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06-101000City of Federal Way R Community Development Services P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Electrical Permit #: 06- 101000 -00 -EL Project Name: LAUSIER- BALDWIN Project Address: 2718 S STAR LAKE RD Project Description: Installing a new IN T -stat & wiring Inspection Request Line: (253) 835 -3050 Parcel Number: 516000 0010 Owner Applicant Contractor PHILIP N LAUSIER SELECT AIRE SERVICES SELECT AIRE SERVICES CATHERINE A LAUSIER 11630 SLATER AVE NE SUITE 9 SELECAS972DP 3/17/07 2718 S STAR LAKE RD KIRKLAND WA 98034 11630 SLATER AVE NE SUITE 9 FEDERAL WAY WA 98003 KIRKLAND WA 98034 Additional Permit Information Electrical Fixtures ` The ITIONS: PERMIT EXPIRES Tuesday, August 29, 2006 Permit Issued on Thursday, March 2, 2006 1 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 the City of Federal Way. Owner or agent: _���2U�' �� �— Date: a—�6 ©' A — \ 8- — k�' (o C \A-, i ft THIS CARD IS TO REMAIN ON -SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 06- 101000 -00 -EL Owner: PHILIP N LAUSIER Address: 2718 S STAR LAKE RD FEDERAL WAY, WA 98003 -6920 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. ❑ Slab /Concrete Floor (4255) ❑ Ditch cover (4030) ❑ Pool Bonding (4195) Approved to place concrete Approved Approved By Date By Date By Date ❑ Temporary Power (4275) ❑ Service (4235) Date Approved Final - Electrical (4055) Approved By Date By Date Rough Electrical (4225) Approved By Date � 3 cxp ❑ Under -slab groundwork (4295) Approved By Date 4 ❑ Ceiling Cover (4020) Approved By Date ❑ Feeders /Sub - panels (4045) Approved By Date Final - Electrical (4055) Approved B34_ Date —1$ -zp CITY Of Federal Way RECEIVE®PERMIT COMMUNITY DEVELOPMENT SERVICES SF MF CO M EL PL DE EN FP 33325DERAL UESOUTH•PO9718 8MAR 0 2APPLICATION FEDERAL WAY, FAX 98063 -260 / 253 - 835 -2607• FAX 253- 835 -2609 YYY (/� ww w. cituoffederalwau. eons The followina is re ulead inf � -ok tonr ann incomplete application will not be accepted. Please print legibly (in ink) or type. SITE ADDRESS a:] 1 a S+C, P IC► I'-L p0c, SUITE /UNIT # ASSESSOR'S TAX /PARCEL # -5� ,_L -(&- -a cL a - a Q -A— LOT SIZE (s) L4 SO LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) I /Yla rK 7wAiy CSTg-rt!S PP A C 1 3 S 5 S 01761 YN616 l o K*, (Attach separate page jw lengthy legal descriptloat ' • • • • TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ` ALECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this e It onl -- . - - . - . 1 %_ _ I _ --L- L , r,-,- -1-_, "T'_ c+-�, 4 _ PROJECT NAME (Name of Business or Owner Last Name) 1 T v z I c rT"� PEOPLE •• • PROPERTY NAME PRIMARY PHONE OWNER vSCe� t CONTRACTOR APPLICANT CONTACT LENDER EXISTING USE 11- ' ) - MAILING ADDRESS I 1\ S�'�rI CI"' STATE. ZIP lwt-� �+ o MAILING ADDRESS CITY, STATE, ZIP COMPANY NAME (�ci�'v�Wc>�J►%�;rcSQry SeleC��; APPLICANT NAME tr• 1MG►�Gf► °� OFFICE PHONE MAILING ADDRESS CITY, STATE. ZIP CELL PHONE CITY OF FEDERAL WAY B SiNLIC E NUMBER EXPIRA170 DATE Z FAX NUMBER (� Sao -3� CONTRACTOR'S RRIGISTRATION NUMB 9R (copy of card required with each application) EXPIRATION DATE 5 £. L- IL L A 5 -1\ 19 Q 03 / 17 /;)c)67 COM ANY NAME APPLICANT NAME secr. mo►. cr,- ' OFFICE PHONE 6-ta(O ) 78y - ING ADDRESS 1Ilg3U Sl-,- CITY, STATE, ZIP LvA 0,90W CELL PHONE (nab) 3--:z i - (A RELATIONSHIP TO PROJECT ❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe) FAX NUMBER (flair) 19X0 -3487 NAME CC tnn � P�I�YPHONE E -MAIL ADDRESS Per RCW 19.27.095: Lender iriforrnation is NAME required ('project value exceeds $5,000 MAILING ADDRESS CITY, STATE, ZIP PHONE EXISTING ASSESSED /APPRAISED VALUE $^ PROPOSED USE Jl� T� yYf VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES 114NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) 1 PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING S . FT. PROPOSED S . FT. TOTAL S . FT. BASEMENT ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT FIRST BUILDING SHELL ONLY? ❑ YES ❑ NO BASIC PLAN? SECOND ❑ NO ZONING DESIGNATION THIRD