07-101332 ■ City of Federal Way Electrical Permit #: 07-101332-00-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: FORD
Project Address: 4911 SW 330TH ST Parcel Number: 802951 0250
Project Description: Wire for a new A/C unit.
Owner Applicant Contractor
RONALD L FORD MATT HANNUM RIMROCK ELECTRICAL
VALERIE J FORD RIMROCK ELECTRICAL RIMROES975MT(7/30/07)
PO BOX 13327 PO BOX 13327
DES MOINES WA 98198 DES MOINES WA 98198
Additional Permit Information
Electrical Fixtures
Circuits-Residential 2
PERMIT EXPIRES Monday, September 10, 2007
Permit Issued on Wednesday, March 14, 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.
3�Owner or agent: 4.00".4.00". Date: �`A-7
4 -
THIS CARD IS TO REMAIN ON-SITE � L.
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-101332-00-EL
Owner: RONALD L FORD
Address: 4911 SW 330TH ST
FEDERAL WAY, WA 98023-3312
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 Bye v6 Date IA _ a,,o rir.„
❑ Under-slab groundwork(4295)
Approved
By Date
I o,.�. 0-7 - t 0 1 .- Z
Federal Way RECEIVE® PERMIT
• COMMUNITY DEVELOPMENT SERVICES $F MF CO ME ] PL DE EN FP
S33258 8 AVENUE SOUTX•PO BO�Y7J.. ii 2007
▪ FEDERAL WAY,WA 98063-971'A z /A P P L I C AT I O N T° -
--- —
.253-835-2607•FAX 253E35-2609 _ -- -
www.tiho demi_„ YOF FEDERAL WAY - -` /
The following is rcga 'lion-an incomplete application will not be accepted. Please print legibly(in ink)or type.
,. ,4 7 ,r■� PROPE^RTY INFORMATION
SITE ADDRESS `l //J �V W 7 ,/ . J SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# Qi O 2- `i ( - 8 Z S ° LOT SIZE(s,) •
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page/a lengthy legal description
•
■ PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING O PLUMBING 0 MECHANICAL
❑ DEMOLITION 14 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
II
PROJECT DESCRIPTION(Provide detaile 7cription of work included on this permit only)
A)rt/Li .tt/l Y 'i-
PROJECT NAME(Name of Business or Owner Last Name) r CJ .
I - - • • PEOPLE INFORMATION
PROPERTY NAME /.- -W' PRIMARY PHONE E
OWNER 'I0/ - ( 5 y )g7L(
-5`f
1G
//-� ,E 3 �� CITY /'4 / snZ� E-MA ADDRESS
CONTRACTOR CO 4Ny NrAMaE 6,2 j L c r r ea ( APPLICANT NAME
7/ 1411-i v/" OFFICE PHONE 7(Zc&) 736 - 31/
MA1sIG ADDRESS i PHONE
Uc3)( 133Z7 fp(l�/les 9?/7g ?3 - z/ ''
CITY
FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
. 03- toisot ( Z 3t o -7 (Zsj ) syo
COPY of acrd regatxd CO�'rN/NTTRACTORS REGISTRATION NUMBER
67 EEXPIRATION 136 6-1
E-MAIL ADDRESS
w.Ith ee apptteetbn ry[ (i R r /7.7�` 1 , l U f -
f\ I\V 7
APPLICANT COMPANY NAME - - APPLICANT NAME - OFFICE PHONE
( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT - FAX NUMBER
O Architect O Tenant O Agent U Other ( ) -
PROJECT NAME ,./� PRIMARY PHONE E-MAIL ADDRESS
CONTACT (�/ v (ZS, ) 57c( - PI HO
LENDER NAME - Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• .DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE .
EXISTING ASSESSED/APPRAISED VALUE $ 1 .. VALUE OF PROPOSED WORK $ 770 --
SPRINKLERED BUILDING? 0 YES O NO - FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER O LAKEHAVEN ❑ HIGHLINE U TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN O HIGHLINE 0 PRIVATE(SEPTIC)
PR.J • • • •w .
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 ❑ i
EXISTING NUMBER OF FLOORS EXISTING ,.'PSOroSED TOTAL TOTAL IJUSTS✓e er TOTAL PROPOSso er TOTAL Sr
"NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type offal—are 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 BEINCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS ,.� GAS PIPE OUTLETS WOODSTOVES
BBQS FANS .— GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS
HOODS(cov®"rd�
COMPRESSORS FURNACES -^'� RANGES
D C GAS LOG SETS-7 REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/shower combo) LA Mailroom Sinks) URINALS MISC(Describe)
DISHWASHERS NWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS)rouoe
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. 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, including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application. l �/
NAME/TITLE � (]w,1 r -DATE ,. //i ( �Q /
(Slgnatu c( (Title) (((
RELATIONSHIP TO PROJECT D Owner O Agent Contractor O Architect o Other
o NEW o ADDITION o ALTERATION o REPAIR a TENANT IMPROVEMENT. •
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES a NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? a YES a NO
•
•
Bulletin#100–January 1,2007 Page 2 of 4 k\Handouts\Permit Application .
•
' " . • ELECTRICAL PERMIT INFORMATION
: RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$111.00;Each add'n 500 ftz-$35.50) ❑ 0 to 100 amp $120.50 $74.00
❑ Detached outbuilding or garage ❑ 101 -200 amp 149.50 94.50
(Inspected with service) ,, $47.00 ❑ 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 circuits-$94.50;Add'n circuits,$7.00/ea)
yq�# 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
❑ 41 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
❑ 41 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•■2500 ft2-$65.00;
Each add'n 2500 ft2i 17.00) *Per WAC 296-46-910(50)(i&ii)
. ..
1.
' Bulletin#100-January 1,2007 . Page 3 of k\Handouts\Permit Application