11-100203 City of Federal Way 111 • Electrical
Community Development Services Permit #: 11-100203-00-EL
P.O.Box 9718
Federal-260, Fax
(253) 718
835- Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: BAKER FILE
Project Address: 30915 28TH AVE S Parcel Number: 798440 0040
Project Description: Installing a new thermostat
Owner Applicant Contractor
NICOLE L STEELE A HAYES HEATING&COOLING LLC A HAYES HEATING&COOLING LLC
ROBERT T BAKER 276 SW 43RD ST HAYESHC932JR(4/19/11)
30915 28TH AVE S RENTON WA 98057 276 SW 43RD ST
FEDERAL WAY WA 98003 RENTON WA 98057
'74, a ,4 nal 0-0 r 0-, ;: z ,,,,
Is Use Educational or Institutional? No
41,16 1� • ins r ,4, . - : , i.
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Thermostat 1
PERMIT EXPIRES Wednesday, January 18, 2012
Permit Issued on Tuesday,January 18,;2011
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 agents- -�- Date: /0)--- 7-; / /
PifAt
, � 11(0(1:
0
` - THIS CARD IS TO REMAIN ON-SITE
CITY OF • Construction Ins tion Record
Federal WayREQU RE UESTS: 253 835-3050
PERMIT#: 11-100203-00-EL Address: 30915 28TH AVE S
Project: NICOLE L STEELE FEDERAL WAY, WA 98003-5004
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.
El Rough Electrical(4225) El Final-Electrical(4055)
Approved Approved
.By Date ., Date f_/
•
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
. , ___. alito
IFITc
• /I -
l pry PER -
COKMUNI7YDEYELD � MIT SF MF CO M tseN'L DE EN FP
33325 4rg AVENUE s0 4 f'11 e
FEDERAL WAY,WA '8,A• 718 APPLICATION TD
253-835-2607•FAX 253.435-2609 „e'-'
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yiunadtuoffederplwau.am 31\1\1 l 0 L'-',i I.
The following is required i :i-, tin A omplete application will not be accepted. Please print legibly(in ink)or type.
fAL • PROPERTY INFORMATION
IP
SITE ADDRESS 3C- 7'/-j 28j'l-y r"t I✓C 5 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 7I” & 1/ £/ 0 - o O Li U LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate Page for len"legal duaJPda V
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING ■ MECHANICAL
0 DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provides detailed description of work included� on this permit onlq)
c,4 G.1y. v 4r-- /_G4 v-1 ,1 cr c L G-Z3 .0 6'67o 4'-7 c -rile-he- U B A f
PROJECT NAME(Name of Business or Owner Last Name) 4&C,t 4 k—
• PEOPLE INFORMATION
PROPERTY NAAMME� L PRIMARY PHONE
OWNER ('TCS 6 c y -E— S 4 d(t LP- (VC,) 3Cs9 - C.'55.66
MAILING ADDRESS ,.0.LI CITY.STATE,ZIP E-MAIL ADDRESS
3c. �� 28 cr i✓e 5 / J-r yt l Li/4y b 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
4 //47/.4..:-.5 We-,..,4,-,3 1 ii 1/4yc-g (Pot)24/t{ -Y32e
MAILING ADDRESS eciCITY,STATE,ZIP CELL PHONE
D7 -SW 4/3 5-r 1trt.elie„1 w4 '9b57 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
VO—08-ic 2:2' &—oc,—GL ( ) -
CONTRACTOR'S REGISTRATION NUMBER ERP TION DATE E-MAIL ADDRESS
f-/Gy,�s4c9-3,772 g/ilV0//
APPLICANT COMPANY NAME APPLICANT NAME
OFFICE PHONE
fin i MAILIN.A;L"ESS(6y rj / CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant ❑Agent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT -
( )
LENDER NAME Per RCW 19.27.095:
Lender information is required if protect value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
• ( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ❑ NO
WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE ❑ TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
■ PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTALEumro
sSi TOTAL PROPOSED Sr TOTAL er
"*NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of facture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL _7
Value of Mechanical Work$ g 73 5 (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS r FURNACES RANGES
DUCTS. GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower combo) LAVS(Bathroom Sinha) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(rouoq
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorised 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 will comply with all applicable
City of Federal Way regulations pertaining to the work authorised 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,or federal laws regulating construction or environmental laws.
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, 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.
SIGNATURE: �� � DATE I& ;YEN .20i/
Property Owner and/or Authorized Agent
a NEW a ADDITION a ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application
- f ,
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$115.50;Each add'n 500 ft2-$37.00) ❑ 0 to 100 amp $125.50 $76.50
❑ Detached outbuilding or garage 0 101-200 amp 155.50 98.00
(Inspected with service) $48.50 0 201-400 amp 291.00 115.00
❑ Detached outbuilding or garage ❑ 401-600 amp 339.50 136.00
(Inspected separately) $76.50 ❑ 601-800 amp 439.00 186.00
O 801 - 1000 amp 536.50 224.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 584.50 311.50
Service Feeder
❑ Up to 200 amp $125.50 $37.00 ❑ Over 600 volts surcharge $98.00
❑ 201 -400 amp 155.50 76.50 ❑ Mast or meter repair $106.00
❑ 401 600 amp 212.50 106.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ 601-800 amp 272.00 145.50
❑ Over 800 amp 389.50 291.00 Service or Feeders
❑ 0 to 200 amp $125.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 291.00
❑ 601 - 1000 amp 439.00
Service or Feeder
❑ 0 to 200 amp $96.00 ❑ over 1000 amp 489.00
❑ 201 -600 amp 155.50 ❑ #of circuits to be added/altered
❑ over 600 amp 234.00 (1-5 circuits-$98.00;Add'n circuits,$7.50/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$76.50;Add'n circuits$7.50/ea) $98.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $57.50 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ Service and feeder $125.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $67.50
❑ #of service or feeders
(First service/feeder-$76.50;each add'n-$50.00) Commercial/Industrial Service or Feeder Ampacity
O 0-100 amps $76.50
O 101-200 amps 98.00
O 201-400 amps 115.00
❑ 401-600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ C #of Thermostats ❑ #of Signs
(First-$57.50;add'n-$17.50/ea) (First sign-$57.50;add'n sign$27.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $115.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System 0 Yard Pole meter loops $76.50
Cl Security Alarm System ❑ Additional Plan Review $115.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0 Automation Fee on all Permits $5.50
❑
1K 2500 ft2-$67.50;
Each add'n 2500 ft2-$17.50)*Per WAC 296-46.910(5)(bffi&ii)
Bulletin#100-January 1,2008 Page 3 of 4 k\Handouts\Permit Application