08-100854City 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#: 08- 100854 -00 -tL
Inspection Request Line: (253) 835 -3050
Project Name: SAGHALIE FIRS LOT 7 - MODEL HOME
Project Address: 1914 SW 341ST PL
Project Description: Install IN T -stat.
Owner
JOHN NORRIS
NORRIS HOMES
2053 FABEN DR
MERCER ISLAND WA 98040
Service greater than 1000 Amps ? .................�
Therm ..........�.. I 1.
r`
� uu.
the gdM;i- "e use Wfil be in
or agent:
Applicant
JEAN -PAUL MERCIER
MIDLAND MEC CAL(
23010 SE 178 L
MAPLE VALLEY 98(
ber: 242103 9006
CORP
TH PL
WA 98038
o Permit In on 00
ical Fixtures
r;" a
'IRES SWrday, February 14,
and the City of
Way.
MN
above . tl cri r Y
s oft ate
Date: Z - 2 0 _Q
THIS CARD IS T MAIN ON -SITL-
ty p nt
CITY OF ommuni Develo Inspection Record
p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 100854 -00 -EL
Owner: JOHN NORRIS
Address: 1914 SW 341 ST PL
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.
❑
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)
Feeders /Sub - panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
❑
❑
Rough Electrical (4225)
Ceiling Cover (4020)
Final - Electrical (4055)
Approved
Approved
Approved
By
/
Date f b
By
Date
By
Date tz_pD _
❑
UFER Ground (4295)
Approved
By
Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
Fed ACEIV&
PERMIT
COMMUNITY D8VBLOPMENT SERVICES
33325 8w AVENUE SOUTH • PO BOX 9718
zo o;pAK25,733�% %B20 2008 APPLICATION
uww,d1uolfWery wau.mm
41ox -sv_� 14
SF MF CO ME AL PL DE EN FP
The foIG1 quFrW?' Lo YAMincomplete application will not be accepted. Please print legibly (in ink) or type.
ROPERTY INFOMlATION
SITE ADDRESS / (�� s 3 sf1 1 /'2�� 1`� / ++� o3 / _
�� ul � �Q SUITE UNIT �
ASSESSOR'S TAX /PARCEL 0 2— d - d LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) �_ k •°S A ke-
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION AELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Pr�oidde detailed description of work included on
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
• )"r- O-. IL•
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
(I—
NAME
� %�11
PRIMARY PHONE
O t-� i s e-5'
(206 ) 275 1
MAILING ADDRESS
CITY, STATE, ZIP
E -MAIL ADDRESS
2025 614, N.
b
O 3 70-7- o 0
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILINO ADDRESS
23c., ® �X / V s
CITY, STATE, ZI
e D6, W4 15'03 K
CELL PHONE
206 730 - 5?�S
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
O 3 70-7- o 0
9 7Z-73 I '-v g
(�z ) q l 3- 7775
CONTRACTOR'S REODITRATION RIIHBER
EXPIRATION DATE
E-MAIL ADDRESS
_�- L `�,6 -%
-tea -a9
COMPANY NA
NAME
OFFICE PHONE
-
MAILING ADDRESS
ECrrY. , ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
( ) -
NAME PRIMARY PHONE - E-MAIL ADDRESS
NAME
Per RCW 19.27.095:
Lender injornutdon is required if project value exceeds ;5,000
MAILINO ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? ❑ YES O NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
r
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
8 . FT.
TOTAL
S . FT.
BASEMENT
o YES a NO
BASIC PLAN?
FIRST
o NO
ZONING DESIGNATION
SECOND
CHANGE OF USE?
a YES
a NO
THIRD
o YES a NO
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
o NO
PLATTED LOT?
o YES a NO
DECK (❑ COVERED OR ❑ UNCOVERED
DEMO PERMIT REQUIRED?
a YES
a NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
susrae
rsoroeso
TOTAL.
Tor,¢s:WOU sr
TOTAL PROPOSED or
TOTAL er
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate. number of each type of f lure to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS.
BATHTUBS (or rub /shower Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS pmthroem sbilnl
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS Icommerdq
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS ironA
WASHING MACHINES .
