07-106204-. City of Federal Way
CoMmunity, Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Electrical Permit #: 07 -106204 -00 -EL
Project Name: GRAVITT
Project Address: 30044 6TH AVE SW
Project Description: Installing (1) circuit for wheelchair lift
Inspection Request Line: (253) 835-3050
Parcel Number: 039600 0150
Owner
Applicant
Contractor
MARILYNN GRAVITT
THOMPSON ELECTRICAL CONSTRUCTORS,
THOMPSON ELECTRICAL
30044 6TH AVE SW
INC.
CONSTRUCTORS, INC.
FEDERAL WAY WA 98023
PO BOX 45260
THOMPECO08CW 2/16/08
TACOMA WA 98445
PO BOX 45260
TACOMA WA 98445
Additional Permit, Information
Service greater than 1000 Amps?...........................No
Electrical' Fixtures
Circuits - Residential ...................... 1
PERMIT EXPIRES Friday, November 7, 2008
Permit Issued on Tuesday, November 13, 2007
1 hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u will be In accordance with the laws, rules and regulations of the State Washington
an City of Federal Way.
Owner or agent: Date:_
f '000'( C�
THIS CARD IS TO REMAIN ON-SITE -
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -106204 -00 -EL
Owner: MARILYNN GRAVITT
Address: 30044 6TH AVE SW
FEDERAL WAY, WA 98023-3520
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)
Approved to place concrete
By Date
❑ Ditch cover (4030)
Approved
By Date
❑ Pool Bonding (4195)
Approved
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
L.Ly
Date
❑
UFER Ground (4295)
Approved
By
Date
For infector reference
O Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By(:;,)�Date • l ��
W *1 C." ", A 0 7 (D (o
Federal wa�®o PERMIT
ConnuuNrTYDEvecoPnrEnrrs>'i CES P'A SF MF CO ME EL PL DE EN FP
�zFED� F ��9713;Q� o� 'PLICATION
www.cituo[Ldercdwati.com F� G
q� Q��
The following is requ nation - an incomplete application will not be accepted. Please print legibly (in ink) or type.
/n
PROPERTY•• •
SITE ADDRESS O O A a Q+ S c J SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # - LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
PROJECT• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION X ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included onthis mitt onl ,
/1 - A A _ A n n A A L
01
PROJECT NAME (Name of Business or Owner Last Name) 2-Ay t 1
PROPERTY
•7WNER
CONTRACTOR
COPY of cud rcqulre w
eac
with h appllcaLon
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME•
NAME
O FFICE PHONE -
PRIMARY PHONE
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
MAILINOG ADDRESS
CITY, STATE, ZIP
E-MAIL ADDRESS
� �
ANYAME � 4� C—APPLICANT
NAME
O FFICE PHONE -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
CONTRACTORS REGISTRATION NUMBER
7-h16m10ie oagC-L'0
EXPIRATION DATE
2-/0 -2008'
E-MAIL ADDRESS
COMPANY NAME APPLICANT NAME
OFFICE PHONE
( s3) 53 - oY 9
MAILING ADDRESS CITY, STATE, ZIP
°l
CELL PHONE
`�
cs ucar,\a WA, $
(2,s3) 5'DS� 7
LATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
(Zs3) 53?- 0/0/
PRIMARY PHONE E-MAIL ADDRESS
( ) W - .
NAME
/VZ ti--
Per RCW 19.27.095:
Lender information is required (f project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHI INE ❑ PRIVATE (SEPTIC)
. 0
0 •••
PROJECT.
AREA DESCRIPTION
4
AREAS
ERISTING
FT.
PROPOSED
SQ.FT.
TOTAL
SQ. FT.
BASEMENT
WATER CLOSETS troaet)
SINKS
WASHING MACHINES
RST
BUILDING SHELL ONLY? ❑ YES ❑ NO
BASIC PLAN?
❑ YES
SECOND
ZONING DESIGNATION
CHANGE OF USE?
THIRD
❑ NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP/SEPA/SU?
ADDITIONAL FLOORS (DESCRIBE)
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
DECK (❑ COVERED OR ❑ UNCOVERED?)
