07-106685City of Federal Way
Community Development services
P.O. Box 9718
Federal Wav, WA 98063-9718
Ph' (2 ',3)
835-2607 Fax: (253) 835-2609
Project Name: GREGERSON
Project Address: 2761 SW 314TH ST
Electrical Permit #: 07 -106685 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 150310 0300
Project Description: Convert circuit on an electric furnace for a new gas furnace, add (1) outlet for fireplace and
(1) T -stat.
Owner
Applicant
Contractor
CONNIE GREGERSON
HERITAGE ENTERPRISES INC
HERITAGE ENTERPRISES INC
2761 S 314TH ST
9001 PACIFIC AVE
HERITE1969M6 (7/26/08)
FEDERAL WA.Y WA 98023
TACOMA WA 98444
9001 PACIFIC AVE
TACOMA WA 98444
Additional Permit Information
Service greater than 1000 Amps? .......................... No
Electrical Fixtures
Circuits - Residential ..................... 3 Thermostat..................................... 1
PERMIT EXPIRES Saturday, December 6, 2008
Permit Issued on Wednesday, December 12, 2007
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: �� _! Date:
4Nt
THIS CARD IS TO REMAIN ON-SITE
ZW
CITY OFuk,
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -106685 -00 -EL
Owner: CONNIE GREGERSON
Address: 2761 SW 314TH ST
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
Date
By Date
❑
Rough Electrical (4225)
❑
Ceiling Cover (4020)
❑ Final - Electrical (4055)
Approved
Approved
Approved
By
Date
By
Date
B Date
❑
UFER Ground (4295)
Approved
By
Date
For ins, ector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
RECEIVED
Federal Way o E c 12 2007 PERMIT
COMMUNITY DEVELOPMENT SERVICES
3332 81" SOUTH • U
FEDERAL WAY, WA 98063.9,18ITY OF FEOE
WL
253-835-2607• FAX 253-635-2609 PLICATION
uaapdtwfederalway.com
The following is
- an
will not be
SF MF CO ME(5 PL DG EN FP
D r
ted. Please print legibly (in inkd or tune.
SITE ADDRESS '7 r w • ✓ t"� S�' . �hh , w�/ 9 �� 3 SUITE/UNIT f
ASSESSOR'S TAX/PARCEL 1k 9 ® - lL ® LOT SIZE (s�
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Aaadh separate Pa9cla k^9dhY Avd d-awbo.)
• 1 • ' u •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this hermit only
0,tf1,F-R.r GiRculr .041 AAJ 5L C.TKle— r-QxW 4.r -A >=oQ A• urrw 6A5
A hh Rtz_"r i o -I 9=aR. A-:�2•>-
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME PRIMARY PHONE
�oN�l E C7R�G sok (2s3) •l_7 -`1664&
MAILING ADDRESS - CITY, STATE, Zip
a b l S iJ• 3 /Y 44r. 44 L c✓
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
(� 9x.1 -
NS R rT► 161vrM?At2-jcS /AIC -
_3)
MAILING ADDRESS
MAILING ADDRESS
qoo/ P,*--
CITY, STATE. ZIP
6i,I4, yyy
CELL PHONE
LX s-3) 377
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBERRATION DATE
l 4- 9 q- I O 7 6 b g -B 1 7-/31 /07
FAX NUMBER
U13 )539
-X70%
L
CONTRACTORS REGISTRATION NUMBER (coPy of card required with each applications
EXPIRATION DATE
�1 & Z r X R & 2 /_t1 !e
v-0,;24.
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
S &^- 6- 0 IJ lz.
( )
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant O Agent O Other (Describe)
I ( ) -
"er'GW.�97095`Lerideryinformadortis NAME
e�vred�fproject value�exceeds SS 000 :., ,� s"",.
MAILING ADDRESS CITY, STATE, ZIP
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? O YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES O NO
WATER SERVICE PROVIDER O LAKEHAVEN O HIGHLINE O TACOMA O PRIVATE (WELL)
I SEWER SERVICE PROVIDER 0 LAKEH VEN O HIGHLINE O PRIVATE (SEPTIC)
MANY
FLOORS (DESCRIBE)
RS?
ONLY" NUMBER OF BEDROOMS
TOTAL GKLSTD(G TOTAL PROPOSGD
ESTIMATED SELLING PRICE $ _
TOTAL WSTDtG AND PROPOSM
d or relocated as part of this project. Do not include existing furfremain
.Indicate
to rema.
Indicate number of each type of furture to be installe
Value of Mechanical Work $
'
a NEW o ADDITION
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
AIR HANDLING UNITS
o YES ❑ NO
HOODS (Commerddl
WOODSTOVES
BBQS
FANS
FIREPLACE INSER'T'S
RANGES
h11SC (Describe)
BOILERS
FURNACES
GAS WATER HEATERS
ONO
COMPRESSORS
GAS PIPE OUTLETS
DEMO PERMIT REQUIRED? o YES
o NO
DUCTS
a YES o NO
PLUMBING
SHOWERS
WATER CLOSETS (Tu0<q
MISC (Describe)
BATHTUBS („Tun/sh—comm-)
DRINKING FOUNTAINS
DISHWASHERS
SINKS
RAINWATER SYST
Bulletin # l00 — March 30, 2004
GAS PIPE OUTLETS
SUMPS
HOSE BIBBS
WASHING MACHINES
URINALS
ELECTRIC WATER HEATERS
_
VACUUM BREAKERS
I,eertify 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 6y 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, ad attorneys' fees incurred in the investigation and defense of
such claim), which may 6e made 6y any person, including the undersigned, 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.
