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04-103688 i. . City of eveWan Community Development Services /!=!'ectrical Permit #:04 - 103688 - 00 - EL • 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050 Project Name: KOZOREZOV Project Address: 32905 7TH,S Parcel Number: 182104 9066 Project Description: Install t-stat 44ing Owner Applicant Contractor NIKOLAY KOZOREZOV MIDLAND MECHANICAL MIDLAND MECHANICAL 306 176TH PL SW MIDLAND MECHANICAL MIDLAND MECHANICAL BOTHELL WA 98012 11212 SE 179TH ST 11212 SE 179TH ST RENTON WA 98055 (425)228-4715 Electrical Fixtures r Description Quantity Description Quantity Description 1Quantity Thermostat 1 PERMIT EXPIRES March 13,2005. Permit issued on September 14,2004 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 regulationsof the State of Washington and the City of Federal Way. Owner or agent: 17?k ��- Date: ? / 9 ^ 0 6:: ' l 4. e 4 THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 04-103688-00-EL Owner: NIKOLAY KOZOREZOV Address: 32905 7TH CT SW FEDERAL WAY, WA 98023 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. O Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195) Approved to place concrete Approved Approved By Date By Date By Date ❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045) Approved Approved Approved By Date By Date By Date il Rough Electrical(4225) ❑ Ceiling Cover(4020) Ila Final-Electrical(4055) Approved Approved Approved By 1, Date sp t By Date B A 4 Dateaj ti mi ❑ Under-slab groundwork(4295) Approved By Date -O� _ o Federal WayR PE MIT SF MF CO M ag• PL DE EN FP COMMUNITY DEVELOPMENT SERVICES 33325 8r"AVENUE SOUTH•PO BOX 9718 FEDERAL WAY, • 53 3--• • APPLICATION -TD / www cit .le.^ The (glowing is required information-an incomplete ap•lication will not be accepted. Please •rint legibly(in ink)or type. • PROPERTY INFORMATION SITE ADDRESS 3 2- ci d5 7 I. G_l___ Stiii SUITE/UNIT# ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(sj) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 1 t 4* z__ (Attachseparate page for lengthy legal desenpaon) ■ PROJECT INFORMATION, TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION p4LECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu) n54:4 /( Ae_t' 1= 5 7-4 i lAv,dm PROJECT NAME(Name of Business or Owner Last Name) K©7)re Lc V U PEOPLE INFORMATION PROPERTY NAME `A ' PRIMARY PHONE OWNER r l l (/` S f(p ( ) - MAILING ADDRESS CITY,STATE,ZIP CONTRACTOR COMPANY NAME p APPLICANT NAME OFFICE PHONE Mt�t4Ict't� f"Ie_t40,..1rc-�� Mer0;et- (4 z5") 2-2S - `717/5 MAILING ADDRESS CITY,STATE,ZIP CELL PHONE I ( i ( z 5 C / 752 s 'T- Re,4.., IAA, 9flos5 ( 1 - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER - - - B L / / ( ) - CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE 44 ( P A f'11 - ? 7 16 r ? /3c, / ns APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE ( ) - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) - RELATIONSHIP TO PROJECT • FAX NUMBER 0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) - CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS ( ) - LENDER „,„1/4„,Per RCW 19:27 095 ,Lender information is required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP ■ DETAILED BUILDING INFORMATION • • EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? a YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES -❑ NO WATER SERVICE PROVIDER ❑LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC) • • • • PROJECT FLOOR AREAS • — AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE/CARPORT TOTAL STum TOTAL PROPOSED TOTAL ERISTIAG MD PROPOSED HOW MANY FLOORS? W "NEW HOMES ONLY"' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES _ =c Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing factures to remain. MECHANICAL Value of Mechanical Work $ GAS LOGS REFRIG.SYSTEMS AIR