CHANGE OF USE? ❑ YES ❑ NO FOURTH UP /SEPA /SU? ❑ YES ADDITIONAL FLOORS (DESCRIBE) PLATTED LOT? ❑ YES ❑ NO DEMO PERMIT REQUIRED? DECK(COVERED ?) ❑ NO GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS ERISrINO PROPOSED TOTAL TOTAL WaSTOG SF TOTAL PROPOSED SF TOTAL SF **NEW HOMES ONLY" NUMBER OF BEDROOMS ESl'IMATED SELLING PRICE $ number 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 $. AIR HANDLING UNITS BBQS BOILERS COMPRESSORS DUCTS BATHTUBS lorTub /Shower Combo) DISHWASHERS GAS PIPE OUTLETS WASHING MACHINES LAYS (Bathroom Sinks) EVAPORATIVE COOLERS FANS FIREPLACE INSERTS FURNACES GAS PIPE OUTLETS SHOWERS SINKS SUMPS URINALS VACUUM BREAKERS GAS LOGS HOODS (Commerciap RANGES GAS WATER HEATERS WATER CLOSETS (TOna) _ DRINKING FOUNTAINS RAINWATER SYST HOSE BIBBS ELECTRIC WATER HEATERS REFRIG. SYSTEMS WOODSTOVES MISC (Describe) MISC (Describe) 1 certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of such claino, 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. NAME /TITLE n. ���� �Yh • q �' DATE CV (Signature) (Title) RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent Contractor ❑ Architect ❑ Other FOR OFFICE USE ONLY ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑ YES ❑ NO BASIC PLAN? ❑ YES ❑ NO ZONING DESIGNATION CHANGE OF USE? ❑ YES ❑ NO NEW ADDRESS REQUIRED? ❑ YES ❑ NO UP /SEPA /SU? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO DEMO PERMIT REQUIRED? ❑ YES ❑ NO Bulletin #100 - January 1, 2006 Page 2 of 4 MHandoutsTermit Application P, ELECTRICAL PERMIT INFORMATION 1 RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIALANDUSTRIAL SERVICE ❑ Single Family Square Feet Service or Feeder Each Add'n (First 1300 ft2- $107.50; Each add'n 500 W - $34.50) ❑ 0 to 100 amp $117.00 $ 71.50 ❑ Detached outbuilding or garage ❑ 101 - 200 amp 145.00 91.50 (Inspected with service) $45.50 ❑ 201 - 400 amp 272.00 107.50 ❑ Detached outbuilding or garage ❑ 401 - 600 amp 317.00 127.00 (Inspected separately) $71.50 ❑ 601 - 800 amp 410.00 173.50 ❑ 801 - 1000 amp 500.50 209.50 NEW MULTI- FAMILY (three units or more) ❑ Over 1000 amp 546.00 291.00 Service Feeder ❑ Up to 200 amp $117.00 $ 34.50 ❑ Over 600 volts surcharge $91.50 ❑ 201 - 400 amp 145.00 71.50 ❑ Mast or meter repair $99.00 ❑ 401 - 600 amp 198.50 99.00 ALTERED COMMERCIAL /INDUSTRIAL ❑ 601 - 800 amp 254.00 136.00 ❑ Over 800 amp 364.00 272.00 Service or Feeders ❑ 0 to 200 amp $117.00 ALTERED SINGLE /MULTI FAMILY ❑ 201 - 600 amp 272.00 ❑ 601 - 1000 amp 410.00 Service or Feeder ❑ over 1000 amp 456.50 ❑ 0 to 200 amp $ 89.50 ❑ 201 - 600 amp 145.00 ❑ # of circuits to be added /altered ❑ over 600 amp 218.50 (1 -5 circuits - $91.50; Add'n circuits, $7.00 /ea) ❑ # of circuits to be added /altered COMMERCIAL /INDUSTRIAL PLAN REVIEW (1 -4 circuits - $71.50; Add'n circuits $7.00 /ea) $91.50 plus 35% of Permit Fee ❑ Service - 1,000 amps or greater ❑ Mast or meter repair $53.50 ❑ Medical /Educational /Institutional Facility MOBILE HOMES ❑ Service or feeder only $71.50 ❑ Service and feeder $117,00 TEMPORARY SERVICE MOBILE HOME /RV PARK Residential/Multi-Family $63.00 ❑ # of service or feeders (First service /feeder - $71.50; each add'n - $46.50) Commercial/Industrial Service or Feeder Ampacity ❑ 0 - 100 amps $ 71.50 ❑ 101 - 200 amps 91.50 ❑ 201 - 400 amps 107.50 ❑ 401 - 600 amps 145.00 ❑ over 600 amps 157.00 MISCELLANEOUS SERVICE /EQUIPMENT # of Thermostats ❑ # of Signs (First - $53.50; add'n- $16.50/ea) (First sign - $53.50; add'n sign $25.00 /ea) Low Voltage J S V r1 ' V T L3 Swimming pool /hot tub ................ $107.50 (Includes additional circuit, if required) care Feet to be served by system(s) ❑ Fire Alarm System ❑ Yard Pole meter loops ..................... $71.50 ❑ Security Alarm System ❑ Additional Plan Review $107.50 /hour ❑ voice Cabling (for modified submittals) ❑ Data Cabling II ❑ Automation Fee on all Permits .. $5.00 (Per System(s) 1.1 2500 ft2- $63.00; Each add'n 2500 ft2- 16-501 " Per WAC 296- 46- 910(5)(bi(i & iii Bulletin #100 - January I, 2006 Page 3 of 4 k\Handouts\Permit Application