08-101033 nityDeveleraentS - Electrical Permi • 08-101033-00-EL
' Co�imuhity Development Services •
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: BRIGHTON PARK LOT 28-MODEL HOME
Project Address: 905 SW 365TH PL . Parcel Number: 302104 9033
Project Description: Install t-stat wiring
Owner Applicant Contractor
JOHN NORRIS MIDLAND MECHANICAL CORP MIDLAND MECHANICAL CORP
NORRIS HOMES 23010 SE 178TH PL MIDLAML9796T(9/30/09)
2053 FABEN DR MAPLE VALLEY WA 98038 23010 SE 178TH PL
MERCER ISLAND WA 98040 MAPLE VALLEY WA 98038
Additional Permit Information
Service greater than 1000 Amps? No
' Electrical Fixtures
Thermostat.., 1
PERMIT EXPIRES Sunday, February 22, 2009
' , Permit Issued on Thursday, February 28, 2008
1
I hereby c " th '��'k�ove •info rrnation coact and that the construction ontl above described mirty and
the occupancy id the use will be,,in accordance ' the laws, rules and regulations bf the State,of Washington
/'and the City of Federal Way.
Owner or agent: . --' <<--� Date: Z d
F,.//•t/A . --
. THIS CARD IS TO MN ON-SITE
_ -
CITY OF ,4 - ommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-101033-00-EL
Owner: JOHN NORRIS
Address: 905 SW 365TH 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
� l
By / Date �./ �ES By Date By Date '! 'c
❑ UFER Ground(4295)
Approved
■
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
cm or A. l D
�1wayRECEliE 0217- L _.,/
COMMUNITY DEVELOPARAT SERVICES E R M I T SF MF CO M PL DE EN FP in,AVE
3332;IDERAL AY �06399718 FEB 2 g o!DPI.'CATION
TD / /
253-8354607.FAX IMILAWSlakatheaLM
c�^ FEDERAL WAY
The following Is' ireeg o.E, don-an incomplete application will not be accepted. Please print legibly(in ink)or type.
lib • PROPERTY INFORMATION
SITE ADDRESS- 90_5- 5i ?65 ' P L r- le r<.,( f c7 of ae,3 SUITE/UNIT•
ASSESSOR'S TAX/PARCEL• ,,,_- __ __ LOT SIZE(sfl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) Or'13 Cam0 l' I< 4_0114 Z
(Mach•epmua Pogo for wnauwWel asseligion,
■ PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION PkELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
r+s 111 -7-- .57-/1-7— rk1 -6�e
PROJECT NAME(Name of Business or Owner Last Name) N. • JPa LOT- Z�
I PROPERTY NAME IN PEOPLE INFORMATION
of 1 PRIMARY PHONE
OWNER /°G A O rr t 5 Po e5 (Z )6)Z75 - l (O
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
Z. 0,563 F.4 Q+- P Me rce( :4154,,,,,A Y810/0
CONTRACTOR COMPANT E APPLICANT NAME OFFICE PHONE
M I'�/c4friJ , e_ck f i,cam( 'J';(-?Ale-rc�°e-i (�fzs)Li/3 -yy�>
MAILING ADDRESS 3 Moyle-- Vc/k 7 g- (2C6 PHONE _ ZZs(
2.3o0sE17�' t'L
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRAT N DATE FAX NUMBER
(2/Ls)1(3 -7775
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
44/PC-As/ft"7 9'r /0 - 4 -0
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
I ( ) -
1 MAILING ADDRESS CITY,STATE,ZIP CELL PHONE -
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect ❑Tenant 0 Agent ❑ Other ( ) -
I PROJECT NAME PRIMARY PHONE
E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required((project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES 0 NO
WATER SERVICE PROVIDER ❑LAKEHAVEN o HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
■ PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND •
THIRD
ADDITIONAL FLOORS(DESCRIBE) •
•
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS I MET= raorosso I TOTAL TOTAL MST=sr TOTAL PROPOeso sr TOTAL Al
•
•
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ .
■ FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHAMCAL
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(commercial)
COMPRESSORS FURNACES RANGES
DUCTS. • GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
• DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Tones •
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
•
•
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner.I certify fy that to the best of my
knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable
City of Federal 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 defense of such claim), which may be made by any person, including the undersigned, and filed
where A against the city, but only
here such claim arises out of the reliance of the city, including its officers and employees, o
I � 9 upon the o
./R mP y ,up accuracy of the information supplied to
. the city as a part of this apple ,■ on.
SIGNATURE: ■ DATE Z Z S
Property Owner and/or Authorized Agent
a NEW a ADDITION a ALTERATION a REPAIR a,TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a.YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? o YES o NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application
.. I
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$115.50;Each add'n 500 ft2-$37.00) ❑ 0 to 100 amp $125.50 $76.50
f ❑ Detached outbuilding or garage ❑ 101-200 amp 155.50 98.00
(Inspected with service) $48.50 ❑ 201-400 amp 291.00 115.00
t ❑ 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 ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 -800 amp 272.00 145.50
❑ Over 800 amp 389.50 291.00 Service or Feeders
❑ 0 to 200 amp $125.50
ALTERED SINQLE/MULTI FAMILY ❑ 201 -600 amp 291.00
❑ 601 - 1000 amp 439.00
Service or Feeder ❑ over 1000 amp 489.00
❑ 0 to 200 amp $96.00
❑ 201-600 amp 155.50 ❑ #of circuits to be added/altered
❑ over 600 amp 234.00 (1-5 circuits-$98.00;Add'n circuits,$7.50/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$76.50;Add'n 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
}tOBILE HOME/RV PARK Residential/Multi-Family $67.50
❑ #of service or feeders •
(First service/feeder-$76.50;each add'n-$50.00) Commercial/Industrial 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
-0_1j of Thermostats ❑ #of Signs
(First-$57.50;addh-$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 ❑ Additional Plan Review $115.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
1:1 0 Automation Fee on all Permits .. $5.50
In 2500 ft2-$67.50;
Each add'n 2500 ft2-$17.50)'Per WAC 296-46.910(5)(b)(j&ii)
Bulletin#100-January 1,2008 Page 3 of 4 k\Handouts\Perntit Application