07-105904deral Way
CMy of Development
Electrical Permit #• 07-105904-00-E'L
,Community Development Services •
P.O. Box 9718
FederalWay, WA 98063-9718
Ph: (253) 835.-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: CORTEZ
Project Address: 28632 21ST AVE S - "' Parcel Number: 422200 0070
Project Description: Adding/altering (1) circuit for electrical receptable for Rinnai gas water
Owner
Applicant
Contractor
DAVID & BEVERLY CORTEZ
NORTHWEST PERMIT INC
WASHINGTON ENERGY SERVICES CO
28632 21ST AVE S
1345 GULF ROAD
(WESCO)
FEDERAL WAY WA 98003
POINT ROBERTS WA 98281
WASHIES9710B 9/2/07
2800 THORNDYKE AVE W
SEATTLE WA 98199
Additional Permit Informat�rx
Service greater than 1000 Amps?...........................No
Electrical Fixtures
Circuits - Residential ...................... 1
PERMIT EXPIRES Monday, October 20, 2008
Permit Issued on Friday, October 26, 2007
1 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 aT9kne with the laws, rules and regulations of the State of Washington
e Cityof Fed ral Way.
Owner or agent: —Date: l (J
F1
� I
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -105904 -00 -EL
Owner: DAVID & BEVERLY CORTEZ
Address: 28632 21 ST AVE S
FEDERAL WAY, WA 98003-3339
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
LBy
Date
❑
UFER Ground (4295)
Approved
By
Date
For inspector reference only _
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
10-24-'07 10;03 FROM- T-736 P002/012 F-566
RECEIVED /0
GfYOT `7•� �
Federal Way DICT 2 4 2007 PERMIT � ! -
COMMUNnYDEVELOPMENT SERVICES SF MF COM -EL PL DE Eli PP
333238YIIAI'XMUrsourx-iotf y6 IOF FEDERAL
FEDERAL IVAY.IVA °7bUILDING DEA FLI CATI ON Iv
233•635•20071 FAX 253.53- 895•s8
onumrilunlY,rdarohunu mm
The ollowi g is required i formation - an Inco Tete a lication will not he acce ted. please orint le9ik1_y1tLn_in_kLor__type-
M
PROPERTYO•
SITE ADARESS 28632 21ST AVE S SUITE/UNIT #
ASSESSOR'S TAR/PARCEL # 4 2 2 2 0 0 _ 0 0 7 0 LOT SIZE (0
LEGAL DESCRIPTION (e.g. Acme Estates. Lot 11-
(Amon r�apa„nla ytye jor k Va)W I Val desaWiay PROJECT--
• f
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION VLECTRICAL ❑ ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed descrionon of work included on this aerrnii onto)
ELECTRICAL RECEPTICLE FOR RINNAI GAS WATER HEATER
PROJECT NAME (Nurne Of Busirtess or Owner Last Name)
PEOPLE INFORMATION
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
N"tc PRIMARY PHONE
DAVID CO RT EZ ( 253 ) 839-8399
MAILING ADDRESS CITY. STATE, ZIP
28632 21$T AVE S Federal Way, WA 98003
COMPANY NAME
WESCO
APPLICANT NAME
OFPiCE PHONE
(206 ) 378 - 6649
MAILING ADDRM
2800 Thorndyke Ave W
CITY, STATE, 217P
Seattle WA 98199
CELL PIIONR
CITY OF FEDIiRAL WAY BUSINESS LICENSE NUMBER WXPJRATiON DATE
2 -Q-Q -3- —1 -0 4 Z -3 -4-B L t2 / 31 /07
FAX NUMBER
CONTRACTOR'S RFAISTRAMN NUMBER (copy or eard requited with esoh applioatiord J,LXPIM-nON DATE
W A S H I Ew S 9 7 1 O B 09 /02 /09
COMPANY NAME
Northwest Permit Inc
APPLICANT NAM&
Naida Kh n
OFFICE PHONE
( 360 ) 945 -2787
MAILING ADDRESS
1345 Gulf Road
CITY. SPATE, ZIP
Point Roberts, WA 98281
CELL PRONE
( -
It>ttA'll NSHIPTO PROJECT
❑ Architect ❑ Tenant y6wnt ❑ Other (Describe)
%UC NUMBER
( ) -
NAME
Naida Khan 1
PRIMARY PHONE
(360 ) 945 - 2787
E-MAIL ADDRESS
melissa@nwpormit.com
,PerRGW 19.97.095, LeAder lqformaL(on is " .
pry
i^egiursd (fprojeei 'value exaesds $;#,000
NAME
MAILING ADDRESS
rIY, STATE, 21P
/PHONE
l
EXISTING USE SFR
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK
SPRINIUXRED BUHMIN r? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOS>D/REQUIRED? ❑ YES ❑ NO
''WATER SERVICE PROVIDER q LAKERAVEN ❑ HIGHLI:NE ❑ TACOMA Q PRIVA'T'E (WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE ❑ PRIVATE (SEPTIC)
10-24—`07 10;03 FROM—
PROJECT FLOOR AREAS
T-736 P003/012 F-566
ARBA DIrSSCIiIPTION
ESISTW4
SQ. FT,
PROPOSED
SQ. FT.
TOTAL.
SQ. b'T,
L3ASEMENT
WOODSTOVES
FIREPLACE INSERTS
RANGES
FIRST
FURNACES
GAS WATER HEATERS
BASIC PLAN?
SECOND
ONO
ZONING ilusl NATION
SHOWERS
THIRD
_ MISC (I`MS(Irllle)
SINKS
DRINKING FOUNTAINS
rOURTL I
SUMPS
RAINWATER SYST
n NO
ADDITIONAL. FLOORS (DS SCRIBS)
HOSE BIBBS
DEMO PERMIT REg=RED?
