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