06-101687 ti
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City of Federal Way
Fl.Community Development Services 'Electrical Permit #: 06-101687-00-EL
P.O Boz 9718 Federal Way,WA 98063-9718 Ph:(253)836- _ Faz:(263)835-2609 .
Inspection Request Line: (253) 835-3050
Project Name: HENDRICKSON
Project Address: 224 SW 301ST ST
Project Description: Installing a new 200 amp service and wiring Parcel Number: 233730 0380
Owner Applicant
DANIEL R HENDRICKSON LARSON ELECTRIC OF PAC NW LLC Contractor
CAROLYN J HENDRICKSON LARSON ELECTRIC OF PAC NW LLC
224 SW 301ST ST PO BOX 2321 LARSOEP951L1 6/21/07
SUMNER WA 98390
FEDERAL WAY WA PO BOX 2321
98023-3934 SUMNER WA 98390
Additional Permit Information
Electrical Fixtures
Service: -Residential 2,234
CONDITIONS:
PERMIT EXPIRES Monday, October 2, 2006
Permit Issued on Wednesday, April 5, 2006
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u - , ill be in -%cordance with the laws, rules and regulations of the State of Washington
0I0 and the City of Federal Way.
Owner or agent:
Date:
FINALED
THIS CARD IS TO REMAIN ON-SITE '
Community n
CITY OF CO ty De 1 m n ve op e t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-101687-00-EL
Owner: DANIEL R HENDRICKSON
Address: 224 SW 301ST ST
FEDERAL WAY, WA 98023-3934
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 BR —cS Date 4-4 —et?
'
El Under-slab groundwork(4295)
Approved
By Date
ti lz-i t-.)to 6-tee, CC\-- K V
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seder* awl W CEWE�3 c L - 1-. LLiQ
COMMUATTYOEPRLOP PERMIT F CO ME EL PL DE EN FP
99915 ITN AVENUE 30UM.t� r16 5 Zoos APPLICATION
FEDERAL WAY,FAX pB T. �/ / CJS l 06
7932951607•PAX 1592 51609
g 1TV Or r.CIMIAL.WAY
The follow' • 4 C 1,1'' -1 ty. .
f tton-an tnco •late a••iicatiort will not 6e acce•tad. Please •r{rtt le;ibI n In or
i PROPERTY
INFORMATION
SITE ADDRESS '. (-/ S L' 1.- � S -Y
. SUITE/UNIT•
ASSESSOR'S TAX/PARCEL# - _ _ LOT SIZE(sfl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach erpernNpyr/ar IeWWtreetdee .l
. PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING . ❑ PLUMBING ❑ MECHANICAL
0 DEMOLITION LECTRICAL o ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) I
GIe\cce ✓w 143 ( tic.1Fr\4 A( ,t1e w rrsn5t,",t- , gRIdA C»I,vs'Yv,car1 Sc-,a
PROJECT NAME(Name of Business or Owner Last Name) \4 r1 art ( )C-,
U PEOPLE INFORMATION
PROPERTY . NAME - PRIMARY PHONE
OWNER w ♦ . } �. '. .( r ) - r 0
MAILING ADDRESS
CONTRACTOR COMPANY NAME
OFFICE PHONE
, _ . S ) a. : - sa.
