (B.th w sww RAINWATER SYST SHOWERS SINKS SUMPS GAS PIPE OUTLETS GAS WATER HEATERS HOODS Ica=crrdaq RANGES REFRIG. SYSTEMS URINALS VACUUM BREAKERS WATER CLOSETS Irouaq WASHING MACHINES WOODSTOVES MISC (Describe) MISC (Describe) I certtjy under penalty of perjury that I am the propertu owner or .rs�tl.,,, r, ea agcnf of tco pi oparfy owner. 1 cert(fy that to the best of my knowledge, the ir(formaiian aubmftted in support of this permit application is true and correct. I certify that I wilt comply with all applicable City of Federal Way regulations pertaining to tine work authorized by the issuance of a permit. I understand that the issuance of t does not remove the owner's responsibility far compliance withr local, state, ar federal laws regulating construction or environmental laws.hisgarmit I further agree to hoed harmless the City of Fed investigation and defense of auch+ ctalmf, eral Way as to any claim lincludiny casts, expenses, and attorneys' fees incurred in the which may be made by any person, including the undersigned, and filed against the city, but only where such claim arises out of the reliance of the a clty��IYrding its officers and employees, upon the accuracy of the ir{/ormatlon supplied to the city as part of thisyyirllication. .3// SIGNATURE: and/or Authorized BATE o NEW a ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? a. YES o NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQMRED? a YES a NO UPjSEPAjSU? o YES o NO MMWNEEEMEEEMN�PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO Bulletin #100 — January 1, 2008 Page 2 of 4 MandoutsTermit Application ELECTRICAL PERMIT INFORMATION RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ Single Family Square Feet (First 1300 fts- $115.50; Each add n 500101- $37.00) ❑ Detached outbuilding or garage (Inspected with service) $48.50 ❑ Detached outbuilding or garage (Inspected separately) $76.50 NEW MULTI -FAMILY (three units or more) Service Feeder ❑ Up to 200 amp $125.50 $ 37.00 ❑ 201 - 400 amp 155.50 76.50 ❑ 401 - 600 amp 212.50 106.00 ❑ 601 - 800 amp 272.00 145.50 ❑ Over 800 amp 389:50 291.00 ALTERED SINGLE/MULTI FAMILY Service or Feeder ❑ 0 to 200 amp $ 96.00 ❑ 201 - 600 amp 155.50 ❑ over 600 amp 234.00 ❑ # of circuits to be added/altered �,%(1.4 circuits-$76.50; Add'n circuits $7.50/ea) 4S� Mast or meter repair $57.50 MANUFACTURED HOMES ❑ Service or feeder only $76.50 ❑ Service and feeder $125.50 MOBILE_HOME/RV _PARK ❑ # of service or feeders (First service/feeder-$76.50; each add'n-$50.00) COMMERCIAL NEW COMMERCIALAND.USTRIAL SERVICE Service or Feeder Each Add'n ❑ 0 to 100 amp $125.50 $ 76.50 ❑ 101 - 200 amp 155.50 98.00 ❑ 201 - 400 amp 291.00 115.00 ❑ 401 - 600 amp 339.50 136.00 ❑ 601 - 800 amp 439.00 186.00 0 801 - 1000 amp 536.50 224.50 ❑ Over 1000 amp 584.50 311.50 ❑ Over 600 volts surcharge $98.00 ❑ Mast or meter repair $106.00 ALM-REDCOMMERCULIINDUSTRiAL Service or Feeders ❑ 0 to 200 amp $125.50 ❑ 201 - 600 amp 291.00 ❑ 601 - 1000 amp 439.00 ❑ over 1000 amp 489.00 ❑ # of circuits to be added/altered (1-5 circuits - $98.00; Add'n circuits, $7.50/ea) COMMERCIAL/INDUSTRIAL_ PLAN REVIEW $98.00 plus 35% of Permit Fee ❑ Service - 1,000 amps or greater ❑ Medical/Educational/Institutional Facility TEMPORARY SERVICE ResidentlaVMulti-Family $67.50 CommereiaVIndustrial Service or Feeder Ampacity ❑ 0 - 100 amps $ 76.50 ❑ 101 - 200 amps 98.00 ❑ 201 - 400 amps 115.00 ❑ 401 - 600 amps 155.50 ❑ over 600 amps 168.00 MISCELLANEOUS SERVICE/EQUIPMENT ❑ # of Thermostats (First-$57.50; add'n-$17.50/ea) ❑ Low Voltage Square Feet to be served by system(s) ❑ Fire Alarm System ❑ Security Alarm System ❑ Voice Cabling ❑ Data Cabling El 1■e 2500 ft'-$67.50; Each add'n 2500 ft2 - $17.50) • Per WAC 296-46-910(5)(b)# & It/ ❑ # of Signs (First sign-$57.50; add'n sign $27.00/ea) ❑ Swimming pool/hot tub ................ (Includes additional circuit, if required) ❑ Yard Pole meter loops ..................... ❑ Additional Plan Review (for modified submittals) ❑ Automation Fee on all Permits .. $115.00 $76.50 $115.00/hour $5.50 Bulletin #100 - January 1, 2008 Page 3 of 4 k\Handouts\Pemut Application