09-101415City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Electrical
Permit #: 09 -101415 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: NELSON
Project Address: 3001 S 288TH ST Space 198
Project Description: 200A feeder and replace 200A disconnect
Owner
GLORIA NELSON
3001 S 288TH ST SPACE 198
FEDERAL WAY WA
Applicant
HARRINGTON ELECTRIC INC
20312 46TH AVE E
SPANAWAY WA 98387
Additional Permit Information
Is Use Educational or Institutional?. ........... _ .... .... No
Electrical Fixtures
service -or Feeder - Manu./ M.H. P 1
Parcel Number: 042104 9155
Contractor
HARRINGTON ELECTRIC INC
I-IARRIEI012RO (12/20/09)
20312 46TH AVE E
SPANAWAY WA 98387
PERMIT EXPIRES Thursday, April 15, 2010
Permit Issuer! on Wednesday, April 15, 2049
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 the laws, rules and regulations of the State of Washington
and thq City of Federal Way.
Owner or agent:
Date:
Fir
INALED /
THIS CARD IS TO P EMAIN ON-SITE
CITY OF V .
Federal Way Community Developmentent Inspection Record
IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 09 -101415 -00 -EL
Owner: GLORIA NELSON
Address: 3001 S 288TH ST Space 198
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. no NiO I LC75 rt-rrc rA nn
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. ort -going inspections
are logged on the back of this card.
❑ Slab/Concrete Floor (4255) ❑ Final - Electrical (4055)
Approved to place concrete Approved
By Date/f
LBy Date
For insvector reference
Only
FBy
Rough Electrical
Approved ❑ FINAL -Electrical
Approved
Date By Date
Y
error . R•ECEIt
r +
Federal Way � E R M I 1 SF MF COM EL) PL DE EN FP
COMMUtOlYDEVELOPMENTSERV1CAy4S�i7 y 5 I ,
393RFED'ERr1L'JVU YSIVA 9 63..g 971 ��{{ i �l `l' APPLICATION
r 753.835•T607•F.�1C2S]•83y24P9
ufruru-dN r3prirh�'au. m'...F; " � f'�
The following is required { nation tt -Ptete application will not be accepted Please print legibly (in ink) or type.
PROPERTY INFORMATION
SITE ADDRESS { ' ' -� Z. � SUITE/UNIT #j
ASSESSOR'S TAX/PARCEL # — — — — — ,-- — LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
,f_ twWth Ja9cj ao0daN
PROJECT•- •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION JKELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION Wrazide detailed description of work included on this permit only)
"lc --) 4 e--% r � 'cmc r a. _� 'fC- " _ 2 Cmc-, e-E—r
PROJECT NAME (Name of ess or Oumer Last Namel� d
PEOPLE•- •
PRIMARY PHONE
PROPERTY NAME }
OWNER Lr 0 r- ( e- S C
CITYrb'TA E, Zip c E-MAIL ADI]RE53
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
MAI ADDRESSL
.. -> t
! �-drl r zr �� `
CO PANY NAME
��c� �
APPWWT NAME �
��:, Se w 5
OFFICE PHONE
[� ) -
e, r rh
Al ING ADD
.� r
y,
CITY, STATE, ZIP ] o
CELL PHONE /7'//
CITY OF FEDERAL WA BUSI ESS LICENSE NUMBER
i:XF'IItATION DATE
FAX NUMBER
Z, ) g y-% - 90
conrRAcroiza RsaHGnsza3 HMSLR
��Z�"LPKA&7IN �11A,
E-MAIL ADDRESS
l ,�D
CO PANY NAME
APPLICANT NAME
Oh-FiCE PHONE
MAILING ADDRESS'
CITY, STATE, LIP
CELL PHONE
REI.ATIONSHIPTO PROJECT
FAK NUMBER
❑ Architect
❑ Tenant ❑ Agent ❑ Other
) -
EXISTING USE
PRIMARY PHONE E-M17iL AD➢Hh tiY
7
yrr'rue �E`7-
PerRCIV 19.27.095:
Lender igformation is required Uprotect value m"Ods $5,000
CITY, STATE, ZIP PHONE
) -
DETAILED BUILDIN• ON
PROPOSED USE
EX TING ASSESSED/APPRAISED VALUE * VALUE OF PROPOSED WORK $
SPR]MMERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAREHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKERAVEN ❑ HIGHLINE a PRIVATE (SEPTIC)
AREA DESCitIPTION E7CISTR�iG
PROPOSER TOTAL
BASEMENT P. 3O. TrT.
