09-101082 • 'leetri al
City of Federal Way (]
Community Development Services Permit #: 09-161082-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718 ; 14sa
Ph:(253)835-2607 Fax:(253)835-2609 A L.: Inspection Request Line: (253) 835-3050
Project Name: CHARLEBOIS
Project Address: 31624 54TH AVE SW Parcel Number: 189850 0160
Project Description: Altered 200 amp service
Owner Applicant Contractor
MICHAEL S CHARLEBOIS ERWIN ELECTRIC LLC ERWIN ELECTRIC LLC
31624 54TH AVE SW 1429 AVENUE D SUITE 514 ERWINEL963CP (02/17/10)
FEDERAL WAY WA 98023-2015 SNOHOMISH WA 98290 1429 AVENUE D SUITE 514
SNOHOMISH WA 98290
•
Additional
Is Use Educational or Institutional? No
Electrical Fi resp
$
„AIN �..�.
Alt. Serv./Feeder: 0 to 200 amps(F 1
PERMIT EXPIRES Thursday, March 25, 2010
Permit Issued on Wednesday, March 25, 2009
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: Date:
4' a
MAR 2 5 2009
Atit
4111 THIS CARD IS T4EMAIN ON-SITE - ..
CITY of '`- Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-101082-00-EL
Owner: MICHAEL S CHARLEBOIS
Address: 31624 54TH AVE SW
FEDERAL WAY, WA 98023-2015
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.
O UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding (4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By e. Date C
❑ Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
•
By Date 1.A r jj
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
REz •
G�rToo�r MAR 2 3 2009 - i' 0 q. - i 0 •� `9 ��
Fede al Way PERMIT a
coMMUi'lII1 n6VEWPMF,M'slIJI�JCNS SF MF Co ME EL PL DE EN FP
assns DEFALWA ,WASOUTHP•5'0971 9C2-"/OF FEDEjtA LI CATI ON TD
PFsDfiFAL WAY,WA 88089-8758 ¢� / /'
263.835280 PAX 253-6'35-2609 CD
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The following is required irfarmation-an incomplete application will not be accepted. Please print legibly(In ink)or type.
Z /� L� • PROPERTY`INFORMATION'�
SITE ADDRESS J 1 �/2 LI ` 4 � s."v SUITE/UNIT 0_
ASSESSOR'S TAX/PARCEL* LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates.Lot I)
(Alf.o7t•ny+r .r y..fu 4n3Ruj 4g...e.z,ep[Oni
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING Cl PLUMBING ❑ MECHANICAL
❑ DEMOLITION )(ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTIONSe..,.)
CProvide detailed descr(ptton of work included on this pe-mit oni1]
i l
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PROJECT NAME(Name of Business or Owner Last ZY{�ne)
MI PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER G f . , o • (,S3)Fa,$ -.27 77,S
MAIL 0 1 ADDRESS g s +ri s w, l W IL T tom, E-MAIL ADDRESS
CONTRACTOR COMPANY'NAME �.. APPLICANT NAME OFFICE v1i0NE
ir'CA'' ,Ef�chr2 LZ-- hrr %hr r�r�r ( zsl 353 56
MAILING ADDRESS —C'n',STATE,ZIP S ��Q CELL PHCO
/96;2- •rtil�c5LdOGJ k� �t L hormi511 JJt
CITY OF FI?37 EfiAI,WAY BIJSINfiSS LICENSE Ni1MrsER EXPIRATION DATE FAX NUMBER
1 c Jas �z ozJ - r3 . d�/3i/z c, ( )�-i( -( D
CONTRALTO I'S RE6IBTRATION NUMBER t1tATION DATE E-MAIL ADDRESS
Zv'LNi Lr9 - �P a II-1zoio
APPLICANT COMPANY NAME APPLICANT NAME OFTICE PYtONE
3Cu,k e ((>11+1-0L.c4 ( ) -
MAILING ADDRESS CHI'.STADL ZIP CELL PHONE
( ) -
REfATIONBI IIP TO PROJECT FAX NYJMeER
o Architect. ❑Tenant ❑Agent ❑ Other ( ) -
PROJECT NAME ,, II r- PRIMARY PHONE ' E-MAD.ADDRESS
CONTACT d C'�( L 1 (q25) 7C - 4541 3 b
LENDER NAII,E` Per PCW I ).27.Ofle:
N d } _ vN'M Lender information is required Cr project value exceeds$5,000
MAILING ADDRESS COY.STATE,ZIP PHONE
( )
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE _,
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF'PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN G HIGHLINE w PRIVATE(SEPTIC)
VO/TO 39yd DIeLLO 13 NIMe13 990Tb6Z0K TZ :L0 6003/CZ/60
« w •
PROJECT FLOOR AREAS
•
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.rr. SOS.FT.
BASEMENT
FiRSf
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE) _
DECK(❑COVERED OR O UNCOVERED?)
GARAGE ❑ CARPORT O
NUMBER OF FLOORS 11161171111161171112lw
iPROPOSED tato. Yornm
ce:IMMOBE' mrAL.rmaro� ar za =,
r. Kr
"NEW FIOMES 01\[1,1'" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FLXTURES
Indicate number of each type offLthre to be installed or relocated as part of this project Do not include fbcTures to remain.
