07-101972 •
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City of Federal Way Electrical Permit #: 07-101972-00-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: GILBERSON
Project Address: 2653 SW 330TH ST Parcel Number: 894520 0990
Project Description: (1) Circuite for gas fireplace insert
Owner Applicant Contractor
CAROL GIBERSON NORTHWEST PERMIT INC WASHINGTON ENERGY SERVICES CO
2653 SW 330TH CT 1345 GULF ROAD (WESCO)
FEDERAL WAY WA 98023-2829 POINT ROBERTS WA 98281 WASHIES9710B 9/2/07
2800 THORNDYKE AVE W
SEATTLE WA 98199
Additional Permit Information
Electrical Fixtures
Circuits-Residential 1
PERMIT EXPIRES Wednesday, October 10, 2007
Permit Issued on Friday, April 13, 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: I , Date: '
FINAL 0
� THIS CARD IS TO REMAIN ON-SITE •
CITY OF '" �'° Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 _
PERMIT #: 07-101972-00-EL
Owner: CAROL GIBERSON
Address: 2653 SW 330TH ST
FEDERAL WAY, WA 98023-2829
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
J
❑ Rough Electrical (4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical (4055)
Approved Approved ----. Approved
By Date By Date f3y-1 Date 1, - �--()7
❑ Under-slab groundwork(4295)
Approved
By Date
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Federal Way 1 8 7,00?' PERMIT SF MF CO ME JL DE EN FP
COMMUNITY DEVELOPMEM'SERVICES PR
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FEDERAL WAY,WA 980839778 / /
2534835-2807•FAX253R35 2809y.Y of FEpE EP
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The ollowin• is re•aired • ■rmation-an incom•fete a..Iicatian will not be acce•led. Please • t ,.T••I. (in ink,or •.)• .
• PROPERTY INFORMATION
SITE ADDRESS 2653 SW 330th Street SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 8 9 4 5 2 0 _ 0 9 9 0 LOT SIZE(g/)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot l)
(Attach separate pagefar lengthy legal&so-Ottani
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING ❑ MECHANICAL
0 DEMOLITION O%ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed descrintinn of work Inducted on this permit ontu)
Electrical circuit for installation of gas fireplace inserrt
PROJECT NAME(Name of Business or Owner Last Name) Gilberson
PROPERTY NAME PRIMARY PHONE
OWNER Carol Gilberson (253 ) 874 - 8567
MAILING ADDRESS CITY.STATE.ZIP
2653 SW 330th Street Federal Way, WA 98023
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
WESCO (206 ) 378 - 6608
MAILING ADDRESS CITY,STATE.ZIP CELL PHONE
2800 Thorndyke Ave W Seattle WA 98199 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
2 .0-.0 _3-1 9 4 2. 3 A- B L 12 / 31 / 07 ( ) -
CONTRACTOR'S REGISTRATION NUMBER(copy of cud required with each application) EXPIRATION DATE
W A S H I E S 9 7 1 O B 09 / 02 /07
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Northwest Permit Inc Melissa Croda (360 ) 945 -2787
MAILING ADDRESS CITY,STATE.ZIP CELL PHONE
1345 Gulf Road Point Roberts,WA 98281 ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
Architect ❑Tenant /Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
Melissa Croda (360 ) 945 - 2787 melissa @nwpermit.com
■
LENDER a ,007-,4$�$ i p ' NAME
.:......FCt.!.3W#4#0.6� ..e"^`>0 n, ':'�'; PHONE
MAILING ADDRESS CITY,STATE,ZIP
I ) -
• DETAILED BUILDING INFORMATION
EXISTING USE SFR PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? U) YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE n TACOMA O PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
r
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
Sp.FT. SQ.FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
•
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE LI CARPORT❑
NUMBER OF FLOORS weuRO PROPOSED TOTAL aerN.msinwwY' rat'elr"OPP - - :a M_: -: : ,4.
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type ofJLcture to be installed or relocated as part of this project. Do not include exismlg fixtures b remain.
MECHANICAL
Vnhee of Mechanical Work $ _
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial WOODSIUVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or 1'b/Shower Combo) SHOWERS WATER CLOSETS moon MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(BaU mmn sinks( VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I cert(fy 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.
NAME/TITLE L, /,'_ /- A DATE
64-1//3
'Signature] , (Title)
RELATIONSHIP TO PROJECT ❑ Owner • Agent ❑ Contractor ❑Architect ❑ Other
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Bulletin#100—January L,2006 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'rt
❑ Single Family Square Feet ❑ 0 to 100 amp $117.00 $71.50
(First 1300 fie-$107.50;Each add'n 500 ft2-$34.50)
❑ 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
)SEW MULTI-FAIIIILY(three units or more) ❑ Over 10OO amp 54-6x0 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 196.50 99.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 -800 amp 254.00 136.00
❑ Over 800 amp 364.00 272.00 Service or Feeders
❑ Oto200amp $117.00
ALTERED SINGLE/MULTI FAMILY ❑ 201-600 amp 272.00
❑ 601- 1000 amp 410.00
Service or Feeder ❑ over 1000 amp 456.50
❑ 0to200amp $89.50
❑ 201 -600 amp 145.00 ❑ #of circuits to be added/altered
Li,over :ki amp 218.50 11-5 cir,mits-S9 i.50,Add'n circuits,$7.00/ea)
#of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50;Add'n circuits$7.00/ea) $91.50 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 PARR Residential/Multi-Family $63.00
❑ #of service or feeders
(First service/feeder-$71.50;each add'n-$46.50) Commercial/industrial Service or Feeder Arnpacity
❑ 0- 10o 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
Cl 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) 19t 2500 R2-$63.00;
Each add'n 2500 ft2-16.50) •Per WAC 296.46-910(5Nblrt&W
Bulletin#100-January 1,2006 Page 3 of 4 k\Handouts\Permit Application