HANDLING UNITS EVAPORATIVE COOLERS WOODSTOVES BBQS FANS HOODS(Commercial) BOILERS MISC(Describe) FIREPLACE INSERTS RANGES COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING SHOWERS WATER CLOSETS(roau) MISC(Describe) DISHWASHERSSH SINKS BATHTUBS (urTub/sno«comeo� DRINKING FOUNTAINS SUMPS RAINWATER SYST GAS PIPE OUTLETS HOSE BIBBS WASHING MACHINES URINALS VACUUM BREAKERS ELECTRIC WATER HEATERS LAVS(Bathroom Sulks) -'DISCLAIMER/SIGNATUREBLOCK - _' and I certify d byr penalty perjury e the infomise to pern formtshed by me is true and correct to the best of the work for which the permit application symade.leI furtherfurther,ee to hold 1 am authorized theowner of the above premises perform I harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense o such claim), which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim arises out of the reliance of the city,including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. 4 , DATE L/ v ii NAME/TITLE � (Tale) (Sigryeture( I RELATIONSHIP TO OJECT o Owner ❑ Agent 0 Contractor ❑ Architect ❑ Other S i FOR OFFICE USE ONLY I a NEW o ADDITION a ALTERATION a REPAIR ❑TENANT IMPROVEMENT ( BUII,DING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES o NO f ZONING DESIGNATION CHANGE OF USE? ❑YES o NO i NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES a NO PLATTED LOT? a YES 0 NO DEMO PERMIT REQUIRED? a YES ❑NO Bulletin#100—March 30,2004 — Page 2 of 4 k\I landouts—Revised\Permit Application • ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL - NEW COMMERCIAL/INDUSTRIAL SERVICE NEW RESIDENTIAL SERVICE Service or Feeder Each Add'n l ❑ Single Family Square Feet ❑ 0 to 100 amp $ 94.50 $ 58.00 (First 1300112-$87.00;Each add'n 500 ft2-$28.00) ❑ 101 -200 amp 117.50 74.00 ❑ Detached outbuilding or garage ❑ 201 -400 amp 220.50 87.00 (Innsppecteddwith service) $36.50 ❑ Detached outbuilding or garage 0 401-600 amp 256.50 103.00 (Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50 0 801 - 1000 amp 405.50 169.50 NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 442.00 236.00 Service Feeder ❑ Up to 200 amp $ 94.50 $ 28.00 ❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00❑ 401 -600 amp 161.00 80.00 0 Mast or meter repair $80.00 ❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ Over 800 amp 294.50 220.50 Service or Feeders 0 0 to 200 amp $ 94.50 R ALTERED SINGLE MULTI FAMILY ❑ 201 -600 amp 220.50 0 601 - 1000 amp 332.00 369.50 Service or Feeder 0 0 to 200 amp $ 72.50 ❑ over 1000 amp ID 201 -600 amp 117.50 177.00 0 #of circuits to be added/altered ❑ over 600 amp (1-5 circuits-$74.00;Add'n circuits,$6.00/ea) ❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits-$58.00;Add'n circuits$6.00/ea) $74.00 plus 35%of Permit Fee 0 Service over 200 amps ❑ Mast or meter repair $43.50 0 Medical/Educational/Institutional Facility SINGLE/MULTI FAMILY PLAN REVIEW ❑ Service Over 400 amps $74.00 plus 35%of Permit Fee MOBILE HOMES TEMPORARY SERVICE ❑ Service or feeder only $58.00 ❑ Service and feeder $94.50 Commercial Residential 0 0- 100 $58.00 $51.00 MOBILE HOME/RV PARK ❑ 101 -200 74.00 51.00 ❑ #of service or feeders n/. (First service/feeder-$58.00;each add'n-$37.50) 0 201 -400 87.00 a ❑ 401 -600 117.50 n/a Li over 600 127.00 n/a MISCELLANEOUS SERVICE/EQUIPMENT 4 ' ❑ #of Signs # of Thermostats (First sign-$43.50;add'n sign$20.50/ea) (First-$43.50;add'n-$13.50/ea) ❑ Swimming pool/hot tub $87.00 ❑ Low Voltage (Includes additional circuit,if required) ❑ Fire Square Alarmato System served by system(s) ❑ Yard Pole meter loops $58.00 ❑ Security Alarm System ElAdditional Plan Review $87.00/hour (for modified submittals) ❑ Voice Cabling ❑ Data Cabling (❑Per System(s) 1•,2500 ft2-$51.00; Each add'n 2500 ft2-13.50) 'Per WAC 29646-910(5)(WO&ail Page 3 of 4 k\[landouts-Rcvised\Pcnnit Application Bulletin#100-March 30,2004 I