MECIL4NTCAL
Willie of Mechanical Work$ LA COY Or BiD OR ESTIMATE MUST HE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
$EQS FANS GAS WATER HEATERS MISC(Describe)
HOILERS FIREPLACE INSERTS HOODS(corm.,,
COMPRESSORS FURNACES RANGES
D(CTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
SAI'HTUBS(or llrb/Shn`vrr Combo) LAYS Otthraom r URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS crwo
ELECI'IUC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
(el OVA ItO0
!certijy under penalty of perjury that I am the property owner oe authorized agent of the property owner.I certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I certify that I wlU correply with oil applicable
City of Federal.Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local,state,orfedcrat taws regulating construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any cktint (including costs, expenses, ani attorneys'fees incurred in the
investigation and defense of such claintJ, which may be made by any parson, including the undersigned, and,filed against the efts, bat 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 pa t is a•. ' 't'•
SIGNATURE:Lill DATE 3 2Z t if3
'roperty Owner And/or Authorizui Agent
fN
o NEW o ADDITION a ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES a NO
NEW ADDRESS REQUIRED? a YES ❑NO UP/SEPA/SU? a YES a NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES a NO
sp. __.—.. �. .. A F,. .. �....hn..... .... .wYmnrce
Bulletin#100 January 1,2009 Page 2 of 4 k\Handouts\Pcrmit.Application
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41 4111
ELECTRICAL PERMIT INFORMATION
"'NOTE: an automation fee of$6.00 will be charged for so permits.
RESIDENTIAL COMMERCIAL
;w RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ ogle Family Square Feet Service or Feder Each Add'n
Willa 1300 at-t 1a 1.00;Eh add'n sop fa-$50.00) ❑ 0 to 100 amp $131.50 $80.00
❑ 101-200 amp 163.00 103.00
❑ Detached outbuilding or garage(w/service) $51.00
0 201-400 amp 305.50 120.50
❑ Detached outbuilding or garage(inspected separately) $80.00 ❑ 401-600 amp 356.00 142.50
0 Swimming pool(w/service) $60.00
❑ swimming pool(Inspected separately) $120-50 U 601-800 amp 460.50 195.00
0 801 - 1000 amp 562.50 235.50
a Hot tub/spa/sauna(w/service) $51.00
❑ l4ot tub/Spa/sauna(inspected separately) $80.00 1:1 Over 1000 amp 618.00 327,00
❑ Septic pumping system(av/seiviee) $51.00 ❑ Over 600 volts surcharge $103.00
❑ Septic pumping system(inspected separately).,.,,, $60.00 ❑ Mast or meter repair $111.00
AL 1II KEl)COMVI) RRCTAL/INNDUSITLIAIr
NEW MULTI-FAMILY(three units or more) (Does not include circuits,)
Service ?eeder Service or Feeders
❑ Up to 200 amp $131.50 $39.00 0 0 to 200 amp $131.50
❑ 201 -400 amp 163.00 80.00
U 201 600 amp 305.50
Li 401 -600 amp 223.00 111.00 U 601 - 1000 amp 460.50
❑ 601 -800 amp 285.50 152.50 ❑ over 1000 amp 513.00
U Over 800 amp 408.50 305.50
❑ #of circuits to be added/altered
ALT ED SINGLE/MULTI FAMILY
(1-5 circuits-$103.00:Add'n circuits,$8.00/ca)
Service or Feeder COMMERCIAL/INDUSTRIAL PLAN REVIEW
12 0 to 200 amp $100.50 $103.00 plus 35%of Permit Fee
U 201 600 amp 163.00 ❑ Service- 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
0 over 600 amp 245.50
0 Additional plan review for
❑ #of circuits to be added/altered modified submittals $115.00/per hour
(1-4 circuits-$80.00;Add'n circuits a8.00/ee) -
❑ Mast or meter repair $60.50 TEMPORARY SERVICE
Service or Feeder Each Add'n
MANUFACTURED HOS ❑ 0 to 60 amp $ 71.00 $32.00
❑ Service or feeder only $80.00 0 61- 100 amp 80.00 39.00
❑ Service and feeder $131.50 ❑ 101-200 amp 103.50 51.00
0 201-400 amp 120.00 60.50
MOBILE HOME/RV PARK U 401-600 amp 163.50 80.00
❑ #of service or feeders ❑ Over 600 amp 183.00 92.00
(First service/feeder-$80.00;each add•n-$52.50)
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats
(First-$60.50;add'n-$18.50/ca) ❑ it of Signs
❑ Low Voltage (First sign-$60.50;add'n sign$28.50/ea1
Square Feet to be served by systems) ❑ Yard Pole/meter loops/pedestal $80.00
O Fire Alarm System ❑ Portable Generator(transfer
0 Security Alarm System equipment) $100.50
❑ Voice Cabling U Ditchoover/inspection only $120.50
❑ Data Cabling
01.2500 tP-$71.00; For fees not listed,contact the Permit Center at
Each add'n 2500 fto-318-50) 253.835-2607
Bulletin#100-January 1,2009 Page 3 of 4 l\Handouts\Permit Application
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