07-101268` ,
City of Federal Way Electrical Permit #: 07-101268-00-EL
Community 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: TUSCANY WOODS LOT 16
Project Address: 35328 4TH AVE SW Parcel Number: 872450 0160
Project Description: Installaton of new 200amp service
Owner Applicant Contractor
CHARTER HOMES INC PROVIDENT ELECTRIC,INC. PROVIDENT ELECTRIC,INC.
601 UNION ST SUITE 5100 PO BOX 59284 PROVIEI103C2 2/22/08
SEATTLE WA 98105 RENTON WA 98058 PO BOX 59284
RENTON WA 98058
Additional Permit Information
Electrical Fixtures
Service: -Residential 3,888
CONDITIONS:
Special plat condition(s) may apply.
PERMIT EXPIRES Wednesday, September 5, 2007
Permit Issued on Friday, March 9, 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
and the City of Federal Way.
�—
Owner or agent: iw W►' L /�Y I Date: 3 /- 7
1 /
•
THIS CARD IS TO REMAIN ON-SITE `
"A,CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-101268-00-EL
Owner: CHARTER HOMES INC
Address: 35328 4TH AVE SW
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 c.,_44....,_ Date�._:A7_,,? By Date
❑ Rough Electrical (4225) ❑ Ceiling Cover(4020) ❑ Final -Electrical (4055)
/ Approved Approved Approved
By Gy Date G. By Date By &I Date e. y /'3z,
❑ Under-slab groundwork(4295)
Approved
Byes Date L\_ A
ar.vr`m, RECEIVED
_ :i �- �. __
- Federal way PERMIT
COMMImr DEVELOPMENT SERVICES - ':$F MF CO ME EL PL DE EN FP
33325.81,AVENUE SOVIH•PO BOX 9718 MAR 0 9
FEDERAL WAY,WA 98063-9718 A lit'L I C AT I O N - • TD -
.P53-835-2607•FAX 153.835.7609 __ /
www.d}W((edemhuar,.mm
CITY OF FEDERAL WAY ///
• P D 1G DEPT.
The following is required in an-an incomplete application will nat be accepted. Please print legibly(in ink)or type.
2 1 Q S PROPERTY INFORMATION - .
SITE ADDRESS 3 5 3`O 44l ,,// 5 vA/ `� . . SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 7 ?- `i S () U' / �O U LOT SIZE(sj)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot I) Ta. eQiiY vvb.cois -
µemh• P+ie WV"legal dwLoeo 1
•
. t PROJECT INFORMATION
'i Y Yt,OF PERMIT 0 BUILDING ❑ PLUMBING ❑ MECHANICAL
0 DEMOLITION 0 ELECTRICAL ❑ ENGINEERING 0.FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
A0 A-yvl p. Seit,t/tir�e, 4 147,,�/�-n j /i4- `��-
ofood 5
PROJECT NAME(Name of Business or Owner Last Name) 7(b--.`� C-it VL/ • Let- 16
• • PEOPLE INFORMATION .
PROPERTY NAME PRIMARY PHONE
OWNER e kt�v . Fiat' . (A )Ci 7 -a a Os
MAILING ADDRESS ,, STATE,ZIP E-MAIL ADDRESS
(7Ci. 1A49 Lori . S- , 5 - Zo . Se ± w WA- .
CONTRACTOR COAIPANY NAME APPLICANT NAME OFFICE PHONE
VA-4-1/i4Lr ,t ( e-t•z' in • 1 (.53) 0 3( - 7756
MAI ING ADDRESS CITY,STATE,ZIP CELL PHONE
CO &x 5,1a 4 ,02 -� , WA- �i?C6 ' ( ) -
CITY OF FEDERAL.WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
�O.—OG --- 1017 q- -Co /3L- . ( I -
eorr of sva respired
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE . E-MAIL ADDRESS
R p_a_A application > P, U i ei l C 3 C'Z _ 1 A 2 7 G y .