VACUUM BREAKERS
DECK (COVERED?)
GARAGE O CARPORT ❑
NUMBER OF FLOORS ""sap
PROM=c Tacna
TOTAL PAOPOM)so
TOTAL SP
"NEW HOMES 0,NL "°' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type offtrture to be installed or relocated as part Qf " project, Do not Include existing fixtures to remain.
Value of Mechanical Work
AIR HANDLING UNITS
BBgS
BOILERS
COMPRESSORS
DUOS
BKrH TUBS (or UdShower Combo)
DISHWASHERS
GAS PIPE OUTLL+n'S
WASHING MACHINES
LAVS Itlautroom SIMS)
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
rANS
HOODS IG ,, ,,em,an
WOODSTOVES
FIREPLACE INSERTS
RANGES
MISC (Detcnbe)
FURNACES
GAS WATER HEATERS
BASIC PLAN?
OAS PIPE OUTLETS
ONO
ZONING ilusl NATION
SHOWERS
'WATER CLOSETS Rollep
_ MISC (I`MS(Irllle)
SINKS
DRINKING FOUNTAINS
r YES 11 NO
SUMPS
RAINWATER SYST
n NO
URINALS
HOSE BIBBS
DEMO PERMIT REg=RED?
VACUUM BREAKERS
EL.ttCTIUC WATER BEATERS
I certify under penalty Qf perfury that the information jUrnished by me is true and correct to the best Qf my knowledge, and further, that I
am authorised by the owner of the above premises to perfarm the wark for which the permit application is made, I farther agree to hold
harmless the City 4f federal Way as to any claim (including costs, expenses, and attorneys' flees Incurred in the investigation and defense of
such claim), which may be made by any person, including the rtndersigned. and filed against the City of Federal Way, but only where suoh claim
arises out of the reliance ¢f the city, Including its gfficers and employees, upon the accuracy gr the iriformation supplied to the city as a part gf
this application.
NAMV/TITLTLVT
(SIguature) (IIIc)
RELATIONSHIP TO PROJECT ❑ Owntid teAgent to Contractor O Architect O Other
Bulletin # 100 - January 1, 2006
Page 2 of 4
k\14andoutsTermit Application
a NEW. v ADDITION
o ALTERATION
o REPAIR. o TENANT IMPROVEMENT
BUILDING SfMiL ONLY?
DYES a NO
BASIC PLAN?
rs YES
ONO
ZONING ilusl NATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS RLgUIRED?
r YES 11 NO
UP%SEPA/SU?
o YES
n NO
PLATTED LAT?
o YES n NO
DEMO PERMIT REg=RED?
❑ YES
a NO
Bulletin # 100 - January 1, 2006
Page 2 of 4
k\14andoutsTermit Application
10-24-'07 10;03 FROM -
ELECTRICAL PERMIT INFORMATION
T -736 P004/012 F-566
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/INDUSTRMI, SERVICE
O Single Family Square Feet
Service or Feeder Each Add'n
(trust 1300 ft2- $107.50; Each add'n 500 ft2 • $34.50)
d 0 to 100 amp $117.00 $ 71.50
Q Detached outbuilding or garage
❑ 101 - 200 amp 145.00 91.50
(Inspected with service) $45.50
Q 201 - 400 amp 272.00 107.50
❑ Detached outbuilding or garage
❑ 401 - 600 amp 317.00 127.00
(Inspected separately) $71.50
Q 601 - 800 amp 410.00 173.50
❑ 801 - 1000 amp 500.50 209,50
NEW MULTk Y (three units or more)
❑ Over 1000 amp 546.00 291.00
Service Feeder
0 Up to 200 asap $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/1NDUSTRIAL
Q Over 800 amp 364.00 272.00
Service or Feeders
❑ 0 to 200 amp $117.00
ALTERED SINGLE/MULTI F'AMILi
❑ 201 - 600 amp 272.00
❑ 601 - 1000 amp 410.00
Service or Feeder
❑ 0 to 200 amp $ 89.50
Q over 1000 amp 456.50
❑ 201 - 600 amp 145.00
❑ 9 of circuits to be added/altered
❑ over 600 amp 218.50
(1.5 circuits - $91.50; Add'n circuits, $7.00/ca)
0 of circuits to be added/altered
COMMERCIALANDUSTRL4L PLAN REVIEW
(1-4 circuits -$91.50; Add'n circuits $7.00/ea)
$91.50 plus 35% of Permit Fee
❑ Service - 1.000 amps or treater
❑ Mast or meter repair $53.50
❑ Medical/Educational/lnstitutLonal Facility
.11301317.E ]TOMES
❑ Service or feeder only $71.50
❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK
Restdential/Multi-Family $63.00
❑ it of Service or feeders
(Flrst 6crvice/feeder-$71.50; each add11 446.50)
Commercia(andustrial Service or Feeder Ampacity
❑ 0 - 100 amps $ 71.50
❑ 101 - 200 amps 91.50
Q 201 - 400 amps 107,50
Q 401 - 600 amps 145.00
Q over 600 amps 157.00
MISCELLANEOUS SERVICE/EQ'UIPMEN'T`
❑ # of Thermostats
❑ # of Signe
(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 cirowt, if required)
❑ Fire Alarm System
Q Yard Pole meter loops ..................... $71,50
❑ Seourity Alarm System
O Voice Cabling
Q Additional Plan Reviewi 07.50/hour
❑ lista Cabling
(for modified submittals)
❑ Automation Fee on all Permits .. $5.00
(Per System(s) le 2500 R-463.00;
Each add'n 2500 ft2-18.50) • P*f wnc 296-46-91015)(b)((& 10
Bulletin #100 - January 1, 2006 page 3 of 4 MHandoutsTerinit Application