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09-101504City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 M �al�r Project Name: CARSON 4 Q Elutrieal Permit #: 09- 101504 -00 -EL Inspection Request Line: (253) 835 -3050 Project Address: 1200 SW 331ST ST Parcel Number: 926495 0140 Project Description: Adding /altering (1) circuit for jacuzzi, jetted bathtub Owner Applicant Contractor POLLY CARSON AZTEC ELECTRICAL SERVICES LLC AZTEC ELECTRICAL SERVICES LLC 1200 SW 331ST ST 25314 45TH AVE S AZTECES021DT 3/30/10 FEDERAL WAY WA KENT WA 98032 25314 45TH AVE S 98023 -5340 KENT WA 98032 Is Use Educational or Institutiona l ? .......................No Circuits - Residential ...................... 1 PERMIT EXPIRES Thursday, April 22, 2010 Permit Issued on Wednesday, April 22, 2009 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 regulation, s of the State of Washington and the City of Federal Way. Owner or agent: Date: 2 FINALED 5 /P /o9 ` THIS CARD IS T (WMAIN ON -SITE ' CITY OF VP 10community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 09- 101504 -00 -EL Owner: POLLY CARSON Address: 1200 SW 331 ST ST FEDERAL WAY, WA 98023 -5340 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. ❑ LIFER Ground (4295) Approved By Date ❑ Pool Bonding (4195) Approved By Date By Date ❑ Feeders /Sub - panels (4045) Approved By Date Approved 0 Final - Electrical (4055) Date Approved By Date 9 ❑ Ditch cover (4030) Approved By Date ❑ Temporary Power (4275) Approved By Date By Date ❑ Rough Electrical (4225) Approved By Date ❑ Slab /Concrete Floor (4255) Approved to place concrete IL By Date ❑ Service (4235) Approved By Date ❑ Ceiling Cover (4020) Approved By Date For in^ spector_reference only O Rough Electrical 0 FINAL - Electrical Approved Approved By Date By Date j0 CEIVEG�DMNUN19YO8Y81APbIBNTSBRVlCBS 1 E RM IT SF MF CO ME EL DE EN FP 3337FED AbB1YUY,WA i•L'O� 20 rr��APPLICATION PEDSRAL WAY, WA 9Bo o Bg71N ` 2 U J 253435.2607• PAX - 253.835.2609 mwu.di cone f� � Q�( The following is �'mat[onv- a {recomplate alppacation win not be adepts& Please Print legabi ln ird4 or tw& SITE ADDRESS (J� �j / S/ surrE /U1RT # ASSESSOR'S TAR /PARCEL #I 2 ! �— O L tL LOT SIZE (s)) LEGAL DESCRIPTION (e.g. Acme Estates, Lot I) PROJECT .- TYPE OF PERMIT ❑ BUILDING ❑ PLUMlMG ❑ MECHANICAL ❑ DEMOLITIONArELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION, (Provide detailed descWtwn of work included on 'this permit onlu) aiz:Lm; cz L1 f 7--- i 1=11117111100-, ;4-2-1 e ti 'd l� ® PEOPLE INFORMATION •�. .���� X4 1� PROJECT CONTACT LENDER E METING USE NAME P PRIMARY PHONE MPANY NAME APPLICANT NAME O PHONE Z� G IN ( ( D) 7/8' ADDRESS STATE, ZIP (x/1/7 CELL PHONS l 9SINEEE lCrJr"" A OF FEDER%Ai�. W^AY 3 LICENSE NUMBER EXPIRATION ATE FAX NUMBER at V /C �Q - CO R'B RZOISTRATION NUMBER TlO JATS E-MAIL ADDRESS A2-7Z-C-& 5' (0 Z t P- r- 2-13 1 ,,) COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY. STATE, ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant ❑ Agent ❑ Other �rMI � NAME Per RCW 19.27.095. Lender iq formation is required { j project oalw wmeeds $5,000 MAILING ADDRESS CITY, STATE, ZIP PHONE PROPOSED USE EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORE: $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEe[ PROPOSED /REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGEMMM ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKERIVEN ❑ HIGHLUM ❑ PRIVATE (SEPTIC) COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY. STATE, ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant ❑ Agent ❑ Other �rMI � NAME Per RCW 19.27.095. Lender iq formation is required { j project oalw wmeeds $5,000 MAILING ADDRESS CITY, STATE, ZIP PHONE PROPOSED USE EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORE: $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEe[ PROPOSED /REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGEMMM ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKERIVEN ❑ HIGHLUM ❑ PRIVATE (SEPTIC) �rMI � NAME Per RCW 19.27.095. Lender iq formation is required { j project oalw wmeeds $5,000 MAILING ADDRESS CITY, STATE, ZIP PHONE PROPOSED USE EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORE: $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEe[ PROPOSED /REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGEMMM ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKERIVEN ❑ HIGHLUM ❑ PRIVATE (SEPTIC) PROPOSED USE EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORE: $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEe[ PROPOSED /REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGEMMM ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKERIVEN ❑ HIGHLUM ❑ PRIVATE (SEPTIC) AREA DESCRIPTION BASEMENT EXISTING 30. FT. PROPOSED . 