WOODSTOVES
MISC (Describe)
MISC (Describe)
I onto under penalty of perjury that I am the property owner or authorised agent of the property owner. I cart g that to the best q j nay
knowledge, the information submitted in support of this permit application is true and correct, t certify that I will comply with all applicable
City of hdwul Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws.
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 di fense q f such claimj, which may be made by any person, including the undersigned, and filed against the city, but only
where such claim arises out q f the reUanee qf the city, including its officers cers and employees, upon the accuracy of the information supplied to
the city as a part of this applica io^
SIGNATURE.
a NEV a ADDITION
a ALTERATION
a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES a NO
BASIC PLAN?
o. YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
a NO
NEW ADDRESS REQUIRED?
o YES a NO
UP /SEPA /SU?
a YES
o NO
PLATTED LOT?
o YES a NO
DEMO PERMIT REQUIRED?
a YES
a NO
Bulletin #100 —January 1, 2008 Page 2 of 4 MandoutsTernut Application
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL /INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 82- $115.50; Each addh 500 W - $37.00)
❑ 0 to 100 amp $125.50 $ 76.50
❑ Detached outbuilding or garage
❑ 101- 200 amp 155.50 98.00
(Inspected with service) $48.50
❑ 201- 400 amp 291.00 115.00
❑ Detached outbuilding or garage
❑ 401- 600 amp 339.50 136.00
(Inspected separately) $76.50
❑ 601- 800 amp 439.00 186.00
❑ 801 - 1000 amp 536.50 224.50
NEW MULTI- FAMILY (three units or more)
❑ Over 1000 amp 584.50 311.50
Service Feeder
❑ Up to 200 amp $125.50 $ 37.00
❑ Over 600 volts surcharge $98.00
❑ 201 - 400 amp 155.50 76.50
❑ Mast or meter repair $106.00
❑ 401 - 600 amp 212.50 106.00
❑ '601 - 800 amp 272.00 145.50
ALTERED COMMERCIAL /INDUSTRIAL
❑ Over 800 amp 389:50 291.00
Service or Feeders
❑ 0 to 200 amp $125.50
ALTERED SINGLE /MULTI FAMILY
❑ 201 - 600 amp 291.00
❑ 601 - 1000 amp 439.00
Service or Feeder
❑ 0 to 200 amp $ 96.00
❑ over 1000 amp 489.00
❑ 201 - 600 amp 155.50
❑ over'600 amp 234.00
❑ # of circuits to be added /altered
(1 -5 circuits - $98.00; Addh circuits, $7.50 /ea)
❑ # of circuits to be added /altered
COMMERCIAWINDUSTRIAL PLAN REVIEW
(1 -4 circuits - $76.50; Addh circuits $7.50 /ea)
$98.00 plus 35% of Permit Fee
❑
❑ Service - 1,000 amps or greater
Mast or meter repair $57.50
❑ Medical /Educational /Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ Service and feeder $125.50
TEMPORARY SERVICE
MOBILE HOME /RV PARK
Reaidentia(/Muiti Famiiy $67.50
❑ # of service or feeders
(First service /feeder - $76.50; each addh - $50.00)
Contmerciat4ridustrial Service or Feeder Arnpacity
❑ 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
__L# of Thermostats
❑ # of Signs
(First - $57.50; add'a- $17.50 /ea)
(First sign- $57.50; add'n sign $27.00 /ea)
❑ Low Voltage
❑ Swimming pool /hot tub ................ $115.00
Square Feet to be served by system(s)
(Includes additional circuit, if required)
❑ Fire Alarm System
❑ Yard Pole meter loops ..................... $76.50
❑ Security Alarm System
❑ Voice Cabling
❑ Additional Plan Review $115.00 /hour
❑ Data Cabling
(for modified submittals)
❑
❑ Automation Fee on all Permits .. $5.50
P' 2500 ft2- $67.50;
Each addh 2500 fts - $17.50) • Per WAC 29&46910(SP# & if)
Bulletin #100 -January 1, 2008 Page 3 of 4 klHandouts\Pennit Application