07-101648 C ity of Federal Way Electrical Permit #: 07-101648-00-EL
Community Development Services
P.O.Box 9718
Federal,Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:,(263)835-2607 Fax:(253)835-2609 p q I.
Project Name: HOLM
Project Address: 30017 10TH AVE SW Parcel Number: 515320 0409
Project Description: Adding a circuit for heat pump replacement
Owner Applicant Contractor
MATTHEW S HOLM NORTHWEST PERMIT INC WASHINGTON ENERGY SERVICES CO
NATALIE D HOLM 1345 GULF ROAD (WESCO)
30017 10TH AVE SW POINT ROBERTS WA 98281 WASHIES971OD(9/4/07)
FEDERAL WAY WA 2800 THORNDYKE AVE W
98023-8207 SEATTLE WA 98199
Additional Permit Information
Electrical Fixtures
Circuits-Residential 1
PERMIT EXPIRES Wednesday, September 26, 2007
Permit Issued on Friday, March 30, 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: inb , .•�. .� � — -
Date:
¢may —3 0 — '1 e �-
THIS CARD IS TO REMAIN ON-SITE *'
CITY OF ~ ° Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-101648-00-EL
Owner: MATTHEW S HOLM
Address: 30017 10TH AVE SW
FEDERAL WAY, WA 98023-8207
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 1 By Date By Date
❑ Rough Electrical (4225) ❑ Ceiling Cover(4020) 13 Final-Electrical (4055)
Approved Approved Approved
By Date By Date By <s Date _- ■---g-,
❑ Under-slab groundwork(4295)
Approved
By Date
_ y y
RECEIVED
Federal Way MAR 30 Zoo/PERMIT SF MF CO M 30 PL DE EN FP
- COMMUNITY DEVELOPMEN SERVICES /
333255'"AVENUE SOUTH•PO BOX 971e • /
F' ERAL5oAY.WA 95os+971rc+ITV OF FED�I CATI O
253435.2807•FAX 253.535-�99r BUI,DING
unuW.CiMITede<NI000.m,S LV 10
tete , ,,Haitian will not be , •:,tat.teL Please ' t In or -T,=
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTINO PROPOSED TOTAL
SA.F'P. EA.FT. S$.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDI17ONAL FLOORS(DESCRIBE)
DECKICOVERED?I
GARAGE 0 CARPORT 0
Mama raarasm roru.
NUMBER OF FLOORS
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SEWING PRICE $
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 $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
WOODSTOVES
HOODStcaammru
BOILS FANS MISC(Describe)
BOILERS FIREPLACE INSERTS RANGES
COMPRESSORS FURNACES GAB WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING WATER CLOSEIS tm4p MIST Describe)
BAIIIIIJBS lor1Ob/sbwer caabnl SHOWERS DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS amb*oet sinks) 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 authorised 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 d4fense of
a person,including the undersigned,and filed against the City gf Federal Way,but only where such claim
such claim),seq which may be made iy any 1>e� the Information supplied to the city as a part of
arises out of the reliance Rf the city.including its gltieero and eunPioyees.upon the accuracy 4f lniN
this application. _ - 1
NAME/TITL .[_ �._.�.. 03,", DATE '.�
RELATIONSHIP TO PROJECT O Owner
At •40, tractor O - tect ❑ Other
n -
=arrow }
.1 � 22 p n r �
�� w 2 i Taril e
7� sum_ Eclisn 3rd r n .ra;- r nn--v: iw+r''� r y� fit'f t SSI s,�`'s {
- ��� Y4++w�-r+`-s '4:7-
E-
iCl/�- T:-. -�I:s3-iczt,+ �:.'F'-tumi -._��Ii�LI.�._.....-... u..a -... _....x�..
Page 2 of 4 k\Handouts\Permlt Application
Bulletin#100-January I,2006 g
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder EachAdd'n
❑ Single Family Square Feet ❑ 0 to 100 amp $117.00 $71.50
(First 1900 R,--$107.60;Each add'n 500 112-$34.501
❑ 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 ❑ 60I-800 amp 410.00 173.50
❑ 801- 1000 amp 500.50 209.50
NEW MULTI-FAMILY(three units or morel ❑ 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
❑ 0 to 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
❑ 0 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.$700/sal
4411 1
nO3I.EHOM/INDUSTRTL DTAIt REVIEW
#of circuits to be added/altered
$91.50 plus 3596 of Permit Fee
(1-4 rlrcuita471.50;Add'n circuits$7.O0/ea)
❑ Service- 1.000 amp s or gre ater
❑ Mast or meter repair $53.50 ❑ Medical/Educatlonal/Inalitutional 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 Commercial/Industrial Service Feeder Ampacity
- (First service/feeder-$71.50:each add'n-$46.50)
❑ 0-100 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 Thermostat. ❑ _#of Sign.
(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) la 2500 tri463.00:
Each add'n 2500 ff,-16.50)•Per sac 496-46-910(50f.t w
Bulletin#100-January 1,2006 Page 3 of 4 1AHandouts\Pemiit Application