8T. TOTAL . FT. FIRST GAS WATER HEATERS MISC (Down'be) BOILERS FIREPLACE INSERTS SECOND COMPRESSORS FURNACES RANGES THIRD GAS LOG SETS REMO. SYSTEMS a YES ADDITIONAL FLOORS (DESCRIBE) NEW ADDRESS REQUIRED? o YES a NO DECK (❑ COVERED OR ❑ UNCOVERED a YES a 80 PLATTED LOT? GARAGE ❑ CARPORT ❑ DEMO PERMIT REQIIIRm? a YES NUMBER OF FLOORS rennosso Tor= roraeearnasr 10mimmonwer aorecsr "fiEW HOIIIES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type offucture to be installed or relocated as part of this Project. Do not vwh de exMWW f to remain. I I/attce of Medwnimd Work $ (A (�YOFBID OR ES77X4 E MUST BE INCLUDED WITHAPPLICAT701M AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLET$ WOODSTOVES BBQS FANS GAS WATER HEATERS MISC (Down'be) BOILERS FIREPLACE INSERTS HOODS lcmem.ety COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REMO. SYSTEMS BATHTUBS (wT Wm ..c. LAVS pea... xwM URINALS hasc (mil DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS m s,q ZLZCTBIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS CHANGE OF USE? Z cmrtift Touter penalty of popwV than r am the property owner or auteort:ed agent of the -- p7e-- owner. I that to the best of �e �°^'�On � � >uppe� of �* tJe+"dt � true sled cofreee. r that r will comply with all itrb�ie INty of slederad Way rsgulatioRa pertaining to the work autlwrt:.at by the issuance of a permit: r understand that the issuance o this does not � owner's � for compliance with iooai, state, or fodsrat taws regulating � or � permit City of dedenal Way as to any claim (including costs, expanses, and attorneys' fees incurred In the whwggation and d*M" of such claim)' which may be made bg any person, bwft It W the erode signed, and flied against the dtaf, but only where such claim arises out of the reliance of the eitgs including its *Bice* and employees, upon the accuracy of the b4brmation, suPpliod to the aft as a part o tion. SIGIrATQItE: Aj- A, DATE Property Owner or Authorized Agent a NEW a ADDITION a ALTERATION a REPAIIt a TENANT DAPROVENZNT BUILDING SHELL ORLY? a YES a NO BASIC PLAN? a YES a NO ZONING DESIGNATION CHANGE OF USE? a YES a 80 NEW ADDRESS REQUIRED? o YES a NO UP /SEPA /SU? a YES a 80 PLATTED LOT? a YES a 80 DEMO PERMIT REQIIIRm? a YES a NO Bulletin #100 — January 1, 2009 Page 2 of 4 MandoutAPennit Application P an automation fee of RESIDENTIAL ❑ Single Family Square Feet (Pica[ 1300 itr- $121.00; Each add% 500 m - $39.00) ❑ Detached outbuilding or garage (w /Service) ......................... $51.00 ❑ Detached outbuilding or garage (inspected Separately) ........ $80.00 ❑ Swimming Ibd ( w/ sepice) ........................ ......................... $80.00 ❑ Swimming pod (i apected separately) ............................... $120.50 ❑ Hot tub /spa /sauna (w /awvicee) ................. ......................... $51.00 ❑ Hot tub /apa/sauna (inspected separately) .......................... $80.00 ❑ Sept pumping system (w /service) ..................................... $51.00 13 septic pumping �epa.t*) ..................... $80.00 pumping ' (m NEW MULTI FAMMY (three units or more) $ 71.00 Service Feeder ❑ Up to 200 amp $131.50 $ 39.00 ❑ 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 SIIrGLE /MULTI FAMILY Service or Feeder p $100.50 ❑ 201 - 600 amp 163.00 ❑ over 600 amp 245.50 X-i-# of circuits to be added /altered (1-4 circuits- $80.00; Addn circuits $8.00 /ea) ❑ Mast or meter repair $60.50 MANUFACTURED HOMES ❑ Service or feeder only $80.00 ❑ Service and feeder $131.50 MOBILE HOME /RV PARK ❑ # of service or feeders Mrst service /feeder480.00; each add'n - $52.50) Will be charged for all permits. COMMERCIAL NEW COMAE /INDIISTRIAL SERVICE $ 71.00 $32.00 Service or Feeder EachAddil ❑ 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 Mast or meter repair $111.00 ALTERED COMMERCIAL /TrfDIISTRIAL (Does 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 (1 -5 circuits - $103.00; Addn circuits. $8.00 /er) COM�RCIAL /MNDUSTRIAL PLAIT REVIEW $103.00 plus 35% of Permit Fee ❑ Service - 1,000 amps or greater ❑ Medical /Educational /Institutional Facility ❑ Additional plan review for modified submittals $115.00 /per hour TEMPORARY SERVICE or Feeder Each Add31 ❑ 0 to 60 amp $ 71.00 $32.00 ❑ 61 -100 amp 80.00 39.00 Ll 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 IMISCELLANEOUS SERVICE /EQUIPMENT ❑ # of Thermostats (First -x•50; add"n- $18.50 /ea) ❑ Low Voltage ❑ gee Feet to be served by systems) Alarm System ❑ Security Alarm system ❑ Voice Cabling ❑ Data Cabling 1*' 2500 m- $71.00; Each addn 2500 tr- $18.50) ❑ # of signs (First sign - $60.50; addh sign $28.50 /ea) ❑ Yard Pole /meter loops/pedestal ................... $80.00 ❑ Portable Generator (transfer equipment) ...... $100.50 ❑ Ditch cover /inspection only ....................... $120.50 For fees not listed, contact the Permit Center at 253- 835 -2607 Bulletin #100 - January 1, 2009 Page 3 of 4 MandoutsWenrut Application