APPLICANT COMPANY NAME A• PPLICANT NAME OFFICE PHONE
- MAILING ADDRESS ' C• ITY,STATE,ZIP • - CELL PHONE
(
RELATIONSHIP TO PROJECT FAX NUMBER '
LI Architect C Tenant C Agent C Other ( ) -
PROJECT NAME 1 . PRIMARY PHONE E-MAIL ADDRESS
CONTACT WY (a SS) (p 3( - -]- 5Q
LENDER NAME Per RCW 19.97.095: -
Lander information Is required if project value exceeds$5,000
•
. MAILING ADDRESS . • C• ITY,STATE,ZIP PHONE
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE -
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? - C YES C NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE C TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE C PRIVATE(SEPTIC)
P
AREA DESCRIPTION _ - _ —. - TOTAL
Ssg:FT.
BASEMENT DEPARTMENI. OF LABOR AND INDUSTRIES
FIRST
SECOND LICENSED AS PROVIDED BY LAW AS
ELEC CONTR GE NERAL
THIRD
ADDITIONAL FLOORS (DESCRIBE)
�r`FE'�'I`TFfE'�JATE`-,��.._>��.z.��; s- •
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE 0 CARPORT ❑ PROVIDENT ELECTRIC INC
PO BOX 59284
SAO RENTON WA 98058 - TGTAGer
NUMBER OF FLOORS j I 1 1
"NEW HOMES ONLY" NUMBER OF BEDROOMS 4 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.
MECHANICAL
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(Commerdw
COMPRESSORS FURNACES RANGES
DU.C'�9 GAS LOG SETS . . REFRIG.SYSTEMS .,
PLUMBING
BATHTUBS (or Tub/Shower Com4ot LAVSIBauuwmSnke) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roe,,) S
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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. 1 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. ww / -
NAME/TITLE ga�v e. t r V DATE MAR - 8 2007
[Signature] (title)
RELATIONSHIP TO PROJECT O Owner ❑ Agent O Contractor ❑ Architect ❑ Other
a NEW o ADDITION o ALTERATION o REPAIR a 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 o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? a YES o NO
• Bulletin#100-January 1,2007 Page 2of4 k\Handouts\PermitApplication
• , ELECTRICAL PERMIT INFORMATION - - • • - • . ..
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIALJINDUSTRIAL SERVICE
XSingle Family Square Feet ,3 2$ i O.( Service or Feeder Each Add'n
(First 1300 ft2-$111.00;Each add'n 500 ftr-$35.50) 4- 7-i ❑ 0 to 100 amp $120.50 $74.00
❑ Detached outbuilding or garage /z 4 ❑ 101-200 amp 149.50 94.50
(Inspected with service) ., $47.00 7 ❑ 201-400 amp 280.00 111.00
❑ Detached outbuilding or garage ❑ 401-600 amp 327.00 131.00
(Inspected separately) $74.00 ❑ 601-800 amp 423.00 179.00
. ❑ 801 - 1000 amp 516.50 216.00
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $35.50 ❑ Over 600 volts surcharge $94.50
❑ 201 -400 amp 149.50 74.00 ❑ Mast or meter repair $102.00
❑ 401 - 600 amp 205.00 102.00
❑ 601 -800 amp 262.00 140.50 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 375.50 280.50 - Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 280.50
• ❑ 601 - 1000 amp 423.00
Service or Feeder ❑ over 1000 amp 471.00
❑ 0 to 200 amp $92.50
❑ 201 -600 amp 149.50 ❑ # of circuits to be added/altered
. ❑ over 600 amp ..225.50 (1-5 cireuita-$94.50;Add'n circuits,$7.00/ea)
❑ # of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$74.00;Add'n circuits$7.00/ea) $94.50 plus 35%of Permit Fee
❑ Service - 1;000 amps or greater
❑ Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES •
❑ Service or feeder only $74.00 •
❑ Service and feeder $120.50
TEMPORARY SERVICE
•
MOBILE-HOME/RV PARK Residential/Multi-Family $65.00
❑ #of service or feeders
(First service/feeder-$74.00;each add'n-$48.00) Commercialf ndustr-ta1 Service or Feeder A mpacity
❑ 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) preludes 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) -
Ell Data Cabling ❑ Automation Fee on all Permits .. $5.00
1.12500 ft2-$65.00;
Each add'n 2500 ft2417.00) •Per WAC 29646.970(5J(blt a ii)
Bulletin#100-January I,2007 . • Page 3 of 4 k\Handouts\Permit Application