FIRST
SECOND
THIRD
—ul IIONAL FWORS (DESCRIBE)
(0 COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT p
NUMBER OF FLOORS TWAL
"NEWHOMESONLY"' NUMBER OF BEDROOMS
mrar �merrk,sr raT�rsr
ESTIMATED SELLING PRICE $
- `�•• •� •yvz clJ—re io ne mstalled or relocated f P Jo as art this ro'
P � Do not vecLude existing fstraess to remain.
MECgAwmai
Work $
(A C PYOF BID OR ESTIMATE MUST BE INCLUDED
W1THAf'PI,1CA7'fONJ
6ueMechanist!
AIR HANDLING UNITS
BBQS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS
HOiLERS
FANS
FIREPLACE INSERTS
WOOD3TOVE3
GAS WATER HEATERS MISC (Descrl6e)
COMPRESSORS
FURNACES
HOODS tcom ad q
DUCTS
GAS LOG SETS
RANGES
REFRIG. SYSTEMS
PLIJMBL.
BATHTUBS fur n+elSnowarca�hvl
LAVS pahmm�
URINALS
DISHWASHERS
DRINKING rOUNTAINS
RAINWATER SYST
VACUUM BREAKERS MISC (Describe)
ICLECTRIC WATER HEATERSWATER
SHOWERS
SINKS
CLOSETS (rapaq
HOSE 8[9B3
SUMPS
WASHING MACHINES
I certify render penalthJ ofperjury that Y am the m
krtnmledya, the information submitted fie p EM+� ownar or authnrL"d agent of the properly owner. I c
City 4f .Frdaral W re Part of this Permit application I true cud correct. I c e�J that to the apart of my
�J neesians pertaining r the work authortxed by the isauonce n q LTJ that I watt comply urate all applicable
does not remove the awrear's rrsporrsibtli[y far en f Perrntt. I understand that rice issuance of this permit
I further agree to hold harmless the Ci fled federal
with
local state, ar federal laws regulating canstrrertian ar anr+tranmantal lama.
investigation
sttgatian cud d�arsse of such claarn], which pre d al as to any claim lhwluding posts, expa�Q� and attor►eeys' fees incurred in the
such claim arises Out of the reliance of the city, a y be made bits o any meson' including the undersigned, and�lsd against the Sfty, Out only
the city as a part of cppltcaiian Rg fj3ears and emptageea, upon the accuracy of the in a
f rmatiort supplied to
SIGNATURE: -
�� �
Pra�serty Owner and/nr Authariaed Agent DATE �
a NEW a ADDITION
BUILDING SHELL ONLY?
ZONING DESIGNATION
NEW ADDRESS REQUIIMED?
PLATTED LOT?
C ALTERATION
o REPAIR a TENANT ENIpRpVEjEW
o YES a NO
BASIC PLANA
o YES
o. NO
C3 YES a NO
a YES a NO
CHANGE OF USE?
tIP/SZPA/SU'?
DEMO PERMIT REQUUMDP
o YES
a YES
a YES
a NO
a NO
a NO
Bulletin #100 -January 1, 2009 Page 2 of 4
fclHancioutslPerrnit Application
*NOTE: an automation fee of
RESIDENTIAL
t EW RrS1DF1gTIAL SF -LMCA
❑ Single Family Square Feet
(First 1300 [t3- $121.00; Each add'n 500 m- $39.00►
Ll Detached outbuilding or garage service].........................851.00
twl
se
C3 Detached outbuilding or garage (inspected VMtdy)
........ $80.00
Cl swimming pool [wlservice}................................................
