07-101130- City 6f Federal Way Electrical Perm #• • 07- 101130 -00 -ELF
Community Development Services
P.O. 'Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 vy ta�, Inspection Request Line: (253) 835 -3050
Project Name: PINSONNAULT
Project Address: 126 S 293RD PL
Project Description: Alter (1) circuit for heat pump
Parcel Number: 052104 9220
Owner
Applicant
Contractor
PIERRE PINSONNAULT
LINDER ELECTRIC INC
LINDER ELECTRIC INC
126 S 293RD PL
7004 180TH AVE NE
LINDEEI426M8 (1/31/09)
REDMOND WA 98052
7004 180TH AVE NE
FEDERAL WAY WA 98003
REDMOND WA 98052
I hereby
the occu
Owner or agent:
Additional Permit Information
Electrical Fixtures
`v�ll
PLk
• THIS CARD IS TO MAIN ON -SITE
CITY OF ommunity Develop; nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 101130 -00 -EL
Owner: PIERRE PINSONNAULT
Address: 126 S 293RD PL
FEDERAL WAY, WA 98003 -3658
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
By
Date
By
Date
❑ Under -slab groundwork (4295)
Approved
By Date
CITY
Federal Way ��� PERMIT'
COMMUNM DEVELOPMENT SERVI G
33325'8re AVENUE SOUTH • PO BO
1 FEDERAL WAY, WA 98063 -97I o r L I CATION
.253. 835.2607• PAX 253.835 -2609 ry
www.dlr edemhunll.com `�a� ���
MF CO ME EL PL DE EN FP
The following is required in �e an incomplete application will not be accepted. Please print legibly (in ink) or. type.
_..a
SITE ADDRESS / o� °� g ✓� r� /' '� SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # LOT: SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
. (Attach separate page for lengthy legal description)
PROJECT • •
TYPE OF PERMIT ❑ BUILDING O PLUMBING ❑ MECHANICAL
11 DEMOLITIONAELECTRICAL ❑ ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide /!detailed description of wprk included on this Permit only)
PROJECT NAME (Name of Business or Owner Last Name) _ �//7 5Ol1`Is!tGc lT
PEOPLE •- •
PROPERTY
OWNER
CONTRACTOR
COPY of cvd regalred
with a spp9utioa
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME -
:.v; -r&L P; hsvH.,14k_1
PRIMARY PHONE
MAILING ADDRESS
/a4 S. a 3rd 115 f
CITY, STATE, ZIP
fie ° �-a.Q
E -MAIL ADDRESS
COMPANY NAME
L 1 v%&tv- ca l °� � •
APPLICANT NAME
�: rA L h l;
OFFICE PHONE
( #�rl ".s - a
MAILING ADDRESS
CIT�y+ ,TlgTE,ZIP�/� q /�
"WA
CEL PHONE At n
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
303
( �.
CONTRACTORS REGISTRATION NUMBER
L(hdeer'+24
EXPIRATION DATE
I '3
E -MAIL ADDRESS
& k
( 09
COMPANY NAME
L
APPLICANT NAME
OFFICE PHONE
42,fj JPi - a �
MAILING ADDRESS
NGADD
NE
CITY STATE, ZIP
ClQoiortc9 -uC� �111/>L ��
CELL PHONE
-
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent o Other
( -
NAME PRIMARY PHONE E-MAIL ADDRESS
%�r'.2 r re. 4'i •� So r,i K a kQ�" `Lf" 3 8` 3 - �a4-S
NAME
Per RCW 19.27.095:
Lender information is required ifproject value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE
PROPOSED USE
VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE O TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 13 PRIVATE (SEPTIC)
Indicate number of each type of fudure 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 EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS (commudq
COMPRESSORS FURNACES RANGES
DINTS GAS LOG SETS REFRIG. SYSTEMS
PLUMBING
o ALTERATION
o REPAIR
BATHTUBS (orTui/sho"r combo)
LAVS (ftth.m Sinks)
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS Qoikt)
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
NEW ADDRESS REQUIRED?
I 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 claim), which may be made by any person, including the undersigned, and flied 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
RELATIONSHIP TO PROJECT o Owner o Agent
(Tine) '
D Architect
o Other
o NEW o ADDITI,ON
o ALTERATION
o REPAIR
o TENANT IMPROVEMENT.
BUILDING SHELL ONLY?
DYES ONO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
D NO
NEW ADDRESS REQUIRED?
o YES o NO
UP /SEPAiSU?
o YES
D NO
PLATTED LOT?
o YES D NO
DEMO PERMIT REQUIRED?
D YES
o NO
Bulletin #100 — January 1, 2007 Page 2 of WlandoutsTermit Application .
: RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ Single Family Square Feet
(First 1300 ft2- $111.00; Each add'n 500 ft2- $35.50)
❑ Detached outbuilding or garage
(Inspected with service) $47.00
❑ Detached outbuilding or garage
(Inspected separately) $74.00
NEW MULTI- FAMILY (three units or more)
Service or Feeder
Service
Feeder
❑ Up to 200 amp
$120.50
$ 35.50
❑ 201 - 400 amp
149.50
74.00
❑ 401 - 600 amp
205.00
102.00
❑ 601 - 800 amp
262.00
140.50
❑ Over 800 amp
375.50
280.50
ALTERED SINGLE /MULTI FAMILY
PI-A-40 of circuits to be added /altered
(1 -4 circuits - ,$74.00; Add'n circuits $7.00 /ea)
LJ Mast or meter repair $55.00
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ 0 to 100 amp $120.50 $ 74.00
❑ 101 - 200 amp 149.50 94.50
❑ 201 - 400 amp 280.00 111.00
❑ 401 - 600 amp 327.00 131.00
❑ 601 - 800 amp 423.00 179.00
❑ 801 - 1000 amp 516.50 216.00
❑ Over 1000 amp 563.00 300.00
❑ Over 600 volts surcharge $94.50
❑ Mast or meter repair $102.00
ALTERED COMMERCIAL /INDUSTRIAL
Service or Feeders
❑ 0 to 200 amp $120.50
❑
201'- 600 amp 286.50
❑ 601 - 1000 amp 423.00
❑ over .1000 amp 471.00
❑ # of circuits to be added /altered
(1 -5 circuits - $94.50; Add'n circuits, $7.00 /ea)
COMMERCIAL /INDUSTRL41 PLAN REVIEW
$94.50 plus 351/6 of Permit Fee
❑ Service - 1;000 amps or greater
❑ Medical /Educational /Institutional Facility
TEMPORARY SERVICE
MOBILE HOME /RV PARK ResidentiaVMulti- Family $65.00
❑ # of service or feeders
(First service /feeder - $74.00; each add'n - $48.00) Commercial,/Industrial Service or Feeder.Ampacity
❑ 0 - 100 amps $ 74.00
❑ 101 - 200 amps 94.50
❑ 201 - 400 amps 111.00
❑ 401 - 600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE /EQUIPMENT
❑ # of Thermostats ❑ # of Signs
(First - $55.00; add'n- $17.00 /ea) (First sign- $55.00; add'n sign $26.00 /ea)
❑ Low Voltage ❑ Swimming pool /hot tub ................ $111.00
Square Feet to be served by system(s) (Includes additional circuit, if required)
❑ Fire Alarm system ❑ Yard Pole meter loops ..................... $74.00
❑ Security Alarm System ❑ Additional Plan Review $111.00 /hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
❑ ❑ Automation Fee on all Permits .. $5.00
1•t 2500 W- $65.00;
Each add'n 2500 f04 17.00) ' Per WAC 296.46.910(5)(b)ft 4 ii)
Bulletin #1100 -January I, 2007 Page 3 of 4 k \Handouts \Permit Application
Service or Feeder
❑ 0 to 200 amp
$ 92.50
❑ 201 - 600 amp
149.50
❑ over 600 amp
,45...150
PI-A-40 of circuits to be added /altered
(1 -4 circuits - ,$74.00; Add'n circuits $7.00 /ea)
LJ Mast or meter repair $55.00
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ 0 to 100 amp $120.50 $ 74.00
❑ 101 - 200 amp 149.50 94.50
❑ 201 - 400 amp 280.00 111.00
❑ 401 - 600 amp 327.00 131.00
❑ 601 - 800 amp 423.00 179.00
❑ 801 - 1000 amp 516.50 216.00
❑ Over 1000 amp 563.00 300.00
❑ Over 600 volts surcharge $94.50
❑ Mast or meter repair $102.00
ALTERED COMMERCIAL /INDUSTRIAL
Service or Feeders
❑ 0 to 200 amp $120.50
❑
201'- 600 amp 286.50
❑ 601 - 1000 amp 423.00
❑ over .1000 amp 471.00
❑ # of circuits to be added /altered
(1 -5 circuits - $94.50; Add'n circuits, $7.00 /ea)
COMMERCIAL /INDUSTRL41 PLAN REVIEW
$94.50 plus 351/6 of Permit Fee
❑ Service - 1;000 amps or greater
❑ Medical /Educational /Institutional Facility
TEMPORARY SERVICE
MOBILE HOME /RV PARK ResidentiaVMulti- Family $65.00
❑ # of service or feeders
(First service /feeder - $74.00; each add'n - $48.00) Commercial,/Industrial Service or Feeder.Ampacity
❑ 0 - 100 amps $ 74.00
❑ 101 - 200 amps 94.50
❑ 201 - 400 amps 111.00
❑ 401 - 600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE /EQUIPMENT
❑ # of Thermostats ❑ # of Signs
(First - $55.00; add'n- $17.00 /ea) (First sign- $55.00; add'n sign $26.00 /ea)
❑ Low Voltage ❑ Swimming pool /hot tub ................ $111.00
Square Feet to be served by system(s) (Includes additional circuit, if required)
❑ Fire Alarm system ❑ Yard Pole meter loops ..................... $74.00
❑ Security Alarm System ❑ Additional Plan Review $111.00 /hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
❑ ❑ Automation Fee on all Permits .. $5.00
1•t 2500 W- $65.00;
Each add'n 2500 f04 17.00) ' Per WAC 296.46.910(5)(b)ft 4 ii)
Bulletin #1100 -January I, 2007 Page 3 of 4 k \Handouts \Permit Application