• (' ice �..� � v,
O ADD'ESS CITY,STATE,ZIP CELL PHONE
ti U. 'IC .or ' • . ( 1l ) ( ( - ( (
CITY 01?FEDERAL WAY BUS LICENSE NUMBER EXPIRATI r N DATE PAX NUMBER
-13 L • / / ( ) -
CONTRACTORS REGISTRATION NUMBER)copy of card required with sock appBeetion) EXPIRATION DATE
L a S c 2 6. 1 S. t c, 1 6 /L( /0-7
APPLICANT COMPANY NAME I� {{� )� / APPLICANT NAME /OFFICE PHONE
MAILING ADDRESS CT11�,STATE,ZIP CELL PHONE
TO 1\ox �:�� ( Sc.,."•kr1F r LA RZ�Sgd ( . i) l ( = 1 `(
R
TO TO PROJECT � PAX NUMBER
o Architect o.Tenant n Agent tg/ her(Describe) i c-k o,--kr- ( co) X13 - S)Vic/
CONTACT NAME 1 PRIMARY PHONE E-MAIL ADDRESS
5c2S` ._ Lig rs-lrn (653) --T-au L.EcPg-P,APw(*Aoi-,c.M
LENDER NAME
.MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
■r DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES o NO FIRE SUPPRESSION SYSTEM PROPOSED%REQUIRED? a YES D NO _
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN o IIIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
=ICING IROPUeee ToT.v. _7r .:?r�{i T• ,nth.` '
NUMBER OF FLOORS
**NEW HOMES ONLY"* NUMBER OF BEDROOMS 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
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(communal) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/shower Comm) SHOWERS WATER CLOSETS Roao) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE HIBBS
LAVS(Bathroom 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 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 c14m!including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may b /e by .ny person, ncluding the undersigned,and filed against the City of Federal Way,but only where ouch claim
arises out of the reli of t . .,in • its officers and employees,upon the accuracy of the information supplied to the city as apart of
this application. /
•
NAME/TITLE +� V' inr n�sP.1 DATE /�/(9r
kture) - J (nee) _/ II ((( JJ.
RELATIONS • 0 PROJECT CI Owner CI Agent ❑ Contractor ❑ Architect 0'Other f U c"+r+C �n Ff ALlr�l'
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R,.11 t rt Ii1 nn_um.1 lnn6 Pao,.7 of 4 k\Hanrinuts\Permit Annlication
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ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
,NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
t� Single Family Square Fee E �--c a v S�C-1- Service or Feeder Each Add'n
(First 1300 02-$107.50;Each a d'n 500 02-$34.50) . ❑ 0 to 100 am
❑ Detached outbuilding or garage / (f ❑ 101- amp $117.200 amp 145.00 0 91.50
$71.50
.?
(Inspected with service) $45.50
L J i
❑ Detached outbuilding or garage ❑ 201 -400 amp 272.00 107.50
(Inspected separately) $71.50 ❑ 401-600 amp 317.00 127.00
❑ 601-800 amp 410.00 173.50
NEW MULTI-FAMILY(three units or more) ❑ 801 - 1000.amp 500.50 209.50
❑ 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
❑ 601 -800 amp 254.00 136.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 364.00 272.00
Service or Feeders
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $117.00
❑ 201 -600 amp 272.00
Service or Feeder ❑ 601 -.1000 amp 410.00
❑ 0 to 200 amp $89.50 ❑ over 1000 amp 456.50
❑ 201 -600 amp 145.00
CI
600 amp 218.50 ❑ #of circuits to be added/altered
(1-5 circuits-$91.50;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
CI
or meter repair $53.50 ❑ Service- 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $71.50
❑ Service and feeder $117.00
MOBILE HOME/RV PARK TEMPORARY SERVICE
❑ #of service or feeders Residentiaf/MuIH-Family $63.00
(First service/feeder-$71.50;each add'n-$46.50) Commercia;/Industrial Service or Feeder Ampacity
❑ o-100 amps $71.50
❑ 101-200 amps 91.50
4 0 201-400 amps 107.50
E-.1 401 -600 amps 145.00
❑ over 600 amps 157.00
\/ •
•
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats
(First-$53.50;addh-$16.50/ea) ❑ #o-$53.s
Signs
CI Voltage (First sign-$53.50;add'n sign$25.00/ea)
E.1 (Includes pool/hot tub $107.50
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System 9 I
❑ Security Alarm System ❑ Yard Pole meter loops $71.50
❑ Voice Cabling ❑%utomatlon Additional Plan Review $107.50/hour
E:i Data Cabling or modified submittals)
❑ Fee on all Permits $5.00
(Per Systems) 1••2500 ft2463.00;
Each add h 2500 ft2-16.50) •Per WAC 296-46-910(5)(b)(1 8s ii)
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