$80.00
❑ Swimming pool (inspected separately) ...............................
$120.50
❑ 'Hot tub/ spa/ sauna (iv/ service) ..........................................
$51.00
❑ Hot tub/spa/sauna (inspected separately) ..........................
$80.00
❑ Septic p p g Y .....................................
umto s stela {w/sernce)
$51.00
❑ septic pumping system (inspected separay)•--••-••�•• tel
.......... $80.00
NW MULTI FAMILY (three unitsor more)
❑ Over 1000 amp 613.00
eFeeder
❑ Over 600 volts surcharge $103.00
❑ Up to 200 amp $131.50 $ 39.00
❑ Mast or meter repair $111.00
❑ 201 - 400 amp 163.00 80.00
❑ 401 - 600 amp 223.00 111.00
❑ 601 - 800 amp 285.50 152.50
❑ Over 800 amp 408.50 305.50
ALTERED SlNr,LE MIILTI FAMILY
Seruiee or Feeder
❑ 0 to 200 amp $100.50
❑ 201 - 600 amp 163.00
❑ over 600 amp 245.50
❑ # of circuits to be added/ altered
(1-4 circuits -$80.00; Add'n circuits$8.00/ea)
❑ Mast or meter repair $60.50
_MAMUPAETUP-ED HOMES.
f �_❑ Service or feeder only $80.01
❑ Service and feeder 131.50
MOBILE HOME RV PARE
❑ # of service or feeders
(First service/Feeder-$80.00; each add'n -$52.50)
will be charged for all permits.
COMMERCIAL
1v1;W CoRcxA1, rPsnIlsTlzlAL s1+RvicE
Service or Feeder
E=h Add'n
❑ 0 to 100 amp $131.50
$ 80.00
❑ 101- 200 amp 163.00
103.00
❑ 201- 400 amp 305.50
120.50
❑ 401- 600 amp 356.00
142.50
❑ 601- 800 amp 460.50
195.00
❑ 801 - 1000 amp 562.50
235.50
❑ Over 1000 amp 613.00
327.00
❑ Over 600 volts surcharge $103.00
183.00
❑ Mast or meter repair $111.00
, [LTERBD COM ER I IDD3TRIAL
(Hoes not include circuits.)
Service or Feeders
❑ 0 to 200 amp $131.50
❑ 201 - 600 amp 305.50
❑ 601 - 1000 amp 460.50
❑ over 1000 amp 513.00
❑ # of circuits to be added/altered
(l-5 circuits - SL03.00; Add'n circuits, $8.00/ea)
CoCLw MDUSTRIAL PIAN REvE&W
$103.00 plus 35°/0 of Permit Fee
❑ Service _ 1,000 amps or greater
❑ Medical/Educational/Institutional FacilitY
❑ Additional plan review for er hour
modified submittals $115.00lp
TEMPORARY SERVICE
Service or Feeder
Each Add'n
❑ 0 to 60 amp
$ 71.00
$32.00
❑ 61-100 amp
80.00
39.00
❑ 101- 200 amp
103.50
51.00
❑ 201 - 400 amp
120.00
60.50
❑ 401- 600 amp
163.50
80.00
❑ Over 600 amp
183.00
92.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats
(First -$60.50; add'n-$18.50/ea)
❑ Low Voltage
Square Feet to be served by system(s)
❑ Fire Alarm System
❑ Security Alarm System
❑ Voice Cabling
❑ Data Cabling
13
la 2500 ft2-$71.00;
Each add'n 2500 82 - $18.50)
❑ 0 of Signs
{First sign -$60.50; addh sign $28.50/ea)
❑ Yard Pole/mater loopslp
adestal................... $80.00
❑ Portable Generator (transfer equipment)...... $100.50
❑ Ditch cover/inspection only ....................... $120.50
For fees not listed, contact the Permit Center at
253835-2607
klHandoutslPermit Application
Bulletin #100 -January 1, 2009
Page 3 of 4