07-101245 City of Electrical Permit #: 07-101245-00 L
J :rnrn : eices
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: FLETCHER
Project Address: 28810 21ST AVE S Parcel Number: 422280 0350
Project Description: Installation of(1) circuit for fireplace insert
Owner Applicant Contractor
RAY&CLARA FLETCHER WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
28810 21 ST AVE S (WESCO) (WESCO)
FEDERAL WAY WA 98003-3840 2800 THORNDYKE AVE W WASHIES97lOB 9/2/07
SEATTLE WA 98199 2800 THORNDYKE AVE W
SEATTLE WA 98199
Additional Permit Information
Electrical Fixtures
Circuits-Residential 1
PERMIT EXPIRES Tuesday, September 4, 2007
Permit Issued on Thursday, March 8, 2007
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 regulations of the State of Washington
a • the City of Federal Way.
Owner or agent: Date: 6 - 1-2,-(-3-77-1-
t THIS CARD IS TO REMAIN ON-SITE
CITY OF ---_" Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-101245-00-EL
Owner: RAY FLETCHER
Address: 28810 21ST AVE S
FEDERAL WAY, WA 98003-3840
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) El Ceiling Cover(4020) .El Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Lam, Date t I �.�g..F,t
❑ Under-slab groundwork(4295) `C
Approved
By Date
RECEIVED
CITY - LS2 �
4R082007 PERMIT SF MF CO ME PLDEENFP
COMMUNITY DEVELOPMENT SU, s>.
33325BTM AVENUE SOUTH
25938 O BOX
TPF �(f� PLICATION T°
FEDERAL WAY,WA 98 FEDERAt.WpE1P
253-835-2607•FAR 253
,,,..•<,.,; :.,,•� ILDING DEPT.
The ollo is uired ' rmation-an bloom fete a fication will not be acce ted. Please t le ' I (in ink)or
SITE ADDRESS 28810 21st Ave S SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 4 2 2 2 8 0 _ 0 3 5 0 LOT SIZE(sf1
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
mam.$)Parme meta kn)9 legal dcsc,4, I
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING iK'MECHANICAL
❑ DEMOLITION l ELECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION !Provide detailed description of work included on this permit ontut
Electrical Circuit for installation of Fireplace Insert
PROJECT NAME(Name of Business or Owner Last Name) Fletcher
II PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER Clara Fletcher (253 )952 - 6950
MAILING ADDRESS CITY,STATE,ZIP
28810 21st Ave S Federal Way, WA 98003
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
WESCO (206 ) 378 - 6608
MAILING ADDRESS CITY,STATE.ZIP CELL PHONE
2800 Thomdyke Ave W Seattle WA 98199 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
2 .4-.4 -1 9 4 2. 4- s L 12 / 31 / 07 ( ) -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
W A S H I E S 9 7 1 0 B 09 / 02 /07
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Northwest Permit Inc Melissa Croda (360 ) 945 -2787
MAILING ADDRESS CnY,STATE,ZIP CELL PHONE
1345 Gulf Road Point Roberts, WA 98281 ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
Architect ❑Tenant ,/Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
Melissa Croda (360 ) 945 - 2787 melissaI nwpermit.com
LENDER per RCW 19.27.095: Lender information is NAME
required(f project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE SFR PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE n TACOMA n PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN n HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
S9. FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDmONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT El
NUMBER OF FLOORS =IMES PROPOSED TOTAL TOTAL=WINO SP TOTAL PROPOSED St TOTAL SP
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ _
FIXTURES
Indicate number of each type of fbdure to be Installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS ICOmuierciap WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES . MISC(Describe)
COMPRESSORS FURNACES GAS WA1 tTi HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(ormb/Shower Combo] SHOWERS WATER CLOSETS miles MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(sathmom slaluq VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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 filed against the City of Federal Way,but only where such claim
arises out of the reliance of the„city, heludtng its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITL> / JY DATE ��
...L./ -
(S igns
mule)
RELATIONSHIP TO PROJECT o Owner o Agen o Contractor ❑ Architect o Other
FOR OFFICE USE ONLY
c NEW o ADDITION o ALTERATION o REPAIR c TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES n NO
ZONING DESIGNATION CHANGE OF USE? o YES c NO
NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? o YES a NO
PLATTED LOT? c YES ❑NO DEMO PERMIT REQUIRED? ❑YES c NO
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Pemlit Application
w w
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
CI Family Square Feet Service or Feeder EachAdd'n
(First 1300 ft2-$107.50;Each add'n 500 ft2-$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
❑ oil)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
❑ O 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)
1 41 of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50;Add'n circuits$7.00/ea) 891.50 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
❑ o- 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 ❑ Swimming pool/hot tub $107.50
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ 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 ❑ Automation Fee on all Permits .. $5.00
(Per System(s) Lx 2500112-$63.00;
Each add'n 2500 ft2-16.50)•Per%VAC 29&-46-91 0(51Th5&i9
Bulletin#100-January 1,2006 Page 3 of 4 kiliandouts\Pemrit Application