G�^ DATE � Z D 7
NAME/TITLE (ritk)
(Signatlircl
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor ❑Architect ❑Other
FOROFFICE USE ONLY+ ', ;.
'
a NEW o ADDITION
o ALTERATION
o REPAIR o.TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES ❑ NO
BASIC PLAN? o YES
YES
o NO
ONO
CHANGE O.F. USE? o
ZONING DESIGNATION
UP/SEPA/SU?: o YES
ONO
NEW ADDRESS REQUIRED?
a YES a NO
DEMO PERMIT REQUIRED? o YES
o NO
PLATTED LOT?
a YES o NO
r
f
k\Handouts — RevisedlPclmit Application
Bulletin # l00 — March 30, 2004
—
Page 2 of 4
;ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ Single Family Square Feet
Service or Feeder
(First 1300 ft2- $87.00; Each add'n 500 ft2 - $28.00)
❑ Detached outbuilding or garage
$ 94.50
(Inspected with service)
$ 36.50
❑ Detached outbuilding or garage
74.00
(Inspected separately)
$ 58.00
NEW MULTI -FAMILY (three units or more)
Service
Feeder
❑ Up to 200 amp $ 94.50
$ 28.00
0 201 - 400 amp 117.50
58.00
0 401 - 600 amp 161.00
80.00
0 601 - 800 amp 206.00
110.00
❑ Over 800 amp 294.50
220.50
ALTERED SINGLE/MULTI FAMILY
Service or Feeder
❑ 0 to 200 amp $ 72.50
❑ 201 - 600 amp 117.50
❑ over 600 amp 177.00
a -y-# of circuits to be added/altered
(1-4 circuits -$58.00; Add'n circuits $6.00 ea)
❑ Mast or meter repair $ 43.50
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$ 74.00 plus 35% of Permit Fee
COMMERCIAL
NEW COMMERCIAL/ INDUSTRIAL SERVICE
❑ Over 600 volts surcharge $ 74.00
❑ Mast or axeter repair $ 80.00
ALTERED COMMERCIAL/INDUSTRIAL
Service or Feeder
Each Add'n
❑ 0 to 100 amp
$ 94.50
$ 58.00
0 101 - 200 amp
117.50
74.00
0 201 - 400 amp
224.50
87.00
❑ 401 - 600 amp
256.50
103.00
❑ 601 - 800 amp
332.00
140.50
❑ 801 - 1000 amp
405.50
169.50
❑ Over 1000 amp
442.00
236.00
❑ Over 600 volts surcharge $ 74.00
❑ Mast or axeter repair $ 80.00
ALTERED COMMERCIAL/INDUSTRIAL
❑ # of circuits to be added/altered
(1-5 circuits - $74.00; Add'n circuits, $6.00/ea)
COMMERCIAL/INDUSTRIAL PLAN REVIEW
$ 74.00 plus 35% of Permit Fee
❑ Service over 200 amps
❑ Medical/Educational/Institutional Facility
MO$1LE HOMES
Service or Feeders
❑ 0 to 200 amp
$ 94.50
❑ 201 - 600 amp
220.50
❑ 601 - 1000 amp
332.00
❑ over 1000 amp
369.50
❑ # of circuits to be added/altered
(1-5 circuits - $74.00; Add'n circuits, $6.00/ea)
COMMERCIAL/INDUSTRIAL PLAN REVIEW
$ 74.00 plus 35% of Permit Fee
❑ Service over 200 amps
❑ Medical/Educational/Institutional Facility
MO$1LE HOMES
TEMPORARY SERVICE
❑ Service or feeder only $ 58.00
❑ Service and feeder $ 94.50
Commercial
Residential
❑ 0 -too
$ 58.00
$ 51.00
MOBILE HOME/RV PARK
❑ 101-200
74-00
51.00
❑ # of service or feeders
{First service/feeder-$58.00; each add'n -$37.50)
❑ 201 - 400
87.00
n/a
❑ 401-600
117.50
n/a
❑ over 600
127.00
n/a
MISCELLANEOUS SERVICE/ EQUIPMENT
U -J-# of Thermostats
(First -$43.50; add'n-$13.50/e
❑ Low Voltage
Square Feet to be served by system(s)
❑ Fire Alarm System
❑ Security Alarm System
❑ Voice Cabling
❑ Data Cabling
(Per Systcm(s) 1- 2500 ft=-$SI.00;
Each add'n 2500 0-13.50) • Per WAC 296-46910(5)(,)(& u!
❑ # of Signs
(First sign -$43.50; add'n sign $20.50/ea)
❑ Swimming pool/hot tub ................ $87.00
(Includes additional circuit, if required)
❑ Yard Pole meter loops ..................... $58.00
❑ Additional Plan Rerif
i$87.00/hour
(for modified submi
Bulletin # 100 - March 30, 2004 Page e 3 of 4 k\Ilandouts - Reviscd\Pennit Application