❑ NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
o
-OFs®
TarAL
rorwrSrosr
aorIll.r>aorosmsF
70`"`W
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
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 $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
BBgS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or Tub/Shower Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
FANS GAS WATER HEATERS MISC (Describe)
FIREPLACE INSERTS HOODS (Commercial)
FURNACES RANGES
GAS LOG SETS REFRIG. SYSTEMS
LAVS (Bathroom Sinks)
URINALS MISC (Describe)
RAINWATER SYST
VACUUM BREAKERS
SHOWERS
WATER CLOSETS troaet)
SINKS
WASHING MACHINES
SUMPS
BUILDING SHELL ONLY? ❑ YES ❑ NO
I cert(fy 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 claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of
such clahN, which may be made by any person, including the undersigned, andJiled against the City of Federal Way, but only where such claim
arises out of the reliance of the city, includ' its o
this application. /") , /fficers and employees, upon the accuracy of the information supplied to the city as a part of
NAME/TITLE�Lf�/�1�-moi' {�Jf `' UiGC��/.�(.e Q-t.oCc�t DATE
(Signature) (Title)
RELATIONSHIP TO PROJECT ,Owner ❑ Agent X Contractor ❑ Architect ❑ Other
FSR OFFICE USE ONLY
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT DdPROVEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP/SEPA/SU?
❑ YES
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
•
Bulletin #100 -January 1, 2007
Page 2 of 4
k\Handouts\Permit Application
4.
C
r
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIALANDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2- $111.00; Each add'n 500 ft2- $35.50)
❑ 0 to 100 amp $120.50 $ 74.00
❑ Detached outbuilding or garage
❑ 101 - 200 amp 149.50 94.50
(Inspected with service) $47.00
❑ 201 - 400 amp 280.00 111.00
❑ Detached outbuilding or garage
❑ 401 - 600 amp 327.00 131.00
(Inspected separately) $74.00
❑ 601 - 800 amp 423.00 179.00
❑ 801 - 1000 amp 516.50 216.00
NEW MULTI-FAMII Y (three units or more)
❑ Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $ 35.50
❑ Over 600 volts surcharge $94.50
❑ 201 - 400 amp 149.50 74.00
❑ Mast or meter repair $102.00
❑ 401 - 600 amp 205.00 102.00
❑ 601 - 800 amp 262.00 140.50
ALTERED COMMERCIALANDUSTRIAL
❑ Over 800 amp 375.50 280.50
Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAA Y
❑ 201 - 600 amp 280.50
Ll - 1000 amp 423.00
Service or Feeder
❑over 1000 amp 471.00
LJ to 200 amp $ 92.50
❑ 201 - 600 amp 149.50
❑ # of circuits to be added/altered
❑ over 600 amp 225.50
(1-5 circuits - $94.50; Add'n circuits, $7.00/ea)
❑ of circuits to be added/altered
COMMERCIAL/INDUSTRIAL PLAN REVIEW
--/-#
(1-4 circuits -$74.00; Add'n circuits $7.00/ea)
$94.50 plus 359/6 of Permit Fee
❑ Service - 1,000 amps or greater
❑ Mast or meter repair $55.00
❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARR
Residential/Multi-Family $65.00
❑ # of service or feeders
(First service/feeder-$74.00; each add'n -$48.00)
Commercial/Industrial Seruice or Feeder Ampacity
❑ 0 -100 amps $ 74.00
❑ 101 - 200 amps 94.50
❑ 201 - 400 amps 111.00
❑ 401 - 600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats
❑ # of Signs
(First -$55.00; add'n-$17.00/ea)
(First sign -$55.00; add'n sign $26.00/ea)
❑ Low Voltage
❑ Swimming pool/hot tub ................ $111.00
Square Feet to be served by system(s)
(Includes additional circuit, if required)
❑ Flre Alarm System
❑ Yard Pole meter loops ..................... $74.00
❑ Security Alarm System
❑ Additional Plan Review $111.00/hour
❑ voice Cabling
(for modified submittals)
❑ Data Cabling
❑ Automation Fee on all Permits $5.00
1 11
..
1st 2500 ft2-$65.00;
Each add'n 2500 ft2-17.00) • Per WAC 296-46-910(5)(b)(i & iU
Bulletin #100 - January 1, 2007 Page 3 of 4 k\Handouts\Permit ADDlication